Yüzeyel korneal yabancı cisimlerde tedaviye kadar geçen süre ile ilişkili faktörlerin değerlendirilmesi

Amaç. Korneal yabancı cisimle gelen olguların demografik ve klinik özelliklerini incelemek vetedaviye kadar geçen süreyi etkileyebilecek faktörleri araştırmak. Yöntem. Korneal yabancı cismiolan 59 olgunun 59 gözü çalışmaya alındı. Olguların rutin oftalmolojik muayeneleri yapıldı. Lokalanestezik damlatıldıktan sonra biyomikroskop yardımı ile iğne ucu kullanarak yüzeyel yabancıcisim çıkarıldı. Tedaviye kadar geçen süre ile ilişkili faktörler istatistiksel olarak değerlendirildi.Bulgular. Olguların 10u (%16,9) kadın, 49u (%83,1) erkek idi. Olguların tedaviye kadar geçensüre, yaş, yabancı cisim büyüklüğü ortalama değerleri sırasıyla 105,79±174,8 saat, 32,96±13,52yıl, 1,288±1,087mm olarak saptandı. Etken çoğunlukla demir (%49,2) idi. Yabancı cisim olguların33ünde (%55,9) sağ göz, 26sında (%44,1) sol göz de idi. Yabancı cismin korneal lokalizasyonuçoğunlukla santral korneal (%40,7) alt nazal (%28,8) ve alt temporal (%23,7) idi. Meslekçoğunlukla işçi (%47,5) ve çiftçi (%25,4) idi. Mann-Whitney U testi ile değerlendirildiğinde yaş,etkilenen göz, yabancı cismin korneal lokalizasyonu, yabancı cismin büyüklüğü ile tedaviye kadargeçen süre ilişkili bulunmazken, cinsiyet, meslek ve yabancı cisim etkeninin tedaviye kadar geçensüreyi etkilediği bulundu (p

Evaluation of factors associated with time until to treatment in superf icial corneal f oreign bodies

Aims. To assess of factors associated with time until to treatment and analyze of demographic andclinical characteristics of corneal foreign body patients. Method. Fifty-nine eyes of 59 cornealforeign body patients were included in this study. Routine ophthalmological examination wasperformed of patients. Superficial foreign body was removed with the aid of the needle tip withusing the slit lamp after instillation of local anesthetic. The factors associated with time until totreatment were statistically evaluated. Results. Of 59 patients, 10 (16.9%) were female and 49(83.1%) were male. The mean time until to treatment of the patients, age, size of the foreign bodywere as follows; 105.79±174.80 hour, 32.96±13.52 year, 1.288±1.087mm. The agent was mostlyiron (49.2%). Foreign body, there was 33 (55.9%) right eye and 26 (44.1%) left eye of cases.Corneal foreign body localization were mostly central corneal (40.7%) inferior nasal (28.8%) andinferior temporal (23.7%). The job was mostly worker (47.5%) and farmer (25.4%). The assessedby Mann-Whitney U test and there was no association between time until to treatment and age,affected eye, size of the foreign body and corneal foreign body localization. Time until totreatment showed statistically significant association with gender, foreign body agent and job(p

PDF

___

1. Macedo Filho ET, Lago A, Duarte K, Liang SJ, Lima AL, Freitas Dd. Superficial corneal foreign body: laboratory and epidemiologic aspects. Arq Bras Oftalmol 2005; 68: 821-3.
2. Alexander MM, MacLeod JD, Hall NF, Elkington AR. More than meets the eye: a study of the time lost from work by patients who incurred injuries from corneal foreign bodies. Br J Ophthalmol 1991; 75: 740-2.
3. Gümüş K, Karaküçük S, Mirza E. Corneal injury from a metallic foreign body: an occupational hazard. Eye Contact Lens 2007; 33: 259-60.
4. Nicaeus T, Erb C, Rohrbach M, Thiel HJ. An analysis of 148 outpatient treated occupational accidents. Klin Monbl Augenheilkd 1996; 209: A7-11.
5. Ergin A, Çınar P, Baş O, Altın A, Ergin P. Acil servisten göz acili olarak göz kliniğine sevk edilen hastaların özellikleri. Bidder Tıp Bilimleri Dergisi 2011; 3: 6-9.
6. Akdur O, Özkan S, Erkılıç K, Durukan P, Duman A, İkizceli İ. Acil servise göz travması nedeniyle başvuran olguların değerlendirilmesi. Akademik Acil Tıp Dergisi 2009; 8: 47-50.
7. Yiğit O, Yürüktümen A, Arslan S. Foreign body traumas of the eye managed in an emergency department of a single-institution. Ulus Travma Acil Cerrahi Derg 2012; 18: 75-9.
8. Goyal R, Shankar J, Fone DL, Hughes DS. Randomised controlled trial of ketorolac in the management of corneal abrasions. Acta Ophthalmol Scand 2001; 79: 177-9.
9. Kaiser PK, Pineda R 2nd. A study of topical nonsteroidal anti-inflammatory drops and no pressure patching in the treatment of corneal abrasions. Corneal Abrasion Patching Study Group. Ophthalmology 1997; 104: 1353-9.
10. Patterson J, Fetzer D, Krall J, Wright E, Heller M. Eye patch treatment for the pain of corneal abrasion. South Med J 1996; 89: 227-9.
11. Krogsgaard MR, Danborg L, Jensen P, Kristensen MO. Complaints following treatment of common acute eye diseases. Ugeskr Laeger 1990; 152: 1365-8.
12. Wilson SA, Last A. Management of corneal abrasions. Am Fam Physician 2004; 70: 123-8.
13. Le Sage N, Verreault R, Rochette L. Efficacy of eye patching for traumatic corneal abrasions: a controlled clinical trial. Ann Emerg Med 2001; 38: 129-34.
14. Sönmez B, Beden U, Yeter V, Erkan D. Jellyfish sting injury to the cornea. Ophthalmic Surg Lasers Imaging 2008; 39: 415-7.
15. Domniz Y, Lawless M, Sutton GL, Rogers CM, Meagher LJ. Successful treatment of Paecilomyces lilacinus endophthalmitis after foreign body trauma to the cornea. Cornea 2001; 20: 109-11.