Kemal YÜKSEL, Yasin Şakir GÖKER, Mehmet ÖZVEREN, H.uğur ÇELİK, Ahmet Taylan YAZICI

Regmatojen Retina Dekolmanı Tedavisinde Pnömatik Retinopeksi Başarısına Etki Eden Faktörler

Amaç: Regmatojen retina dekolmanı tedavisinde pnömatik retinopeksi başarısına etki eden faktörleri sunmak. Yöntemler: Yirmi dokuz kadın, 61 erkek hastanın 90 gözü çalışmaya dahil edildi. Hastaların yaşı, cinsiyeti, semptom süresi, başvuru zamanındaki en iyi düzeltilmiş görme keskinliği (EİDGK), lens durumu, operasyon öncesi yırtık sayısı ve yeri, dekolman boyutu, makula tutulumu, verilen tamponad madde, komplikasyon varlığı ve anatomik başarı verileri operasyon öncesi, pnömatik retinopeksi sonrası 3. ay ve son kontrolde değerlendirildi. Bulgular: Tek uygulama başarısı 55 (%61,1) hasta olarak saptanmıştır. Başvuruda, pnömatik retinopeksi sonrası 3. ayda ve son muayenede ortanca EİDGK değerleri sırasıyla: 1,3 Logmar, 0,5 Logmar ve 0,6 Logmar olarak saptanmıştır (p<0,001). Tek uygulamanın 3. aydaki anatomik başarısı ile yaş, semptom süresi, dekolman kadran boyutu, kullanılan tamponad, operasyon öncesi EİDGK, makula tutulumu, operasyon öncesi yırtık sayısı, komplikasyon varlığı ve spesifik komplikasyonların ilişkisi yönünden istatistiksel olarak bir anlamlılık saptanmadı. Dekolman boyutu ile anatomik başarı arasında ise istatistiksel olarak bir anlamlılık vardı (p=0,03). Sonuç: Pnömatik retinopeksi uygun hasta grubunda denenebilecek anatomik ve fonksiyonel olarak başarılı bir tedavi seçeneğidir. Üç saat kadranı altındaki dekolmanlarda daha başarılı sonuçlar elde edilmiştir

Anahtar Kelimeler:

pnömatik retinopeksi, yırtıklı retina dekolmanı, anatomik ve fonksiyonel başarı

The Factors Affecting Success of Pneumatic Retinopexy in Treatment of Retinal Detachment

Objective: To present the factors that influence the success rate of pneumatic retinopexy on rhegmatogenous retinal detachment treatment. Methods: Ninety eyes of 29 female and 61 male patient were included to the study. The patient’s age, sex, duration of symptoms, the best corrected visual acuities (BCVA) on the time of application, lens status, preoperative retinal tear number and location, retinal detachment size, macular involvement, tamponade type, coexisting complications, and anatomic success rates were recorded at preoperative, postoperative 3rd months and final examination. Results: Only one treatment session success number was 55 over 90 (61.1%) patients. Median preoperative, postoperative 3rd month and final examination LogMAR BCVA values were 1.3, 0.5 and 0.5 respectively.(p=0.0001) Preoperative and postoperative other parameters was not revealed significant differences with one treatment session. However there was a significant positive correlation between the detachment size and anatomical success. (p=0.03, r=0.324) Conclusion: Pneumatic retinopexy is an alternative treatment option for the anatomical and functional success in retinal detachment at suitable patients. In our study the success rate was higher in patients with less than 3 clock dial retinal detachment patients.

Keywords:

pneumatic retinopexy, rhegmatogenous retinal detachment, anatomical and functional success,

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