Şengül ÖZDEK, Haluk AKBATUR, Fikret AKATA, Sertaç ÖZTÜRK, Gökhan GÜRELİK, Berati HASANREİSOĞLU

Management of retinal detachments in eyes with choroidal coloboma

Amaç: Koroidal kolobom ile birlikte retina dekolman olan gözlerde cerrahi tedavi sonuçlarını sunmak. Gereç ve Yöntem: Koroidal kolobom ile birlikte retina dekolman olan 10 hastanın 12 gözü çalışmaya dahil edildi. Retina dekolmam kolobomatöz alanla birlikte olan gözlere pars plana vitrektomi, endolaser ve silikon yağ tamponadı uygulanırken, dekole alan kolobomatöz alandan ayrı olan gözlerde Meral çökertme, kriyo ve subretinal sıvı drenajı uygulandı. Bulgular: Olgular ortalama 17 ay takip edildiler. Gözlerin 4'ü hariç tümünde retina dekolmam kolobomla ilişkili idi. Tüm vakalarda retina yapıştı. Beş gözde (%41.6) sadece kolobomatöz alana sınırlı bir retina dekolmam mevcuttu. Sonuç: Koroidal kolobomlu gözlerde tedavi planı bazı özellikler taşımaktadır ve dekolmanın kolobomatöz alanla ilişkisine göre her hastada kişiye göre ayrı tedavi planı yapılmalıdır.

Koroidal kolobomlu gözlerde gelişen retina dekolmanlarının tedavisi

Purpose: To present the results of surgical management of retinal detachment in eyes with choroidal coloboma. Methods: 12 eyes of 10 consecutive patients with retinal detachment and choroidal coloboma were involved in the study. Retinal detachments associated with the colobomatous area were treated with pars plana vitrectomy, endolaser and silicon oil tamponade, while those not associated with coloboma were treated with scleral buckling, cryocoagulation of the retinal breaks followed by drainage of the subretinal fluid. Results: The mean follow-up time was 17 months. Retinal detachment was related to coloboma in all but 4 eyes. The retina was successfully reattached in all cases. Recurrence of detachment limited to the area of choroidal coloboma was detected in 5 eyes (41.6%). Conclusion: The management plan in these anomalous eyes is of special concern and must be individualized for each patient according to the character of retinal detachment associated with coloboma or not.

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