Visual experience during phacoemulsification with anterior chamber maintainer under topical anesthesia

Amaç: Topikal anestezi ile ön kamara koruyucusu kullanılarak saydam korneal kesili fakoemülsifikasyon cerrahisi geçiren olguların görsel deneyimlerini değerlendirmek. Gereç ve Yöntem: Daha önce göz cerrahisi geçirmemiş rastgele seçilen 120 hastanın 120 gözüne topikal anestezi altında saydam korneal kesili fakoemülsifikasyon cerrahisi uygulandı. Cerrahi sırasında her olguda ön kamara koruyucusu ile ön kamaranın devamlı irigasyonu sağlandı. Cerrahi boyunca, olgularda farklı bir anestezi tipi veya sedatif kullanımı gerektirecek derecede rahatsızlık ya da panik izlenmedi. Tüm ameliyatlar sorunsuz bitirildi. Bulgular: Çalışma 66 erkek (%55) ve 54 kadını (%45) içerdi. Ortalama yaş 65.5±15 ( 40-60) idi. Olgularla ameliyatı takiben 24 saat içinde görüşme yapıldı. Bütün olgular cerrahi sırasında ışık görebildiklerini bildirdiler. Görülen renkler kırmızı (70 olgu, %58), sarı (40 olgu, %34), mavi (6 olgu, %5) ve yeşildi (4 olgu, %3). Otuz olgu ( %25) diğer renklere ilave olarak parlak beyaz ışık gördüklerini bildirdi. Dört olgu (%3) cerrahın hareketlerini görebildiklerini ifade etti. Hiçbir hastada ön kamara koruyucusu kullanıma bağlı ameliyat sonrası komplikasyon gelişmedi. Tartışma: Bu çalışma, topikal anestezi ile ön kamara koruyucusu kullanılarak saydam korneal kesili fakoemülsifikasyon uygulanan olguların görsel deneyimlerinin viskoelastik madde kullanılarak cerrahi uygulanan hastalarla benzerlik gösterdiğini doğrulamıştır.

Topikal anestezi ile ön kamara koruyuculu fakoemülsifikasyonda görsel deneyim

Purpose: To assess the visual experiences of cases who underwent cataract surgery by the clear corneal phacoemulsification technique with anterior chamber maintainer under topical anesthesia. Materials and Methods: Clear corneal phacoemulsification surgery under topical anesthesia was performed in 120 eyes of 120 randomly selected patients who had undergone no previous eye surgery. Continuous irrigation of the anterior chamber was provided by an anterior chamber maintainer in all cases during surgery. Problems such as discomfort and panic that would require use of a different type of anesthesia and sedatives were not encountered in patients during surgery. All the operations were concluded without any problem. Results: The study included 66 male (55%) and 54 (45%) female patients. The mean age was 65.5±15 (min: 40, max: 80) years. The patients were interviewed in the 24-hour period following the operation. All the patients reported that they could see some light during the surgery. The colors included red (70 cases, 58%), yellow (40 cases, 34%), blue (6 cases, 5%), and green (4 cases, 3%). Thirty patients (25%) reported that they had seen bright white lights in addition to other colors and 4 (3%) stated that they had seen the movements the of surgeon. None of the patients developed a complication postoperatively regarding ACM use. Conclusions: This study revealed the similarity between the visual experiences of patients who underwent clear corneal phacoemulsification under topical anesthesia with anterior chamber maintainer and the patients who underwent surgery with the use of a viscoelastic substance.

Kaynakça

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