Yusuf KOÇLUK, Oğuzhan SAYGILI, Emrah MAT, Necdet BEKİR

Ön lameller repozisyon yöntemi uygulanan trahomatöz skatrisyel entropiyonlu olgularda cerrahi sonuçlarımız Türkçe

Amaç: Hafif ve orta düzey entropiyonda anterior lameller repozisyon ve kısaltma ameliyatının sonuçlarını değerlendirmek amaçlandı.Materyal ve metot: Kırk hastanın trahomatöz skatrisyel üst kapak entropiyonlu 65 gözü çalışmaya alındı. Ameliyat sonrası 1. ve 7. gün, 1. ve 6. ay takip muayenelerinde hasta ve cerrahın memnuniyetleri değerlendirildi.Bulgular: Ortalama yaş 70 yıl olan 50 – 87 yaş arası 40 hastanın 15'i erkek, 25'i kadın 65 üst kapak ameliyatı değerlendirildi. Skatrisyel entropiyonun nedeni trahomdu. Hastalar ameliyat sonrası ortalama 6 ay kadar izlendi. Hastaların gözünün %89,2'sinde ameliyat sonrası semptomatik iyileşme not edildi. Hastalar 53 gözün %81,5 ameliyatından mumnundu. Cerrah 54 gözün %83 ameliyatından memnundu. Ameliyat sonrası 6. aydaki kontrol muayenesinde 5 gözde %9,2 rekürrens görüldü.Sonuçlar: Anterior lameller kısaltma ile birlikte anterior lameller repozisyon trahomatöz skatrisyel üst kapak entropiyonunda etkili olduğu görülmektedir

Anahtar Kelimeler:

Anterior lameller repozisyon, Entropiyon, Anterior lameller kısaltma

Surgical results from trahomatöz cicatricial entropion patients who underwent anterior lamellar repositioning

Background: To evaluate the outcomes of anterior lamellar repositioning and anterior lamellar shortening surgery for treatment of minimal and moderate trachomatous entropion.Materials and Methods: Sixty five eyes of 40 patients with cicatricial entropion that included upper lid trachoma were evaluated. Patient and surgeon satisfaction were evaluated on follow-up examinations performed on the 1 st and 7th day, 1st and 6th months. In a retrospective study, the technique and results were evaluated.Results: 65 upper eyelid operations were performed on 40 patients 15 male, 25 female , with a mean age of 70±12.1 years range 50–87 . The aetiology of the cicatricial entropion included trachoma. Patients were followed postoperatively for an average of 6 months. 89.2 % of patients' eyes noted symptomatic improvement. Postoperatively, patients were satisfied in 53 eyes 81.5 % operation. Ophthalmic surgeon was satisfied in 54 eyes 83 % operation. Recurrence was seen in 5 eyes 9.2 % operation on follow-up examinations performed on the 6th months Conclusion: Anterior lamellar repositioning with anterior lamella shortening appears to be effective in managing trachomatous cicatricial entropion of the upper lid

Keywords:

Anterior lamellar repositioning, entropion, anterior lamellar shortening,

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