Onursal BUĞRA, Bahadır DAĞLAR, Fatih ULAŞ

Açık Kalp Cerrahisinde Ultrafiltrasyon Kullanımı Göz Komplikasyonlarını Azaltır mı?

Giriş: Kardiyopulmoner baypasın insan gözü üzerindeki etkileri en az araştırılan konulardan biridir. Çalışma mızda kardiyopulmoner baypas ve ultrafiltrasyonun göz üzerindeki etkilerini araştırdık. Hastalar ve Yöntem: Kardiyopulmoner baypas kullanılarak elektif koroner arter cerrahisi yapılan hastalar değerlendirildi. Çalışma 40 hasta ile yapıldı. Hastalar iki gruba ayrıldı. Grup I’e (n= 20) kardiyopulmoner baypas sırasında ultrafiltrasyon uygulanırken, Grup II’ye (n= 20) ultrafiltrasyon uygulanmadı. Tüm hastalarda göz içi basıncı, santral kornea kalınlığı ve retinal sinir lifi tabakası kalınlığı ölçüldü. Bulgular: Grup I’de göz içi basıncında istatistiksel olarak anlamlı olmayan artış (p= 0.586) ve Grup II’de göz içi basınında istatistiksel olarak anlamlı olmayan azalma (p= 0.133) saptadık. Her iki grupta da santral kornea kalınlığında minimal artış vardı (p= 0.323). Her iki grupta da retinal sinir lifi tabakası kalınlığında istatistiksel olarak anlamlı artış vardı ancak her iki grup arasında istatistiksel olarak anlamlı fark yoktu (p= 0.908). Sonuç: Ultrafiltrasyon yapılan ve yapılmayan her iki grup arasında oftalmolojik bulgu farkı tespit etmedik.

Does the use of Ultrafiltration in Open Heart Surgery Reduce Eye Complications?

Introduction: The effects of cardiopulmonary bypass on human eyes are one of the least researched subjects. In our study, we investigated the effects of cardiopulmonary bypass and ultrafiltration on the eyes. Patients and Methods: Patients undergoing elective coronary artery surgery using cardiopulmonary bypass were evaluated. The study was conducted with 40 patients. Patients were divided into two groups. In Group I (n= 20) ultrafiltration was applied during cardiopulmonary bypass, whereas in Group II (n= 20) ultrafiltration was not applied. Intraocular pressure, central corneal thickness and retinal nerve fiber layer thickness were measured in all patients Results: We found non-statistically significant intraocular pressure increase in Group I (p= 0.586) and non-statis tically significant intraocular pressure decrease in Group II (p= 0.133). There was a minimal increase in the central corneal thickness in both groups (p= 0.323), and there was a statistically significant increase in the retinal nerve fiber layer thickness in both groups but there was no statistically significant difference between the both groups (p= 0.908). Conclusion: We did not detect any difference in ophthalmologic findings between both patient groups with and without ultrafiltration.

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ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi