Diffüz lamellar kretatit: Tanı ve tedavi yöntemleri

Refraktif cerrahi sonrası gelişen diffüz lameller keratit, çoğunlukla unilateral (tek gözde), görme ekseninden uzak, periferal yerleşimli küçük gri-beyaz korneal noktacıklar şeklinde ortaya çıkan bir komplikasyon tablosudur. Başlangıç evrelerde farkına varılmaz ve uygun tedavi ile önlem alınmazsa, ileride ciddi görme kaybına neden olabilmektedir. Özellikle aktif ve genç nüfusun, gözlük ve lens bağımlılığından kurtulmak için tercih ettiği refraktif cerrahi gün geçtikçe daha yoğun bir şekilde uygulanmaktadır. Bu yazıda; ilerleyici ve geri dönüşümsüz kornea ve görme hasarına neden olabilecek, diffüz lameller keratitin, erken tanısı ve tedavisi ile ileride gelişebilecek kalıcı görme kaybının önlenmesi için güncel yaklaşımların ortaya konulması amaçlanmıştır.

Anahtar Kelimeler:

Refraktif Cerrahi, Diffüz Lameller Keratit, Korneanın Kalıcı Nekrozu

Diffuse lamella keratitis: diagnosis and treatment methods

Developing after refractive surgery, Diffuse Lamellar Keratitis is a complication that appears as small gray-white corneal spots in the periphery. It is mostly unilateral (one-eye) and distant to the visual axis. If it goes unnoticed at initial stages, and if appropriate treatment is not applied, it may cause severe visual impairment. Refractive surgery is especially preferred by active and young population to be released of glasses and lens dependence, and is becoming widely applied with each passing day. In this paper, the purpose is to determine the early diagnosis and treatment modalities for Diffuse Lamellar Keratitis, and to examine current approaches for the prevention of permanent visual impairment, which may lead to progressive and irreversible corneal and visual damage.

Keywords:

Refractive Surgery Diffus Lamellar Keratit, Permanent Corneal Necrosis, loss of vision,

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