Sertan GÖKTAŞ, Tuğrul Ünsal GÜNEŞ, ALİ GÜL, Yücel YILMAZ

Koroner bypass cerrahisi geçirmiş hastalarda psödoeksfoliasyon sendromu sıklığı

Giriş: Psödoeksfoliasyon sendromu (PES) oküler doku-larda eksfoliasyon materyali (EM) birikimi ile karakterize- dir. PES ve kardiyovasküler hastalıklar arasındaki ilişki hala tartışmalı bir konudur. Bu çalışmanın amacı koroner bypass (KB) cerrahisi yapılmış hastalarda PES sıklığını araştırmaktır. Materyal ve Metot: KB cerrahisi geçiren 143 hasta (A grubu) ve koroner anjiografisi normal olan 86 hasta (B grubu) çalışma kapsamına alındı. Çalışma tek kör olarak yürütüldü. Ayrıntılı oftalmolojik muayene yapıldı. Pupilla ve lens ön kapsülde tipik EM olan hastalar PES olarak kabul edildi. Bulgular: Hastaların ortalama yaşı sırasıyla A grubunda (79 erkek, 64 kadın) 55,3±10,2 ve B grubunda 54,2± 4,3 (47 erkek, 39 kadın) idi. A grubunda 14 (%9,8) has-tada, B grubunda ise 7 (%8,1) hastada PES tespit edildi. Yaş, cinsiyet dağılımı ve PES sıklığı açısından iki grup arasında istatiksel olarak fark yoktu (p>0,05). PES olan ve olmayan hastalar gruplandığında, iki grup arasında sade-ce yaş yönünden istatiksel fark tespit edildi (p

Anahtar Kelimeler:

Görülme sıklığı, Koroner arter köprüleme, Eksfoliasyon sendromu, Tanı teknikleri, oftalmolojik

Frequency of pseudoexfoliation syndrome in patients who underwent coronary bypass surgery

Purpose: Pseudoexfoliation syndrome (PES) is characte-rized by the deposition of exfoliation material (EM) on ocular tissues. There is the question of a possible link between the presence of PES and cardiovascular disease. The aim of this study is to investigate the frequency of PES in patients who underwent coronary bypass (CB) surgery. Material and Method: The study included 143 patients who underwent CB surgery (group A) and 86 patients with normal coronary angiography (group B). The study was performed as a single blinded study. Detailed ophthalmic examination was performed. The patients who had the typical deposits on the anterior lens capsule and the pupillary border were considered as PES. Results: Mean age was 55.3±10.2 in group A (79 men and 64 women) and 54.2±4.3 in group B (47 men and 39 women), respectively. Fourteen patients (9.8%) in Group A and 7 patients (8.1%) in Group B were found to have PES. In terms of age, sex distribution and the frequency of PES, there was no statistical significance between the groups (p>0.05). When patients were regrouped with respect to the presence of PES, age was the only parameter to be different between the groups (p<0.05). Conclusion: The frequency of PES in patients who underwent CB surgery is not different from patients without coronary artery disease.

Keywords:

Incidence, Coronary Artery Bypass, Exfoliation Syndrome, Diagnostic Techniques, Ophthalmological,

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