Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

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İntraoküler Lens ve Kornea Nakli Gerektiren Orbita Travmalarında Medikolegal Değerlendirme Süreci
Medicolegal Evaluation Process in Orbita Trauma Requesting Intraocular Lens and Corne Transplantation
Mehmet Hakan ÖZDEMİRa , Çağdaş SAVAŞb , Ahmet BUDAKa
aDokuz Eylül Üniversitesi Tıp Fakültesi, Adli Tıp ABD, İzmir, Türkiye
bGümüşhane Adli Tıp Şube Müdürlüğü, Gümüşhane, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2023;20(3):216-20
doi: 10.5336/forensic.2023-98943
Article Language: TR
Full Text
ÖZET
 Travmanın ağırlığının değerlendirmesinde kullanılan mevcut rehber, intraoküler lens ve kornea nakli durumlarında adli değerlendirmeyi yapan hekimler açısından standardizasyonu/yol göstericiliği sağlayacak açıklamaları içermemektedir. Özellikle tedavisi tamamlanmayan olgularda görme fonksiyonlarının değerlendirme süreci içinden çıkılmaz bir hâl alabilmektedir. Olgu sunumunda, intraoküler lens ve kornea nakli yapılan hastalarda kullanımdaki rehberin içeriği ve bu hastaların değerlendirmesinde yaşanan zorlukların tartışılması amaçlanmıştır. Yirmi iki yaşında kadın hastanın, 2018 yılında iş kazası nedeniyle hastanemize başvurduğu, yapılan muayenesinde; sağ gözde, kornea ve sklera perforasyonu olduğu, lensin zarar gördüğü ve intraoküler lens yerleştirildiği belirtiliyor. Hasta 2018, 2019, 2021 ve 2022 tarihlerinde 4 kez medikolegal yönden değerlendiriliyor. 2019 tarihli değerlendirmede ise hasta kendisine kornea nakli yapılacağını belirtiyor. Kornea nakli sonrası savcılığın istemi üzerine 2021 ve 2022 yıllarında tekrar değerlendirme yapılıyor. İntraoküler lens ve kornea nakli yapılan hastalarda farklı bakış açıları ile yapılacak adli tıbbi değerlendirmelerinin sonuçları ve adli tıbbi değerlendirme süreci tartışılacaktır.

Anahtar Kelimeler: Görme işlevleri; kornea nakli; intraoküler lens; medikolegal değerlendirme
ABSTRACT
 The current guideline used in the evaluation of the severity of trauma after eye injury doesn't contain explanations that will provide standardization/guidance for physicians who perform the forensic evaluation in cases of intraocular lens and corneal transplantation. For this reason, in cases whose treatment is not completed, the evaluation process of visual functions can become inextricable. It is planned to discuss the content of the guideline for use in patients who have undergone intraocular lens and corneal transplantation and the difficulties experienced in the evaluation of these patients. 22-year-old female patient applied to our hospital due to a work accident in 2018. In the examination performed; in the right eye, it is stated that there is corneal and scleral perforation, the lens is damaged and an intraocular lens is placed. The patient is being evaluated medicolegally 4 times in 2018, 2019, 2021 and 2022. In the evaluation dated 2019, the patient states that she will undergo a corneal transplant. After the cornea transplant, at the request of the prosecutor's office, a re-evaluation is made in 2021 and 2022. The results of forensic medical evaluations from different perspectives and the forensic medical evaluation process will be discussed in patients who have undergone introcular lens and corneal transplantation.

Keywords: Visual functions; corneal transplantation; intraocular lens; medicolegal evaluation
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