Turkiye Klinikleri Journal of Ophthalmology

.: ORIGINAL RESEARCH
Pars Plana Vitrektomi Sonrası Göz İçi Basınç Artış Nedenleri ve Tedavi Yöntemleri
Intraocular Pressure Elevation Following Pars Plana Vitrectomy and Treatment Methods
Burçin AKDERE ÖZENERa, İclal YÜCELb, Mehmet YARDIMSEVERc, Burçin KAYA HÜSEYİNOĞLUd
aKemer Devlet Hastanesi Göz Hastalıkları Kliniği, Antalya, TÜRKİYE
bAkdeniz Üniversitesi Tıp Fakültesi, Göz Hastalıkları ABD, Antalya, TÜRKİYE
cAkdeniz Üniversitesi Tıp Fakültesi, Biyoistatistik ve Tıbbi Bilişim ABD, Antalya, TÜRKİYE
dAkdağmadeni Devlet Hastanesi, Göz Hastalıkları Kliniği, Yozgat, TÜRKİYE
Turkiye Klinikleri J Ophthalmol. 2020;29(1):44-51
doi: 10.5336/ophthal.2019-65587
Article Language: TR
Full Text
ÖZET
 Amaç: Kliniğimizde pars plana vitrektomi (PPV) uygulanan hastaların, cerrahi sonrası erken ve geç dönem göz içi basıncı (GİB) artış nedenleri, sıklığı, cerrahi yöntemlerle olan ilişkisi ve uygulanan tedavi yöntemlerini araştırmaktır. Gereç ve Yöntemler: Ocak 2013-Ocak 2016 tarihleri arasında, PPV uygulanan 107 olgunun GİB artışı saptanan 46'sında tedavi yöntemleri ve basınç artış mekanizmaları retrospektif olarak incelendi. Bulgular: Bu çalışmada 29-86 yaş aralığında, (60,44 ± 11,04) 38 (%35,5) kadın, 69 (%64,5) erkekden oluşan 107 hastanın 107 gözü değerlendirildi. PPV sonrasında sekonder glokom tanısı alan 23 gözden 22 (%95,7) göze endotamponad olarak silikon yağı ve 1 (%4,3) göze hava verildiği saptandı. Glokom gelişimi ile silikon yağı arasındaki istatistiksel ilişki anlamlı bulunmasına rağmen (p=0,008) uzun etkili gaz tamponad kullanımı ile arasındaki ilişki anlamsız bulunmuştur (p>0,05). GİB medikal tedavi ile 44 (%95,6) hastada 21 mm/Hg'nın altında düştü. Medikal tedaviye yanıt alınamayan 2 (%4,3) hastaya cerrahi tedavi uygulandı. Sonuç: PPV sonrası GİB artışı sık rastlanan bir komplikasyondur. Bunun için hastalar postoperatif her dönemde yakından takip edilmelidir.

Anahtar Kelimeler: PPV; sekonder glokom; endotamponad; silikon yağı; GİB
ABSTRACT
 Objective: The aim of this study was to investigate the causes of early and late postoperative intraocular pressure (IOP) increases, frequency, the relationship with surgical methods, and treatment modalities in patients who underwent pars plana vitrectomy (PPV) in our clinic. Material and Methods: The files of 107 cases with PPV between January 2013 and January 2016 were retrospectively analyzed. 46 of the 107 eyes showed an increase in IOP. The mechanisms and treatment modalities of elaveted IOP were evaluated. Results: In this study, 107 eyes of 107 patients 38 (35.5%) female and 69 (64.5%) male between the ages of 29-86 (60.44±11.04) years were evaluated. 22 of 23 (95.7%) eyes with secondary glaucoma diagnosis were treated with silicone oil as endotamponad and 1 (4.3%) eye was treated with air during PPV. Although the statistical relationship between the development of glaucoma and to use silicone oil was found to be significant (p=0.008), there was no significant relationship with to use long-acting gas tamponades (p>0.05). IOP was reduced by medical theraphy 21 mm/Hg or less in 44 (95.6%) patients. Surgical treatment was performed in 2 (4.3%) patients who unresponsive to medical treatment. Conclusion: IOP elevation after PPV is a common complication, so patients should be closely monitored for IOP values at each postoperative period.

Keywords: PPV; secondary glaucoma; endotamponad; silikon oil; IOP
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We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com