Turkiye Klinikleri Journal of Ophthalmology

.: ORIGINAL RESEARCH
Katarakt Cerrahisi Sonrası Ön Segment Parametrelerinin Değerlendirilmesi: Randomize Klinik Çalışma
Evaluating the Anterior Segment Parameters After Cataract Surgery: Randomized Clinical Study
Sıla TAŞDEMİR YİĞİTOĞLUa, Fatih ÖZCURAb, Alpaslan KOÇb
aTorbalı Devlet Hastanesi, Göz Hastalıkları Kliniği, İzmir, TÜRKİYE
bKütahya Sağlık Bi̇li̇mleri̇ Üni̇versi̇tesi̇ Tıp Fakültesi̇, Göz Hastalıkları ABD, Kütahya, TÜRKİYE
Turkiye Klinikleri J Ophthalmol. 2021;30(3):163-71
doi: 10.5336/ophthal.2020-78481
Article Language: TR
Full Text
ÖZET
 Amaç: Katarakt cerrahisi sonrası hastaların ön segment parametrelerindeki değişimleri değerlendirmek. Gereç ve Yöntemler: Kütahya Sağlık Bilimleri Üniversitesi Göz Hastalıkları Anabilim Dalında ileriye dönük olarak planlanan çalışmaya, sistemik hastalığı olmayan ve katarakt cerrahisi planlanan 82 hasta dâhil edildi. Hastalar, aksiyel uzunluğa (AU) göre 2 gruba ayrıldı (Grup 1: AU ≤23,25 mm n=42, Grup 2: AU >23,25 mm, n=40). Tüm hastalara 2,2 mm saydam kornea kesisi ile fakoemülsifikasyon ameliyatı yapıldı. Hastaların merkezi kornea kalınlığı (MKK), kornea hacmi (KH), ön kamara hacmi (ÖKH), ön kamara derinliği (ÖKD), iridokorneal açı (İKA), kornea çapı (KÇ), kornea asferisitesi (Q) ve pupil çapı (PÇ) değerleri ameliyat öncesi ile ameliyat sonrası 1. hafta ve 1. ayda Pentacam cihazıyla değerlendirildi. Bulgular: Hastaların ortalama yaşı 64,4±9,95 yıl ve 46'sı (%56,1) erkek, 36'sı (%43,9) kadındı. Tüm popülasyonda ameliyat öncesi değere göre MKK ameliyat sonrası 1. haftada anlamlı olarak yüksek bulundu. KH, ÖKH, ÖKD ve İKA ameliyat sonrası 1. hafta ve 1. ayda ameliyat öncesine göre anlamlı olarak artış gösterdi. PÇ ameliyat sonrası 1. haftada anlamlı olarak azalmakla birlikte, ameliyat sonrası 1. ayda anlamlı fark göstermedi. KÇ ve Q değerlerinde ameliyat sonrası anlamlı değişim gözlenmedi. İki grup arasında parametrelerin değişim farkı incelendiğinde, Grup 1'de ÖKH ve İKA'daki artışın anlamlı olarak daha fazla olduğu saptandı. Sonuç: Katarakt cerrahisi sonrasında KH, ÖKH, ÖKD ve İKA'da anlamlı artış olmaktadır. Özellikle kısa AU'ya sahip gözlerde ÖKH ve İKA'daki değişim daha da fazladır. MKK ve PÇ'de ilk hafta anlamlı değişim gözlenmekle birlikte 1. ay sonunda anlamlı fark ortadan kalkmaktadır. KÇ ve Q değerlerin de ise anlamlı değişim olmamaktadır.

Anahtar Kelimeler: Aksiyel uzunluk; anterior göz segmenti; fakoemülsifikasyon; katarakt; kornea topografisi
ABSTRACT
 Objective: Evaluating the anterior segment parameters of the patients after cataract surgery. Material and Methods: This prospective study included 82 patients who had no any systemic diseases and planned cataract surgery at the Department of Ophthalmology, Kütahya Medical Sciences University School of Medicine. Patients were divided into two groups [Group 1: axial length (AL) ≤23.25 mm n=42, Group 2: AL >23.25 mm, n=40] according to AL. All patients underwent phacoemulsification with a 2.2-mm clear corneal incision. Corneal thickness (CCT), corneal volume (CV), anterior chamber volume (ACV), anterior chamber depth (ACD), iridocorneal angle (ICA), white-to-white (WTW) distance, corneal asphericity (Q) and pupil diameter (PD) values of the patients were evaluated with Pentacam device before and one week and one month after the surgery. Results: Average age of the patients is 64.4±9.95 years and 46 (56.1%) of them were male, 36 (43.9%) of them were female. CCT was significantly higher one week after the surgery compared to preoperative values in all population. CV, ACV, ACD, and ICA were significantly higher one week and one month after the surgery, compared to preoperative values. PD has significantly decreased one week after the surgery but did not significantly different at one month postoperatively. There were no significantly differences in WTW and Q values postoperatively. ACV and ICA were more significantly increased in patients had shorter AL (group 1) when the analyzed absolute difference of the parameters. Conclusion: CV, ACV, ACD and ICA were significantly increased after cataract surgery. The alteration in ACV and ICA were more prominent especially in eyes had shorter AL. Although a significant change was observed in the first week of CCT and PC, no significant difference was found at the end of the first month. There were no significantly changes in WTW and Q values

Keywords: Axial length; anterior eye segment; phacoemulsification; cataract; corneal topography
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