Ağrılı göze sahip terminal glokom olgularında siklokrioterapi
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Date
2014-11-21
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Uludağ Üniversitesi
Abstract
Siklokriyoterapi non-invaziv ve göreceli olarak uygulaması kolay bir yöntemdir. Bu çalışmada ağrılı göz nedeniyle siklokriyoterapi uygulanmış hastalarda uygulamanın etkinliği ve komplikasyon gelişme oranları araştırıldı. Uludağ Üniversitesi Tıp Fakültesi Göz Hastalıkları Kliniği’nde Ocak 2012 –Şubat 2014 tarihleri arasında siklokriyoterapi uygulanmış olan 38 hastanın 39 gözü retrospektif olarak incelendi. Hastaların yaş ortalaması 67,5 ±10.6 idi. Otuz bir göz neovasküler glokom tanısı almıştı. Yedi göz son dönem primer açık açılı glokom, 1 göz açı kapanması glokomu tanısı almıştı. Tedaviyi takiben ortalama göz içi basıncı düşüşü primer açık açılı glokomda 9,2 ±14.3 mm Hg iken, neovasküler glokom grubunda 14.1±14.7 mm Hg idi. Göz içi basınç kontrolü tüm gözlerin sadece 17’sinde (% 41) sağlanabilmişti, primer açık açılı glokomu grubunda 1 gözde (% 14), neovasküler glokom grubunda 13 gözde (% 41) gib kontrolü sağlanmıştı. Ağrılı gözlerin % 79 ’unda tedaviyi takiben rahatlama sağlanmıştı. Takiplerde hiçbir hastada ftizis bulbi ya da hipotoni gelişmedi. Siklokriyoterapinin çeşitli glokom türlerinde basınç kontrolü olmadan da iyi ağrı kontrolü sağladığı sonucuna varabiliriz.
Cyclocryotherapy is a non-invasive method In the treatment of end stage glaucoma and it is easy to perform. With this retrospective study, we aimed to investigate the efficacy and complication rates of this method in the treatment of end stage glaucoma. We carried out a retrospective review of all cases undergoing cyclocryotherapy at our department of ophthalmology between January 2012-February 2014 to assess the efficacy and complication rates of this procedure. Case records were available from 39 eyes of 38 people. The mean age of patients was 67.55 ±10.6 years. Thirty-one eyes had neovascular glaucoma. Seven eyes had end stage primary open angle glaucoma, one had angle closure glaucoma. The mean reduction in intraocular pressure following treatment was 9,2 ±14.3 mm Hg in the primary open angle glaucoma group and 14.1±14.7 mm Hg in the neovascular glaucoma group. The pressure was controlled in 17 of eyes overall (41 %), 1 eye in the primary open angle glaucoma group (%14) and 13 eye in the neovascular glaucoma group (41 %). Of the painful eyes 79 % were comfortable following the procedure. During follow –up period none of the patients had hypotony or phtisis bulbi. We may conclude that cyclocryotherapy provides a satisfactory control of pain in various types of glaucomas even without control of intraocular pressure.
Cyclocryotherapy is a non-invasive method In the treatment of end stage glaucoma and it is easy to perform. With this retrospective study, we aimed to investigate the efficacy and complication rates of this method in the treatment of end stage glaucoma. We carried out a retrospective review of all cases undergoing cyclocryotherapy at our department of ophthalmology between January 2012-February 2014 to assess the efficacy and complication rates of this procedure. Case records were available from 39 eyes of 38 people. The mean age of patients was 67.55 ±10.6 years. Thirty-one eyes had neovascular glaucoma. Seven eyes had end stage primary open angle glaucoma, one had angle closure glaucoma. The mean reduction in intraocular pressure following treatment was 9,2 ±14.3 mm Hg in the primary open angle glaucoma group and 14.1±14.7 mm Hg in the neovascular glaucoma group. The pressure was controlled in 17 of eyes overall (41 %), 1 eye in the primary open angle glaucoma group (%14) and 13 eye in the neovascular glaucoma group (41 %). Of the painful eyes 79 % were comfortable following the procedure. During follow –up period none of the patients had hypotony or phtisis bulbi. We may conclude that cyclocryotherapy provides a satisfactory control of pain in various types of glaucomas even without control of intraocular pressure.
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Keywords
Glokom, Glaucoma, Göziçi basıncı, Siklokriyoterapi, Intraocular pressure, Cyclocryotherapy
Citation
Baykara, M. vd. (2014). "Ağrılı göze sahip terminal glokom olgularında siklokrioterapi" Uludağ Üniversitesi Tıp Fakültesi Dergisi, 40(2),49-51.