An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study
Yıl: 2023 Cilt: 30 Sayı: 1 Sayfa Aralığı: 6 - 8 Metin Dili: İngilizce DOI: 10.5505/vtd.2023.60679 İndeks Tarihi: 04-05-2023
An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study
Öz: Introduction: To investigate corneal topography and visual outcomes after different pterygium surgical techniques using Pentacam Scheimpflug device Materials and Methods: Ninety-eight unilateral primary nasal pterygium patients underwent surgery under topical anesthesia with either conjunctival autograft (group 1) or anchored conjunctival rotational flap (group 2), both using fibrin tissue adhesive. Baseline and three-month post-operative bestcorrected visual acuity (BCVA) and anterior corneal astigmatism (ACA), flattest keratometry (Kf), steepest keratometry (Ks) and posterior corneal astigmatism (PCA) were investigated. Results: In groups 1 and 2, the mean logMAR BCVA increased from 0.119±0.113 to 0.082±0.086 and 0.169±0.128 to 0.120±0.121, respectively. There were no significant differences between the two groups in pre- and post-operative ACA, PCA, Kf and Ks. Intra-group analysis revealed significant differences in both groups: ACA, with a greater difference in group 1 (2.072), and Kf, with a slightly greater difference in group 2 (1.910). Intra-group analysis revealed no statistically significant PCA changes for either group. Conclusions: Significantly improved anterior corneal topographic changes were found to be highly related to conjunctival autografting. Conjunctival rotational flap, on the other hand, was associated with significantly greater posterior corneal topographic changes.
Anahtar Kelime: Farklı Pterjium Cerrahileri Sonrası Kornea Topografisi ve Görsel Sonuçlara Genel Bakış: Girişimsel Vaka Serisi Çalışması
Öz: Amaç: Pentacam Scheimpflug cihazı kullanılarak farklı pterjium cerrahi teknikleri sonrasında korneal topografi ve görsel sonuçların araştırılması. Gereç ve Yöntem: Doksan sekiz tek taraflı, primer, nazal pterjium hastası, konjonktival otogreft (grup 1) veya sabitlenmiş konjonktival rotasyonel flep (grup 2) ile, her ikisi de fibrin doku yapıştırıcısı kullanılarak topikal anestezi altında ameliyat edildi. Başlangıç ve cerrahi sonrası üçüncü ayda en iyi düzeltilmiş görme keskinliği (EİDGK) ve anterior korneal astigmatizma (AKA), en düz (Kf) ve en dik keratometri (Ks) ve posterior korneal astigmatizma (PKA) araştırıldı. Bulgular: Grup 1 ve 2'de ortalama logMAR EİDGK sırasıyla 0.119±0.113'ten 0.082±0.086'ya ve 0.169±0.128'den 0.120±0.121'e yükseldi. Cerrahi öncesi ve sonrası AKA, PKA, Kf ve Ks açısından iki grup arasında anlamlı fark yoktu. Grup içi analiz, her iki grupta da önemli farklılıklar ortaya çıkardı; AKA grup 1'de (2.072) daha fazla farklılık gösterirken, Kf'de grup 2'de (1.910) nispeten daha fazla değişiklik gösterdi. Grup içi analizde, PKA değişimi her iki grupta da istatistiksel olarak anlamlı bulunmadı. Sonuçlar: Anterior korneal topografik değişikliklerdeki belirgin iyileşmenin, konjonktival otogreft ile yüksek oranda ilişkili olduğu gözlemlendi. Posterior korneal topografik değişiklikler ise daha çok konjonktival rotasyonel flep ile ilişkilendirildi.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Yilmaz Y, Gobeka H, İpek Ş (2023). An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. , 6 - 8. 10.5505/vtd.2023.60679 |
| Chicago | Yilmaz Yusuf Cem,Gobeka Hamidu Hamisi,İpek Şefik Can An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. (2023): 6 - 8. 10.5505/vtd.2023.60679 |
| MLA | Yilmaz Yusuf Cem,Gobeka Hamidu Hamisi,İpek Şefik Can An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. , 2023, ss.6 - 8. 10.5505/vtd.2023.60679 |
| AMA | Yilmaz Y,Gobeka H,İpek Ş An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. . 2023; 6 - 8. 10.5505/vtd.2023.60679 |
| Vancouver | Yilmaz Y,Gobeka H,İpek Ş An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. . 2023; 6 - 8. 10.5505/vtd.2023.60679 |
| IEEE | Yilmaz Y,Gobeka H,İpek Ş "An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study." , ss.6 - 8, 2023. 10.5505/vtd.2023.60679 |
| ISNAD | Yilmaz, Yusuf Cem vd. "An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study". (2023), 6-8. https://doi.org/10.5505/vtd.2023.60679 |
| APA | Yilmaz Y, Gobeka H, İpek Ş (2023). An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. Van Tıp Dergisi, 30(1), 6 - 8. 10.5505/vtd.2023.60679 |
| Chicago | Yilmaz Yusuf Cem,Gobeka Hamidu Hamisi,İpek Şefik Can An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. Van Tıp Dergisi 30, no.1 (2023): 6 - 8. 10.5505/vtd.2023.60679 |
| MLA | Yilmaz Yusuf Cem,Gobeka Hamidu Hamisi,İpek Şefik Can An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. Van Tıp Dergisi, vol.30, no.1, 2023, ss.6 - 8. 10.5505/vtd.2023.60679 |
| AMA | Yilmaz Y,Gobeka H,İpek Ş An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. Van Tıp Dergisi. 2023; 30(1): 6 - 8. 10.5505/vtd.2023.60679 |
| Vancouver | Yilmaz Y,Gobeka H,İpek Ş An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study. Van Tıp Dergisi. 2023; 30(1): 6 - 8. 10.5505/vtd.2023.60679 |
| IEEE | Yilmaz Y,Gobeka H,İpek Ş "An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study." Van Tıp Dergisi, 30, ss.6 - 8, 2023. 10.5505/vtd.2023.60679 |
| ISNAD | Yilmaz, Yusuf Cem vd. "An Overview of Corneal Topography and Visual Outcomes after Different Pterygium Surgeries: An Interventional Case Series Study". Van Tıp Dergisi 30/1 (2023), 6-8. https://doi.org/10.5505/vtd.2023.60679 |
