Yıl: 2011 Cilt: 6 Sayı: 3 Sayfa Aralığı: 143 - 148 Metin Dili: Türkçe

Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu

Öz:
Amaç: Tamsulosin kullanan ve ilk göz katarakt ameliyatlarında gevşek iris sendromu (GİS) gelişen üç olgunun diğer gözlerinin katarakt ameliyatında yapılan müdaheleleri değerlendirmek. Gereç ve Yöntem: Kliniğimizde 2008 Haziran-2011 Ocak tarihleri arasında katarakt ameliyatı yapılan 564 hastanın 628 gözü geriye dönük olarak incelendi. İlk gözlerinin katarakt ameliyatında şiddetli GİS tablosu gelişen ve tamsulosin kullanan olguların ikinci gözlerinde literatür ışığında alınan önlemler ve sonuçları değerlendirildi. Bulgular: Olguların tümünün ikinci gözlerinde de tamsulosinin ameliyattan 3-9 ay önce kesilmesine ve ketorolak trometamin, epinefrin, fenilefrin, ağır viskoelastik, iris çengellerinin kullanılmasına rağmen şiddetli GİS tablosu gelişti. Olguların tümünde ameliyat esnasındaki travmaya bağlı olarak iris hasarı ve pupilde düzensizlik oluştu. Tartışma: Bir yıldan daha uzun süre tamsulosin kullanan olgularda tamsulosinin kesilmesi, alınan medikal önlemler ve iris çengellerinin kullanımı GİS gelişimini engelleyemeyebilir.
Anahtar Kelime:

Interpretation of floppy iris syndrome in the light of three patients underwent bilateral cataract surgery

Öz:
Purpose: To evaluate the management of intraoperative floppy iris syndrome (IFIS) in patients undergoing cataract surgery in the second eye in whom IFIS occured during previous cataract surgery while on tamsulosin treatment. Materials and Methods: This retrospective study was performed in 628 eyes of 564 patients who underwent cataract surgery between June 2008 and January 2011. We evaluated the preventive measures taken in the light of literature and their results in the second eyes of the patients that had severe IFIS in the previous cataract surgery and taking tamsulosin. Results: We experienced severe IFIS in the second eyes of all patients despite discontinuation of tamsulosin 3-9 months before the cataract surgery and use of ketorolac tromethamine, epinephrine, phenylephrine, high viscosity viscoelastic, iris hooks. In all eyes of the patients, iris lesions and pupil shape irregularities occured due to the iris trauma during the surgery. Conclusion: In patients who take tamsulosin more than a year the cessation of tamsulosin treatment, taking preventive medical measures and use of iris hooks may not prevent IFIS development.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
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APA BALBABA M, ULAŞ F (2011). Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu. Glokom Katarakt, 6(3), 143 - 148.
Chicago BALBABA Mehmet,ULAŞ Fatih Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu. Glokom Katarakt 6, no.3 (2011): 143 - 148.
MLA BALBABA Mehmet,ULAŞ Fatih Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu. Glokom Katarakt, vol.6, no.3, 2011, ss.143 - 148.
AMA BALBABA M,ULAŞ F Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu. Glokom Katarakt. 2011; 6(3): 143 - 148.
Vancouver BALBABA M,ULAŞ F Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu. Glokom Katarakt. 2011; 6(3): 143 - 148.
IEEE BALBABA M,ULAŞ F "Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu." Glokom Katarakt, 6, ss.143 - 148, 2011.
ISNAD BALBABA, Mehmet - ULAŞ, Fatih. "Bilateral katarakt ameliyatı yapılan üç olgu ışığında gevşek iris sendromu". Glokom Katarakt 6/3 (2011), 143-148.