Yıl: 2020 Cilt: 29 Sayı: 1 Sayfa Aralığı: 7 - 18 Metin Dili: Türkçe DOI: 10.5336/ophthal.2019-65330 İndeks Tarihi: 15-10-2020

Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri

Öz:
Amaç: Non-arteritik ön iskemik optik nöropati (NA-ÖİON)’ lihastaların klinik ve demografik özelliklerinin araştırılması. Gereç ve Yöntemler: Ulucanlar Göz Eğitim ve Araştırma Hastanesi Nöro-oftalmoloji Bölümüne, 2006-2017 yılları arasında başvuran 229 NAÖİON’li olgunun bulguları geriye dönük olarak değerlendirildi. Hastalığın ortaya çıkış yaşı, cinsiyet, tutulan göz, eşlik eden sistemik hastalıklar, medikal tedavi, takip süresi, ilk ve son vizitteki en iyi düzeltilmiş görme keskinliği (EİDGK), görme alanı kaybının tipi, oküler risk faktörleri kayıt altına alındı. Bulgular: Çalışmamıza 229 hastanın 245 gözü dâhil edildi. Hastaların 98 (%42,8)’i kadın, 131 (%57,2)’i erkekti. İki göz tutulumu gösteren 34 (%14,8) hasta mevcuttu. Hastalığınortaya çıkış yaşı 59,7±9,6 yıl, takip süresi ortanca değeri ise 8 (4-132) aydı. Hastaların 43 (%18,7)’ünde ortaya çıkış yaşı <50 yıl idi. Son vizitteki EİDGK, başlangıç değeri ile karşılaştırıldığında istatistiksel olarak anlamlı artış izlendi. Sistemik hastalıklardan en sık, diabetes mellitus (%20,8) ve hipertansiyon (%13,5) mevcuttu. Genç hastalardasistemik hastalık olmaksızın, oküler risk faktörlerinin daha ön planda ve sonuç EİDGK’nin daha iyi olduğu tespit edildi. Takip süresi boyunca hiç ilaç almayan 42 (%17,1), aspirin verilen 141 (%57,5), oral ya daintravenöz steroid tedavisi alan 16 (%6,5) göz mevcuttu. Topikal tedavi olarak brimonidin ve/veya koenzim Q10 uygulanan göz sayısı 66 (%26,9) idi. Tedavi grupları için son vizitteki EİDGK değerlendirildiğinde istatistiksel olarak anlamlı bir fark yoktu. Sonuç: Orta ve ileri yaşta kalıcı görme keskinliği kaybına sebep olan NA-ÖİON’li hastalarda ileri yaşta diabetes mellitus ve hipertansiyon en önemli risk faktörü olarak karşımıza çıkarken daha genç yaşta oküler risk faktörleri ön plandadır. Yine, genç yaş grubunda daha iyi görsel sonuçlar karşımıza çıkmaktadır
Anahtar Kelime:

Clinical and Demographic Characteristics of Patients with Non-arteritic Anterior Ischemic Optic Neuropathy in a Third Step Eye Hospital

Öz:
Objective: To investigate of clinical and demographic characteristics of patients with non-arteritic anterior ischemic optic neuropathy (NA-AION). Material and Methods: The data of 229 patients with NA-AION who applied to the Department of Neuro-ophthalmology of Ulucanlar Eye Hospital between 2006-2017 were evaluated, retrospectively. Age of onset of the disease, gender, laterality, co-existing systemic diseases, medical treatments, follow-up period, the best corrected visual acuities (BCVA) at the first and final visit, type of the visual field loss, ocular risk factors were recorded. Results: The study included 245 eyes of 229 patients. The study group consisted of 98 (42.8%) female, 131 (57.2%) male. The second eye involved in 34 (14.8%) of the patients. The medium age of onset of the disease was 59.7±9.6 years, the median follow-up period was 8 (4-132) months. The NAION is onset under 50 years in 43 (18.7%) of all patients. There was statistically significant increase in BCVA at the final visit when compared to baseline. The most common systemic diseases were diabetes mellitus (20.8%) and hypertension (13.5%). In young patients without systemic disease, ocular risk factors were more prominent and outcome of BCVA was better than older ages at the final visit. During the follow-up period, no medication was given in 42 (17.1%), aspirin in 141 (57.5%) oral or intravenous steroids in 16 (6.5%) eyes. The eyes treated with brimonidine and/or coenzyme Q10 as topical treatment were 66 (26.9%). There was no statistically significant difference between treatment modalities for each treatment groups at the final visit. Conclusion: Diabetes Mellitus and hypertension are the most important risk factors in NA-AION, which causes permanent loss of visual acuity in the middle and older ages, while ocular risk factors are in the younger ages. Also, younger patients have better final visual acuity.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KAVUNCU S, NALÇACIOĞLU P, Ilhan B, BUDAKOĞLU Ö (2020). Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. , 7 - 18. 10.5336/ophthal.2019-65330
Chicago KAVUNCU Sevim,NALÇACIOĞLU Pınar,Ilhan Bayazit,BUDAKOĞLU Özlem Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. (2020): 7 - 18. 10.5336/ophthal.2019-65330
MLA KAVUNCU Sevim,NALÇACIOĞLU Pınar,Ilhan Bayazit,BUDAKOĞLU Özlem Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. , 2020, ss.7 - 18. 10.5336/ophthal.2019-65330
AMA KAVUNCU S,NALÇACIOĞLU P,Ilhan B,BUDAKOĞLU Ö Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. . 2020; 7 - 18. 10.5336/ophthal.2019-65330
Vancouver KAVUNCU S,NALÇACIOĞLU P,Ilhan B,BUDAKOĞLU Ö Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. . 2020; 7 - 18. 10.5336/ophthal.2019-65330
IEEE KAVUNCU S,NALÇACIOĞLU P,Ilhan B,BUDAKOĞLU Ö "Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri." , ss.7 - 18, 2020. 10.5336/ophthal.2019-65330
ISNAD KAVUNCU, Sevim vd. "Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri". (2020), 7-18. https://doi.org/10.5336/ophthal.2019-65330
APA KAVUNCU S, NALÇACIOĞLU P, Ilhan B, BUDAKOĞLU Ö (2020). Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. Türkiye Klinikleri Oftalmoloji Dergisi, 29(1), 7 - 18. 10.5336/ophthal.2019-65330
Chicago KAVUNCU Sevim,NALÇACIOĞLU Pınar,Ilhan Bayazit,BUDAKOĞLU Özlem Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. Türkiye Klinikleri Oftalmoloji Dergisi 29, no.1 (2020): 7 - 18. 10.5336/ophthal.2019-65330
MLA KAVUNCU Sevim,NALÇACIOĞLU Pınar,Ilhan Bayazit,BUDAKOĞLU Özlem Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. Türkiye Klinikleri Oftalmoloji Dergisi, vol.29, no.1, 2020, ss.7 - 18. 10.5336/ophthal.2019-65330
AMA KAVUNCU S,NALÇACIOĞLU P,Ilhan B,BUDAKOĞLU Ö Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. Türkiye Klinikleri Oftalmoloji Dergisi. 2020; 29(1): 7 - 18. 10.5336/ophthal.2019-65330
Vancouver KAVUNCU S,NALÇACIOĞLU P,Ilhan B,BUDAKOĞLU Ö Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri. Türkiye Klinikleri Oftalmoloji Dergisi. 2020; 29(1): 7 - 18. 10.5336/ophthal.2019-65330
IEEE KAVUNCU S,NALÇACIOĞLU P,Ilhan B,BUDAKOĞLU Ö "Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri." Türkiye Klinikleri Oftalmoloji Dergisi, 29, ss.7 - 18, 2020. 10.5336/ophthal.2019-65330
ISNAD KAVUNCU, Sevim vd. "Bir Üçüncü Basamak Göz Hastanesinde İzlenen Non-arteritik Ön İskemik Optik Nöropatili Hastaların Klinik ve Demografik Özellikleri". Türkiye Klinikleri Oftalmoloji Dergisi 29/1 (2020), 7-18. https://doi.org/10.5336/ophthal.2019-65330