ISSN: 1300-0365 Dil: Türkçe
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Trabekülektomi Ile Birlikte Katarakt Ameliyatı Yapılan Olguların Erken Dönem Komplikasyonlarının Yalnız Trabekülektomi Yapılan Olgular Ile Karşılaştırılması
Nurşen ARITÜRK* , İbrahim TAŞKIN**, İhsan ÖGE***, Dilek ERKAN* , Yüksel SÜLLÜ*
*Yrd. Doç.Dr. Ondokuz Mayıs Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,**Arş.Gör.Dr. Ondokuz Mayıs Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,***Prof.Dr. Ondokuz Mayıs Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, SAMSUN Eighty eyes of the 68 patients with diagnosis of glaucoma were included into this study and were divided into 3 groups according to the performed surgical method. Group A included 15 eyes of the 14 patients who underwent combined cataract extraction and trabeculectomy, mean age of the group A was 81 (58-88) and the mean follow-up period was 27.26 months (1-73). Group B included 17 eyes of the 15 patients who underwent combined cataract extraction, IOL implantation and trabeculectomy, mean age was 67.5 (54-78) and the mean follow-up was 12.7 months (1-53). The results of the cases receiving combined surgery compared with the results of group C included 48 eyes of the 39 patients who had trabeculectomy only. Mean age of the patients in group C was 62 (32-73) and the mean follow-up was 13.2 months (3-64 months). Postoperative mean IOP were 16.45 mmHg in Group A, 15.6 mmHg in Group B and 18.4 mmHg in Group C. Intraocular pressure levels were not significantly different between each groups. While the visual acuities in group A and B increased significantly in the postoperative period, no significant change observed in group C. Although postoperative early complications occured more often in group C than group A and B. The difference wasn’t found to be statistically significant. According to these results, the combined surgery (ECCE+IOL+Trabeculectomy) is not different than the other methods for which the cases with both glaucoma and cataract.Keywords: Glaucoma, Cataract, Trabeculectomy, IOL implantationTurkiye Klinikleri Oftalmoloji 1997, 6:233-237
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