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The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery.   
Yazarlar
Ümit Ekşioğlu
Mehmet Yakın
Özgür Balta
Evin Şıngar Özdemir
Hande Hüsniye Telek
Prof. Dr. Firdevs ÖRNEK Prof. Dr. Firdevs ÖRNEK
Türkiye
Belkıs Ilgaz Yalvaç
Yeditepe Üniversitesi, Türkiye
Özet
Objectives: To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery.Materials and Methods: Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma.Results: Mean age was 57.69±14.18 years when aphakia occurred. Mean age at time of presentation to our glaucoma clinic was62.57±12.47 years. Mean follow-up time was 42.83±57.04 months. Changes between the first and last follow-up visits were as follows:mean intraocular pressure decreased from 26.21±13.86 mmHg to 18.14±9.63 mmHg (p=0.003); mean number of glaucoma medicationsused increased from 1.41±1.27 to 2.07±1.04 (p=0.005); and mean vertical cup/disc ratio increased from 0.69±0.25 to 0.78±0.24(p=0.024). Glaucoma was managed using medications in 26 eyes (89.7%), whereas 3 eyes underwent surgical treatment. However,surgery alone was not sufficient to control intraocular pressure and additional glaucoma medications were needed.Conclusion: Prevention of glaucomatous optic neuropathy in aphakic patients is challenging both medically and surgically. Althougha significant decrease in intraocular pressure can be achieved with glaucoma medications, glaucomatous disc changes may progress.
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayımlanan tam makale
Dergi Adı TURKISH JOURNAL OF OPHTALMOLOGY
Dergi ISSN 2149-8695
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili Türkçe
Basım Tarihi 02-2018
Cilt No 48
Sayı 1
Sayfalar 19 / 22
Doi Numarası 10.4274/tjo.97957
Makale Linki http://cms.galenos.com.tr/Uploads/Article_16748/TJO-48-19-En.pdf