To evaluate macular status with optical coherence tomography (OCT) in eyes that underwent pars plana vitrectomy (PPV) and heavy-silicone oil (HSO) endotamponade for the treatment of rhegmatogenous retinal detachment (RRD) with inferior breaks. Twenty eyes of 20 patients who have RRD with inferior breaks included in the study. Oxane HD was used as an intraocular tamponade for all surgeries. Postoperatively, anatomic reattachment, macular status using OCT imaging, and any long-term complications were evaluated. The mean age was 60.4 ± 11.2 years (range, 37–83). The duration of HSO endotamponade was 15.3 ± 11.0 months (range, 6–48) with some postoperative complications such as HSO emulsification, intraocular pressure elevation, and epiretinal membrane (ERM) formation. Mean follow-up time was 19.5 ± 10.5 months (range, 10–59) after HSO removal or ERM surgery. Primary reattachment was achieved in 90% of eyes and the success rate was 100% with further interventions. Ellipsoid zone (EZ) was continuous in 13 of 20 eyes in which OCT imaging performed as well as the fellow eye. PPV and heavy-silicone oil injection for the treatment of eyes with RRD from inferior break(s) have a good long-term EZ continuity. ERM formation and its removal do not affect EZ.
Fakoemülsifikasyon cerrahisinde implantasyon sırasında göz içi lens (GİL) bütünlüğünü etkileyen faktörleri değerlendirmek.Gereç ve Yöntem: Bu çalışmada, Ağustos 2010-Temmuz 2019 tarihleri arasında fakoemülsifikasyon ve kartuş yardımlı katlanabilir GİL implantasyonu yapılmış 3.856 hastanın (4.778 göz) tıbbi kayıtları geriye dönük olarak incelendi. İmplantasyon sırasında GİL bütünlüğü bozulan 11 hastanın 11 gözü çalışmaya dahil edildi. Diğer gözlerin GİL ve implantasyon sistemi verileri kaydedildi.Bulgular: İncelenen 4.778 GİL'nin 4.195'i hidrofobik akrilik (835'i SA60AT, 2.438'i AAB00 ve 922'si ZCB00) ve 583'ü hidrofobik yüzeyli yüksek su içerikli akrilik (UD 613) idi. Hidrofobik yüksek su içerikli akrilik GİL'ler tek kullanımlık plastik enjektör ve katlanan kartuş, hidrofobik akrilik GİL'ler yeniden kullanılabilir metal enjektör ve tek kullanımlık katlanmayan kartuş ile göz içine yerleştirilmişti. Bütünlüğü bozulmuş 11 GİL'in 8'i hidrofobik yüzeyli yüksek su içerikli akrilik iken 3'ü hidrofobik akrilikti (p<0,001). Hidrofobik akrilik GİL'ler kendi aralarında kıyaslandığında istatistiksel olarak anlamlı fark görülmedi (p=0,103). Sonuç:Tek parça hidrofobik yüzeyli yüksek su içerikli akrilik katlanabilir GİL'lerin materyal yapısı, kullanılan implantasyon sistemi ve katlanabilir kartuş yapısı, implantasyon sırasında GİL'de hasar gelişimine neden olabilecek faktörlerdir. Sorunsuz bir implantasyon için, GİL'nin kartuşa yerleştirilmesinden kapsül içine yerleştirilene kadar geçen süreçte dikkatli ve yavaş uygulama yapılmalıdır.
Purpose: To evaluate macular status with optical coherence tomography (OCT) in eyes that underwent pars plana vitrectomy (PPV) and heavy-silicone oil endotamponade for retinal detachment (RD) with inferior breaks.Methods: This study included 20 eyes of 20 patients with a history of retinal detachment surgery for inferior breaks. Oxane HD was used as an intraocular tamponade for all surgeries. Anatomic reattachment, macular status with OCT imaging and any complications in the long-term were evaluated. Results: Mean follow-up time was 19.5 ± 10.5 months (range, 10-59) after removing heavy-silicone oil or epiretinal membrane (ERM) surgery that was performed in some eyes after heavy-silicone oil removal. Primary reattachment was achieved in 90% of eyes and the success rate was 100% with further interventions. Postoperative complications included heavy-silicone oil emulsification, intraocular pressure elevation and epiretinal membrane formation. Conclusion: Eyes treated with PPV and heavy-silicone oil injection for RD with inferior break(s) have a good ellipsoid zone (EZ) continuity in the long-term. ERM formation and removal do not affect EZ.
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