Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up

CİCİK, Erdoğan; ÇAPAR, Olgu; Atalay, Eray; BÖLÜKBAŞI, Selim; TANÇELİK, Nevbahar

Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up

Nevbahar TANÇELİK, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye)

Erdoğan CİCİK, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye)

Olgu ÇAPAR, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye)

Eray ATALAY, (Sağlık Bakanlığı, Kars Devlet Hastanesi, Kars, Türkiye)

Selim BÖLÜKBAŞI (Okmeydanı Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)

Türk Oftalmoloji Dergisi

2 1

Yıl: 2013 Cilt: 43 Sayı: 6 Sayfa Aralığı: 380 - 384 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up

Öz:

Amaç: Daha önce tanımlanan viskotrabekülotomi tekniğinin daha uzun dönem sonuçlarını değerlendirmek ve konvansiyonel trabekülotomi ile karşılaştırmak. Gereç ve Yöntem: Bu retrospektif çalışmaya Şubat 1992 ile Nisan 2011 tarihleri arasında viscotrabekülotomi (grup 1) ve geleneksel trabekülotomi (grup 2) ameliyatı uygulanan 64 hasta dahil edildi. Grup 1 viscotrabekülotomi uygulanan 34 hastanın 58 gözünden, grup 2 konvansiyonel trabekülotomi uygulanan 30 hastanın 51 gözünden oluşmaktadır. Grup 1deki 3 hasta (5 göz) ve grup 2deki 2 hasta (3 göz) çeşitli sebeplerden dolayı takiplerini bıraktı. Son vizitte, grup 1; 31 hastanın 53 gözünden, grup 2; 28 hastanın 48 gözünden oluşmaktaydı. Sonuç ölçütleri göz içi basıncı, anti-glokom ilaçları, horizontal kornea çapı ve başarı oranı olarak belirlendi. Sonuçlar: Grup 1in başarı oranları 12, 36, 60, 72, 96, 120. ayda ve son vizitte sırasıyla %93,10, %91,30 %89,30, %87,00, %84,90, %83,00 ve %83,00 idi. Aynı takip aralıklarında grup 2nin başarı oranları sırasıyla %72,50, %68,60, %68,60, %66,10, %66,00, %64,50 ve %62,50 idi. Son vizitte grup 1in başarı oranı grup 2ye göre istatistiksel olarak anlamlı derecede yüksek bulunmuştur (p=0,027). Her ayrı izlem muayenesinde GİB ve anti-glokom ilaçları kullanımı grup 1de grup 2ye göre istatistiksel olarak anlamlı derecede düşük bulundu (p<0,05, her biri). Yatay korneal çapları açısından ameliyat sonrası takiplerde iki grup arasında anlamlı fark bulunamadı. Tart flma: Viskotrabekülotominin uzun vadede de klasik trabekülotomiye göre daha güvenli ve daha etkili olduğu bulunmuştur. Viskotrabekülotomide kullanılan yüksek viskoziteli sodyum hyalüronat; trabeküler ağda viskodiseksiyon ve Schlemm kanalında viskodilatasyon oluşturarak ve ayrıca trabekülotomi insizyon dudaklarının birbirinden bir müddet uzak tutulmasını sağlayarak, postoperatif kanama ve fibroblastik proliferasyonu önlemesi sonucunda bu ameliyatın genel başarısı artmaktadır. (Turk J Ophthalmol 2013; 43: 380-4)

Anahtar Kelime:

Konular: Göz Hastalıkları

Konjenital glokomlu olgularda tviskotrabekülotomi ve klasik trabekülotomi cerrahisinin uzun dönem karşılaştırmalı sonuçları

Öz:

Purpose: To evaluate the results of previously described viscotrabeculotomy technique and to compare them with those of conventional trabeculotomy in longer-term follow-up. Material and Method: This retrospective study included the eyes of 64 patients who underwent either viscotrabeculotomy (group 1) or conventional trabeculotomy (group 2) between February 1992 and April 2011. Group 1 consisted of 58 eyes of 34 patients who underwent viscotrabeculotomy surgery and group 2 consisted of 51 eyes of 30 patients who underwent conventional trabeculotomy. 3 patients (5 eyes) in group 1 and 2 patients (3 eyes) in group 2 left the follow-up for some reasons. At the last visit, group 1 comprised 53 eyes of 31 patients and group 2 comprised 48 eyes of 28 patients. Outcome measures were intraocular pressure (IOP), anti- glaucomatous medications, horizontal corneal diameter, and success rate. Results: Success rates in group 1 at 12, 36, 60, 72, 96, 120 months, and at the last visit were 93.10%, 91.30% 89.30%, 87.00%, 84.90%, 83.00%, and 83.00%, respectively. The success rates in group 2 at the above-mentioned follow-up visits were 72.50%, 68.60%, 68.60%, 66.10%, 66.00%, 64.50%, and 62.50%, respectively. The success rate in group 1 was statistically significantly higher than in group 2 at the last visit (p=0.027). IOP and anti-glaucomatous medications at each follow-up examination were lower in group 1 compared to group 2, and these differences were with statistical significance (for each, p<0.05). Horizontal corneal diameters did not differ between the two groups in the postoperative follow-up. Discussion: Viscotrabeculotomy has been found safer and more effective than classical trabeculotomy in longer-term evaluation. Viscodissection of the trabecular meshwork, viscodilation of the Schlemm s canal, keeping away the lips of trabeculotomy incision, and possibly prevention of postoperative hemorrhage and fibroblastic proliferation by means of high-viscosity sodium hyaluronate are the possible factors that play an important role in the overall success of this procedure. (Turk J Ophthalmol 2013; 43: 380-4) Key Words: Congenital glaucoma, infantile glaucoma, developmental glaucoma, viscotrabeculotomy, trabeculotomy, viscoelastics

Anahtar Kelime:

Konular: Göz Hastalıkları

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	TANÇELİK N, CİCİK E, ÇAPAR O, Atalay E, BÖLÜKBAŞI S (2013). Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. , 380 - 384.
Chicago	TANÇELİK Nevbahar,CİCİK Erdoğan,ÇAPAR Olgu,Atalay Eray,BÖLÜKBAŞI Selim Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. (2013): 380 - 384.
MLA	TANÇELİK Nevbahar,CİCİK Erdoğan,ÇAPAR Olgu,Atalay Eray,BÖLÜKBAŞI Selim Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. , 2013, ss.380 - 384.
AMA	TANÇELİK N,CİCİK E,ÇAPAR O,Atalay E,BÖLÜKBAŞI S Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. . 2013; 380 - 384.
Vancouver	TANÇELİK N,CİCİK E,ÇAPAR O,Atalay E,BÖLÜKBAŞI S Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. . 2013; 380 - 384.
IEEE	TANÇELİK N,CİCİK E,ÇAPAR O,Atalay E,BÖLÜKBAŞI S "Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up." , ss.380 - 384, 2013.
ISNAD	TANÇELİK, Nevbahar vd. "Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up". (2013), 380-384.

APA	TANÇELİK N, CİCİK E, ÇAPAR O, Atalay E, BÖLÜKBAŞI S (2013). Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. Türk Oftalmoloji Dergisi, 43(6), 380 - 384.
Chicago	TANÇELİK Nevbahar,CİCİK Erdoğan,ÇAPAR Olgu,Atalay Eray,BÖLÜKBAŞI Selim Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. Türk Oftalmoloji Dergisi 43, no.6 (2013): 380 - 384.
MLA	TANÇELİK Nevbahar,CİCİK Erdoğan,ÇAPAR Olgu,Atalay Eray,BÖLÜKBAŞI Selim Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. Türk Oftalmoloji Dergisi, vol.43, no.6, 2013, ss.380 - 384.
AMA	TANÇELİK N,CİCİK E,ÇAPAR O,Atalay E,BÖLÜKBAŞI S Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. Türk Oftalmoloji Dergisi. 2013; 43(6): 380 - 384.
Vancouver	TANÇELİK N,CİCİK E,ÇAPAR O,Atalay E,BÖLÜKBAŞI S Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up. Türk Oftalmoloji Dergisi. 2013; 43(6): 380 - 384.
IEEE	TANÇELİK N,CİCİK E,ÇAPAR O,Atalay E,BÖLÜKBAŞI S "Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up." Türk Oftalmoloji Dergisi, 43, ss.380 - 384, 2013.
ISNAD	TANÇELİK, Nevbahar vd. "Comparative results of viscotrabeculotomy and classical trabeculotomy in congenital glaucoma in a longer-term follow-up". Türk Oftalmoloji Dergisi 43/6 (2013), 380-384.