Yıl: 2019 Cilt: 20 Sayı: özel sayı Sayfa Aralığı: 183 - 187 Metin Dili: İngilizce İndeks Tarihi: 24-11-2020

SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY

Öz:
OBJECTIVE: To investigate the eect of strabismussurgery on subfoveal choroidal thickness (CT).MATERIAL AND METHODS: Measurements of subfovealCT in patients who underwent strabismus surgery wereobtained by enhanced depth imaging optic coherencetomography (EDI-OCT). Patients were grouped as thosewho had had one rectus muscle surgery (superior; inferior;medial or lateral; or resection or recession) (Group 1) andthose who had had inferior oblique muscle surgery (myectomy) (Group 2). The CT in patients was measured preoperatively and at one day and one week postoperatively.RESULTS: Included in the study were 41 eyes of 41 patients. It was found that the preoperative, first day postoperative, and first week postoperative mean subfoveal CTs in Group 1 were 390.57±89.54 µm, 415.23±91.77µm, and 394.8±90.97 µm, respectively. The preoperativeand first-day postoperative comparison revealed an increase in CT (p=0.002). However, when the first day postoperative and first-week postoperative measurementswere compared, a statistically significant decrease wasfound (p=0.007). In Group 2, the preoperative, first daypostoperative, and first week postoperative mean subfoveal CTs were 347.75±83.58 µm, 332.75±84.95 µm,and 332±79.15 µm, respectively. The preoperative andfirst-day postoperative comparison showed a decrease in CT that was not statistically significant (p=0.532).CONCLUSIONS: Rectus muscle surgery causes an increase in subfoveal CT, which is possibly caused by thealtered choroidal microcirculation mechanical traction during surgery and by postoperative inammation. We did not see a similar increase in Group2; this may be due to the relaxation of the inferior oblique muscle’s traction in the macular region and arelatively low level of postoperative inammation.
Anahtar Kelime:

ŞAŞILIK CERRAHİSİ SONRASI SUBFOVEAL KOROİD KALINLIĞINDAKİ DEĞİŞİKLİKLER

Öz:
AMAÇ: Şaşılık cerrahisinin subfoveal koroid kalınlığı üzerine etkilerini araştırmak. GEREÇ VE YÖNTEM: Şaşılık cerrahisi geçiren hastaların subfoveal koroid kalınlık (KK) ölçümleri optik koherens tomografi (EDI-OCT) ile elde edildi. Hastalar 1 rektus kas cerrahisi geçirenler (superior; inferior; medial ya da lateral; ve rezeksiyon veya geriletme) (Grup 1) ve inferior oblik kas cerrahisi geçirenler (miyektomi) (Grup 2) olarak sını andı. Hastaların preoperatif, postoperatif ilk gün ve postoperatif 1. hafta KK ölçümleri kaydedildi. BULGULAR: Çalışmaya 41 hastanın 41 gözü dahil edildi. Grup 1’deki preoperatif, postoperatif birinci gün ve birinci hafta ortalama subfoveal KK’ların sırasıyla 390.57 ± 89.54 µm, 415.23 ± 91.77 µm ve 394.8 ± 90.97 µm olduğu tespit edildi. Grup 1’de preoperatif ve postoperatif ilk gün karşılaştırıldığında KK’da bir artış olduğu izlendi (p = 0.002). Ayrıca, grup 1’de postoperatif ilk gün ve 1.hafta karşılaştırıldığında, istatistiksel olarak anlamlı bir düşüş bulundu (p = 0.007). Grup 2’de preoperatif, postoperatif ilk gün ve postoperatif 1. hafta ortalama subfoveal KK’ları sırasıyla 347.75 ± 83.58 µm, 332.75 ± 84.95 µm ve 332 ± 79.15 µm idi. Preoperatif ve postoperatif ilk gün KK’ları karşılaştırıldığında istatistiksel olarak anlamlı olmayan bir düşüş gösterdi (p = 0.532). SONUÇ: Rektus kası cerrahisi subfoveal KK’da artışa neden olmaktadır, bunun cerrahi sırasındaki mekanik traksiyon, değişen koroid mikrosirkülasyon ve postoperatif in amasyona bağlı olduğunu düşünmekteyiz. Grup 2’de benzer bir artış görmememizin nedeni; inferior oblik kasın maküler bölgedeki traksiyonunun gevşemesi ve nispeten düşük bir postoperatif in amasyon nedeniyle olabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Atalay H, ARIBAŞ Y, ÜÇGÜL A, CÜNEYT ÖZMEN M (2019). SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. , 183 - 187.
Chicago Atalay Hatice Tuba,ARIBAŞ Yavuz Kemal,ÜÇGÜL Ahmet Yücel,CÜNEYT ÖZMEN Mehmet SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. (2019): 183 - 187.
MLA Atalay Hatice Tuba,ARIBAŞ Yavuz Kemal,ÜÇGÜL Ahmet Yücel,CÜNEYT ÖZMEN Mehmet SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. , 2019, ss.183 - 187.
AMA Atalay H,ARIBAŞ Y,ÜÇGÜL A,CÜNEYT ÖZMEN M SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. . 2019; 183 - 187.
Vancouver Atalay H,ARIBAŞ Y,ÜÇGÜL A,CÜNEYT ÖZMEN M SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. . 2019; 183 - 187.
IEEE Atalay H,ARIBAŞ Y,ÜÇGÜL A,CÜNEYT ÖZMEN M "SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY." , ss.183 - 187, 2019.
ISNAD Atalay, Hatice Tuba vd. "SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY". (2019), 183-187.
APA Atalay H, ARIBAŞ Y, ÜÇGÜL A, CÜNEYT ÖZMEN M (2019). SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi, 20(özel sayı), 183 - 187.
Chicago Atalay Hatice Tuba,ARIBAŞ Yavuz Kemal,ÜÇGÜL Ahmet Yücel,CÜNEYT ÖZMEN Mehmet SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi 20, no.özel sayı (2019): 183 - 187.
MLA Atalay Hatice Tuba,ARIBAŞ Yavuz Kemal,ÜÇGÜL Ahmet Yücel,CÜNEYT ÖZMEN Mehmet SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi, vol.20, no.özel sayı, 2019, ss.183 - 187.
AMA Atalay H,ARIBAŞ Y,ÜÇGÜL A,CÜNEYT ÖZMEN M SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi. 2019; 20(özel sayı): 183 - 187.
Vancouver Atalay H,ARIBAŞ Y,ÜÇGÜL A,CÜNEYT ÖZMEN M SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi. 2019; 20(özel sayı): 183 - 187.
IEEE Atalay H,ARIBAŞ Y,ÜÇGÜL A,CÜNEYT ÖZMEN M "SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY." Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi, 20, ss.183 - 187, 2019.
ISNAD Atalay, Hatice Tuba vd. "SUBFOVEAL CHOROIDAL THICKNESS CHANGE FOLLOWING STRABISMUS SURGERY". Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi 20/özel sayı (2019), 183-187.