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SuleymanDemirel Universitesi TIP FAKULTESI DERGISI: 2005 Eylul; 12(3) Posttravmatik vitreoretinal cerrahi uygulamalarda gorsel prognoz Ufuk Şahin Tig Ozet Amac: Travmali gozlerde, erken donemde, ozellikle ilk 72 saat icinde, vitreoretinal cerrahi uygulanan hastalarda gorme keskinligi sonuclari daha iyi olarak bulunmustur. Bu calismada, vitreoretinal cerrahi oncesi ve sonrasi posttravmatik gozdeki gorme keskinligi arastirilmistir. Materyal ve Metod: Mart 2000 ve Haziran 2004 tarihleri arasinda, goz travmasi ve buna bagli gelisen goz patolojileri neticesi klinigimizde vitreoretinal cerrahi uygulanan 33 hastanin 34 gozu calismaya dahil edildi. Dosyalar yaralanma ozelligi, gorme duzeyleri, fonksiyonel ve anatomik basari yonunden incelendi. Bulgular: Hastalarin yaralanma ile vitreoretinal cerrahi uygulanma sureleri ilk 24saat ile 30gunden fazla olmak uzere degismekteydi.Yaralanmaya yol acan travma ,vakalarin 15.inde kunt, 10.unda opere perforan, 6.inda kapali perforan, 3.unde ise perforan tipti. Perforan 3 vakada primer onarim ve vitreoretinal cerrahi ayni seansta yapildi. Travmatik katarakt ve lens luksasyonu en dikkat cekici on segment bulgulariydi. Sonuc: Elde edilen sonuclarin travmanin ciddiyeti ve operasyon oncesi bulgular ile baglantili oldugu gozlense de vitreoretinal cerrahi uygulanan hastalarda anatomik ve fonksiyonel basari sonuclari daha iyi bulunmustur. Anahtar kelimeler: Vitreoretinal Cerrahi, Gorsel Prognoz, Travma Abstract Visual Prognosis Following Vitreoretinal Surgery In Posttraumatic Cases Purpose: In traumatic eyes, patients having vitreoretinal surgery with in the first 72 hours had better final visual acuity then the patients having later. In this study, we evaluated visual acuity before and after vitreoretinal surgery. Material and Methods: Thirty-four eyes of 33 patients having vitreoretinal surgery due to ocular trauma included in this study in our hospital from March 2000 to June 2004. Records of patients were reviewed for type of insult, visual acuity functional and anatomic success. Results: The interval between trauma and vitreoretinal surgery ranged from 24 hours to over 30 days. Blunt ocular trauma in 15 patients, perforating ocular trauma was observed in 3 patients, operated perforating ocular trauma was observed in 10 patients, closed perforating ocular trauma was observed in 6 patients. In 3 cases with perforating ocular trauma vitreoretinal surgery was applied with primary operation. The most common anterior segment involvements were traumatic cataract and lens subluxation. Conclusion: However results of the vitreoretinal surgery depend on serious of trauma and preoperative findings, patients have better functional and anatomic success. Key words: Vitreoretinal Surgery, Visual Prognosis, Trauma

Posttravmatik vitreoretinal cerrahi uygulamalarda görsel prognoz