دراسة فعالية الياغ ليزر في معالجة الساد الثانوي خبرة مشفى الأسد الجامعي باللاذقية بين عامي 2002-2003
Abstract
- يهدف هذا البحث الى دراسة فعالية الياغ ليزر في خزع المحفظة الخلفية ومساهمته في تحسين القدرة البصرية ، وتحديد الاختلاطات .
- جرت الدراسة على (100) مريض من مراجعي مشفى الاسد الجامعي باللاذقية ، تطور لديهم ساد تالي بعد الجراحة .
- في الحالات التي لم تترافق بأمراض شبكية تمَّ اجراء خزع مركزي بقطر (4-3) ملم، أما في حال وجود أمراض شبكية بحاجة للمعالجة فتمًّ اجراء خزع واسع بقطر (8-7) ملم (من أجل علاج الشبكة بالليزر لاحقا ً ).
- تحسنت القدرة البصرية عند (87) مريضا بنسبة (87%)، بمعدل وسطي للتحسن (36%) .
- تمَّ تحديد الاختلاطات الناجمة عن المعالجة فكانت :
حروق قرنية (6%)، أذية العدسة المزروعة (13.04%), التهاب عنبية (1%)، نزف في البيت الأمامي (2%), وذمة لطخة كيسية (2%), زرق ثانوي (5%), ارتفاع ضغط العين [ ارتفاع طفيف 6 ≥ ملم ز (43%), ارتفاع متوسط 6< ملم (54%), ارتفاع شديد: هجمة زرق (3%) ]، زجاجي ضمن البيت الأمامي (3%), تمزق الغشاء الهيالوئيدي الأمامي (34%) .
- This paper aims to study YAG – LASER activity in posterior capsulectomy and its turn in visual acuity improvement and to identify the complications .
- This study included 100 patients, in AL_Assad University Hospital in Lattakia, who had developed subsequent cataract after surgery .
- In situations without retinal diseases we made a central capsulectomy about (3-4) m.m, while in cases of retinal diseases we made wide capsulectomy about (7-8) m.m (for subsequent laser therapy of retina ).
- The visual acuity of 87 patients had improved at a rate of 87% and the average of improvement was 36%.
- The complications of treatment were :
corneal burns (6%), Damage to the implantedIntraocular Lens (IOL) (13.04% ), Uvitis (1%), Bleeding in the anterior chamber (2%), Cystoid macular edema: CMO(2%), secondary glucama (5%), Rising of Intraocular pressure (IOP) [ mild ≤ 6 m.m .Hg (43%) – moderate > 6mm Hg (54%) – severe: acute glucoma (3%) ], Vitreous movement into the anterior chamber (3%), Rupture of the anterior hyaloid face (34%).
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