دراسة فعالية الياغ ليزر في معالجة الساد الثانوي خبرة مشفى الأسد الجامعي باللاذقية بين عامي 2002-2003

Authors

  • قحطان جلول
  • حبيب يوسف
  • علي الصارم

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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Published

2019-02-19

How to Cite

1.
جلول ق, يوسف ح, الصارم ع. دراسة فعالية الياغ ليزر في معالجة الساد الثانوي خبرة مشفى الأسد الجامعي باللاذقية بين عامي 2002-2003. Tuj-hlth [Internet]. 2019Feb.19 [cited 2024May3];26(3). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/8178

Issue

Vol. 26 No. 3 (2004): العلوم الصحية

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