Geç başlangıçlı toksik anterior segment sendromu
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Seksen yaşında erkek hasta görmede azalma şikayeti ile kliniğimize başvurdu. Yapılan of- talmolojik muayenede bilateral kortikonükleer katarakt saptandı. Düzeltilmiş görme keskinli- ği sağ gözde 20/200 ve sol gözde 20/50 düzeyinde idi. Sağ göze komplikasyonsuz fakoemülsi- fikasyon ve göz içi lens implantasyonu yapıldı. Postoperatif 1. hafta kontrolünde görme kes- kinliği 20/20 idi. Bununla birlikte hastada miyopik kayma ve kapsüler blok sendromu saptan- dı. Nd:YAG laser ile ön kapsülotomiyi takiben hastada yoğun fibrinöz reaksiyon ve kornea ödemi gelişti. Hastanın görme keskinliği 20/60’a düştü. Yoğun topikal steroid tedavisi ile has- tanın klinik bulgularında hızlı bir iyileşme gözlendi. Bu olgu sunumunda, laser kapsülotomi sonrası toksik anterior segment sendromu geliştiğini düşündüğümüz bir olguyu ve tedavisini tartışmayı amaçladık.
A 80-year old man applied to our clinic due to decreased vision. On ophthalmologic ex- amination, bilateral corticonuclear cataracts were detected. Corrected visual acuity was 20/200 in the right eye and 20/50 in the left eye. The patient underwent an uneventful pha- coemulsification and intraocular lens implantation in the right eye. The visual acuity in the first week postoperatively was 20/20. Besides this, there was a myopic shift and capsular block syndrome. Following Nd:YAG laser anterior capsulotomy, severe fibrin reaction and corneal edema were detected. Intraocular pressure was in normal limits and his vision decreased to 20/60. Patient’s clinical findings were improved rapidly with intense topical steroid treatment. In this case report, we aimed to discuss a case of presumed toxic anterior segment syndrome which was developed after laser capsulotomy and its treatment.
A 80-year old man applied to our clinic due to decreased vision. On ophthalmologic ex- amination, bilateral corticonuclear cataracts were detected. Corrected visual acuity was 20/200 in the right eye and 20/50 in the left eye. The patient underwent an uneventful pha- coemulsification and intraocular lens implantation in the right eye. The visual acuity in the first week postoperatively was 20/20. Besides this, there was a myopic shift and capsular block syndrome. Following Nd:YAG laser anterior capsulotomy, severe fibrin reaction and corneal edema were detected. Intraocular pressure was in normal limits and his vision decreased to 20/60. Patient’s clinical findings were improved rapidly with intense topical steroid treatment. In this case report, we aimed to discuss a case of presumed toxic anterior segment syndrome which was developed after laser capsulotomy and its treatment.
Açıklama
Anahtar Kelimeler
Toksik Anterior Segment Sendromu, Viskoelastik Madde, Kapsüler Blok Sendromu, Toxic Anterior Segment Syndrome, Viscoelastic Material, Capsular Block Syndrome
Kaynak
MN Oftalmoloji
WoS Q Değeri
Scopus Q Değeri
Cilt
20
Sayı
4
