Sigara kullanımına bağlı ağır KOAH gelişen olgularda oküler komplikasyonlar
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Dosyalar
Tarih
2003
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Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Ağır kronik obstrüktif akciğer hastalığı (KOAH) tanısıyla izlenen olgularda gelişebilecek göz komplikasyonlarını araştırmak amaçlanmıştır. Gereç ve Yöntem: Sigara kullanımına bağlı ağır KOAH gelişen toplam 40 hasta oküler bulgular yönünden araştırılmıştır. Elde edilen veriler, yaş ve cinsiyetleri uyumlu, sigara kullanmayan sağlıklı kontrol grubuyla istatistiksel yöntemlerle karşılaştırılmıştır. Sigara kullanımı ve KOAH tedavisinde kullanılan nazal inhaler kortikosteroid gibi ilaçlarla göz bulguları arasındaki ilişki araştırılmıştır. Bulgular: KOAH grubundaki hastaların tümünde 20 yılı aşkın süredir kronik sigara kullanma alışkanlığı mevcuttu. KOAH hastalarının ortalama yaşı 62, kontrol grubunun ise 60 yıldı (p>0.05). KOAH'lı olgularında en sık göz bulgusu, 40 hastanın 16'sında (%40) saptanan katarakttı. (p<0.05) Bu olgularda tespit edilen en sık ikinci göz bulgusu aterosklerotik retinopati (%35) idi. Nazal inhaler kortikosteroid kullanmakta olan 12 olgunun ikisinde (%16) katarakt saptandı ve kontrol grubuyla karşılaştırıldığında aradaki fark anlamlı değildi. (p>0.05) Sonuç: Sigara kullanımına bağlı ağır KOAH gelişen olgularda katarakta sıklıkla rastlanmaktadır. Bu olgular, rutin kontrollerde göz bulguları yönünden de değerlendirilmelidir.
Objective: We aimed to evaluate ocular complications in patients followed-up for severe chronic obstructive pulmonary disease (COPD). Materials and Methods: Forty patients who were followed-up for severe smoking-induced COPD were evaluated for ocular findings. We noted the ocular findings and compared with the control group which included 40 age and sex-matched, healthy, non-smoking subjects by statistical methods. The relation of cigarette smoking and medications used for COPD with ocular findings were evaluated. Results: All patients in the COPD group were chronic smokers for more than 20 years. The mean age was 62 years old in COPD patients and 60 years old in the control group (p>0.05). The most common ocular finding was cataract which was seen in 16 of 40 (40%) cases with COPD (p<0.05). The second most common ocular finding was atherosclerotic changes in retinal vessels (35%). Cataract was found in two of 12 cases with COPD who used nasal inhalar corticosteroids and this was not statistically significant compared to the control group (p>0.05). Conclusion: Cataract is the major ocular complication in patients with cigarette smoking-induced severe COPD. These cases should be evaluated for the ocular findings in their routine controls.
Objective: We aimed to evaluate ocular complications in patients followed-up for severe chronic obstructive pulmonary disease (COPD). Materials and Methods: Forty patients who were followed-up for severe smoking-induced COPD were evaluated for ocular findings. We noted the ocular findings and compared with the control group which included 40 age and sex-matched, healthy, non-smoking subjects by statistical methods. The relation of cigarette smoking and medications used for COPD with ocular findings were evaluated. Results: All patients in the COPD group were chronic smokers for more than 20 years. The mean age was 62 years old in COPD patients and 60 years old in the control group (p>0.05). The most common ocular finding was cataract which was seen in 16 of 40 (40%) cases with COPD (p<0.05). The second most common ocular finding was atherosclerotic changes in retinal vessels (35%). Cataract was found in two of 12 cases with COPD who used nasal inhalar corticosteroids and this was not statistically significant compared to the control group (p>0.05). Conclusion: Cataract is the major ocular complication in patients with cigarette smoking-induced severe COPD. These cases should be evaluated for the ocular findings in their routine controls.
Açıklama
Anahtar Kelimeler
Kronik Obstrüktif Akciğer Hastalığı (KOAH), Sigara, Göz Bulguları, Katarakt, Chronic Obstructive Pulmonary Disease (COPD), Tobacco, Ocular Findings, Cataract
Kaynak
Türkiye Klinikleri Oftalmoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
4