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Retina Arter Tıkanıklıkları ve Tedavisi...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
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Retina Arter Tıkanıklıkları ve Tedavisi...
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Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
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PureSee Kesintisiz Yüksek Kalitede Görüş
Retina-Vitreous 2005 , Vol 13 , Num 4
Turkish Abstract Abstract Article PDF Similar Articles Mail to Author
Outcomes of Triamcinolone Assisted Pars Plana Vitrectomy for Various Retinal Diseases
Yasemin ÖZDAMAR1, Coşar BATMAN1, Solmaz ÖZALP1, Özlem ASLAN1, Nilüfer BERKER1, Orhan ZİLELİOĞLU1
S.B Ankara Ulucanlar Göz Hastanesi, Ankara Purpose: To evaluate the results of the triamcinolone assisted pars plana vitrectomy (PPV) for various retinal disease.

Materials and Methods: Fifty-four eyes of 54 patients with the diagnosis of various retinal disease were included in this study. Retinal detachment (RD) in 40 eyes, lens luxation to vitreous in 3 eyes, epiretinal membran (ERM) in 3 eyes, intravitreal foreign body (IVFB) in 2 eyes, macular hole in 4 eyes and vitreous haemorrhage (VH) in 2 eyes were detected. After pars plana vitrectomy, the visualization of the vitreous and posterior hyaloid was facilitated by using triamcinolone suspension injected into mid vitreous cavity. Thus, after complete removal of the vitreous and posterior hyaloid, ERM and internal limiting membrane (ILM) peeling was performed more easily. The anatomical succes rate, final visual acuity and postoperative complications were prospectively evaluated. The mean follow-up time was 5.3 months (range, 2-9 months).

Results: In 30 eyes (%55.5), the visual acuity was increased, in 15 eyes (%27.8) remained unchanged and in 9 eyes (%16.7) was worsened. Intraoperative reattchment was achieved in all patients with retinal detachment. Recurrent retinal detachment occured in 7 patients (%12.9). Increased intraocular pressure (higher than 21 mmHg) was detected in 10 eyes (%18.5) after the operation. Epiretinal membrane formation was observed in 3 eyes postoperatively. No other significant postoperative complications were detected in any patient.

Conclusion: Triamcinolone assisted pars plana vitrectomy allows the complete removal of vitreous and the delineation of the posterior hyaloid, increases the safety and rapidity of the surgical procedure. Keywords : Triamcinolone, pars plana vitrectomy

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