Ulus Travma Acil Cerrahi Derg. 2012; 18(4): 317-320 | DOI: 10.5505/tjtes.2012.02223

Delici göz küresi yaralanmalarýndan sonra fitizis bulbi geliþiminde etkili olan faktörler

Mesut Coþkun¹, Mustafa Ataþ², Ali Akal², Özgür Ýlhan¹, Uðurcan Keskin¹, Esra Ayhan Tuzcu^1
1Mustafa Kemal Üniversitesi Týp Fakültesi, Göz Hastalýklarý Anabilim Dalý, Hatay, Türkiye
²Kayseri Eðitim Ve Araþtýrma Hastanesi, Göz Kliniði, Kayseri, Türkiye

AMAÇ
Delici göz küresi yaralanmalarýndan sonra fitizis bulbi geliþimine etki eden faktörler araþtýrýldý.
GEREÇ VE YÖNTEM
2000-2006 yýllarý arasýnda delici göz küresi yaralanmasý nedeni ile tedavisi ve takipleri yapýlan 132 hastanýn kayýtlarý derlenerek, bunlar arasýndan fitizis bulbi geliþen 8 olgunun kayýtlarý geriye dönük olarak incelendi. Olgular, yaralanmanýn tipi, niteliði, anatomik yeri, eþlik eden ön/arka segment patolojileri ve fitizis bulbi geliþimi yönünden incelendi.
BULGULAR
Ortalama takip süreleri 2,06±1,47 (daðýlým, 6 ay -5 yýl) olan 5 erkek, 3 kýz toplam 8 fitizis bulbi geliþen olgunun yaþ ortalamasý 7,12±4,70 (daðýlým, 2-16 yaþ) idi. Fitizis bulbi olgularýn 3’ünde (%37,5) kapalý perforasyonu takiben geliþen endoftalmi nedeniyle, 3’ünde (%37,5) sklera gerisine uzanan zon 2-3 skleral perforasyon ve eþlik eden retina dekolmaný nedeniyle, 2 olguda (%25) da travmanýn neden olduðu proliferatif vitreoretinopatiye baðlý geliþmiþti. Ortalama fitizis bulbi geliþme süresi 5,5±2,13 (daðýlým, 3-10 ay) idi.
SONUÇ
Delici göz küresi yaralanmalarýndan sonra, görme prognozu ve fitizis bulbi geliþimini etkileyen en önemli faktörlerin yaralanmanýn büyüklüðü ve anatomik yeri, eþlik eden ön ve arka segment patolojileri ile travmaya ikincil endoftalmi geliþimi olduðunu düþünmekteyiz.

Anahtar Kelimeler: Delici göz küresi yaralanmasý, endoftalmi; fitizis bulbi.

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The factors affecting the development of phthisis bulbi after penetrating eye injuries

Mesut Coþkun¹, Mustafa Ataþ², Ali Akal², Özgür Ýlhan¹, Uðurcan Keskin¹, Esra Ayhan Tuzcu^1
1Mustafa Kemal University, Medical Faculty, Department Of Ophthalmology, Hatay, Turkey
²Kayseri Training And Research Hospital, Department Of Ophthalmology, Kayseri, Turkey

BACKGROUND
We aimed to investigate the factors affecting the development of phthisis bulbi after penetrating eye injuries.
METHODS
The medical records of 132 patients admitted to our clinic between 2000-2006 with the diagnosis of penetrating eye injury were collected. The records of the eight patients who developed phthisis bulbi were evaluated retrospectively. The aspects of anatomic localization, type of trauma, associated events, and development of phthisis bulbi were also investigated.
RESULTS
The mean age of the eight patients (5 males, 3 females) was 7.12±4.70 years (range: 2-16 years) and the mean follow-up time was 2.06±1.47 years (range: 6 months–5 years). Three of eight patients developed post-perforation endophthalmitis. Three patients had zone 2-3 scleral perforation and associated retinal detachment and the remaining two patients had proliferative vitreoretinopathy according to the trauma; all eight patients eventually developed phthisis bulbi. The mean time for the development of phthisis bulbi was 5.5±2.13 months (range: 3-10 months).
CONCLUSION
After penetrating eye injuries, visual prognosis and development of phthisis bulbi were affected significantly by the factors including anatomic localization, size of the injury, associated anterior or posterior segment pathologies, and endophthalmitis secondary to the trauma.

Keywords: Penetrating eye injury, endophthalmitis; phthisis bulbi.

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ATIF KOPYALA