. 2015; 45(2): 47-51 | |||
The effects of Nd: YAG laser capsulotomy on visual acuity, macular thickness and intraocular pressure in diabetic patientsElif Betül Türkoğlu1, Erkan Çelik2, Nilgün Özkan Aksoy2, Gürsoy Alagöz21Department Of Ophthalmology, Akdeniz University, Antalya2Department Of Ophthalmology, Sakarya University, Sakarya Purpose: To compare macular thickness,best-corrected visual acuity (BCVA) and intraocular pressure (IOP) changes after the Nd: YAG laser capsulotomy in posterior capsule opacification (PCO) with diabetic and non-diabetic eyes.Materyal-Method: Thirty-six eyes of 25 diabetic patients and 40 eyes of 25 non-diabetic patients were included. All patients was treated with Nd: YAG laser capsulotomy.Macular thickness measured by OCT,IOP and BCVA were evaluated before and 1 week, 1 month and 3 months after laser.Results: There was no difference between the two groups in age, gender and the applied laser technique.The time interval between cataract surgery and laser capsulotomy was shorter in the group of diabetic patients (p=0.009). In both groups,EDGK was significantly increased 1 week after laser (respectively,p=0.023, p=0.016). However, there was no statistically significant difference between the two groups. There was no significant difference in macular thickness before and after the laser between two groups (p> 0.05).However, in Group1 cystoid macular edema was observed in 2eyes during follow-up.Despite prophylactic treatment,IOP remained around 21-30mmHg in 3 patients in Group1 and 4 patients in Group2 at first day and at the end of the 1st week IOPs were controlled except one glaucoma patient. In two groups, IOP values before and after laser was not statistically significant difference(p>0.05). At first day,+2 cells in the anterior chamber were detected in 3 patients in group1 and 2 patients in group2; and at 1 week after routinely topical steroid treatment, anterior chamber reaction was not observed.Discussion: Although it is known that there is a breakdown in the blood-aqueous and inner blood-retinal barriers in diabetes; there were no difference in visual improvement, macular thickness and IOP compared to non-diabetic eyes. We have observed that Nd: YAG laser capsulotomy is a safe and effective method for posterior capsular opacification in diabetic and nondiabetic patients. Keywords: diabetes, posterior capsule opacification, laser capsulotomy, Nd: YAG laserDiyabetli olgularda Nd: YAG lazer kapsülotominin görme keskinliği, maküler kalınlık ve göz içi basıncına etkileriElif Betül Türkoğlu1, Erkan Çelik2, Nilgün Özkan Aksoy2, Gürsoy Alagöz21Akdeniz Üniversitesi, Göz Ana Bilim Dalı, Antalya2Sakaray Üniversitesi, Göz Ana Bilim Dalı, Sakarya Amaç: Arka kapsül kesafeti (AKK) gelişen diyabetli ve diyabetli olmayan gözlerde Nd: YAG lazer kapsülotomi sonrası santral makula kalınlığı, en iyi düzeltilmiş görme keskinliği (EDGK) ve göz içi basınç (GİB) değişikliklerini karşılaştırmak. Elif Betül Türkoğlu, Erkan Çelik, Nilgün Özkan Aksoy, Gürsoy Alagöz. The effects of Nd: YAG laser capsulotomy on visual acuity, macular thickness and intraocular pressure in diabetic patients. . 2015; 45(2): 47-51 Corresponding Author: Elif Betül Türkoğlu, Türkiye |
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