Aðgerðir við gati í makúlu (miðgróf) augans

• Main Authors: Alfreð Harðarson, Einar Stefánsson, Haraldur Sigurðsson, Ingimundur Gíslason
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2005
• Subjects: Augu; Sjónhimnur; Augnsjúkdómar; LBL12; Fræðigreinar; Female; Humans; Iceland; Male; Ophthalmologic Surgical Procedures; Retinal Perforations; Treatment Outcome; Visual Acuity; Vitrectomy; Sjónhimnulos; Smella
• Online Access: http://hdl.handle.net/2336/3282

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open OBJECTIVE: To evaluate retrospectively the results of macular hole surgery in Iceland 1996-2002. MATERIAL AND METHODS: 25 patients underwent macular hole surgery in this time period. Data was obtained from hospital records of all those patients. Best corrected vision vas measured before and after surgery. The staging of the macular hole was evaluated before surgery and anatomical closure after surgery was recorded. Any adjuvants used during the operation were noted, and determined if there were any differences in outcomes depending on which adjuvants were used. RESULTS: After one operation the anatomical success was 72% and 79% after two surgeries. Visual acuity improved > or = 2 lines on the Snellen card in 11 of 29 eyes (38%); vision stayed the same (did not improve or get worse of more then > or = 2 lines) in 16 of 29 eyes (55%), and deteriorated > or = 2 lines in two of 29 eyes (7%). There were no significant clinical differences in which adjuvant therapy was used. CONCLUSIONS: Anatomical success of macular hole surgery in Iceland was comparable with results in foreign studies. The visual outcome was significantly better after surgery, but those results were not as good as in foreign studies. Tilgangur: Að meta árangur af makúlugatsaðgerðum á Íslandi frá þær hófust 1996 til loka árs 2002. Efniviður og aðferðir: Farið var yfir sjúkraskrá allra þeirra 25 sjúklinga sem fóru í makúlugatsaðgerðir á Íslandi á áðurnefndu tímabili. Sjón var mæld fyrir og eftir aðgerð. Skráð var stigun gats fyrir aðgerð og hve stórt hlutfall þeirra greri eftir aðgerð og hvort einhver viðbótarmeðferð var notuð í aðgerðinni. Borinn var saman árangur þegar mismunandi viðbótarmeðferð var notuð. Niðurstöður: Anatómískur árangur (gat lokaðist) var 72% eftir eina aðgerð og 79% eftir tvær aðgerðir. Sjón batnaði um ?tvær línur í 11 augum af 29 (38%), sjón var sú sama (það er batnaði eða versn­aði minna en >2 línur) í 16 augum af 29 ...