{"id":1347,"date":"2020-08-30T10:11:55","date_gmt":"2020-08-30T10:11:55","guid":{"rendered":"http:\/\/healthtourismcenterturkey.com\/?page_id=1347"},"modified":"2020-09-04T22:22:40","modified_gmt":"2020-09-04T22:22:40","slug":"retina-cerrahisi-vitrektomi","status":"publish","type":"page","link":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/goz-ameliyatlari\/goz-hastaliklari\/retina-cerrahisi-vitrektomi\/","title":{"rendered":"Retina Cerrahisi – Vitrektomi"},"content":{"rendered":"
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V\u0130TREKTOM\u0130 – RET\u0130NA CERRAH\u0130S\u0130<\/span><\/h1>\n

\u00a0Arka Vitreus Dekolman\u0131<\/span><\/h2>\n

G\u00f6zk\u00fcresinin i\u00e7i, ad\u0131na \u201cvitreus\u201d denen saydam bir jel-s\u0131v\u0131 ile doludur. S\u0131kl\u0131kla, ya\u015f\u0131n ilerlemesi ile birlikte, vitreus s\u0131v\u0131s\u0131 jel k\u0131vam\u0131n\u0131 kaybeder ve b\u00fcz\u00fc\u015f\u00fcr. Bu b\u00fcz\u00fc\u015fmeyle birlikte vitreus, g\u00f6z\u00fcn arka duvar\u0131ndan ayr\u0131l\u0131r. Bu ayr\u0131lma olay\u0131na \u201carka vitreus dekolman\u0131\u201d ad\u0131 verilir. Arka vitreus dekolman\u0131, ilerleyen ya\u015f\u0131n yan\u0131 s\u0131ra, g\u00f6ze al\u0131nan darbeler, y\u00fcksek derecede miyopi , birtak\u0131m ailesel kal\u0131t\u0131msal hastal\u0131klar, ge\u00e7irilmi\u015f g\u00f6z ameliyatlar\u0131 sonras\u0131nda da daha erken olarak ortaya \u00e7\u0131kabilir.<\/span><\/p>\n

Arka vitreus dekolman\u0131n\u0131n belirtileri nelerdir?<\/span><\/h2>\n

\u2022 \u00d6zellikle beyaz, parlak zeminlere bakarken fark edilen u\u00e7u\u015fan noktalar, cisimcikler, \u00f6r\u00fcmcek a\u011flar\u0131<\/span>
\n\u2022 I\u015f\u0131k \u00e7akmalar\u0131 (g\u00f6z a\u00e7\u0131k ya da kapal\u0131yken g\u00f6r\u00fclebilir)<\/span><\/p>\n

Arka vitreus dekolman\u0131, g\u00f6zde y\u0131rt\u0131k olu\u015fmas\u0131 ile olu\u015fan ve tedavi gerektiren retina dekolman\u0131 ile ayn\u0131 \u015fey de\u011fildir. Bununla birlikte, arka vitreus dekolman\u0131 olu\u015fumu s\u0131ras\u0131nda ve olu\u015ftuktan sonra \u00f6zellikle ilk 12 ay i\u00e7inde, y\u0131rt\u0131k olu\u015fma ve retina dekolman\u0131 geli\u015fme riski bir miktar artar. Bu nedenle, arka vitreus dekolman\u0131 belirtileri olu\u015fan bir hasta, mutlaka bir retina muayenesinden ge\u00e7melidir.<\/span><\/p>\n

E\u011fer retina dekolman\u0131 olu\u015fmu\u015fsa, k\u0131sa bir s\u00fcre i\u00e7inde tedavi edilmedi\u011fi takdirde bu durum g\u00f6rme kayb\u0131 ile sonu\u00e7lanabilir. Bu y\u00fczden retina dekolman\u0131n\u0131n belirtilerini de bilmek \u00f6nem ta\u015f\u0131r. Bu belirtiler \u015funlard\u0131r:<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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\u2022 G\u00f6z a\u00e7\u0131k ya da kapal\u0131 iken hissedilen \u0131\u015f\u0131k \u00e7akmalar\u0131 (arka vitreus dekolman\u0131nda oldu\u011fu gibi)<\/span>
\n\u2022 Daha fazla say\u0131da u\u00e7an cisimlerin ani olarak ortaya \u00e7\u0131kmas\u0131<\/span>
\n\u2022 G\u00f6rme alan\u0131 i\u00e7inde herhangi bir y\u00f6nden geli\u015fen gri-siyah perde<\/span>
\n\u2022 G\u00f6zk\u0131rpma ile ge\u00e7meyen g\u00f6rme bulan\u0131kl\u0131\u011f\u0131 ya da kayb\u0131<\/span><\/p>\n

E\u011fer yukar\u0131daki belirtilerden bir ya da birka\u00e7\u0131 mevcut ise, vakit kaybetmeden bir retina muayenesinden ge\u00e7ilmelidir.<\/span><\/p>\n

RET\u0130NA DEKOLMANI<\/span><\/h2>\n

G\u00f6zk\u00fcresinin i\u00e7ini dolduran vitreus s\u0131v\u0131s\u0131n\u0131n b\u00fcz\u00fc\u015fmesi sonucu, jel k\u0131vam\u0131ndaki bu s\u0131v\u0131 g\u00f6zk\u00fcresinin arka duvar\u0131ndan ayr\u0131l\u0131r. Bu duruma arka vitreus dekolman\u0131 ad\u0131 verilir. Arka vitreus dekolman\u0131 olu\u015fumu s\u0131ras\u0131nda baz\u0131 durumlarda retina denilen sinir tabakas\u0131nda y\u0131rt\u0131k olu\u015fabilir. Retina y\u0131rt\u0131\u011f\u0131n\u0131n belirtileri, bir \u00f6nceki b\u00f6l\u00fcmde bahsedilen arka vitreus dekolman\u0131 ile hemen hemen ayn\u0131d\u0131r. Retina y\u0131rt\u0131\u011f\u0131 olu\u015ftuktan sonra, g\u00f6zi\u00e7i s\u0131v\u0131s\u0131 bu y\u0131rt\u0131ktan retina ile alt\u0131ndaki duvar aras\u0131na ge\u00e7er ve \u201cretina dekolman\u0131\u201d denilen hastal\u0131\u011fa sebep olur.<\/span><\/p>\n

Retina Dekolman\u0131 Belirtileri Nelerdir?<\/span><\/h2>\n

Retina dekolman\u0131, g\u00f6rme kayb\u0131 ile sonu\u00e7lanabilen ve aciliyet g\u00f6steren bir hastal\u0131kt\u0131r. Bu y\u00fczden belirtileri \u00f6nem ta\u015f\u0131r. Bu belirtiler \u015funlard\u0131r:<\/span><\/p>\n

\u2022 G\u00f6z a\u00e7\u0131k ya da kapal\u0131 iken hissedilen \u0131\u015f\u0131k \u00e7akmalar\u0131 (arka vitreus dekolman\u0131nda oldu\u011fu gibi)<\/span>
\n\u2022 Daha fazla say\u0131da u\u00e7an cisimlerin ani olarak ortaya \u00e7\u0131kmas\u0131<\/span>
\n\u2022 G\u00f6rme alan\u0131 i\u00e7inde herhangi bir y\u00f6nden geli\u015fen gri-siyah perde<\/span>
\n\u2022 G\u00f6zk\u0131rpma ile ge\u00e7meyen g\u00f6rme bulan\u0131kl\u0131\u011f\u0131 ya da kayb\u0131<\/span><\/p>\n

E\u011fer yukar\u0131daki belirtilerden bir ya da birka\u00e7\u0131 mevcut ise, vakit kaybetmeden bir retina muayenesinden ge\u00e7ilmelidir.<\/span><\/p>\n

Retina y\u0131rt\u0131\u011f\u0131n\u0131n erken saptanmas\u0131 ve retina dekolman\u0131 geli\u015fmeden tespit edilip tedavi edilmesi son derece \u00f6nemlidir. Retina y\u0131rt\u0131\u011f\u0131n\u0131n belirtileri \u0131\u015f\u0131k \u00e7akmalar\u0131 ve u\u00e7u\u015fan cisimlerdir. Bu belirtiler oldu\u011fu takdirde, m\u00fcmk\u00fcn oldu\u011fu kadar \u00e7abuk bir retina muayenesinden ge\u00e7ilmelidir.<\/span><\/p>\n

Retina Y\u0131rt\u0131\u011f\u0131n\u0131n Tedavisi Nedir?<\/span><\/h2>\n

E\u011fer muayene s\u0131ras\u0131nda bir retina y\u0131rt\u0131\u011f\u0131 saptand\u0131 ise ve bu y\u0131rt\u0131\u011f\u0131n retina dekolman\u0131na sebep olabilece\u011finden \u015f\u00fcphe ediliyorsa tedavi edilmesi gereklidir. Tedavide y\u0131rt\u0131k laser ile kapat\u0131lmaktad\u0131r.<\/span><\/p>\n

RET\u0130NA YIRTI\u011eININ LASER \u0130LE TEDAV\u0130S\u0130<\/span><\/h1>\n

Retina Dekolman\u0131 Tedavisi Nedir?<\/span><\/h2>\n

Retina dekolman\u0131 geli\u015ftiyse, cerrahi m\u00fcdahele yani ameliyat gereklidir. Ameliyat y\u00f6ntemi, retina dekolman\u0131na sebep olan retina y\u0131rt\u0131\u011f\u0131n\u0131n say\u0131s\u0131na, b\u00fcy\u00fckl\u00fc\u011f\u00fcne, yerine, \u015fekline ve retina dekolman\u0131n\u0131n s\u00fcresine g\u00f6re de\u011fi\u015febilmektedir.<\/span><\/p>\n

D\u0131\u015ftan \u00e7\u00f6kertme y\u00f6ntemi (skleral \u00e7\u00f6kertme y\u00f6ntemi):<\/span><\/h3>\n

Dekolman cerahisinde kullan\u0131lan en eski y\u00f6ntemdir. Retina y\u0131rt\u0131\u011f\u0131 b\u00f6lgesine denk gelecek \u015fekilde, g\u00f6zk\u00fcresinin d\u0131\u015f duvar\u0131na sert silikondan bir par\u00e7a konarak \u00e7\u00f6kertme uygulan\u0131r ve d\u0131\u015ftan bu uygulama ile retina y\u0131rt\u0131\u011f\u0131 kapat\u0131l\u0131r. Retina y\u0131rt\u0131\u011f\u0131 d\u0131\u015ftan yap\u0131lan bu m\u00fcdahele ile kapand\u0131\u011f\u0131 takdirde, retina dekolman\u0131 s\u0131v\u0131s\u0131 (retina alt\u0131nda biriken s\u0131v\u0131) g\u00f6z taraf\u0131ndan k\u0131sa bir s\u00fcre i\u00e7inde emilir ve iyile\u015fme tamamlan\u0131r.<\/span><\/p>\n

V\u0130TREKTOM\u0130<\/span><\/h2>\n

E\u011fer retina dekolman\u0131na sebep olan y\u0131rt\u0131klar \u00e7ok say\u0131da ise, b\u00fcy\u00fckse, yerle\u015fimleri al\u0131\u015f\u0131landan farkl\u0131 ise, y\u0131rt\u0131k saptanam\u0131yor ise, e\u015flik eden ba\u015fka hastal\u0131klar varsa (g\u00f6zi\u00e7i kanamas\u0131 gibi) ya da \u00fczerinden zaman ge\u00e7mi\u015f ise vitrektomi ameliyat\u0131 uygulamak gerekebilir. Vitrektomi ameliyat\u0131nda retina dekolman\u0131na g\u00f6z\u00fcn i\u00e7inden m\u00fcdahele edilir. Bunun i\u00e7in g\u00f6zk\u00fcresine k\u00fc\u00e7\u00fck delikler a\u00e7\u0131larak, birtak\u0131m kesici ve aspire edici \u00e7ubuklar (prob) ve \u0131\u015f\u0131k kaynaklar\u0131 yard\u0131m\u0131yla vitreus s\u0131v\u0131s\u0131 temizlenir, retina alt\u0131nda biriken s\u0131v\u0131 aspire edilir, y\u0131rt\u0131klar kapat\u0131l\u0131r, laser tedavisi uygulan\u0131r. Ameliyat\u0131n sonunda, uygulanan laser tedavisinin y\u0131rt\u0131k b\u00f6lgesini yap\u0131\u015ft\u0131rmas\u0131 ve bu etkinin devam etmesi i\u00e7in g\u00f6zi\u00e7ine bir tampon maddesi vermek gerekir. Duruma g\u00f6re bu tampon maddesi hava ve benzeri gazlar, ya da silikon ya\u011f\u0131 olabilir. Ameliyat sonras\u0131 hastan\u0131n bir s\u00fcre koruyucu g\u00f6zdamlas\u0131 kullanmas\u0131 ve belirli bir ba\u015f pozisyonunda yatmas\u0131 gereklidir.<\/span><\/p>\n<\/div>\n<\/div>\n

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