Yüzeyel korneal yabancı cisimlerde tedaviye kadar geçen süre ile ilişkili faktörlerin değerlendirilmesi
Yüzeyel korneal yabancı cisimlerde tedaviye kadar geçen süre ile ilişkili faktörlerin değerlendirilmesi
Yazar: Uzun, İrfan; Gül, Adem
Dergi: Cumhuriyet Tıp Dergisi, Vol. 35 No. 2, 2012
Anahtar kelimeler: Corneal localization, corneal foreign body, time until to treatment ; Korneal lokalizasyon, korneal yabancı cisim, tedavi süresi

Özet Amaç. Korneal yabancı cisimle gelen olguların demografik ve klinik özelliklerini incelemek ve tedaviye kadar geçen süreyi etkileyebilecek faktörleri araştırmak. Yöntem. Korneal yabancı cismi olan 59 olgunun 59 gözü çalışmaya alındı. Olguların rutin oftalmolojik muayeneleri yapıldı. Lokal anestezik damlatıldıktan sonra biyomikroskop yardımı ile iğne ucu kullanarak yüzeyel yabancı cisim çıkarıldı. Tedaviye kadar geçen süre ile ilişkili faktörler istatistiksel olarak değerlendirildi. Bulgular. Olguların 10’u (%16,9) kadın, 49’u (%83,1) erkek idi. Olguların tedaviye kadar geçen süre, yaş, yabancı cisim büyüklüğü ortalama değerleri sırasıyla 105,79±174,8 saat, 32,96±13,52 yıl, 1,288±1,087mm olarak saptandı. Etken çoğunlukla demir (%49,2) idi. Yabancı cisim olguların 33’ünde (%55,9) sağ göz, 26’sında (%44,1) sol göz de idi. Yabancı cismin korneal lokalizasyonu çoğunlukla santral korneal (%40,7) alt nazal (%28,8) ve alt temporal (%23,7) idi. Meslek çoğunlukla işçi (%47,5) ve çiftçi (%25,4) idi. Mann-Whitney U testi ile değerlendirildiğinde yaş, etkilenen göz, yabancı cismin korneal lokalizasyonu, yabancı cismin büyüklüğü ile tedaviye kadar geçen süre ilişkili bulunmazken, cinsiyet, meslek ve yabancı cisim etkeninin tedaviye kadar geçen süreyi etkilediği bulundu (p<0,05). Sonuç. Korneal yabancı cisimlerden daha çok genç erkeklerin etkilendiği görüldü. Tedaviye kadar geçen süreyi cinsiyet, meslek ve yabancı cisim etkeninin etkilediği görüldü. Santral korneal, alt nazal ve alt temporal yerleşimin daha fazla olduğu görüldü. Anahtar sözcükler: Korneal lokalizasyon, korneal yabancı cisim, tedavi süresi   Abstract Aims. To assess of factors associated with time until to treatment and analyze of demographic and clinical characteristics of corneal foreign body patients. Method. Fifty-nine eyes of 59 corneal foreign body patients were included in this study. Routine ophthalmological examination was performed of patients. Superficial foreign body was removed with the aid of the needle tip with using the slit lamp after instillation of local anesthetic. The factors associated with time until to treatment were statistically evaluated. Results. Of 59 patients, 10 (16.9%) were female and 49 (83.1%) were male. The mean time until to treatment of the patients, age, size of the foreign body were as follows; 105.79±174.80 hour, 32.96±13.52 year, 1.288±1.087mm. The agent was mostly iron (49.2%). Foreign body, there was 33 (55.9%) right eye and 26 (44.1%) left eye of cases. Corneal foreign body localization were mostly central corneal (40.7%) inferior nasal (28.8%) and inferior temporal (23.7%). The job was mostly worker (47.5%) and farmer (25.4%). The assessed by Mann-Whitney U test and there was no association between time until to treatment and age, affected eye, size of the foreign body and corneal foreign body localization. Time until to treatment showed statistically significant association with gender, foreign body agent and job (p<0.05). Conclusion. It is observed that young men mostly affected at corneal foreign bodies, time until to treatment by associated with gender, foreign body agent and job, mostly central corneal, inferior nasal and inferior temporal localization of corneal foreign body. Keywords: Corneal localization, corneal foreign body, time until to treatment

Aims. To assess of factors associated with time until to treatment and analyze of demographic and clinical characteristics of corneal foreign body patients. Method. Fifty-nine eyes of 59 corneal foreign body patients were included in this study. Routine ophthalmological examination was performed of patients. Superficial foreign body was removed with the aid of the needle tip with using the slit lamp after instillation of local anesthetic. The factors associated with time until to treatment were statistically evaluated. Results. Of 59 patients, 10 (16.9%) were female and 49 (83.1%) were male. The mean time until to treatment of the patients, age, size of the foreign body were as follows; 105.79±174.80 hour, 32.96±13.52 year, 1.288±1.087mm. The agent was mostly iron (49.2%). Foreign body, there was 33 (55.9%) right eye and 26 (44.1%) left eye of cases. Corneal foreign body localization were mostly central corneal (40.7%) inferior nasal (28.8%) and inferior temporal (23.7%). The job was mostly worker (47.5%) and farmer (25.4%). The assessed by Mann-Whitney U test and there was no association between time until to treatment and age, affected eye, size of the foreign body and corneal foreign body localization. Time until to treatment showed statistically significant association with gender, foreign body agent and job (p