{"id":1348,"date":"2026-01-20T09:53:14","date_gmt":"2026-01-20T09:53:14","guid":{"rendered":"https:\/\/efekancoskunseven.com\/1-490-gozde-posterior-kamara-fakik-intraokuler-lenslerin-cikarilma-eksplantasyon-nedenleri\/"},"modified":"2026-04-11T07:12:00","modified_gmt":"2026-04-11T07:12:00","slug":"grunde-fur-die-explantation-von-phaken-intraokularlinsen-der-hinteren-kammer-in-1-490-augen","status":"publish","type":"post","link":"https:\/\/efekancoskunseven.com\/de\/grunde-fur-die-explantation-von-phaken-intraokularlinsen-der-hinteren-kammer-in-1-490-augen\/","title":{"rendered":"Gr\u00fcnde f\u00fcr die Explantation von phaken Intraokularlinsen der hinteren Kammer in 1.490 Augen"},"content":{"rendered":"\n<p class=\"has-text-align-center has-small-font-size\" style=\"line-height:.9\"><\/p>\n\n\n\n<div class=\"wp-block-pdf-viewer-block-standard\" style=\"text-align:left\"><div class=\"uploaded-pdf\"><a href=\"https:\/\/efekancoskunseven.com\/wp-content\/uploads\/2026\/01\/A33.pdf\" data-width=\"\" data-height=\"\"><\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-ad2f72ca wp-block-group-is-layout-flex\">\n<div style=\"height:64px;width:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-d25f37ba\"><\/div>\n<\/div>\n\n\n\n<blockquote class=\"wp-block-quote has-text-align-center is-style-large is-layout-flow wp-block-quote-is-layout-flow\">\n<p>&#8222;Bu retrospektif \u00e7al\u0131\u015fmada, Ocak 2015 \u2013 Haziran 2023 tarihleri aras\u0131nda tek merkezde ger\u00e7ekle\u015ftirilen <strong>1.490 posterior kamara fakik g\u00f6z i\u00e7i lens (PCPIOL)<\/strong> implantasyonu incelenmi\u015ftir. Ama\u00e7, PCPIOL\u2019lerin \u00e7\u0131kar\u0131lma veya de\u011fi\u015ftirilme nedenlerini ve bu i\u015flemlerin sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmektir.<\/p>\n\n\n\n<p>Toplam <strong>23 g\u00f6zde (%1,54)<\/strong> PCPIOL \u00e7\u0131kar\u0131lmas\u0131 veya de\u011fi\u015ftirilmesi gerekmi\u015ftir. En s\u0131k neden, ideal s\u0131n\u0131rlar d\u0131\u015f\u0131nda kalan <strong>uygunsuz vault (lens ile do\u011fal lens aras\u0131ndaki mesafe)<\/strong> olup, bunu <strong>katarakt geli\u015fimi<\/strong> takip etmi\u015ftir. \u00d6zellikle <strong>13,2 mm ve 13,7 mm uzunlu\u011fundaki lenslerin<\/strong>, y\u00fcksek vault riski ile daha s\u0131k ili\u015fkilendirildi\u011fi g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Vault sorunlar\u0131 nedeniyle yap\u0131lan lens de\u011fi\u015fimlerinin, uygun lens boyutu se\u00e7imiyle ba\u015far\u0131yla d\u00fczeltildi\u011fi saptanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p>Katarakt geli\u015fimi daha \u00e7ok <strong>hipermetrop hastalarda ve d\u00fc\u015f\u00fck vault de\u011ferlerinde<\/strong> g\u00f6zlenmi\u015ftir. Retina dekolman\u0131 gibi ciddi komplikasyonlar ise nadir olup, y\u00fcksek miyopisi olan s\u0131n\u0131rl\u0131 say\u0131da hastada ortaya \u00e7\u0131km\u0131\u015ft\u0131r. \u00c7\u0131karma i\u015flemlerinde t\u00fcm olgularda <strong>\u201ctuck-and-pull\u201d tekni\u011fi<\/strong> kullan\u0131lm\u0131\u015f ve i\u015flem sonras\u0131 ciddi komplikasyon izlenmemi\u015ftir.<\/p>\n\n\n\n<p><strong>Sonu\u00e7 olarak<\/strong>, PCPIOL \u00e7\u0131kar\u0131lmas\u0131 veya de\u011fi\u015ftirilmesinin en \u00f6nemli nedeni uygunsuz vault de\u011ferleridir. Cerrahi \u00f6ncesi biyometrik \u00f6l\u00e7\u00fcmlerin dikkatle de\u011ferlendirilmesi, \u00f6zellikle b\u00fcy\u00fck lens boyutlar\u0131 planlan\u0131rken \u00f6l\u00e7\u00fcmlerin tekrar edilmesi ve gerekirse intraoperatif OCT kullan\u0131m\u0131, bu t\u00fcr komplikasyonlar\u0131n \u00f6nlenmesinde kritik \u00f6neme sahiptir.&#8220;<br><\/p>\n<cite>\u2014 Prof. Dr. Efekan Co\u015fkunseven<\/cite><\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-default\"\/>\n","protected":false},"excerpt":{"rendered":"<p>&#8222;Bu retrospektif \u00e7al\u0131\u015fmada, Ocak 2015 \u2013 Haziran 2023 tarihleri aras\u0131nda tek merkezde ger\u00e7ekle\u015ftirilen 1.490 posterior kamara fakik g\u00f6z i\u00e7i lens (PCPIOL) implantasyonu incelenmi\u015ftir. Ama\u00e7, PCPIOL\u2019lerin \u00e7\u0131kar\u0131lma veya de\u011fi\u015ftirilme nedenlerini ve<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":2,"featured_media":1332,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[],"class_list":["post-1348","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-calismalar"],"_links":{"self":[{"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/posts\/1348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/comments?post=1348"}],"version-history":[{"count":1,"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/posts\/1348\/revisions"}],"predecessor-version":[{"id":1490,"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/posts\/1348\/revisions\/1490"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/media\/1332"}],"wp:attachment":[{"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/media?parent=1348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/categories?post=1348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/efekancoskunseven.com\/de\/wp-json\/wp\/v2\/tags?post=1348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}