بررسﻰ ﻣیزان فراوانی انواع عمل و علل ﭘیوند قرنیه در بیماران ﻣراجعه کننده به بخش چشم ﭘزشکی بیمارستﺎن امام خمینی(ره ) اهواز طﻰ سا لهای 1382 تا 1397

ﻣﻘﺪﻣﻪ: ﭘﻴﻮﻧﺪ ﻗﺮﻧﻴﻪ ﻳﻜﻲ از اﻋﻤﺎل ﺷﺎﻳﻊ ﺟﺮاﺣﻲ ﭼﺸﻢ و ﺷﺎﻳﻊﺗﺮﻳﻦ و ﻣﻮﻓﻖﺗﺮﻳﻦ ﭘﻴﻮﻧﺪ ﺑﺎﻓﺖ در ﺟﻬﺎن اﺳﺖ. ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﻴﻴﻦ ﻣﻴﺰان ﻓﺮاواﻧﻲ ﻋﻠﻞ و اﻧﻮاع ﭘﻴﻮﻧﺪ ﻗﺮﻧﻴﻪ در ﺑﻴﻤﺎران ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﺑﺨﺶ ﭼﺸﻢﭘﺰﺷﻜﻲ ﺑﻴﻤﺎرﺳﺘﺎن اﻣﺎمﺧﻤﻴﻨﻲ (ره) اﻫﻮاز از ﺳﺎل ١٣٨٢ ﺗﺎ ١٣٩٧ اﻧﺠﺎم ﺷﺪ.روش ﻛﺎر: اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﻪﺻﻮرت ﺗﻮﺻﻴﻔﻲ ﺑﺮ روى ﭘﺮوﻧﺪه ﺑﻴﻤﺎران اﻧﺠﺎم ﺷﺪ. اﻃﻠﺎﻋﺎت ﻣﻮرد ﺑﺮرﺳﻲ ﺷﺎﻣﻞ ﺳﻦ، ﺟﻨﺲ، ﻋﻠﺖ ﭘﻴﻮﻧﺪ، ﺟﻨﺴﻴﺖ و ﺳﻦ دﻫﻨﺪه ﻋﻀﻮ ، ﻧﻴﺎز ﺑﻪ ﭘﻴﻮﻧﺪ ﻣﺠﺪد، ﻋﻠﺖ ﻧﻴﺎز ﺑﻪ ﭘﻴﻮﻧﺪ ﻣﺠﺪد، ﺳﻤﺖ (laterality) ﻗﺮﻧﻴﻪ، ﻧﻮع ﻋﻤﻞ ﺑﻮد.ﻧﺘﺎﻳﺞ: ﻣﻴﺎﻧﮕﻴﻦ ﺳﻦ ﺑﻴﻤﺎران درﻳﺎﻓﺖ ﻛﻨﻨﺪه ﻗﺮﻧﻴﻪ 50/93 ﺳﺎل و ﺷﺎﻣﻞ ٤٩١ﻧﻔﺮ(49.3درﺻﺪ) ﻣﺮد و ٥٠٥ﻧﻔﺮ(50.7درﺻﺪ) زن ﺑﻮدﻧﺪ. 51.7 درﺻﺪ ﻋﻤﻞ ﻫﺎى ﭘﻴﻮﻧﺪ ﻗﺮﻧﻴﻪ ﻣﺮﺑﻮط ﺑﻪ چشم راﺳﺖ و 47/9درﺻﺪ ﻋﻤﻞ ﻫﺎ ﻣﺮﺑﻮط ﺑﻪ چشم ﭼﭗ ﺑﻮد. ﺑﻴﺸﺘﺮﻳﻦ ﻋﻠﺖ ﻋﻤﻞ ﭘﻴﻮﻧﺪ ﻗﺮﻧﻴﻪ pbk ﺑﻮد. ﺑﻴﺸﺘﺮﻳﻦ ﺑﻴﻤﺎران ﺑﻪ روش pk و ﭘﺲ از آن dsaek ﺗﺤﺖ ﻋﻤﻞ ﭘﻴﻮﻧﺪ ﻗﺮﻧﻴﻪ ﻗﺮار ﮔﺮﻓﺘﻪاﻧﺪ.بحث و پیشنهادات:.ﺷﻴﻮع pbk در ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﻣﻄﺎﻟﻌﺎت ﻗﺒﻠﻲ ﻛﻪ در ﻛﺸﻮر اﻳﺮان اﻧﺠﺎم ﺷﺪه اﺳﺖ اﻓﺰاﻳﺶ ﻳﺎﻓﺘﻪ اﺳﺖ که میتواند به دلیل افزایش قابل ملاحظه جراحی فیکوایمولسیفیکاسیون باشد. روش ﺟﺮاﺣﻲ dmek dsaekﺑﻪ درﻣﺎن ارﺟﺢ ﺟﻬﺖ ﺟﺮاﺣﻲ ﺑﻴﻤﺎرى ﻫﺎى آﻧﺪوﺗﻠﻴﺎل ﻗﺮﻧﻴﻪ ﻣﺎﻧﻨﺪ pbk ﺗﺒﺪﻳﻞ ﮔﺮدﻳﺪه اﺳﺖ. با توجه به تکنیکهای جدید پیوند قرنیه و پیشرفتهای درمانی پس از عمل ﭘﻴﺸﻨﻬﺎد ﻣﻲﺷﻮد ﻣﻄﺎﻟﻌﻪاى ﺑﻪ ﺗﻌﻴﻴﻦ ﺑﻴﻤﺎرىﻫﺎى زﻣﻴﻨﻪاى و ﻣﻴﺰان ﭘﻴﻮﻧﺪ ﻣﺠﺪد ﺑﺮاﺳﺎس ﻧﻮع درﻣﺎن و مقایسه ﻋﻠﺖ ﭘﻴﻮﻧﺪ ﻣﺠﺪد ﺑﻪ ﺗﻔﻜﻴﻚ ﻧﻮع ﺗﻜﻨﻴﻚ ﺟﺮاﺣﻲ در ﺑﻴﻤﺎراﻧﻲ ﻛﻪ ﺗﺤﺖ ﭘﻴﻮﻧﺪ ﻗﺮار ﻣﻲﮔﻴﺮﻧﺪ(در یک مطالعه متا انالیز جدید )اﻧﺠﺎم ﺷﻮد.

evaluation of operations and causes of corneal transplantation in patients referred to the ophthalmology ward of imam khomeini hospital in ahvaz 2003 to 2019

introduction: corneal transplantation is one of the most common eye surgeries and the most common and successful tissue transplant in the world. the aim of this study was to determine the frequency of causes and types of corneal transplantation in patients referred to the ophthalmology ward of imam khomeini hospital in ahvaz from 2003 to 2018.methods: this descriptive study was performed on the records of the patients who underwent corneal transplantation. the information included age, sex, cause of transplantation, sex and age of the donor, need for re-transplantation, reason for re-transplantation, laterality of cornea and the type of operation.results: the mean age of patients receiving cornea was 50.93 years and included 491 (49.3%) male and 505 (50.7%) female. 51.7% of corneal transplant operations were related to the right eye and 47.9% of the operations were related to the left eye respectively. pbk was the most cause of corneal transplantation. most patients underwent corneal transplantation by pk and then dsaek.conclusion: frequency of pbk was increased in this study as compare to other previous studies which may be due to significant increase in the rate of phacoemulsification surgeries. dseak and dmeak have become more accepted and favorable surgeries in the case of corneal endothelial disease. based on new surgical techniques and advances in post of management we suggest, new meta-analysis study to evaluate associated diseases , comparison of the regraft rate in different surgical techniques and post op management of them.