Authors: Serpil Yazgan Ugur Celik Orhan Ayar Suat Hayri Ugurbas Burcu Celik Mehmet Orçun Akdemir Silay Canturk Ugurbas Atilla Alpay
Publish Date: 2017/01/27
Volume: 38, Issue: 1, Pages: 43-52
Abstract
The study group consisted of 26 eyes of 26 patients who underwent uneventful phaco surgery and who went on to develop TASS while the control group included 39 subjects who had routine phaco surgery in the same session by the same surgeon The sterilization stages of reusable instruments disposable instruments and compositions were recorded The preoperative systemic diseases complete blood count parameters glycosylated hemoglobin HbA1c biochemical parameters thyroid hormone profiles and the surgical features were compared between the two groupsType 2 diabetes mellitus DM systemic hypertension HT hyperlipidemia chronic ischaemic heart disease and chronic renal failure were significantly more common in the TASS group p 005 Proliferative diabetic retinopathy was also more frequent in the TASS group p = 0003 Mean HbA1c values white blood cell count neutrophil/lymphocyte ratio platelet counts platelet distribution width and plateletcrit parameters were significantly higher in the TASS group p 005 Multivariate logistic regression analysis revealed that a high plateletcrit level p = 0001 odds ratio 95 CI 2227 336–14776 and systemic HT p = 0044 odds ratio 95 CI 713 105–4812 are independently associated with the development of TASSAlthough TASS may arise as a result of insufficient sterilization of instruments or intraocular solutions patient factors may also contribute to its development Systemic vascular disorders such as uncontrolled type 2 DM systemic hypertension and hyperlipidemia may increase the risk of TASS after uneventful phaco surgery Abnormal parameters associated with systemic inflammation such as higher plateletcrit level may facilitate the development of TASS These findings may be a predicting factor of TASS development for uneventful cataract surgeries
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