{"id":15534,"date":"2026-02-04T15:00:13","date_gmt":"2026-02-04T12:00:13","guid":{"rendered":"https:\/\/www.draliolgun.com\/tr\/?page_id=15534"},"modified":"2026-02-08T20:13:29","modified_gmt":"2026-02-08T17:13:29","slug":"konjenital-glokom","status":"publish","type":"page","link":"https:\/\/www.draliolgun.com\/tr\/uzmanliklar\/konjenital-glokom\/","title":{"rendered":"Konjenital Glokom"},"content":{"rendered":"\t\t
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Bebeklerde g\u00f6r\u00fclen g\u00f6z tansiyonu, yeti\u015fkinlerdekinden \u00e7ok farkl\u0131 bir seyir izler. Yeti\u015fkinlerin g\u00f6z k\u00fcresi sertle\u015fmi\u015ftir, bu y\u00fczden tansiyon y\u00fckseldi\u011finde g\u00f6z b\u00fcy\u00fcmez. Ancak bebeklerin g\u00f6z ak\u0131 (sklera) ve \u00f6n tabakas\u0131 (kornea) \u00e7ok esnektir. G\u00f6z i\u00e7i bas\u0131nc\u0131 y\u00fckseldi\u011finde, g\u00f6z adeta bir balon gibi \u015fi\u015fer ve b\u00fcy\u00fcr.<\/p>

Halk aras\u0131nda bazen bu durum “Ne kadar g\u00fczel, iri g\u00f6zl\u00fc bir bebek” diyerek ge\u00e7i\u015ftirilebilir. Oysa normalden b\u00fcy\u00fck g\u00f6r\u00fcnen g\u00f6zler, bebeklerde glokomun en \u00f6nemli ve bazen tek belirtisi olabilir. T\u0131p dilinde buftalmus<\/strong> (\u00f6k\u00fcz g\u00f6z\u00fc) denilen bu durum, asl\u0131nda g\u00f6z\u00fcn i\u00e7indeki y\u00fcksek bas\u0131nc\u0131n dokular\u0131 germesinden kaynaklan\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\r\n Belirtileri Nas\u0131l Anlars\u0131n\u0131z? Anne-Babalar \u0130\u00e7in Kontrol Listesi <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Bebekler dertlerini anlatamazlar, bu y\u00fczden g\u00f6zlem her \u015feydir. E\u011fer bebe\u011finizde veya \u00e7ocu\u011funuzda \u015fu \u00fc\u00e7l\u00fc belirtiden bir veya birka\u00e7\u0131 varsa vakit kaybetmeden bir uzmana ba\u015fvurmal\u0131s\u0131n\u0131z:<\/p>

1. I\u015f\u0131\u011fa Kar\u015f\u0131 A\u015f\u0131r\u0131 Hassasiyet (Fotofobi):<\/strong> Bebe\u011finiz g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131nda veya parlak lambalar\u0131n alt\u0131nda g\u00f6zlerini s\u0131ms\u0131k\u0131 kapat\u0131yor, kafas\u0131n\u0131 \u00e7eviriyor veya huzursuz oluyorsa dikkat!<\/p>

2. S\u00fcrekli Ya\u015farma (Epifora):<\/strong> Genellikle g\u00f6zya\u015f\u0131 kanal\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131yla kar\u0131\u015ft\u0131r\u0131l\u0131r. Ancak glokomda bu ya\u015farmaya g\u00f6z\u00fcn saydam tabakas\u0131ndaki donukluk e\u015flik eder.<\/p>

3. G\u00f6z\u00fcn Saydam Tabakas\u0131nda Bulan\u0131kl\u0131k:<\/strong> G\u00f6z\u00fcn en \u00f6ndeki renkli k\u0131sm\u0131n\u0131n (kornea) cam gibi parlak de\u011fil, dumanl\u0131, puslu veya gri-beyaz bir renk almas\u0131 ciddi bir uyar\u0131d\u0131r.<\/p>

Ayr\u0131ca \u00e7ocu\u011fun s\u00fcrekli g\u00f6zlerini ovu\u015fturmas\u0131 veya huzursuzca a\u011flamas\u0131, g\u00f6z i\u00e7indeki bask\u0131n\u0131n yaratt\u0131\u011f\u0131 rahats\u0131zl\u0131\u011f\u0131n bir d\u0131\u015favurumu olabilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\r\n Neden Bebeklerde G\u00f6z Tansiyonu Olur? <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Yeti\u015fkinlerde glokom genellikle ya\u015flanma ve kanallar\u0131n zamanla t\u0131kanmas\u0131yla olu\u015fur. Bebeklerde ise durum tamamen bir “yap\u0131sal mimari hatad\u0131r “. G\u00f6z i\u00e7indeki s\u0131v\u0131y\u0131 tahliye eden kanallar, anne karn\u0131ndayken tam olarak geli\u015fememi\u015f veya bir doku par\u00e7as\u0131yla \u00f6rt\u00fcl\u00fc kalm\u0131\u015ft\u0131r. S\u0131v\u0131 i\u00e7eride hapsolunca bas\u0131n\u00e7 artar ve g\u00f6rme sinirine zarar vermeye ba\u015flar.<\/p>

Baz\u0131 durumlarda bu genetik ge\u00e7i\u015fli olabilir, bazen de hamilelikte ge\u00e7irilen enfeksiyonlar veya akraba evlilikleri riski art\u0131rabilir. Ancak \u00e7o\u011fu zaman hi\u00e7bir belirgin neden yokken de ortaya \u00e7\u0131kabilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\r\n Te\u015fhis S\u00fcreci: Sab\u0131r ve Hassasiyet \u015eart <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Bebeklerde g\u00f6z tansiyonunu \u00f6l\u00e7mek, bir yeti\u015fkine “\u015euraya bak ve bekle” demek kadar kolay de\u011fildir. Do\u00e7. Dr. Ali Olgun\u2019un pediatrik vakalarda izledi\u011fi yol haritas\u0131 genellikle \u015f\u00f6yledir:<\/p>

  • Poliklinik Muayenesi:<\/strong> E\u011fer bebek izin verirse, el cihazlar\u0131yla h\u0131zl\u0131ca bir \u00f6l\u00e7\u00fcm yap\u0131l\u0131r.<\/li>
  • Anestezi Alt\u0131nda Muayene:<\/strong> En kesin sonu\u00e7 i\u00e7in bebek hafif bir uyku (sedasyon) alt\u0131ndayken g\u00f6z tansiyonu \u00f6l\u00e7\u00fcl\u00fcr, kornea \u00e7ap\u0131 hesaplan\u0131r ve g\u00f6rme siniri detayl\u0131ca incelenir. Bu s\u00fcre\u00e7, bebe\u011fin can\u0131 yanmadan, en do\u011fru verileri toplamak i\u00e7in hayati \u00f6nem ta\u015f\u0131r.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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    \r\n Tedavi: \u0130la\u00e7 m\u0131, Ameliyat m\u0131? <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Yeti\u015fkin glokomunda genellikle ilk ad\u0131m damlalard\u0131r. Ancak pediatrik glokomda birincil tedavi hemen her zaman cerrahidir.<\/strong> \u0130la\u00e7lar, genellikle ameliyat g\u00fcn\u00fcne kadar zaman kazanmak veya ameliyat sonras\u0131 destek sa\u011flamak i\u00e7in kullan\u0131l\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n Cerrahi Y\u00f6ntemler (Gonyotomi ve Trabek\u00fclotomi) <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Amac\u0131, do\u011fu\u015ftan t\u0131kal\u0131 olan o “tahliye kanal\u0131n\u0131” a\u00e7makt\u0131r. Mikro-cerrahi y\u00f6ntemlerle yap\u0131lan bu operasyonlarda ba\u015far\u0131 oran\u0131, erken te\u015fhis konuldu\u011funda olduk\u00e7a y\u00fcksektir. E\u011fer bu y\u00f6ntemler yetersiz kal\u0131rsa, g\u00f6z i\u00e7ine \u00f6zel mikro t\u00fcpler (valf sistemleri) yerle\u015ftirilerek s\u0131v\u0131n\u0131n d\u0131\u015far\u0131 akmas\u0131 sa\u011flanabilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n \"G\u00f6zya\u015f\u0131 Kanal\u0131 T\u0131kan\u0131kl\u0131\u011f\u0131\" \u0130le Kar\u0131\u015ft\u0131rmay\u0131n! <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Bu, polikliniklerde en s\u0131k yap\u0131lan hatad\u0131r. Bebeklerin g\u00f6z\u00fc ya\u015fard\u0131\u011f\u0131nda aileler (ve bazen uzman olmayan hekimler) bunun sadece kanal t\u0131kan\u0131kl\u0131\u011f\u0131 oldu\u011funu d\u00fc\u015f\u00fcn\u00fcr. Evet, kanal t\u0131kan\u0131kl\u0131\u011f\u0131 \u00e7ok daha yayg\u0131nd\u0131r ancak glokom \u00e7ok daha tehlikelidir. E\u011fer ya\u015farmaya g\u00f6zde b\u00fcy\u00fcme ve \u0131\u015f\u0131k hassasiyeti e\u015flik ediyorsa, “kanald\u0131r ge\u00e7er” demeden mutlaka kapsaml\u0131 bir glokom taramas\u0131 yap\u0131lmal\u0131d\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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    \r\n Tedavi Sonras\u0131 Hayat: Takip, Takip, Yine Takip! <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Ameliyat bitti, tansiyon d\u00fc\u015ft\u00fc; peki i\u015fimiz bitti mi? Ne yaz\u0131k ki hay\u0131r. Pediatrik glokom, \u00e7ocu\u011fun b\u00fcy\u00fcme s\u00fcreci boyunca (hatta \u00f6m\u00fcr boyu) takip edilmesi gereken bir durumdur.<\/p>

    • G\u00f6zl\u00fck ve G\u00f6z Tembelli\u011fi:<\/strong> Glokomlu g\u00f6zlerde numara bozukluklar\u0131 ve buna ba\u011fl\u0131 g\u00f6z tembelli\u011fi (ambliyopi) geli\u015fme riski y\u00fcksektir. Ameliyat sonras\u0131 g\u00f6rme kalitesini art\u0131rmak i\u00e7in kapama tedavileri veya g\u00f6zl\u00fck kullan\u0131m\u0131 gerekebilir.<\/li>
    • D\u00fczenli Kontroller:<\/strong> \u00c7ocuk b\u00fcy\u00fcd\u00fck\u00e7e g\u00f6z\u00fcn yap\u0131s\u0131 de\u011fi\u015fti\u011fi i\u00e7in tansiyonun tekrar y\u00fckselme ihtimali her zaman vard\u0131r.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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      \r\n Ailelere Bir Not: Korkmay\u0131n, Harekete Ge\u00e7in <\/h3>\r\n <\/div>\r\n \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      \u00c7ocu\u011funuza glokom te\u015fhisi konulmas\u0131 sars\u0131c\u0131 olabilir. Ancak unutmay\u0131n ki t\u0131p, \u00f6zellikle de pediatrik oftalmoloji son 20 y\u0131lda devasa ad\u0131mlar att\u0131. Do\u00e7. Dr. Ali Olgun\u2019un tecr\u00fcbesi ve modern teknolojik imkanlarla, bu sinsi hastal\u0131k kontrol alt\u0131na al\u0131nabilir ve \u00e7ocu\u011funuz d\u00fcnyay\u0131 t\u00fcm renkleriyle, net bir \u015fekilde g\u00f6rmeye devam edebilir.<\/p>

      Erken te\u015fhis edilen ve do\u011fru ameliyat edilen bir bebek, normal bir e\u011fitim hayat\u0131 s\u00fcrebilir, spor yapabilir ve parlak bir gelece\u011fe sahip olabilir. Buradaki en \u00f6nemli kahramanlar; belirtileri erken fark eden dikkatli ebeveynler ve hassas m\u00fcdahaleyi yapan uzman hekimdir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

      Bebeklerde g\u00f6r\u00fclen g\u00f6z tansiyonu, yeti\u015fkinlerdekinden \u00e7ok farkl\u0131 bir seyir izler. Yeti\u015fkinlerin g\u00f6z k\u00fcresi sertle\u015fmi\u015ftir, bu y\u00fczden tansiyon y\u00fckseldi\u011finde g\u00f6z b\u00fcy\u00fcmez. Ancak bebeklerin g\u00f6z ak\u0131 (sklera) ve \u00f6n tabakas\u0131 (kornea) \u00e7ok esnektir. G\u00f6z i\u00e7i bas\u0131nc\u0131 y\u00fckseldi\u011finde, g\u00f6z adeta bir balon gibi \u015fi\u015fer ve b\u00fcy\u00fcr. Halk aras\u0131nda bazen bu durum “Ne kadar g\u00fczel, iri g\u00f6zl\u00fc bir bebek” […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":13845,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15534","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/15534","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/comments?post=15534"}],"version-history":[{"count":5,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/15534\/revisions"}],"predecessor-version":[{"id":15571,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/15534\/revisions\/15571"}],"up":[{"embeddable":true,"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/pages\/13845"}],"wp:attachment":[{"href":"https:\/\/www.draliolgun.com\/tr\/wp-json\/wp\/v2\/media?parent=15534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}