{"id":57730,"date":"2026-03-03T03:45:05","date_gmt":"2026-03-03T03:45:05","guid":{"rendered":"https:\/\/bihavadis.com\/?p=57730"},"modified":"2026-03-03T03:45:05","modified_gmt":"2026-03-03T03:45:05","slug":"yuksek-kan-sekeri-kalici-gorme-kaybina-neden-olabilir","status":"publish","type":"post","link":"https:\/\/bihavadis.com\/index.php\/2026\/03\/03\/yuksek-kan-sekeri-kalici-gorme-kaybina-neden-olabilir\/","title":{"rendered":"Y\u00fcksek kan \u015fekeri kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden olabilir!"},"content":{"rendered":"<p>Diyabet, \u00fclkemizde g\u00f6rme kayb\u0131n\u0131n en \u00f6nemli nedenlerinden biri olarak kar\u015f\u0131m\u0131za \u00e7\u0131k\u0131yor. Uygun \u015fekilde tedavi edilmedi\u011fi ve d\u00fczenli takip edilmedi\u011fi takdirde geri d\u00f6n\u00fc\u015f\u00fc olmayan kal\u0131c\u0131 g\u00f6rme kayb\u0131na ve k\u00f6rl\u00fc\u011fe yol a\u00e7abiliyor.\u00a0<strong>Ac\u0131badem Ata\u015fehir Hastanesi G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Berna \u00d6zkan,<\/strong>\u00a0diyabetik retinopatinin diyabetin en s\u0131k g\u00f6r\u00fclen ve tedavi edilmedi\u011fi takdirde k\u00f6rl\u00fc\u011fe neden olabilen en \u00f6nemli komplikasyonu oldu\u011funu belirterek, \u201cRetina, g\u00f6z\u00fcn i\u00e7ini kaplayan ve g\u00f6r\u00fcnt\u00fcy\u00fc alg\u0131layarak beyne ileten sinir tabakas\u0131d\u0131r. Asl\u0131nda g\u00f6rme fonksiyonunu ger\u00e7ekle\u015ftiren ana yap\u0131d\u0131r. Diyabetik retinopatide bu yap\u0131 y\u00fcksek kan \u015fekerine ba\u011fl\u0131 olarak hasar g\u00f6r\u00fcr ve tedavide gecikildi\u011finde kal\u0131c\u0131 g\u00f6rme kayb\u0131 olu\u015fur\u201d diyor. \u00a0<strong>G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Berna \u00d6zkan,<\/strong>\u00a0 bu nedenle diyabetik retinopatinin erken d\u00f6nemde tedavi edilmesinin g\u00f6z sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131na dikkat \u00e7ekerek, &#8220;Diyabet tan\u0131s\u0131n\u0131n ard\u0131ndan, hi\u00e7bir yak\u0131nmalar\u0131 olmasa bile hastalar\u0131n d\u00fczenli g\u00f6z kontrollerini yapt\u0131rmalar\u0131 gerekmektedir. Bu sayede, ortaya \u00e7\u0131kan sorunlara erken d\u00f6nemde m\u00fcdahale edilmesi, g\u00f6rme kayb\u0131 riskini \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r ve \u00e7o\u011fu zaman \u00f6nlenebilir hale getirir\u201d diye konu\u015fuyor.\u00a0<\/p>\n<p><strong>Her 10 hastadan yakla\u015f\u0131k 3\u2019\u00fcnde g\u00f6r\u00fcl\u00fcyor!<\/strong><\/p>\n<p>G\u00f6z\u00fcn sinir tabakas\u0131 olan retinan\u0131n<strong>\u00a0<\/strong>hasar g\u00f6rmesiyle meydana gelen diyabetik retinopati, diyabetik hastalar\u0131n yakla\u015f\u0131k y\u00fczde 30\u201335\u2019inde g\u00f6r\u00fcl\u00fcyor. G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Berna \u00d6zkan, retinopati geli\u015fme riskinin hastal\u0131\u011f\u0131n s\u00fcresiyle do\u011frudan ili\u015fkili oldu\u011funu vurgulayarak, \u201cGenellikle diyabet ba\u015flang\u0131c\u0131ndan yakla\u015f\u0131k 5 y\u0131l sonra g\u00f6zde ilk patolojik de\u011fi\u015fiklikler ortaya \u00e7\u0131kmaya ba\u015flar ve hastal\u0131k s\u00fcresi uzad\u0131k\u00e7a retinopati g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 da artar. T\u00fcrk Diyabetik Retinopati Epidemiyoloji \u00c7al\u0131\u015fmas\u0131\u2019na g\u00f6re, diyabet s\u00fcresi 15 y\u0131l\u0131 a\u015ft\u0131\u011f\u0131nda hem kad\u0131nlarda hem erkeklerde g\u00f6r\u00fclme oran\u0131 yakla\u015f\u0131k y\u00fczde 66\u2019ya y\u00fckselir. Ayr\u0131ca, kan \u015fekeri d\u00fczeylerinin iyi kontrol edilememesi ve hipergliseminin uzun s\u00fcre devam etmesi, retinal hasar\u0131n \u015fiddetini de belirgin \u015fekilde art\u0131r\u0131r\u201d diyor.\u00a0<strong>\u00a0<\/strong><\/p>\n<p><strong>Kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden olabilir!<\/strong><\/p>\n<p>Diyabet temel olarak bir damar hastal\u0131\u011f\u0131 oldu\u011fu i\u00e7in kanda y\u00fcksek d\u00fczeydeki glukozun uzun s\u00fcre damar i\u00e7inde dola\u015fmas\u0131, damar duvar\u0131nda yap\u0131sal bozulmaya yol a\u00e7\u0131yor. Bu hasar sonucu kan h\u00fccreleri, serum, proteinler ve lipidler, g\u00f6z\u00fcn sinir tabakas\u0131 olan retinaya s\u0131zarak, \u00f6dem ve kanamalara neden oluyor. Bu tablo g\u00f6rme keskinli\u011finde azalmayla sonu\u00e7lan\u0131yor. \u00a0Prof. Dr. Berna \u00d6zkan, hastal\u0131k ilerledik\u00e7e hasar g\u00f6ren damar duvarlar\u0131n\u0131n zay\u0131flad\u0131\u011f\u0131n\u0131 ve damarlarda t\u0131kanmalar olu\u015ftu\u011funu belirterek, \u201dBunun sonucunda retina yeterli kan ile oksijen alamaz; iskemi olarak adland\u0131r\u0131lan s\u00fcre\u00e7 meydana gelir ve retina h\u00fccrelerinde kay\u0131p ba\u015flar. \u00a0Bu evrede ortaya \u00e7\u0131kan g\u00f6rme kayb\u0131 sinir h\u00fccrelerinin yenilenme kapasitesi olmad\u0131\u011f\u0131 i\u00e7in \u00e7o\u011fu zaman geri d\u00f6n\u00fc\u015fs\u00fcz, yani kal\u0131c\u0131 olur\u201d diye konu\u015fuyor. \u00a0Hastal\u0131\u011f\u0131n ilerlemesi durumunda retina dekolman\u0131 geli\u015febilece\u011fi uyar\u0131s\u0131nda bulunan G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Berna \u00d6zkan, \u201cBu evreye geldi\u011finde g\u00f6rme seviyesi yaln\u0131zca \u0131\u015f\u0131\u011f\u0131 ay\u0131rt edebilecek seviyeye d\u00fc\u015febilir\u201d diyor.\u00a0<\/p>\n<p><strong>Glokomdan katarakta\u2026\u00a0<\/strong><\/p>\n<p>Diyabet, retina d\u0131\u015f\u0131nda g\u00f6z\u00fcn ba\u015fka yap\u0131lar\u0131n\u0131 da etkileyebiliyor. Katarakt, glokom (g\u00f6z tansiyonu), kornea ve ok\u00fcler y\u00fczey hastal\u0131klar\u0131 ile enfeksiyonlara yatk\u0131nl\u0131k bu etkiler aras\u0131nda yer al\u0131yor. G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Berna \u00d6zkan, \u00f6zellikle enfeksiyonlara yatk\u0131nl\u0131\u011f\u0131n klinik a\u00e7\u0131dan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 anlatarak, \u00a0\u015f\u00f6yle devam ediyor: \u201cDiyabetik hastalarda imm\u00fcn yan\u0131t\u0131n zay\u0131flamas\u0131 nedeniyle, normalde v\u00fccutta zarars\u0131z \u015fekilde bulunabilen ya da g\u00fcnl\u00fck ya\u015famda kar\u015f\u0131la\u015f\u0131lan mikroorganizmalar, g\u00f6z i\u00e7inde ciddi, hatta g\u00f6rmeyi tehdit eden enfeksiyonlara (endoftalmi) yol a\u00e7abilir. Ayr\u0131ca diyabet, g\u00f6z hareketlerini sa\u011flayan kranial sinirlerde mikroiskemik hasara neden olarak g\u00f6z kaslar\u0131nda fel\u00e7lere ve buna ba\u011fl\u0131 \u00e7ift g\u00f6rmeye (diplopi) sebep olabilir.\u201d<\/p>\n<p><strong>Y\u0131lda bir kez<\/strong>\u00a0<strong>g\u00f6z muayenesi \u00e7ok \u00f6nemli!<\/strong><\/p>\n<p>Diyabetik retinopatide ilk damar de\u011fi\u015fiklikleri ba\u015flad\u0131\u011f\u0131nda hastan\u0131n g\u00f6rme keskinli\u011fi hemen etkilenmeyebiliyor. Bu nedenle, diyabet tan\u0131s\u0131 konuldu\u011funda d\u00fczenli g\u00f6z muayeneleri ve ortaya \u00e7\u0131kan sorunlara erken d\u00f6nemde m\u00fcdahale edilmesi, ciddi g\u00f6rme kayb\u0131n\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan kritik \u00f6nem ta\u015f\u0131yor. G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Berna \u00d6zkan, diyabet tan\u0131s\u0131 alan ve hen\u00fcz g\u00f6z bulgusu saptanmayan hastalar\u0131n y\u0131lda bir kez g\u00f6z muayenesi yapt\u0131rmalar\u0131 gerekti\u011fini anlatarak, \u201cErken d\u00f6nem retinopati bulgular\u0131 tespit edildi\u011finde takip aral\u0131\u011f\u0131 genellikle 6 aya indirilmektedir. \u0130leri evre bulgular\u0131n varl\u0131\u011f\u0131nda ise muayene s\u0131kl\u0131\u011f\u0131, hastal\u0131\u011f\u0131n \u015fiddetine ve klinik durumuna g\u00f6re daha da art\u0131r\u0131l\u0131r\u201d diyor. Prof. Dr. Berna \u00d6zkan, kontrol zaman\u0131 hen\u00fcz gelmemi\u015f olsa bile g\u00f6rme keskinli\u011finde azalma ve g\u00f6rme alan\u0131nda kay\u0131p fark edildi\u011finde veya \u015fiddetli bir g\u00f6z a\u011fr\u0131s\u0131 olu\u015ftu\u011funda zaman kaybetmeden g\u00f6z hekimine ba\u015fvurman\u0131n son derece \u00f6nemli oldu\u011funu vurguluyor.\u00a0<\/p>\n<p><strong>G\u00f6rme keskinli\u011finde art\u0131\u015f sa\u011flanabiliyor!<\/strong><\/p>\n<p>G\u00fcn\u00fcm\u00fcz tedavi y\u00f6ntemleri sayesinde bir\u00e7ok hastada tam g\u00f6rme kayb\u0131n\u0131n \u00f6n\u00fcne ge\u00e7mek m\u00fcmk\u00fcn olabiliyor. Diyabetik retinopati geli\u015fti\u011finde, damar s\u0131z\u0131nt\u0131s\u0131na ba\u011fl\u0131 retina \u00f6demi olu\u015fmu\u015fsa, g\u00f6z i\u00e7i enjeksiyon tedavileriyle \u00f6dem azalt\u0131labiliyor. Bu tedavi sayesinde \u00e7o\u011fu hastada g\u00f6rme keskinli\u011finde art\u0131\u015f sa\u011flanabildi\u011fini aktaran G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Berna \u00d6zkan, s\u00f6zlerine \u015f\u00f6yle devam ediyor: \u201cHastal\u0131k ilerleyip retina damarlar\u0131nda t\u0131kanmaya ba\u011fl\u0131 iskemi, yani doku tahribat\u0131 geli\u015fti\u011finde ise iskemik retina alanlar\u0131na lazer fotokoag\u00fclasyon uygulanmas\u0131 gerekir. Daha ileri evrelerde diyabetik retinopatiye ba\u011fl\u0131 g\u00f6z i\u00e7i kanama, traksiyonel retina dekolman\u0131 veya ba\u011f\u0131\u015f\u0131kl\u0131k sistemindeki zay\u0131fl\u0131\u011fa ba\u011fl\u0131 g\u00f6z i\u00e7i enfeksiyonlar ortaya \u00e7\u0131kabilir. Bu durumlarda vitreoretinal cerrahiyle kanamalar temizlenebilir, retina yeniden yat\u0131\u015ft\u0131r\u0131labilir ve g\u00f6z\u00fcn b\u00fct\u00fcnl\u00fc\u011f\u00fc korunabilir.\u201d<\/p>\n<p>\u00a0<\/p>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Diyabet, \u00fclkemizde g\u00f6rme kayb\u0131n\u0131n en \u00f6nemli nedenlerinden biri olarak kar\u015f\u0131m\u0131za \u00e7\u0131k\u0131yor. Uygun \u015fekilde tedavi edilmedi\u011fi ve d\u00fczenli takip edilmedi\u011fi takdirde geri d\u00f6n\u00fc\u015f\u00fc olmayan kal\u0131c\u0131 g\u00f6rme kayb\u0131na ve k\u00f6rl\u00fc\u011fe yol a\u00e7abiliyor.\u00a0<\/p>\n","protected":false},"author":1,"featured_media":57731,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[5959,756,654,1424,1114],"class_list":["post-57730","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-diyabet","tag-gorme-kaybi","tag-goz","tag-kan","tag-retina"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/57730","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/comments?post=57730"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/57730\/revisions"}],"predecessor-version":[{"id":57732,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/57730\/revisions\/57732"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/57731"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=57730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=57730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=57730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}