{"title":"The Effect of Macular Laser Photocoagulation on Visual Prognosis Before and After Intravitreal Triamcinolone Acetonide Injection in Diabetic Macular Edema","authors":"S. Özal, H. Esgin","doi":"10.5336/OPHTHAL.2014-41243","DOIUrl":"https://doi.org/10.5336/OPHTHAL.2014-41243","url":null,"abstract":"ABS TRACT Objective: To investigate the effect of macular laser photocoagulation (PC) on visual acuity (VA) before and after intravitreal triamcinolone acetonide (IVTA) injection in patients with diabetic macular edema (DME). Material and Methods: A hundred and thirty-four eyes that received single-dose IVTA 4 mg following DME diagnosis were divided into three groups: eyes with no PC (n=37), eyes that received PC before IVTA 8n=46) and eyes that received PC only after IVTA (n=51). Visual acuity values (LogMAR) were measured at start (before injection), 1. week, 1st, 3rd and 6th months, 1st and 2nd year for comparisons. Results: DME cases who received macular PC and then IVTA showed significant improvements in VA at 1st week (p=0.008) and 1st, 3rd, 6th months (p=0.001, p=0.002, p=0.001 respectively) when compared to pre-treatment value. Patients who received only IVTA showed significant VA improvement at 6th month (p=0.001). Patients who received IVTA and then macular laser PC in the first month showed similar VA results when compared to patients who received only IVTA. During the two years follow-up, 4% of all patients developed secondary glaucoma that was controlled by medication. Conclusion: In patients with DME, IVTA injection with or without macular laser PC provided significant improvement in VA of all eyes during six months. IVTA combined with macular laser PC treatment in the 1st month did not provide an additional benefit. However, we suggest that it may be useful for reducing VA loss at the end of two years.","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"516 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116222414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Tear Film Breaking Time Measured Using New Generation and Traditional Methods","authors":"A. Meşen, Kamil Yavuzer","doi":"10.5336/ophthal.2020-76066","DOIUrl":"https://doi.org/10.5336/ophthal.2020-76066","url":null,"abstract":"surements were recorded. Schirmer test and ocular surface staining scores were applied to all eyes. Results: 59 male and 141 female pa- tients were included in this study. The average age of the patients was 32.71±12.28 (year). Fluorescein break-up time of the patient popula- tion was 4.14±3.84 seconds on average. Topographically, mean first tear film break-up time was 4.32±2.75 seconds,mean last tear film break-up time was 10.6±4.01 seconds and the average tear film breakup time was 7.37±3.10 seconds. A statistically significant difference was not found between fluorescein break-up time and first non-inva-sive break up time. (p=0.114). Conclusion: Corneal topography de- vices which can measure tear film breaking can be an alternative to conventional methods for evaluating tear film layer. The advantage of measurement by corneal topography is being non-invasive, as well as documenting the refraction map of the tear film layer.","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121101259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Importance of Levator Function in Determining the Levator Resection Surgery Results for Blepharoptosis Patients","authors":"İ. Şimşek, Zeynep Parlakgüneş","doi":"10.5336/ophthal.2017-54871","DOIUrl":"https://doi.org/10.5336/ophthal.2017-54871","url":null,"abstract":"Objective: To compare the results of external levator resection in the upper eyelid blepharoptosis patients who have moderate and good levator function (LF). Material and Methods: This is a prospective study of 57 patients who had undergone levator resection from January 2015 to May 2016. LF was graded before surgery as moderate (5-10 mm) and good (10-15 mm) on the basis of the eyelid excursion. Preoperative and postoperative detailed information including age, gender, etiology, side, marginal reflex distance 1 (MRD1) change, operating time, cosmetic outcome and reoperations were recorded. Postoperative measurements at the 6th month visit was used for comparison. Results: The patient group consisted of 24 females (42.1%), 33 males (57.9%) with a mean age of 46.33 (range:7-79) years. Of the surgical procedures 77.1% (44/57) had good LF, 22.9% (13/57) had moderate LF. The age of the patients who had good LF was statistically significantly lower than the patients who had moderate LF (p=0.020). The operation time for the patients with good LF was statistically significantly lower than the patients who had moderate LF (p=0.001). MRD1 change and reoperation rate between two groups were not statistically significant (p>0.05). For the good LF patients, the final cosmetic outcome was statistically significantly good (p=0,012). Conclusion: For the blepharoptosis patients with good LF, the operation time is shorter and the final cosmetic outcome is better than the moderate LF blepharoptosis patients. As a conclusion, this study figured out the relevance of the preoperative assessment of LF in planning the surgical strategy for the treatment of blepharoptosis.","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121255151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Çağatay, Metin Ekinci, Yaran Koban, Özlem Daraman, E. Oba, Sezgin Kurt, M. Külekçi, D. Kara
{"title":"Surgical Management of Subperiosteal Orbital Abscess: Case Report","authors":"H. Çağatay, Metin Ekinci, Yaran Koban, Özlem Daraman, E. Oba, Sezgin Kurt, M. Külekçi, D. Kara","doi":"10.5336/OPHTHAL.2014-42119","DOIUrl":"https://doi.org/10.5336/OPHTHAL.2014-42119","url":null,"abstract":"202 Acute sinusitis is a common disorder which may cause serious orbital or intracranial complications. Subperiosteal orbital abscess (SPOA) may result from osteotic bone destruction, congenital or acquired bony defects or through the thrombophlebitis of communicating veins.1,2 When the infection does not penetrate the periorbit, it dissects under the periosteum and forms a SPOA of the orbit. Whereas the other sinuses may also be involved, infection mostly originates from ethmoid sinuses. Once a SPOA develops, surgical drainage is often required as well as intravenous antibiotics. In untreated or even treated cases, there is a potential risk for permanent visual loss or additional intracranial complications. 3 However, transnasal endoscopic management of SPOA has gained popularity in recent years, open surgical approach is still an option in treating SPOA.4 In this study, we aimed to report the present clinical outcomes of surgically Surgical Management of Subperiosteal Orbital Abscess: Case Report","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"85 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116470980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bahriye Horasanlı, Mehmet Atakan, Mahmut Oğuz Ulusoy
{"title":"Investigation of the Effects of Anti-Epileptic Drug Treatment on Retinal Nerve Fiber Layer and Choroidal Thickness with Spectral Domain Optic Coherence Tomography","authors":"Bahriye Horasanlı, Mehmet Atakan, Mahmut Oğuz Ulusoy","doi":"10.5336/ophthal.2019-72999","DOIUrl":"https://doi.org/10.5336/ophthal.2019-72999","url":null,"abstract":"ABS TRACT Objective: To evaluate the effects of drug use on retinal nerve fiber layer (RNFL) and choroid thickness in the treatment of epilepsy by spectral domain optical coherence tomography (SD-OCT). Material and Methods: Routine ophthalmic examinations were performed by including 66 epilepsy patients and 52 healthy individuals (control) using a different number of antiepileptic drugs, and RNFL and choroid thicknesses were measured with SD-OCT. In addition, RNFL and choroidal thickness values were compared in terms of multiple and single drug use in epilepsy patients. Results: When ex-amined in terms of RNFL thicknesses, the control group had higher values in all four quadrants (superior, inferior, nasal and temporal) and mean RNFL thickness values compared to the epilepsy group. While the difference between only nasal RNFL (p=0.564) values was not significant, the differences between all other quadrant RNFL values were statistically significant. In addition, in the epileptic group; Inferior quadrant RNFL values of those using multiple antiepileptic drugs were significantly lower than those using single antiepilep- tic drugs. In the evaluation of choroidal thickness, the control group had statistically significantly thicker choroidal values than the epilepsy group in all choroid measurements except for all subfoveal and temporal 500. While multi-drug use has no effect on choroid compared to single drug use, inferior RNFL (p=0.008) and ganglion cell layer (p<0.001) were found to be significantly thin. Conclusion: Significant reduction in both RNFL and choroidal thickness was found in patients using antiepileptic drugs. The use of antiepileptic drugs can be interpreted as the disease may increase the effects on the possible retina and choroid due to its pathophysiology.","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116347328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erdem Dursun, M. Şekeroğlu, Dilek Ileri, Burcu Kazanci, Pelin Yilmazbaş
{"title":"Penetran Keratoplasti Sonrası Travmatik Yara Ayrılmasına İkincil Gelişen Nadir Bir Komplikasyon: Suprakoroidal Hemoraji","authors":"Erdem Dursun, M. Şekeroğlu, Dilek Ileri, Burcu Kazanci, Pelin Yilmazbaş","doi":"10.5336/OPHTHAL.2016-54304","DOIUrl":"https://doi.org/10.5336/OPHTHAL.2016-54304","url":null,"abstract":"","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126898584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reliability of Optical Devices in Terms of Measurements of Corneal Parameters in Cross Linked Keratoconic Eyes: Cross-Sectional Study","authors":"E. Muhafiz, E. Bozkurt, Ş. Nizamoğulları","doi":"10.5336/ophthal.2021-85528","DOIUrl":"https://doi.org/10.5336/ophthal.2021-85528","url":null,"abstract":"","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125247882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of COVID-19 Restrictions on Keratoconus Progression: A Retrospective Study","authors":"Esra Dağ Şeker, İ. E. Erbahçeci Timur, Özge Saraç","doi":"10.5336/ophthal.2021-87229","DOIUrl":"https://doi.org/10.5336/ophthal.2021-87229","url":null,"abstract":"","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124058071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gözde Hondur, E. Sen, Mevlut Yilmaz, Serdar Bayraktar, U. Elgin
{"title":"Evaluation of Choroidal and Retinal Vascular Alterations in Macular Region of Eyes with Exfoliation Glaucoma: A Cross-Sectional Study","authors":"Gözde Hondur, E. Sen, Mevlut Yilmaz, Serdar Bayraktar, U. Elgin","doi":"10.5336/ophthal.2021-84780","DOIUrl":"https://doi.org/10.5336/ophthal.2021-84780","url":null,"abstract":"","PeriodicalId":190073,"journal":{"name":"Turkiye Klinikleri Journal of Ophthalmology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124062482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}