{"title":"Unilateral Endogenous Bacterial Endophthalmitis Post-Coronavirus Disease-19 in an Healthy Asian Indian Male.","authors":"Srinivasan Sanjay, Balughatta Poornachandra, Ankush Kawali, Rohit Shetty, Veena Chamakochi Narayana, Sameeksha Agrawal, Padmamalini Mahendradas","doi":"10.14744/bej.2022.94546","DOIUrl":"https://doi.org/10.14744/bej.2022.94546","url":null,"abstract":"<p><p>Coronavirus disease 2019 (COVID-19) is associated with ocular involvement either during or after the infection. These include conjunctivitis, conjunctival hyperemia, chemosis, epiphora, reactivation of anterior uveitis, or presenting as anterior sclero-uveitis, cotton wool spots, retinal hemorrhages, retinal artery/vein occlusion, ophthalmic artery occlusion, panuveitis, papillophlebitis, central serous retinopathy, presumed fungal endophthalmitis, and multifocal chorioretinitis. A 47-year-old Asian Indian male was diagnosed with COVID-19 and had no other systemic history of note at the time of admission. Three weeks later, he developed sudden loss of vision in the right eye (OD). Visual acuity in OD was perception of light. OD had features of endophthalmitis. OD underwent pars plana vitrectomy with intravitreal antibiotics. Anterior chamber tap for fungal culture and polymerase chain reaction for panfungal genome was negative. Culture of ocular specimens did not reveal bacterial growth. Vitreous sample showed few Gram-positive cocci in singles and pairs with no evidence of fungal elements. Polymerase chain reaction for eubacterial genome was positive. He was treated with topical and systemic antibiotics and steroids. Final follow-up 6 weeks later, OD had a best-corrected visual acuity which was 20/200 with a quiet anterior chamber, cataract, with a macular traction and reduced sub retinal exudates and fluid. Post-COVID-19 sequelae causing sight-threatening manifestations as illustrated by this case report needs early recognition and prompt treatment to achieve a favorable visual outcome.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 3","pages":"240-246"},"PeriodicalIF":0.0,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/4a/BEJ-7-240.PMC9522998.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40388829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beyoglu Eye JournalPub Date : 2022-08-05eCollection Date: 2022-01-01DOI: 10.14744/bej.2022.58966
Mevlut Yilmaz, Kubra Serbest Ceylanoglu, Emine Malkoc Sen
{"title":"The Effect of COVID-19 Pandemic on Eye-Related Emergency Department Visits: A Comparison of 2-Year Results.","authors":"Mevlut Yilmaz, Kubra Serbest Ceylanoglu, Emine Malkoc Sen","doi":"10.14744/bej.2022.58966","DOIUrl":"https://doi.org/10.14744/bej.2022.58966","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to examine the clinical and demographic impact of the COVID-19 pandemic on emergency department admissions to a tertiary eye care hospital.</p><p><strong>Methods: </strong>Records of admissions to the ophthalmology emergency department during the pre-pandemic period (Group 1) and pandemic period (Group 2) were retrospectively reviewed to cover the period between March 15, 2019, and March 15, 2021. Application numbers, demographic characteristics of patients were recorded. The cases were grouped by age, sex and diagnoses, and the findings were compared within and between the groups.</p><p><strong>Results: </strong>A total of 161, 941 patients (Group 1: 103, 178 and Group 2: 58, 763) were admitted to the emergency department of our hospital within 2 years. All admission diagnoses were significantly lower in the pandemic period than in the pre-pandemic period (p=0.001). However, the rate of sight-threatening cases or cases requiring urgent treatment (retinal diseases, uveitis, etc.) was significantly higher in the pandemic period than in the pre-pandemic period (p=0.001). The most common admission diagnoses were ocular infectious/inflammatory diseases while the foreign body on the ocular surface/ocular trauma group was second. Admissions for allergic and infectious diseases were significantly less during the pandemic period (p=0.001 and p=0.002, respectively). In both periods, the number of admissions of male patients was significantly higher than that of females. The most frequent applicant age group was the 17-40 years age group.</p><p><strong>Conclusion: </strong>This observational study reveals the changes caused by the COVID-19 pandemic in ocular emergency admissions. The data from our study may be helpful in planning healthcare delivery during and after the pandemic period.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 3","pages":"223-230"},"PeriodicalIF":0.0,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/8b/BEJ-7-223.PMC9522993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40387429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Systemic Endothelial Dysfunction in Retinal Vein Occlusions","authors":"E. Bozkurt, T. Çeti̇n, I. Rencuzogullari","doi":"10.14744/bej.2022.44265","DOIUrl":"https://doi.org/10.14744/bej.2022.44265","url":null,"abstract":"Objectives: Our aim in this study was to evaluate the systemic endothelial dysfunction status and carotid intima-media thickness (CIMT) in patients with retinal vein occlusion (RVO). Methods: Seventy-six patients who presented to the clinic with the diagnosis of RVO and 76 age- and gender-matched healthy individuals without a RVO history were included in the study. The patients’ best-corrected visual acuity (BCVA) and central macular thickness (CMT) were measures, and diabetes, hypertension, hyperlipidemia, carotid artery disease, body mass index, and smoking histories were recorded. The endothelial function levels of the patients, pulse wave velocity (PWV), flow-mediated dilation (FMD), and CIMT were measured. Endothelial dysfunction was detected by applying the FMD technique to the brachial artery. CIMT was evaluated by B-mode ultrasonography. Serum hematological parameters were evaluated. Results: BCVA (logMAR) was 1.39±1.30 in patients with RVO and 0.028±1.22 in the control group (p<0.001). CMT was 588.76±104.02 µm in patients with RVO and 265.20±45.11 µm in the control group (p=0.001). Hypertension, diabetes, and hyperlipidemia were found to be significantly higher in patients with RVO (p-value 0.001, 0.002, and 0.001, respectively). There was a significant difference between the groups in terms of FMD, PWV, and CIMT (all of them, p<0.001). Conclusion: The deterioration of FMD and PWV, which are indicators of endothelial dysfunction in patients with RVO, suggests that systemic endothelial dysfunction may play a role in the pathogenesis of RVO. Comprehensive studies with more patient participation are needed.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"126 - 133"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47023477","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}
Ali Caner Sayar, Ozlem Deligoz, Ferhunde Dilek Subaşı, S. Imamoglu, O. Ekinci
{"title":"The Effects of Lidocaine, Fentanyl, and Remifentanil on Hemodynamics and Intraocular Eye Pressure After Tracheal Intubation: A Randomized Clinical Trial","authors":"Ali Caner Sayar, Ozlem Deligoz, Ferhunde Dilek Subaşı, S. Imamoglu, O. Ekinci","doi":"10.14744/bej.2022.79037","DOIUrl":"https://doi.org/10.14744/bej.2022.79037","url":null,"abstract":"Objectives: An increased reflex in sympathetic and sympathoadrenal activity caused by tracheal intubation causes an increase in arterial blood pressure, and increased venous pressure causes an increase in intraocular pressure (IOP). The aim of the current study was to compare the effects of lidocaine, fentanyl, and remifentanil to determine which agent was most effective in the prevention of elevated IOP. Methods: The patients were separated into 3 groups (lidocaine, fentanyl, and remifentanil). Heart rate and mean arterial pressure (MAP) were measured and recorded 2 min after the administration of the drugs and at 1, 5, and 10 min after intubation. IOP was measured and recorded in each eye separately by an ophthalmologist preoperatively, at 2 min after drug administration and at 1, 5, and 10 min after intubation. Results: MAP was found to be high (122.750±17.068) in the lidocaine group at 1 min after intubation. In all 3 groups, the right and left eye IOP values were found to be higher at 1 min after intubation than at 2 min after drug administration. Only the difference in the lidocaine group was statistically significant (p=0.003). In all 3 groups, the right and left eye IOP values at 5 min after intubation were statistically significantly lower than the values at 1 min after intubation (Group 1: p=0.001, Group 2: p=0.000, and Group 3: p=0.000). Conclusion: From the results of this study, it was concluded that remifentanil and fentanyl were more effective drugs than lidocaine in the prevention of increased IOP and hemodynamic response to intubation, and there was no significant difference between these two drugs.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"77 - 82"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48009780","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 Association Between Electronic Learning and Myopia Progression Among School-Age Children During the Coronavirus Disease 2019","authors":"A. Nouraeinejad","doi":"10.14744/bej.2022.08216","DOIUrl":"https://doi.org/10.14744/bej.2022.08216","url":null,"abstract":"Dear Editor, The coronavirus disease 2019 (COVID-19) pandemic has globally pushed many education systems to reflect on alternative educational methods such as remote electronic learning (e-learning) modes (e.g., computers, smartphones, tablets, and televisions) to reduce learning disruptions and to carry on appropriate functioning of educational tasks (14). However, these new learning approaches may have consequential behavioral and health implications for youth, especially school-age children through re-shaping daily physical and learning behaviors (4-6). Since the effects of e-learning devices and resources have not been properly investigated, this will be of a great concern for children (6). Increased online and offline e-learning involvement with digital screens will consequently result in reduction in outdoor activities (1-4). Therefore, individuals are exposed to adverse risks for myopia development (1-4) as insufficient time spent outdoor has been proved as an environmental risk factor for myopia progression (4,6-8). In addition, increased duration and intensity of near-work activities have been illustrated to be additional environmental risk factors for myopia progression (6,8-10) and this is going to be part of e-learning protocols (4,6). Therefore, home quarantine during the COVID-19 pandemic will indirectly lead to the development of the myopic crisis further (1-4,8) This is basically due to the point that children in quarantine become most often occupied with digital devices at home (4,6). Changes in daily physical and learning behaviors are chiefly vital for young children whose sensory functions are going through critical development (4,6) and their refractive conditions are changing and thus they are more sensitive to environmental changes than older ages (6,8,11). Accordingly, the home quarantine will affect more on young children (4,11,12). Since myopia onset is becoming progressively more prevalent among young children and in urban regions, (4,6) this makes the issue more distressing (6). To present the reader with the worst scenario, it is unfortunate to know the earlier children become myopic, the more likely they develop high myopia, and the worse the prognosis (6). Data collected from 3405 school-age children attending primary, lower-secondary, and upper-secondary schools are showing how digital online learning has led to considerable myopia progression as a result of the COVID-19 pandemic on youths (4). One in four school-age children in this study did not perform any outdoor exercise during the COVID-19 school closures (4). One in ten school-age children in this Ali Nouraeinejad","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"154 - 155"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44849715","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}
Cagri Ilhan, M. Şekeroğlu, Sibel Doğuizi, P. Yılmazbaş
{"title":"The Effect of ChromaGen Contact Lenses on Corneal Clarity: A Corneal Densitometry","authors":"Cagri Ilhan, M. Şekeroğlu, Sibel Doğuizi, P. Yılmazbaş","doi":"10.14744/bej.2022.20082","DOIUrl":"https://doi.org/10.14744/bej.2022.20082","url":null,"abstract":"Objectives: The purpose of this study is to investigate the effect of ChromaGen contact lens (CCL) on corneal clarity, expressed through the measurement of corneal densitometry (CD) values. Methods: This study included 22 eyes of 22 patients with congenital red-green color vision deficiency who were admitted to our clinic for the CCL trial. After a detailed ophthalmological examination and CD measurement with Pentacam HR (Oculus Optikgerate GmbH, Wetzlar, Germany), the most appropriate CCLs were defined through pseudoisochromatic plates and inserted for 2 h. The CD measurement was repeated after the removal of the CCL. Comparison was made of CD values before and after the insertion of the most appropriate CCL. The after-CCL/before-CCL ratio was calculated, and the effect of CCL type on this ratio was investigated. Results: The after-CCL values were higher in the anterior, central, posterior, and total thickness of the 0–2 mm concentric zone (p=0.044, p=0.040, p=0.021, and p=0.032, respectively) when compared to the before-CCL values. There was no statistically significant difference between before-CCL and after-CCL values in any layer of the 2–6, 6–10, and 10–12 mm concentric zones (p>0.05, for all). After-CCL/before-CCL ratios were similar in the Magenta2 (M2), Magenta3 (M3), and Violet3 (V3) types of CCLs (p>0.017). Conclusion: Usage for 2 h of CCL was observed to increase CD values in all layers of the 0–2 mm concentric zone irrespective of the type of CCL. Further studies with longer follow-up are required to determine the long-term effects and detect differing effects of CCL with different base curves.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"89 - 94"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47690983","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":"Isolated Bilateral Macular Edema due to Le Fort Type 1 and Mandibular Fracture: A Case Report","authors":"K. Zor, Erkut Kucuk, Ç. S. Salbaş, G. Biçer","doi":"10.14744/bej.2022.86548","DOIUrl":"https://doi.org/10.14744/bej.2022.86548","url":null,"abstract":"We report the diagnosis and follow-up process of a case who had bilateral macular edema after blunt facial trauma. A 36-year-old male patient with Le Fort type 1 and mandibular fracture without direct ocular trauma referred to the ophthalmology clinic. Visual acuity was 0.1 in both eyes according to Snellen chart. Ocular examination was normal except bilateral macular edema. The patient did not have any prior systemic or neurological diseases. The patient did not have cotton-wool spots, retinal hemorrhage, or Purtscher flecken in the fundus examination. He used topical 0.1% nepafenac solution for 1 month. Visual acuity returned to normal after complete resolution of the macular edema at 1 month and did not recur in the follow-up. We think that this case may be an isolated macular edema due to facial trauma or an atypical presentation of Purtscher retinopathy. Although facial fractures and trauma may cause Purtscher retinopathy with involvement of different retinal structures, the findings in this case suggest that isolated involvement of macula can also occur in these injuries.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"150 - 153"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43371638","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":"Central Corneal Thickness Measurements with Different Imaging Devices: Ultrasound Pachymetry, Noncontact Specular Microscopy, and Tono-Pachymetry","authors":"A. Ceylan, I. Onal, Burak Mergen, Y. Yıldırım","doi":"10.14744/bej.2022.82787","DOIUrl":"https://doi.org/10.14744/bej.2022.82787","url":null,"abstract":"Objectives: Investigation of the compatibility between central corneal thickness (CCT) measurements in healthy eyes by comparing standard ultrasound pachymetry (USP) with noncontact tono-pachymetry (NCT) and specular microscopy (SM) devices was aimed. Methods: Forty-five eyes of 45 healthy volunteers aged between 18 and 60 years were included in this study. CCT of all cases was evaluated with USP, NCT, and SM devices. The same examiner performed all examinations. Bland–Altman plots and intraclass correlation coefficients were used to evaluate the agreement between instruments. Results: The mean age of the patients was 31±10.2 years. Fifteen (33.3%) cases were male and 30 (66.7%) were female. The mean CCT measured using NCT (559.3±39 µm) was significantly higher than those measured using SM (534.8±41 µm) and USP (542.6±43 µm, p<0.001). Bland–Altman analysis showed that the difference between the first, second, and third measurements was evenly dispersed around the mean, with no clear trend toward over- or underestimation by either NCT, USP, or SM. The 95% limits of agreements were 0.30–48.72 µm for NCT, –12.63–46.04 µm for the USP, and –24.41–8.80 µm for the SM. Correlation analysis between the three devices showed a very strong positive correlation (p<0.001). Conclusion: Significant differences were observed between CCT measurements in healthy individuals used in ophthalmology practice and performed with different devices. This situation should draw attention to the fact that in diseases such as glaucoma and endothelial insufficiency, corneal thickness monitoring should be done with the same device and the devices should not be used interchangeably.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"54 - 58"},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47331470","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 Effect of Fluorosecein on Corneal Endothelial Structure and Morphology in Diabetic Retinopathy Patients undergone Fundus Fluoresecein Angiography","authors":"Umit Calli, Yucel Ozturk, G. Demir","doi":"10.14744/bej.2021.80664","DOIUrl":"https://doi.org/10.14744/bej.2021.80664","url":null,"abstract":"Objectives: To evaluate fluorescein effect on the corneal endothelium by endothelial specular microscopy in diabetic retinopathy patients undergone fundus fluoresecein anjiography (FFA). Methods: One hundred thirthy four diabetic retinopathy patients undergone FFA aged between 42 and 74 years were included study. We checked the corneal endothelial cell density (ECD), coefficient of variation of cell area (CV/polymegethism) and percentage of hexagonal cells (6A/pleomorphysm) before FFA and 1 hour, 1 day, 1 week after the procedure. Results: The mean baseline ECD was 2223±216 cells/mm2. The mean ECD before and 1 hour (2234±224 cells/mm2), 1 day (2237±231 cells/mm2), 1 week (2226±219 cells/mm2) after the procedure weren’t significantly different (p=0.243; repeated measure ANOVA). The mean of the coefficient variations of the endothelial cell size before and 1 hour,1 day, 1 week after the procedure were 0.327±0.07, 0.319±0.06, 0.322±0.06, 0.325±0.07 respectively (p=0.281; repeated measure ANOVA). The mean of the baseline percent of hexagonal cells (pleomorphism) in the endothelium was 61.7±5.2, and the postoperative 1 hour, 1 day, 1 week percent were 62.3±5.7, 61.9±6.1, 61.3±5.9, respectively (p= 0.317; repeated measure ANOVA). Conclusion: The results of this study demonstrated that fluorescein has no toxic effect on corneal endothelium.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"35 - 38"},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46301910","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":"Management of Suprachoroidal Hemorrhage during Cataract Surgery: A Case Report","authors":"Seher Koksaldi, C. A. Utine, Mustafa Kayabaşı","doi":"10.14744/bej.2021.50455","DOIUrl":"https://doi.org/10.14744/bej.2021.50455","url":null,"abstract":"A 61-year-old patient with end-stage liver cirrhosis was admitted for cataract surgery with corrected distance visual acuities (CDVAs) of 0.3, in both eyes. His international correction ratio (INR) for blood coagulation was 2.1 without any anticoagulants, and general anesthesia was contraindicated. He was deemed inoperable for liver transplantation. Two weeks after uneventful phacoemulsification in his right eye under topical anesthesia, he underwent phacoemulsification for the cataract in the left eye. However, during surgery, extensive zonular dialysis was noted and the surgery proceeded with extracapsular cataract extraction and anterior vitrectomy, during which a rapid suprachoroidal hemorrhage (SCH) was noted. The incisions were then rapidly sutured. Intravenous 150 cc of 18% mannitol and 2 mg midazolam and sublingual 5 drops of nifedipine were given, and he was placed in the slightly reverse-trendelenburg position. Following suturation of the incision, the globe was left aphakic, slightly hypertonic with no loss of vitreous through the incisions. The postoperative treatment regimen of topical prednisolone and moxifloxacin eye drops of each per hour, cyclopentolate three times a day, and peroral prednisolone 40 mg was commenced. Despite no retinal reflex on the first day and no light perception for 2 weeks, transscleral SCH evacuation with limited pars plana vitrectomy was performed in the postoperative third week. Despite recurrent hemorrhage and intravitreal inflammatory bands, choroidal detachments regressed slowly with the improvement of CDVA up to 0.6 with aphakic contact lens correction at 3 months. The patient passed away due to complications of liver cirrhosis at 6 months.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 1","pages":"66 - 70"},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46344464","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}