Beyoglu Eye Journal最新文献

{"title":"The Prevalence of Positive Donor Corneoscleral Rim Culture and its Association with Ocular Infection After Transplantation.","authors":"Ruveyde Bolac,&nbsp;Ece Turan Vural,&nbsp;Elvin Yildiz,&nbsp;Gizem Kaya,&nbsp;Sebahat Aksaray","doi":"10.14744/bej.2023.08931","DOIUrl":"https://doi.org/10.14744/bej.2023.08931","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to determine the prevalence of positive corneoscleral donor rim cultures and to report keratitis and endophthalmitis after keratoplasty.</p><p><strong>Methods: </strong>Eye bank records and medical records of patients who underwent keratoplasty between September 1, 2015, and December 31, 2019, were retrospectively reviewed. Patients who had routine donor-rim culture taken during surgery and followed up for at least 1 year in the post-operative period were included in the study.</p><p><strong>Results: </strong>A total of 826 keratoplasty procedures were performed. A total of 120 (14.5%) cases had a positive donor corneoscleral rim culture. Positive bacterial cultures were obtained from 108 (13.7%) of the donors. Bacterial keratitis was observed in one patient (0.83% of recipients) who had a positive bacterial culture. Positive fungal cultures were obtained from 12 (1.45%) donors, of whom one (8.33% of recipients) developed fungal keratitis. Endophthalmitis was observed in one patient whose culture result was negative. Both bacterial and fungal culture results were similar in penetrating and lamellar surgical procedures.</p><p><strong>Conclusion: </strong>Although the donor corneoscleral rims have a high positive culture result, the rate of bacterial keratitis and endophthalmitis is low, the risk of infection is high in patients with a fungal positive donor rim. Closer follow-up of patients with fungal positive donor corneo-scleral rim result and initiation of aggressive antifungal treatment when infection occurs will be beneficial.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/cd/BEJ-8-50.PMC9993419.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103053","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":"Wilson Disease Combined with Keratoconus: A Case Report.","authors":"Adem Tellioglu,&nbsp;Derya Ozkan,&nbsp;Burcin Kepez Yildiz","doi":"10.14744/bej.2022.87487","DOIUrl":"https://doi.org/10.14744/bej.2022.87487","url":null,"abstract":"<p><p>A case of Wilson disease (WD) combined with keratoconus (KC) is described. A 30-year-old male diagnosed with WD presented to Ophthalmology Department due to progressive bilateral vision loss. Biomicroscopy revealed copper depositional ring and mild central corneal ectasia in both eyes. The patient had essential tremors and mild speech disturbance. The keratometric values were K1 = 45.94 diopters (D), K2 = 49.10 D in the right eye, and K1 = 47.14 D, K2 = 51.22 D in the left eye. The maximal elevation points on the posterior elevation maps were 98 mm for the right eye and 94 mm for the left eye. The typical KC pattern was seen on corneal topography bilaterally. Based on these findings, the patient was diagnosed with KC, and corneal cross-linking treatment was recommended. WD rarely occurs in combination with KC, and only two cases have been reported; this is the third case of WD combined with KC so far.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 1","pages":"60-63"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/13/BEJ-8-60.PMC9993411.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103056","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":"Histopathological View of Benign Essential Blepharospasm: Orbicularis Oculi Hormone Receptor Levels.","authors":"Kubra Serefoglu Cabuk,&nbsp;Ganime Coban,&nbsp;Gulay Yalcinkaya Cakir,&nbsp;Zeynep Sezal Serefoglu,&nbsp;Senay Asik Nacaroglu,&nbsp;Gamze Ozturk Karabulut,&nbsp;Korhan Fazil","doi":"10.14744/bej.2023.16779","DOIUrl":"https://doi.org/10.14744/bej.2023.16779","url":null,"abstract":"<p><strong>Objectives: </strong>Benign essential blepharospasm (BEB) is a focal dystonia characterized by involuntary contractions of the orbicularis oculi and periocular muscles. We aimed to investigate the effects of muscle receptor levels on the etiopathogenesis of blepharospasm by evaluating the orbicularis oculi estrogen receptor (ER) and androgen receptor (AR) levels.</p><p><strong>Methods: </strong>Four blepharospasm patients (2 females and 2 males) who underwent upper lid blepharoplasty and/or orbicularis myomectomy and 4 healthy cases (2 females, 2 males) that had upper lid blepharoplasty were included. The pretarsal, preseptal, and orbital parts of the orbicularis muscles of the patients who underwent orbicularis myomectomy and the waste muscle tissue materials taken from the preseptal orbicularis muscles of the patients who had only upper blepharoplasty were analyzed. Immunohistochemical staining was performed with estrogen alpha and androgen.</p><p><strong>Results: </strong>In healthy men, the orbicularis oculi muscle was stained with ER at a moderate intensity and with AR at a high intensity. In men with blepharospasm, the orbicularis oculi were not stained with ER at all, but at a high intensity with AR. In healthy women, the orbicularis oculi were stained with ER and AR at a high intensity (>50%). In women with blepharospasm, the staining intensities of both receptors were moderate.</p><p><strong>Conclusion: </strong>We determined a decrease in ER and AR in females and almost the absence of ER in males with BEB. This decrease in ER may be associated with a functional abnormality in mitochondria and the decrease in hormonal receptors may be associated with sarcopenia in orbicularis oculi muscle fibers.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 2","pages":"110-114"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0d/e9/BEJ-8-110.PMC10375209.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9913150","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":"Idiopathic Unilateral Foveal Hemorrhage in a Young Woman Without Precipitating Factors: Evaluation with Optical Coherence Tomography Angiography.","authors":"Oguzhan Kilicarslan,&nbsp;Aslihan Yilmaz Cebi,&nbsp;Didar Ucar","doi":"10.14744/bej.2023.34976","DOIUrl":"https://doi.org/10.14744/bej.2023.34976","url":null,"abstract":"<p><p>A 28-year-old young Caucasian female patient without a history of trauma or vascular disease presented with blurred vision and paracentral scotoma in her left eye. Fundus examination showed a small foveal hemorrhage in the superficial retinal layers. Initial visual acuity was 20/50 in the LE. After 2 weeks, visual acuity increased to 20/20, and hemorrhage was resolved in optical coherence tomography angiography (OCT-A) spontaneously. No vascular lesion was seen in any layer of the retina in OCT-A analysis.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 2","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/2b/BEJ-8-134.PMC10375203.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919963","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":"Long-Term Clinical Results of Trabectome Surgery in Turkish Patients with Primary Open Angle Glaucoma and Pseudoexfoliative Glaucoma.","authors":"Yasemin Un,&nbsp;Cihan Buyukavsar,&nbsp;Dogukan Comerter,&nbsp;Murat Sonmez,&nbsp;Yildiray Yildirim","doi":"10.14744/bej.2023.13540","DOIUrl":"https://doi.org/10.14744/bej.2023.13540","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of the study were to analyze the long-term results of trabectome surgery in Turkish patients with primary open angle glaucoma (POAG) and pseudoexfoliative glaucoma (PEXG) and to characterize the risk factors for failure.</p><p><strong>Methods: </strong>This single-center retrospective non-comparative study included 60 eyes of 51 patients diagnosed with POAG and PEXG, who underwent trabectome alone or phacotrabeculectomy (TP) surgery between 2012 and 2016. Surgical success was defined as a 20% decrease in intraocular pressure (IOP) or IOP≤21 mmHg and no further glaucoma surgery. Risk factors for further surgery were analyzed with the Cox proportional hazard ratio (HR) models. The cumulative success analysis was undertaken with the Kaplan-Meier method based on the time to further glaucoma surgery.</p><p><strong>Results: </strong>The mean follow-up period was 59.4±14.3 months. During the follow-up period, 12 eyes required additional glaucoma surgery. The mean pre-operative IOP was 26.9±6.8 mmHg. The mean IOP at the last visit was 18.8±4.7 mmHg (p<0.01). IOP decreased 30.1% from the baseline to the last visit. The average number of antiglaucomatous drug molecules used was 3.4±0.7 (range 1-4) preoperatively and 2.5±1.3 (range 0-4) at the last visit (p<0.01). The risk factors for further surgery requirement were determined as a higher baseline IOP value (HR: 1.11, p=0.03] and the use of a higher number of preoperative antiglaucomatous drug molecules (HR: 2.54, p=0.09). The cumulative probability of success was calculated as 94.6%, 90.1%, 85.7%, 82.1%, and 78.6% at three, 12, 24, 36, and 60 months, respectively.</p><p><strong>Conclusion: </strong>The success rate of trabectome was 67.3% at 59 months. A higher baseline IOP value and the use of a higher number of antiglaucomatous drug molecules were associated with an increased risk of further glaucoma surgery requirement.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/b9/BEJ-8-14.PMC9993416.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9109735","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 Choroidal Vascular Structure in Hyperopic Anisometropic Amblyopia.","authors":"Burak Oren,&nbsp;Hasan Kiziltoprak,&nbsp;Ferhat Onder,&nbsp;Dilara Ozkoyuncu Kocabas,&nbsp;Esat Yetkin,&nbsp;Abdurrahman Bilen","doi":"10.14744/bej.2022.27870","DOIUrl":"https://doi.org/10.14744/bej.2022.27870","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to investigate the choroidal structure of patients with anisohypermetropic amblyopia compared to that of healthy eyes in controls of the same age.</p><p><strong>Methods: </strong>The study comprises three groups: One group was the amblyopic eyes of patients with anisometropic hypermetropia (AE group), another group was the fellow eyes of patients with anisometropic hypermetropia (FE group), and a final group of healthy controls. Both the choroidal thickness (CT) and choroidal vascularity index (CVI) values were obtained using the spectral-domain optical coherence tomography (OCT) method of improved depth imaging (EDI-OCT; Heidelberg Engineering GmbH, Spectralis, Germany, Heidelberg).</p><p><strong>Results: </strong>This study included 28 anisometropic amblyopic patients (AE and FE groups) and 35 healthy controls. Regarding the distribution of ages and sexes (p=0.813 and p=0.745), the groups were the same. The mean best-corrected visual acuity in AE, FE, and the control group was 0.58±0.76, 0.008±1.30, and 0.004±1.20 logMAR units, respectively. There was a significant difference in terms of CVI, luminal area (LA), and all the CT values between groups. Post hoc univariate analyses indicated that CVI and LA were significantly higher in AE compared to FE and the control group (p<0.05, for each). The temporal, nasal, and subfoveal CT values were considerably higher in AE compared to FE and the control groups (p<0.05, for each). However, there was no difference between FE and the control group (p>0.05, for each).</p><p><strong>Conclusion: </strong>The AE group had larger LA, CVI, and CT values compared to the FE and control groups. These results show that choroidal changes in amblyopic eyes in children are permanent in adulthood if untreated and are involved in the pathogenesis of amblyopia.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/fe/BEJ-8-32.PMC9993412.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9109733","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":"Combined Capsular Tension Ring and Segment Implantation in Phacoemulsification Surgery for the Management of Microspherophakia with Secondary Angle-Closure Glaucoma.","authors":"Nilgun Solmaz,&nbsp;Turker Oba,&nbsp;Feyza Onder","doi":"10.14744/bej.2023.57625","DOIUrl":"https://doi.org/10.14744/bej.2023.57625","url":null,"abstract":"We present the long-term results of the implantation of a capsular tension ring (CTR) and Ahmed capsular tension segments (CTS) together for the management of mikrospherophakia in a 35-year-old female patient. The patient had uncontrolled secondary angle-closure glaucoma, despite previous laser peripheral iridotomy, and visual impairment due to lenticular myopia. Clear lens extraction was performed under general anesthesia. The capsular bag was stabilized with a classical CTR and two Ahmed CTSs sutured to the sclera. A single-piece hydrophobic acrylic intraocular lens (32.0 D for the right and 30.0 D for the left eye) was implanted in the capsular bag. The anterior chamber depth was stable, and intraocular pressure (IOP) was 10–12 mmHg in both eyes in the early post-operative period. The bag complex gradually moved forward, IOP gradually increased, and the left eye underwent trabeculectomy surgery in the 4th year of follow-up.","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 2","pages":"123-127"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/18/BEJ-8-123.PMC10375204.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9907756","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":"Insect Bite Mimicking Malignant Eyelid Tumor.","authors":"Mukaddes Damla Ciftci,&nbsp;Melis Palamar,&nbsp;Tahir Gurler,&nbsp;Mine Hekimgil,&nbsp;Taner Akalin","doi":"10.14744/bej.2023.35582","DOIUrl":"https://doi.org/10.14744/bej.2023.35582","url":null,"abstract":"<p><p>Insects are a class of living creatures within the arthropods. Bite is a wound produced by the mouth parts of an insect. Although insect bite reactions are commonly seen in clinical practice, especially in dermatology clinics, injuries from insect bites are less commonly encountered in ophthalmology clinics. Herein, we report a 28-year-old male presenting with a rapidly growing mass on his right upper eyelid following a suspected insect bite.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 2","pages":"139-142"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/f7/BEJ-8-139.PMC10375206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9907757","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":"Investigation of eNOS G894T Gene Polymorphism in Patients with Pseudoexfoliation Syndrome: A Preliminary Study.","authors":"Ozer Dursun,&nbsp;Ayca Yilmaz,&nbsp;Senay Balci Fidanci,&nbsp;Lulufer Tamer,&nbsp;Mustafa Vatansever,&nbsp;Omer Ozer,&nbsp;Erdem Dinc","doi":"10.14744/bej.2022.29484","DOIUrl":"https://doi.org/10.14744/bej.2022.29484","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to investigate the relationship between pseudoexfoliation syndrome (XFS) and pseudoexfoliative glaucoma (XFG) and endothelial nitric oxide synthase (eNOS) G894T polymorphism.</p><p><strong>Methods: </strong>Seventy-eight eyes of 78 patients who had undergone uncomplicated cataract surgeries for senile cataract were included in this study. Forty patients with XFS were included in the study group, and 38 patients without XFS constituted the control group. Patients with XFS were divided into two subgroups according to their XFG development, and subgroup analysis was performed. Venous blood samples were taken from all patients before surgery and 894 G>T (rs1799983) polymorphism on the eNOS gene was evaluated by RT-PCR.</p><p><strong>Results: </strong>While the mean age in the control group was 65.97±10.64 years (23 males and 15 females), the mean age in the study group was 73.05±6.79 years (30 males and 10 females), (p<0.001). Regression analysis of the risks caused by the genotype and alleles between the control and study groups revealed that the homozygous alleles were more common in the study group, and heterozygous or mutant alleles have reduced the development of XFS approximately 2-folds. However, this was not statistically significant (p=0.11). Similarly, when subgroup analysis was performed, it was found that there was no significant relationship between XFG in patients with XFS and gene polymorphism.</p><p><strong>Conclusion: </strong>In this study, it was observed that there was no relationship between the G894T polymorphism in the eNOS gene and the development of XFS/XFG.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 3","pages":"188-192"},"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/28/d8/BEJ-7-188.PMC9522994.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40387434","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":"Temporomandibular Joint Dislocation in a Patient with Keratoconus Under General Anesthesia: A Case Report.","authors":"Mukaddes Damla Ciftci,&nbsp;Tuba Kuvvet Yoldas,&nbsp;Canan Bor,&nbsp;Melis Palamar","doi":"10.14744/bej.2022.93446","DOIUrl":"https://doi.org/10.14744/bej.2022.93446","url":null,"abstract":"<p><p>Keratoconus is a common disease in which the central or paracentral cornea undergoes progressive thinning, resulting in a cone-shaped cornea. It has been associated with many systemic disorders such as Down syndrome, osteogenesis imperfecta, and joint hypermobility. Herein, temporomandibular joint dislocation under general anesthesia during supraglottic airway device placement before deep anterior lamellar keratoplasty procedure in a keratoconus patient is reported.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"7 3","pages":"237-239"},"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/07/1d/BEJ-7-237.PMC9522987.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40388833","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}