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Konyagöz Hastanesi Acil Servis Ünitesi; alanında uzmanlaşmış doktorları, acil servis alanında deneyimli hemşire ve sağlık personellerinden oluşan dinamik bir…
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Konyagöz Hastanesi Acil Servis Ünitesi; alanında uzmanlaşmış doktorları, acil servis alanında deneyimli hemşire ve sağlık personellerinden oluşan dinamik bir…
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DEPREMZEDELER İÇİN GÖZ MUAYENE PROGRAMI

Hatay ve Kahramanmaraş illerinden Konya’ya gelen depremzedelerimizi, Sille Huzurevi’nde misafir ederek göz muayenelerini gerçekleştirdik. Göz sağlıklarını korumak için gerekli önlemleri aldık. Hayatlarına dokunabildiğimiz tüm depremzedelerimiz için çalışmaya devam edeceğiz.

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DOĞUMSAL KATARAKT VE GÖZ TEMBELLİĞİ TEDAVİSİ

Doğumsal katarakt ve göz tembelliği sorunu yaşayan ve daha önce Rusya’da bir operasyon süreci geçiren, fakat gözde arka kapsül kesafeti gelişmesi üzere göz problemi devam eden Medine’nin tedavisini, Başhekimimiz Doç. Dr. Servet ÇETİNKAYA gözetiminde Konyagöz Hastanesi olarak üstlendik. Görme düzeyi oldukça azalan Medine’nin mevcut durumuna dair tüm süreci planlayan hekimlerimiz, ilerleyen süreçlerde de Medine’nin hayata mutlulukla bakması ve daha iyi görebilmesi için tüm bilgi ve uzmanlıklarıyla Medine’nin ve ailesinin yanında olacaklar.

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IRIDODIALYSIS REPAIR WITH INTRASCLERAL FIXATION OF FLATTENED FLANGED POLYPROPYLENE SUTURE

Yazarlar: Fikret Ucar

Yayın tarihi: 2022/3/2

Dergi: RETINA

Yayıncı: LWW

Açıklama

Purpose:
To present the flattened flanged polypropylene suture technique developed to obtain round and stable pupils in patients with iridodialysis.
Methods:
After performing a fornix-based conjunctival peritomy, a flange was created at the tip of a 6.0 polypropylene suture by cautery. In the quadrant of iridodialysis, an ultrathin 30-gauge needle was inserted into the sclera at a distance of 2 mm from the limbus and advanced 1.5 mm intrasclerally, parallel to the limbus. The needle was directed radially into the eye and easily passed through the edge of the peripheral iris. The polypropylene suture was pushed into the lumen of the needle with the help of forceps. After the needle was externalized, the tip of the suture was flanged by cautery and the flange was immediately flattened using a needle holder.
Results:
Six eyes of 6 patients with iridodialysis were enrolled in this study. Postoperatively, the irises remained well …

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CAN BLEEDING IN TRABECULECTOMY BE DECREASED? EFFECTIVENESS OF BRIMONIDINE PRE-TREATMENT

Purpose: To evaluate the efficacy of preoperative topical brimonidine use to maintain visibility during trabeculectomy and control intraoperative bleeding and postoperative subconjunctival hemorrhage.

Methods: The first group comprised 35 eyes of 34 patients administered brimonidine tartrate 0.15% (Brimogut, Bilim Ilac, Turkey) eye drops 6 and 3 min before surgery, and 33 eyes of 31 patients who received no medication for vasoconstriction formed the second group. Preoperative and postoperative photographs and operation video images were taken and vision analysis software used. Black-and-white images were obtained to identify the blood vessel and surface hemorrhage areas. The surface area of the hemorrhage was calculated by counting the black pixels with Image J software.

Results: There was no significant difference between two groups in terms of baseline (preoperative) eye redness (p > 0.05). In the first group, the eye redness values were 344.7 ± 19.5 pixels preoperatively and 244.1 ± 23.3 pixels at the beginning of the surgery, respectively (p < 0.001). However, no significant change was observed in the second group in eye redness (348.2 ± 17.5 pixels preoperatively and 360.7 ± 26.8 pixels at the beginning of the surgery, p > 0.05). Cautery was used for an average of 11.91 ± 1.96 s in the first group and 25.57 ± 4.66 s in the second to control intraoperative bleeding (P < 0.001).

Conclusion: Preoperative topical brimonidine use in trabeculectomy surgery significantly decreased intraoperative bleeding and postoperative subconjunctival hemorrhage and facilitated bleeding control.

Keywords: Trabeculectomy; brimonidine tartrate; glaucoma; hemostasis; intraoperative bleeding.

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INFLUENCE OF INCISION SIZE ON DRY EYE SYMPTOMS IN THE SMALL INCISION LENTICULE EXTRACTION PROCEDURE

Yazarlar: Servet Cetinkaya, Mehmet Gulmez, Emine Mestan, Fikret Ucar, Nermin Ali

Yayın tarihi: 2019/1/1

Dergi: Cornea

Cilt: 38

Sayı: 1

Sayfalar: 18-23

Yayıncı: LWW

Açıklama

Purpose:
To evaluate the influence of incision size on dry eye symptoms in the small incision lenticule extraction (SMILE) procedure.
Methods:
Ninety-four eyes of 47 patients with myopia and/or myopic astigmatism who had undergone the SMILE procedure were enrolled in this study. The patients were divided into 3 groups according to the incision size (2, 3, and 4 mm) applied during the SMILE procedure.
Results:
There were no significant differences among the groups in respect to age and sex (P values 0.251 and 0.974, respectively) and in respect to preoperative, postoperative first day, first week, first month, third month, and sixth month values of the Ocular Surface Disease Index score, tear break-up time, ST1, and staining grades.
Conclusions:
There was no difference in dry eye symptoms with 2-, 3-, and 4-mm incisions. In the learning period of SMILE surgery, larger incision sites can be used to make the …

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CAN TORIC IOL ROTATION BE MINIMIZED? TORIC IOL-CAPSULAR TENSION RING SUTURING TECHNIQUE AND ITS CLINICAL OUTCOMES

Purpose: In this study, we aimed to evaluate the outcomes of the toric intraocular lens (IOL) and capsular tension ring (CTR) suturing technique in patients with cataract and astigmatism.

Methods: Group 1 comprised 37 eyes of 36 patients to whom the CTR-toric IOL complex was co-implanted after the CTR was sutured to the toric IOL haptic. Group 2 comprised 35 eyes of 33 patients in whom the toric IOL and CTR were implanted without suturing. Both groups were compared in terms of preoperative and postoperative astigmatism, best-corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), and IOL rotation.

Results: The mean rotation degree was 0.54° ± 2.29° in group 1 and 4.28° ± 8.84° in group 2 (p = .01). While there was no significant difference between the postoperative residual astigmatism and the estimated residual astigmatism in group 1, the postoperative residual astigmatism was statistically higher than the estimated residual astigmatism in group 2 (p = .47 and 0.000, respectively). The mean postoperative UCVA was 0.02 ± 0.04 (logMAR) in group 1 and 0.08 ± 0.13 (logMAR) in group 2 (p = .01).

Conclusion: The toric IOL and CTR suturing technique provides excellent rotational stability and astigmatism correction.

Keywords: Astigmatism; Capsular tension ring; Cataract; Toric IOL; Toric IOL-CTR suturing technique.

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