Category Ulusal Hakemli Dergiler

AN UNUSUAL APPROACH TO REDUCE PAIN FOLLOWING LASIK SURGERY

Yazarlar: F Ucar, Servet Cetinkaya, Lutfi Seyrek

Yayın tarihi: 2021

Dergi: Turkiye Klinikleri Journal of Ophthalmology

Cilt: 30

Sayı: 2

Sayfalar: 92-96

Açıklama

Objective: To evaluate the effectiveness of topical 0.4% ketorolac tromethamine usage with contact lenses following laser-as-sisted in situ keratomileusis (LASIK) surgery, for post-operative pain reduction. Material and Methods: Two hundred and ninety two eyes of 146 patients who underwent LASIK surgery under topical anesthesia were included in the study. Contact lenses soaked in a 0.4% solution of ketorolac tromethamine were applied to 148 eyes of 74 patients who had undergone LASIK surgery for refractive errors (Group 1). Contact len-ses with no medication were applied to 144 eyes of 72 patients who had undergone LASIK surgery for refractive errors (Group 2). Pain scores were recorded in both groups every hour from hour 1 to hour 5, posto-peratively. Results: There were no significant differences between the two groups with regard to age or sex (p> 0.05). No significant difference was found between …

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THE OUTCOMES OF POSTERIOR-CHAMBER PHAKIC INTRAOCULAR LENS IMPLATATION IN PATIENTS WITH HIGH MYOPIA

Yazarlar: F Ucar, Servet Cetinkaya

Yayın tarihi: 2020

Dergi: Turkiye Klinikleri Journal of Ophthalmology

Cilt: 29

Sayı: 3

Sayfalar: 224-230

Açıklama

Objective: To evaluate the outcomes of posterior-cham-ber phakic intraocular lens (pIOL) implantation in patients with high myopia. Material and Methods: Seventy-six eyes of 38 patients who had high myopia and undergone Eyecrylphakic IOL implantation were enrolled in the study. Eighteen of them (47%) were males and 20 (53%) were females. Their mean age was 28.97±4.10 (22-36) years. Uncor-rected visual acuity (UCVA), best corrected visual acuity (BCVA), au-torefractive and keratometric measurements were evaluated pre and postoperatively. Results: The mean 1st week, 1st month and 6th month postoperative spherical, astigmatic and spherical equivalent (SE) values were significantly lower than those of preoperative values, and the mean 1st week, 1st month and 6th month postoperative UCVA and BCVA values were significantly higher than preoperative values (p< 0.05). The mean 1st week, 1st month and 6th month postoperative an-terior chamber depth (ACD) values were significantly lower than pre-operative values (p< 0.05). There were no significant differences between preoperative and postoperative central corneal thickness (CCT), endothelial cell density (ECD) and intraocular pressure (IOP) measurements (p> 0.05). The postoperative first-week mean spherical value was 0.11±0.44 D, and it was stable until the 6th month. Postoper-ative 6th month mean endothelial cell loss was 3% in comparison with preoperative values. The difference was not significant (p> 0.05). Ad-ditionally, no abnormal morphologic changes in endothelial cell layer were observed in specular microscopy. Conclusion: Eyecrylphakic IOL implantation is …

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INTRAOCULAR LENS IMPLANTATION WITH FLATTENED FLANGED INTRASCLERAL FIXATION TECHNIQUE IN PEDIATRIC APHAKIA

Yazarlar: Fikret Ucar

Yayın tarihi: 2022/1/25

Dergi: Journal of American Association for Pediatric Ophthalmology and Strabismus

Yayıncı: Mosby

Açıklama

Purpose
To evaluate the clinical outcomes of flattened flanged intrascleral fixation of the intraocular lens (IOL) in cases of pediatric aphakia without adequate capsular support.

Methods
The medical records of children who underwent flattened flanged intrascleral IOL implantation for aphakia with insufficient capsular support, subluxated cataract, ectopia lentis, and dislocated IOL were reviewed retrospectively. Best-corrected visual acuity, astigmatism, corneal endothelial cell loss, IOL tilt, and intra- and postoperative complications were evaluated.

Results
A total of 21 eyes of 16 patients were included. Mean patient age at time of surgery was 7.1 ± 3.8 years (range, 2-15). Mean follow-up time after surgery was 2.0 years. The mean pre- and postoperative best-corrected visual acuities were 1.03 ± 0.49 logMAR and 0.33 ±0.44 logMAR, respectively (P < 0.001). The mean preoperative astigmatism was 2.2 ± 0.9 D; and the …

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SPONTANEOUS CORNEAL PERFORATION. ELECTRON J GEN MED. 2020; 17(5): EM241

Yazarlar: F Ucar, S Cetinkaya

Yayın tarihi: 2020

Kaynak: Electronic Journal of General Medicine

Cilt: 17

Sayfalar: 5

Açıklama

A male patient, 59 years of age, who had undergone a pterygium operation 45 days ago in another center, applied to our clinics for itching and burning complaints. The patient was examined and thinning of the cornea at the perilimbal region and intense hyperemia, inflammation and scarred tissue in the nasal conjunctiva were observed. Additionally, the patient had chronic dacryocystitis. Firstly, an external dacryocystorhinostomy (DSR) operation was applied. Three days after the operation, corneal perforation and iris prolapse occurred. An autograft, including conjunctiva, limbus and neighbouring corneal tissue with lamellar excision from the superior region of the same eye, was taken. With the help of 10/0 monofilament nylon sutures, the autograft was implanted. In the postoperative period, the patient’s cataract, which was present before the operation, progressed. In the postoperative 6th month, a cataract operation was performed. By the postoperative 7th month, the patient’s visual acuity was 0.00 logMAR and the perforation region had recovered completely.

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İKİ FARKLI MARKA TORİK İNTRAOKÜLER LENS İMPLANTASYONUN KIYASLANMASI

Yazarlar: Fikret UCAR, Servet ÇETİNKAYA

Açıklama

Amaç: Kataraktı ve astigmatizması olan hastalarda astigmatizmayı düzeltmek için Tecnis toric İOL ile Acrysof toric İOL’lerinin görsel sonuçlarının kıyaslanması.
Gereç ve Yöntemler: Otuz sekiz hastanın 38 gözüne Tecnis torik İOL, 36 hastanın 36 gözüne Acrysoft torik İOL implante edildi. Hastaların kataraktı ve astigmatizması vardı. Ameliyatlarda 7 çeşit Tecnis torik İOL (: ZCT150, ZCT225, ZCT300, ZCT400, ZCT450, ZCT525, and ZCT600), 7 ceşit, Acrysof torik İOL (SN6AT3, SN6AT4, SN6AT5, SN6AT6, SN6AT7, SN6AT8, and SN6AT9) kullanıldı. İOL’lerin astigmatik değerleri 1.50 ile 6.00 D arasındaydı. Hastaların düzeltilmemiş görme keskinliği (DGK) ve en iyi düzeltilmiş görme keskinliği (EDGK), keratometre, refraktif ölçümleri ve İOL’ün aks hizası düzenli aralıklarla kontrol edilmiştir.
Bulgular: Her iki grupta ortalama postoperatif sferik ve silendirik değerler preoperatif değerlerden anlamlı şekilde daha düşüktü (P< 0.05) ve ortalama postoperatif DGK ve EDGK değerleri preoperatif değerlerden anlamlı olarak daha yüksekti (p< 0.05). DGK, EDGK, sferik ve silendirik değerler açısından iki grup arasında istatistiksel olarak anlamlı bir fark saptanmadı (p> 0.05). Sonuç: Hem Tecnis torik İOL hemde Acrysof torik İOL implantasyonunun, katarakt cerrahisi sırasında var olan korneal astigmatizmayı düzeltmek için etkin olduğu izlenmiştir. İkinci grup (Acrysof toric) hastaların ameliyat sonrası ortalama görme keskinlikleri, birinci grup (Tecnis toric) hastalara göre biraz daha iyi olmasına rağmen istatistiksel olarak anlamlı bir farklılık yoktu.

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MATÜR KATARAKTI OLAN HASTALARDA FEMTOSANİYE LAZER FAKOEMÜLSİFİKASYON CERRAHİSİ

Yazarlar: Servet CETİNKAYA, UCAR Fikret

Dergi: Bozok Tıp Dergisi

Cilt: 10

Sayı: 1

Sayfalar: 126-131

Açıklama

Amaç: Matür kataraktı olan hastalarda Femtosaniye Lazer ile yapılan fakoemülsifikasyon cerrahisinin, klasik fakoemülsifikasyon cerrahisi ile kıyaslanması. Gereç ve Yöntemler: Femtosaniye Lazer ile yapılan fakoemülsifikasyon cerrahisi geçiren matür kataraktı olan 34 hastanın 34 gözü (Grup 1), klasik fakoemülsifikasyon cerrahisi geçiren matür kataraktı olan 34 hastanın 34 gözü ile retrospektif olarak kıyaslandı (Grup 2). Sonuçlar: İki grup arasında yaş ve cinsiyet açısından anlamlı bir farklılık yoktu. Operasyon öncesi ve sonrası düzeltilmemiş ve en iyi düzeltilmiş görme keskinlikleri açısından da iki grup arasında anlamlı bir farklılık yoktu (p değerleri sırasıyla, 0.659, 0.634, 0.603 and 0.557).İkinci grupta, radyal yırtık, arka kapsül perforasyonu ve vitre kaybı oranı daha fazla idi ve fako zamanı daha uzun idi, ancak fark anlamlı değildi (p değerleri sırasıyla, 0.06, 0.06, 0.113 ve 0.07). Sonuç: Femtosaniye Lazer ile yapılan fakoemülsifikasyon cerrahisi güvenli ve etkin bir metottur. Klasik fakoemülsifikasyon cerrahisi ile kıyaslandığında, radyal yırtık ve arka kapsül perforasyonu gibi komplikasyonların oranı daha düşük ve fako zamanı daha kısadır, ancak aradaki fark anlamlı değildir. Anahtar Kelimeler: FLFC; Klasik fakoemülsifikasyon; Matür katarakt; Radyal yırtık

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UNILATERAL OPTIC DISC DRUSEN

Yazarlar: DİNÇ Perihan, UCAR Fikret, Servet ÇETİNKAYA

Dergi: KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi

Cilt: 1

Sayı: 2

Sayfalar: 1-5

Açıklama

Optic disc drusen (ODD), which is composed of accumulation of hyalin, a calcified pathological material, is a congenital optic disc anomaly. Superficial ODDs are diagnosed easily, during fundus examination, while to diagnose the buried ones, some additional diagnostic tools such as B-scan ultrasonography (USG), fundus flourescein angiography (FFA), computerized tomography (CT) are essential. ODD may be misdiagnosed as early onset papilledema, therefore it is an important clinical case. We present here a case with unilateral ODD, who is referred to our clinics with papilledema preliminary diagnosis.

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