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Öğe A case: Abscess formation in the sub-Tenon’s space after strabismus surgery(Yuzuncu Yil University, 2017) Batur, Muhammed; Seven, Erbil; Gül, Adem; Çağlar, İsmail Çağatay; Yaşar, TekinA five-year-old boy was examined in follow-up in our strabismus department due to exotropia and amblyopia in the right eye. Recession to both lateral recti muscles was performed. When the patient was examined one week, postoperatively, he complained of pain in the right eye. Upon physical examination, hyperemia and minimal swelling of the surgical area were observed. The situation was diagnosed as an abscess. The abscess was drained and the eye was irrigated with cefazolin and gentamicin solutions. All signs and symptoms were determined to be resolved in subsequent postoperative visits. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.Öğe Comparison of Heidelberg Retina Tomograph-3 glaucoma probability score and Moorfields regression analysis of optic nerve head in glaucoma patients and healthy individuals(Springer Verlag, 2017) Çağlar, İsmail Çağatay; Gül, Adem; Batur, Muhammed; Yaşar, TekinPurpose: To compare the sensitivity and specificity of Moorfields regression analysis (MRA) and glaucoma probability score (GPS) between healthy and glaucomatous eyes with Heidelberg Retinal Tomograph 3 (HRT-3). Methods: The study included 120 eyes of 75 glaucoma patients and 138 eyes of 73 normal subjects, for a total of 258 eyes of 148 individuals. All measurements were performed with the HRT-3. Diagnostic test criteria (sensitivity, specificity, etc.) were used to evaluate how efficiently GPS and MRA algorithms in the HRT-3 discriminated between the glaucoma and control groups. Results: The GPS showed 88 % sensitivity and 66 % specificity, whereas MRA had 71.5 % sensitivity and 82.5 % specificity. There was 71 % agreement between the final results of MRA and GPS in the glaucoma group. Excluding borderline patients from both analyses resulted in 91.6 % agreement. In the control group the level of agreement between MRA and GPS was 64 % including borderline patients and 84.1 % after excluding borderline patients. The accuracy rate is 92 % for MRA and 91 % for GPS in the glaucoma group excluding borderline patients. The difference was nor statistically different. In both cases, agreement was higher between MRA and GPS in the glaucoma group. We found that both sensitivity and specificity increased with disc size for MRA, while the sensitivity increased and specificity decreased with larger disc sizes for GPS. Conclusions: HRT is able to quantify and clearly reveal structural changes in the ONH and RNFL in glaucoma. © 2016, Springer-Verlag Berlin Heidelberg.Öğe Ocular biometry and central corneal thickness in children: A hospital-based study(Conselho Brasileiro De Oftalmologia, 2014) Gül, Adem; Çağlar, İsmail Çağatay; Cinal, Adnan; Yaşar, Tekin; Kılıç, AdilPurpose: To investigate the distribution of axial length, anterior chamber depth, lens thickness, vitreous chamber depth, and central corneal thickness in children at different age groups. Methods: We studied 364 eyes in 182 children with ages between 1 and 12 years. Axial length, anterior chamber depth, lens thickness, and vitreous chamber depth were measured by ultrasound biometry. Central corneal thickness was measured by ultrasound pachymetry in all children. Results: The mean age was 6.54 ± 3.42 years. The axial length was 20.95 mm in 1-2 years old and 22.95 mm in 11-12 years old. The central corneal thickness was 556 ?m in 1-2 years old and 555 ?m in 11-12 years old. The mean anterior chamber depth and vitreous chamber depth increased with age (3.06 mm to 3.44 mm in anterior chamber depth, 13.75 mm to 15.99 mm in vitreous chamber depth), and the lens thickness decreased as age increased (3.67-3.51 mm). Conclusion: The axial length increased with age and reached adult levels by the age of 9-10 years. The lens thickness gradually decreased until 12 years. The central corneal thickness measurements did not yield a linear algorithm.Öğe The effectiveness of postoperative early ostium cleaning in transcanalicular diode laser-assisted dacryocystorhinostomy(Lippincott Williams and Wilkins, 2014) Yener, Halil İbrahim; Gül, Adem; Çağlar, İsmail Çağatay; Özçimen, MuammerPurpose: To search the effectiveness of postoperative first week ostium cleaning in transcanalicular diode laser-assisted dacryocystorhinostomy (TDL-DCR). Materials and Methods: A total of 123 eyes of 123 patients with acquired dacryostenosis who had surgery were retrospectively evaluated. Diode laser was used in all patients. All patients were operated under local anesthesia by a single surgeon. Intranasal endoscopic cleaning of the ostium by surgical suction under local anesthesia was performed as an extra job in the postoperative first week visit. Results: Mean age of the patients was 55 (range, 41-78 years) years. Mean follow up was 13.4 months. Successful outcomes were achieved in 117 of 123 (95.1%) patients. Reoperation was performed in 6 patients with restenosis and were free of symptoms in 1-year follow up. Conclusion: Postoperative first week cleaning of the nasal ostium by surgical suction with the aiding of nasal endoscopy is a very effective method increasing the success rate of TDL-DCR. © 2014 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.Öğe The modified technique of external dacryocystorhinostomy in the management of complicated nasolacrimal duct obstruction(Lippincott Williams and Wilkins, 2016) Çağlar, İsmail Çağatay; Yener, Halil İbrahim; Gül, Adem; Özçimen, MuammerAim: To evaluate the outcome of the modified technique of external dacryocystorhinostomy (EDCR) with a "U"-shaped single flap that was fixed on to the orbicularis muscle with combined silicone tube in dacriostenosis. In cases with decreased visibility because of excessive bleeding during surgery, a small sac size, and difficulty of mutual suturing between nasal mucosal and sac flaps related to distance. Methods: This retrospective study included 118 patients with a nasolacrimal duct obstruction who underwent the modified technique of EDCR. The modified EDCR procedure envisions the creation of anastomosis of the single anterior "U"-shaped flaps suturing anterior flaps of the lacrimal sac and nasal mucosa. The sutured flap was fixed on to the orbicularis muscle. The silicone tube intubation was performed on all patients. Results: The average age of the patients was 39±19.2 (9-70) years, including 94 women and 24 men. The average follow-up time was 18±4.5 (9-36) months. Total 112 eyes (94.9%) showed a patent lacrimal system to irrigation, whereas 6 eyes (5.1%) had recurrence of epiphora and not patent lacrimal system to irrigation by the end of the first surgeries. The same surgery was planned for these patients. The patent lacrimal system was achieved in 3 of these 6 eyes. The overall success rate of the surgical procedure used in this study was 97.4%. Conclusions: This modified technique of EDCR with a "U"-shaped single anterior flaps that was fixed on to the orbicularis muscle with combined silicone tube simplifies the surgical procedure and is effective in the management of nasolacrimal duct obstruction. © 2016 Mutaz B. Habal, MD.
