Socket restoration by simple incision

Objectives: To ensure reconstruction of contracted eyesocket with the use of simple incision and appropriateconformer.Materials and Methods: A total 54 cases who appliedbetween 1991-2006 years, due to the complaint of notfitting the prosthesis were enrolled.Results: The mean follow up time was 72.8 (6-119)months. After simple incision 28 patients was able to fittheir prosthesis after first operation. This incision was repeatedtwo times in 7 patients and three times in 2 patients.We were unable to follow 7 patients with simpleincision. In 37 out of 47 patients the results were found tobe successful, in 12 patients other methods were used.Conclusion: In anophthalmic socket and postenucleationsocket syndrome, simple incision can be taken intoconsideration before deciding for an enhancement operation

Candida parapsilosis Infection After Crescentic Lamellar Wedge Resection in Pellucid Marginal Degeneration

Infectious keratitis after corneal lamellar surgery is a rare complication. In this report, we present unexpected complications after crescentic lamellar wedge resection (CLWR) and their treatment in a patient with pellucid marginal degeneration. A 42-year-old male patient developed fungal keratitis due to Candida parapsilosis in the late postoperative period after CLWR. Infection was controlled with medical treatment. However, recurrent intraocular infections and cataract formation occurred, probably due to capsular damage and inoculation of microorganisms into the crystalline lens during antifungal drug injection. Lensectomy was performed due to cataract progression and recurrence of the infection when treatment was discontinued. Amphotericin B was administered to the anterior chamber at the end of the operation. Four months later, an intraocular lens was implanted and corneal cross-linking treatment was performed. At the last visit, visual acuity reached 9/10. This case shows that good visual acuity can be achieved with appropriate treatment of fungal keratitis and all associated complications after CLWR

Preseptal and Orbital Cellulitis in Childhood: The Experience of Ankara Training and Research Hospital

Aim:Evaluation of the etiology, clinical and laboratory findings, treatment and complications of preseptal and orbital cellulitis in patients and to show that these complications can be prevented with early diagnosis and effective treatment.Materials and Methods:Thirty-eight patients with orbital and preseptal cellulitis who had been admitted to Ankara Training and Research Hospital, Clinic of Paediatric between September 2015 and February 2017 were retrospectively studied.Results:Thirty-five patients (92.1%) were diagnosed with preseptal cellulitis and 3 patients (7.9%) were diagnosed with orbital cellulitis. The mean age at diagnosis of the patients [24 girls (63.2%) and 14 boys (36.8%)] was 4.01±3.72 years. The most frequent etiologic factor was conjunctivitis (28.9%). Twenty-five patients (65.7%) were treated with intravenous ampicillin-sulbactam alone as the first treatment. No patient underwent surgery. All patients recovered completely without any eye illnesses and no complications were observed.Conclusion:Orbital infections can be healed through early diagnosis and effective antibiotic therapy in childhood and ampicillin-sulbactam therapy alone should be preferred over combination therapy due to its high effectiveness and relatively low side effects

Canine Tooth Syndrome

After radiological imaging analysis, a mass extending into the orbit was detected in a 10-year-old girl with complaints of swelling and protrusion in the right eye. The mass was excised by the neurosurgery department through transcranial approach and found to be ossifying fibroma in histopathological examination. The case, presenting with head position and diplopia as well as trochlear swelling in physical examination in the postoperative first week, was diagnosed with canine tooth syndrome developing after surgical trauma. (Turk J Ophthalmol 2012; 42: 163-

Recurrent Ectasia After Penetrating Keratoplasty

Corneal ectasia or recurrent keratoconus after penetrating keratoplasty is rare, and few case reports exist in the literature concerning this condition. Computerized corneal topography is quite useful to identify and manage this disorder. Management consists of several methods ranging from spectacle and contact lens correction to repeated penetrating keratoplasty. Clinical and computerized topography findings of two patients with keratectasia following penetrating keratoplasty are presented in this article. Two healthy 45-year-old and 25-year-old male patients complained of decreased visual acuity following penetrating keratoplasty. Clinical and topographical data were consistent with recurrence of corneal ectasia. After repeated penetrating keratoplasty, best-corrected distance Snellen visual acuity of 0.7 was obtained in the 45-year-old patient. The other patient underwent collagen cross linking, received antiglaucomatous therapy, and his visual acuity reached 0.5. During the follow-up period, ectasia progression did not occur. (Turk J Ophthalmol 2013; 43: 124-8

Amniotic Membrane Transplantation in Herpetic Keratitis and Bacterial Keratitis

Purpose: To evaluate the effect of amniotic membrane transplantation (AMT) in the treatment of corneal ulcers resulting from herpetic keratitis (HK) and bacterial keratitis (BK). Material and Method: Forty-six patients (25 HK, 21 BK) treated with AMT for HK or BK-related corneal ulcers between January 2009 and September 2011 were followed prospectively. The visual acuities and ulcer characteristics (depth and localization) prior to AMT and epithelialization time, as well as final visual acuities after AMT, were evaluated. Results: The mean age was 51.9±17.0 years in HK and 53.3±22.0 years in BK and the mean follow-up time was 12.6±6.1 (5-33) months and 10.2±6.8 (3-27) months, respectively. The ulcers were mostly central in HK (72%) and paracentral in BK (52.4%) (p=0.03). Ulcer depth was deeper than 1/2 of the cornea in 14 (56%) HK and in 7 (33.3%) BK (p=0.290). Eight HK patients had scars from previous herpetic keratitis episodes. The mean epithelialization time was 22.3±8.5 (12-50) days in HK and 22.1±10.9 (8-45) days in BK (p=0.488). While epithelialization was achieved in all the patients with BK, 3 HK patients needed adjunctive surgeries (conjunctival flap, tectonic penetrating keratoplasty) in spite of three AMTs. Although visual acuities improved significantly in both groups, this improvement was more evident in BK cases (p=0.018 for HK and p<0.001 for BK). Discussion: Amniotic membrane transplantation is an effective and safe treatment for bacterial and herpetic corneal ulcers. The reason for the lower final visual acuities in the herpetic group was thought to be related to a more central location, deeper involvement and scars due to previous attacks.(Turk J Ophthalmol 2013; 43: 229-35

Correlation Between Optical Coherence Tomography and Visual Field Parameters in Primary Open-Angle Glaucoma

Amaç: Primer açık açılı glokomlu (PAAG) olgularda optik koherens tomografi (OKT) ile retina sinir lifi tabakası (RSLT) kalınlığındaki ve optik sinir başındaki (OSB) yapısal değişikliklerin saptanması ve bu bulguların görme alanı (GA) parametreleriyle korelasyonunun araştırılması.Yöntem: Çalışmaya PAAG tanısı alan 32 hastanın 64 gözü dahil edildi. Tüm olgulara tam oftalmik muayene, göz içi basıncı (GİB) ölçümü, santral kornea kalınlığı (SKK), OKT ile RSLT-OSB analizleri ve Humphrey SITA 30-2 ile GA testi yapıldı. Olgular 8 ay aralıklı olacak şekilde 24 aya kadar takip edildi. Bulgular: Yirmi beşi kadın, 7'si erkek 32 olgunun yaş ortalaması 51,6±11,6 yıl idi. İlk başvuru sırasındaki ortalama GİB 21.2±3.7 mm Hg olan olguların ortalama SKK 546,0±33,1 ?m idi. Yaş ile ortalama RSLT kalınlığı arasında istatistiksel olarak anlamlı ters yönlü doğrusal korelasyon saptandı. OKT ile elde edilen RSLT parametreleri olan maksimum üst ve alt kadran RSLT ile ortalama üst, alt kadran RSLT kalınlık düzeyleri değerlendirildiğinde özellikle ilk muayene ve 24. ay arasında daha belirgin olmak üzere tüm kontrollerde belirtilen değerlerde istatiksel olarak anlamlı fark saptandı (p:< 0.001, Pearson Ki-Kare testi ). GA'da ortalama sapma (OS) ve patern standart sapmada (PSD)'de ilk muayene ve 24.ay arasında anlamlı fark saptandı (p< 0.001, Pearson Ki-Kare testi ). Ortalama sapma ile ortalama üst kadran RSLT, üst ve alt kadran maksimum RSLT kalınlığı arasında negatif korelasyon olduğu saptandı.Sonuç: Glokomda GA parametreleri ile OKT RSLT ölçümleri arasında korelasyon saptanmış olup glokom tanısı ve progresyonun takibinde bu testler birbirini tamamlayıcı olarak kullanılmalıdır.Purpose: To evaluate the retinal nerve fi ber layer ( RNFL) thickness and optic nerve head (ONH) parameters measured by optical coherence tomography (OCT) and the correlation with visual fi eld (VF) parameters in patients with primary open-angle glaucoma (POAG).Material and Methods: Sixty-four eyes of 32 POAG patients were enrolled in this prospective study. All patients underwent a full ophthalmological assessment, including measurement of intraocular pressure (IOP), central corneal thickness (CCT), ONH and RNFL thickness parameters measured by OCT and VF parameters measured by Humphrey automated perimetry. OCT and VF measurements were repeated every 8 months up to 24 months. Results: The mean age of 7 male and 25 female cases in the study group was 51,6&plusmn;11,6 years. The mean IOP was 21.2&plusmn;3.7 mmHg and mean CCT was 546,0&plusmn;33,1 ?m at presentation. There was a signifi cant linear negative correlation between age and RNFL thickness. RNFL thickness ( maximum superior, inferior and mean superior, inferior quadrant) were statistically signifi cant among all follow-up especially fi rst and 24. month examination (p:&lt; 0.001, Pearson Chi-Square test). Signifi cant differences were detected in mean deviation (MD) and pattern standard deviation between fi rst and 24th months examinations (p&lt; 0.001, Pearson Chi-Square test). There was a signifi cant negative correlation between mean deviation and RNFL thickness (mean superior, maximum superior and inferior quadrant ).Conclusion: Correlation was identifi ed between OCT RNFL thicknesses and VF parameters. These tests should be used in conjunction for the diagnosis and follow-up of POAG