Yag Laser hyaloidotomy and pars plana vitrectomy in tersons syndrome

Kafa içi kanamalar (subaraknoid/subdural) ve yüksek kafa içi basıncına ikincil gelişen göz içi kanamalar (vitre içi/retinal/ preretinal) Terson sendromu olarak tanımlanmaktadır. Bu çalışmada, subdural kanamaya ikincil subhyaloid hemoraji gelişen ve Nd:YAG lazer hyaloidotomi ile tedavi edilen bir olgu ile; subaraknoid kanamaya ikincil yoğun vitre içi hemora- jisi olan ve pars plana vitrektomi uygulanan bir olgu sunulmaktadır. Tedavi öncesi her iki olgunun görme keskinliği de el hareketleri düzeyinde iken; tedavi sonrasında 0.9 düzeyindeydi. Girişimler sırasında ya da sonrası takiplerinde herhangi bir komplikasyon gözlenmedi.Tersons syndrome is an intraocular hemorrhage (intravitreal/retinal/preretinal) that occurs after intracranial hemorrhages (subdural/subarachnoid). In this study, a case of subhyaloid hemorrhage secondary to subdural hemorrhage treated by Nd:YAG laser hyaloidotomy and a case of dense intravitreal hemorrhage secondary to subarachnoid hemorrhage treated by vitrectomy are presented. Visual acuities were hand motions before treatment; and 0.9 after treatment for both of two cases. There was no complication during the procedures and at postoperative follow-up

Comparison of the Results of Secondary Anterior Chamber and Secondary Scleral-Fixated Intraocular Lens Implantation in Complicated Phacoemulsification Cases

Objectives: To compare the visual prognosis and postoperative complication rates of secondary anterior chamber (AC IOL) and scleralfixated (SF) intraocular lenses (IOL) after complicated phacoemulsification surgery. Materials and Methods: Thirty eyes of thirty patients were reviewed for this retrospective study. The patients with secondary AC IOL implantation formed group 1 (n=15), and the patients with secondary SF IOL implantation formed group 2 (n=15). Best-corrected visual acuity (BCVA) with Snellen chart, biomicroscopic examination, intraocular pressure (IOP) measurement with applanation tonometer, gonioscopy performed by Goldmann’s 3-mirror contact lens, and fundus examination were performed preoperatively in all patients. Results: There was no statistically significant difference in postoperative BCVA (p=0.492) and postoperative success (BCVA not changed or better postoperatively) between the 2 groups (p=0.598). Postoperative success rate was 80% in group 1 and 93.7% in Group 2. The postoperative cylindrical power of the eyes did not differ significantly between the groups (p=0.220). The postoperative complications in group 1 were as follows: transient corneal edema in 5 eyes, transient IOP elevation in 2 eyes, postoperative fibrinous reaction in the anterior chamber in one eye, late-onset secondary glaucoma in one eye, hyphema in one eye, cystoid macular edema in one eye, vitreous prolapse into the anterior chamber in one eye, and IOL malposition in one eye. The postoperative complications in group 2 were as follows: transient corneal edema in 3 eyes, vitreous prolapse into the anterior chamber in 2 eyes, IOL malposition in 2 eyes, transient IOP elevation in one eye, and retinal detachment in one eye. Conclusion: In this study, both IOL types were observed to be preferable in cases without adequate capsular support following complicated cataract surgery. However, further studies with large numbers of patients are needed to define the best choice of IOL in patients with inadequate capsular support. (Turk J Ophthalmol 2014; 44: 102-7

Pulmonary Embolism Associated with Hyperemesis Gravidarum Two Case Reports

Pulmonary embolism is a major cause of death during pregnancy or the puerperium. The hemostatic changes in pregnancy creates a prothrombotic milieu. Hyperemesis gravidarum  is one of the recognised risk factors for venous tromboembolism.Two cases of maternal mortality were attributed to  PE associated with severe hyperemesis gravidarum in 2014 in Turkey. These two cases have been reported and discussed in the literature review. We aimed to alert clinicians that thromboprophylaxis should be considered when a pregnant woman suffers vomiting leading to clinical evidence of dehydration

Maternal mortality cases from pulmonary embolism: A nation-wide study in Turkey

The aim of the study was to evaluate the maternal mortality cases attributed to pulmonary embolism (PE). PE constituted 7.58% of maternal deaths in 2013. Risk factors for PE were present in 15 (88.2%) of the women. Five women (29.4%) were overweight, and 5 (29.4%) were obese. Four women (23.5%) had cardiac diseases. PE occurred in the postpartum period after caesarean delivery in 9 (52.9%) patients. Eleven (64.7%) of the maternal deaths were recognised as preventable. More deaths attributed to PE occurred in the postpartum period (n = 11) than the antepartum period (n = 5). One other maternal mortality case was after therapeutic abortion. Caesarean section, obesity and cardiac diseases were important risk factors. It can be suggested that monitoring all risk factors and timely recognition of related symptoms and signs with initiation of appropriate management have paramount importance for reducing maternal mortality rate related to pulmonary embolism. Increasing awareness of healthcare professionals as well as the public, and continuously reviewing the cases are also important tools for achieving this goal

Systematic Review, Meta-analysis and Meta-regression of Epidemiological Studies for Cardiovascular Risk Factors conducted in Turkey: Obesity Data

Objective: Obesity is the most important epidemic of the 21st century and its incidence is increasing steadily in Turkey. The aim of this study was to assess the current status and temporal change in the prevalence of obesity in Turkey with a systematic review and meta-analysis of epidemiological studies conducted in the last 15 years