Endophthalmitis after tooth extraction in a patient with previous perforating eye injury

The aim of this stuty is to describe a case of endophthalmitis after tooth extraction in a patient with previous perforating eye injury . 50 years oldmale patient attempted to our clinic with complaints of sudden severe pain, reduced vision, light sensitivity and redness in the right eye. The patient stated that severe pain in his eye began approximately 12 hours following tooth extraction. The patient's ocular examination revealed a visual acuity of hand motion in the right eye. Anterior segment examination of the right eye showed intense conjunctival hyperemia, chemosis, a fine keraticprespitat and corneal edema. Dental procedures of the patients who had recently underwent ocular surgery or trauma should be done in a more controlled manner under anti -infective therapy or should be postponed in elective procedures

Mini-mental state exam versus Montreal Cognitive Assessment in patients with diabetic retinopathy

OZER, MURAT ATABEY/0000-0003-1807-6911WOS: 000376164400014PubMed: 26289518Background: Mini-mental state exam (MMSE) was used several times but no study has examined cognition on the Montreal Cognitive Assessment (MoCA) in diabetes and diabetic retinopathy (DR). In this study, we compared MMSE with MoCA in patients with DR and searched for an association between the severity of DR and cognitive impairment (CI). Methods: This cross-sectional study comprised 120 consecutive patients with diabetes. Patients were divided into four groups as no DR, mild DR, severe nonproliferative DR (PDR) and PDR. Each group consisted 30 inviduals. CI was assessed using the MMSE and MoCA. Results: The number of subjects with a score > 21 were significantly lower on the MoCA than on the MMSE between groups (all P < 0.05). The mean MoCA score was significantly lower than the MMSE score (P < 0.001) There was a linear association between the grade of DR and a score < 21 on both tests. Conclusion: MoCA provides more insight into the cognitive function in DR

Short-term effect of topical brinzolamide on human central corneal thickness

WOS: 000257027300003PubMed: 18465712PURPOSE. To investigate the effect of short-term brinzolamide application on human central corneal thickness (CCT). METHODS. Seventeen eyes of 16 patients who underwent neodymium: YAG laser posterior capsulotomy were included in the study group. Twenty-two subjects served as controls. Brinzolamide twice daily and fluorometholone four times daily were initiated after the procedure. Corneal thickness was evaluated with an ultrasound pachymetry from the central region. CCT measurements were performed before the procedure, at first day, and at the end of first week. RESULTS. The mean baseline CCT value was 535.1 +/- 37.8 mu m. In comparison to the control group (546.4 +/- 22.2 mu m), there was no statistically significant difference (p= 0.248). After brinzolamide instillation, the mean CCT values at first day and at first week was measured as 545.1 +/- 40.1 mu m and 538.8 +/- 39.4 mu m, respectively. The difference at first day was statistically significant when compared to the baseline values ( p= 0.00017). When compared to the control group, no statistically significant difference was observed for the mean CCT values of the first day and first week ( p= 0.906 and p= 0.484, respectively). In the fellow eyes, mean CCT values increased following the dorzolamide instillation (529.3 +/- 42.6 mu m, 534 +/- 41.7 mu m, and 533 +/- 41.9 mu m, respectively). No statistically significant difference was observed between the control group and fellow eye group when compared ( p= 0.162, p= 0.247, p= 0.270, respectively). CONCLUSIONS. Brinzolamide may cause a short-term increase in the human CCT, particularly on the first day

Prematüre Retinopatisi, Tanisi ve Degerlendirmede Standardizasyon

Retinopathy of prematurity (ROP) has been one of the issues about which the specialists have most argued but not compromised to that extent since its first definition. Restricted examination area of the eyes of the premature babies and difficulty of performing examination, and difficulty in achieving sufficient pupil dilatation have precluded the standardization of diagnosis and treatment. Plus disease, defined in 1980 has been used as an important indicator in the diagnosis and treatment of ROP. With a later revision, concepts such as preplus or threshold have been defined, and changes in posterior pole have gained much more importance. Desire of the ROP specialists in using technology towards the diagnosis of plus disease and consensus about the diagnosis has significantly increased in the last 10 years. In this article it was aimed to review the up-to-date studies about the diagnosis and treatment of ROP and plus disease

Retinal nerve fiber layer thickness in the acute phase of sildenafil treatment

Batislam, Ertan/0000-0002-7493-4573; Ornek, Nurgul/0000-0003-3068-1831WOS: 000355744400005PubMed: 26004593OBJECTIVE: To evaluate the early effect of sildenafil on the retinal nerve fiber layer (RNFL) thickness. PATIENTS AND METHODS: Sixty eyes of 60 patients were enrolled in the study. The patients underwent RNFL analysis by scanning laser polarimetry (Nerve Fiber Analyzer, GDx VCC: 5.3.3; Laser Diagnostic Technologies, San Diego, CA, USA) before and after a single 100 mg dose of sildenafil. Sixty eyes of 60 volunteers of similar age and sex distribution were taken as the control group. The RNFL thickness parameters evaluated included temporal, superior, nasal, inferior, temporal (TSNIT) average, superior average (SA), inferior average (IA), TSNIT standard deviation (SD), and nerve fiber index (NFI). RESULTS: The mean age of the patients was 53,52 +/- 9,26 years. The mean pre- and post-treatment TSNIT, SA, IA, TSNIT SD, and NFI of the patients were 57.46 +/- 4.94 mu versus 56.90 +/- 4.59 microns (mu), 68.93 +/- 6,12 mu versus 67,79 +/- 5,49 mu, 66,71 +/- 7.10 mu versus 66.31 +/- 6.82 mu, 24 +/- 3.86 mu versus 23.40 +/- 4.05 mu, and 16.50 +/- 6.08 mu versus 14.92 +/- 6.76 mu, respectively. There were no statistically significant differences between pre- and post-treatment RNFL thicknesses (p = 0.527, p = 0.281, p = 0.754, p = 0.416, p = 0.185, respectively). CONCLUSIONS: A single 100 mg dose of sildenafil seems to have no unfavorable effect on RNFL thickness in the acute phase of treatment