Katarakt Cerrahisi ile Aynı Seansta Skleral Askılı Göz İçi Lens Yerleştirilmesi

Objective: The aim of our study was to evaluate ophthalmologic findings of patients who had preoperative capsullar or zonullar insufficiency and underwent scleral fixated intraocular lens (IOL) implantation at the same session with phacoemulsification surgery. Method: Preoperatively the patients’ visual acuities were measured by Snellen, anterior and posterior segments were evaluated and intraocular pressures were measured by applanation tonometer. Kornealkeratometry values were measured by Topcon KR-800/RM-800 otorefractokeratometry at the stepest and flatest meridians as K1and K2. During the surgries, after cataract extraction scleral fixated İOL was implantated. The patients were followed at least 6 months after the operation. Results: Thirty six eyes of 31 patients were included. Fourteen patients (45.1%) were female, seventeen (54.9%) were male. The average of age was 51.7±24.0 (25-65) years. The ethiology was trauma in 10 (27.8%), Marphan Syndrome in 10 (27.8%) and pseudoeksfoliation in 16 (44.5%) of the eyes. Preoperatively the average of best corrected visual acuities with snellen charts were 0.1±0.1 and at the postoperative 6th month it was 0.6±0.3 with significant improvement (p≤0.000). Intraocular pressures decreased significantly (p=0.036). The changes of K1 and K2 kerometric values were not statistically significant (p=0.351; p=0.875 respectively). The average postoperative spheric values were +0.50±0.50D. Postoperatively, at five eyes (13.9%) intraocular pressure rised slightly, at two eyes (5.5%) intravitreal hemoragyoccured. Conclusion: Scleral fixated IOL implantation at the same session with cataract ekstraction provides rapid visual improvement. In the same session, phacoemulsification and scleral suspension IOL placement did not increase complication rates compared to surgeries performed in separate sessions

The effects of delivery type and gender on intraocular pressure and central corneal thickness in newborns

ABSTRACT Purpose: To analyze intraocular pressure (IOP) and central corneal thickness (CCT) in newborns during the first 12 h of life. Methods: Forty-three newborns born by vaginal delivery (VD) and 30 newborns born by cesarean section (CS) were evaluated. IOP and CCT were measured using Tono-Pen and handheld pachymeter, respectively, at both the 5th minute after delivery and at the 12th h of life. Results: The mean IOP for the VD group was significantly higher than that of the CS group at both the 5th minute and 12th h (p =0.042 and p =0.018, respectively). In both groups, the IOP decreased by the 12th h, but the decrease was only significant for the CS group (p =0.020). The decrease in CCT over the 12 h was significant for both groups (p <0.001). In the VD and CS groups, the IOP values of the males were significantly higher than those of the females at the fifth minute only (p =0.024 and p =0.043, respectively). No other values were significantly different between the genders. Conclusions: Newborn IOP is affected by the mode of delivery and gender. A higher IOP was found in vaginally delivered newborns than in CS newborns for at least 12 h postpartum. CCT showed a significant decline within 12 h. Male newborns have significantly higher IOP values in the first minutes of life

Approach of Family Physicians to Pediatric Eye Screening in Diyarbakır

Objectives:In Turkey, preventive medicine services are the responsibility of family physicians and vision screening is a key component of this responsibility. In this study, we aimed to investigate the approach of family physicians to vision screening in infants and children.Materials and Methods:Data were collected using a 16-item questionnaire administered to 100 family physicians working in the center and provinces of Diyarbakır.Results:The results indicated that 88 (88%) physicians declared knowing what the red reflex test was, while 12 physicians declared that they had never heard of it. Only 16 (16%) physicians performed the test routinely and 36 (36%) physicians performed it only in suspicious cases. Ten (10%) physicians indicated that they did not refer the patients to an ophthalmologist even though they did not perform the red reflex test. Moreover, 5 (5%) physicians did not have an ophthalmoscope and 12 (12%) physicians reported not knowing how to use an ophthalmoscope. Forty (40%) of the physicians measured preschool visual acuity at least once. Sixty-six (66%) physicians referred younger children who could not express their vision problems to an ophthalmologist. Four (4%) physicians declared that they would delay surgery in children with strabismus until they were old enough for surgery. Ninety-three (93%) physicians suggested that educational seminars about vision screening would be beneficial.Conclusion:Educational seminars about vision screening may have favorable outcomes. The medical devices in family medicine centers should be improved. Vision screening can be added to the negative performance-based compensation system in order to increase physicians’ attention to vision screening. To implement detailed eye screening programs like those in developed countries, an infrastructure should be established for this screening program