The evaluation of efficacy of subtenon triamcinolone injection combined with focal laser photocoagulation in diabetic macular edema

Objectives: The aim of this study was to investigate efficacyand safety of subtenon triamcinolone (ST) in combinationwith focal laser photocoagulation in diabetic macularedema (DME).Materials and methods: Medical records of patients withDME, treated with 40 mg subtenon injection of triamcinoloneacetonid prior to focal laser photocoagulation wereretrospectively analyzed. Seventeen eyes of 17 patientswith DME were enrolled in the study. All patients underwenta comprehensive ophthalmological examinationbefore the treatment. Efficacy of the treatment after STinjection was evaluated by visual acuity and flouresceinangiography (FA). Follow-up visits were performed at 1st,3rd, 6th and 12th months. Repeated measures ANOVA wasused for statistical analysis.Results: The mean age was 61.5 ± 8.7 years and themean visual acuity in the study eyes was 0.22 ± 0.13 beforethe treatment, 0.39 ± 0.15 at 1st month, 0.36 ± 0.18at 3rd month, 0.33 ± 0.15 at 6th month and 0.34 ± 0.16 at12th month. The differences in the visual acuity before thetreatment and follow-up visits were significant (p ˂0.05).Visual acuity was increased in 13 (%76,4) patients, decreasedin 1 (%5,8) and unchanged in 3 (%17,6).Conclusion: Injection of 40 mg of triamsinolon via subtenonroute combined with focal laser photocoagulation isa safe and beneficial treatment in cases of DM

Avrupa Birliği'nin sosyal karakteri : esnek iş gücü piyasaları

In this study, the way how the new challenges faced in the post-Fordist period affected labour work arrangements and European social policy making is analyzed. In this regard, the formation of flexible work arrangements and forms of flexibility are examined. The attempts of the European Union to produce effective strategies to connect economic developments to social progress are discussed.M.S. - Master of Scienc

Terson Syndrome (A case Report)

Terson syndrome is a vitreous hemorrhage that occurs after intracranial hemorrhages (subarachnoid or subdural) and generally visual deficit or low vision is observed. In this paper, the case of a patient who had undergone pars plana vitrectomy due to Terson syndrome is presented. Visual acuity of the patient was 0.1 prior to the operation, but 1 month postoperatively, it reached 0.7. There was no complication during the surgery and at postoperative follow-up. (Turk J Oph thal mol 2012; 42: 400-2

Künt göz travmasına bağlı lens ön kapsül rüptürü ve travmatik katarakt

Sağ gözüne plastik bir oyuncak çarpan 16 yaşında kadın travmadan iki gün sonra görme kaybı şikayeti ile göz kliniğine başvurdu. En iyi düzeltilmiş görme keskinliği (EİDGK) sağ gözde el hareketi idi. Biyomikroskopik muayenesinde lens ön kapsül rüptürü ile birlikte hafif şişmiş travmatik katarakt ve ön kamarada hafif bir inflamasyon mevcuttu. Göz içi basıncı 16 mmHg idi. Gözün arka segment ultrasonografisi normaldi. Şeffaf korneal insizyondan simcoe kanül kullanılmasını takiben katlanabilir, akrilik, arka kamara göz içi lens (GİL) implantasyonu ameliyatı yapıldı. Ameliyattan bir ay sonra sağ gözünde EİDGK 20/20 idi. Künt göz travması gençlerde nadiren ön kapsül rüptürü ve travmatik katarakta yol açabilir. Bu komplikasyon nadir olmakla birlikte göz muayene ve cerrahisi titizlikle yapılmalıdır. (Turk J Ophthalmol 2013; 43: 477-8)A 16-year-old female was struck in the right eye with a plastic toy. Two days after the trauma, she was admitted to the eye clinic with complaining of reduced vision. Best-corrected visual acuity (BCVA) was hand motion in the right eye. Slit-lamp biomicroscopy showed a lightly swollen traumatic cataract with rupture of the anterior lens capsule, and mild inflammation was seen in the anterior chamber. The intraocular pressure was 16 mmHg. Ultrasonography of the posterior segment of the eye was normal. The surgery was performed using simcoe cannula through a clear corneal incision followed by implantation of a foldable, acrylic, posterior chamber intraocular lens (IOL). One month postoperatively, BCVA in the right eye was 20/20. Blunt ocular trauma may rarely lead to anterior capsular rupture and traumatic cataract in the young. Although this complication is rare, ophthalmic examination and surgery have to be performed meticulously. (Turk J Ophthalmol 2013; 43: 477-8

A case of multipl cranial nerve ınvolvement caused by skull base and orbital wall fractures

Travma sonrası kafa tabanı kırıkları kraniyal sinir felçlerine neden olabilmektedir. Kafa tabanı kırıklarında mortalite ve morbidite oranları yüksektir. Bu olgular multidisipliner bir şekilde değerlendirilip tedavi şekline karar verilmelidir. Bu yazıda, ezilme şeklinde kafa travması sonrası kafa tabanı ve orbita kemik kırıklarının yol açtığı sağ abdu-sens, sağ fasiyal sinir felçli ve sol optik nöropatili bir olgu sunuldu.Post-traumatic skull base fractures can cause cranial nerve paralysis. Mortality and morbidity rates are high in skull base fractures. Treatment modalities should be determined by a multidisciplinary evaluation. Here a case of crushing head injury with right abducens, facial and left optic nerve palsies caused by skull base and orbital fracture is presented

Intravitreal bevacizumab therapy for choroidal neovascular membrane secondary to presumed ocular histoplasmosis syndrome

Oküler histoplazmozis genç erişkinlerde ağır görme kaybına yol açabilen bir hastalıktır. Çok sayıda koryoretinal lezyonlar, peripapiller atrofi ve koroidal neovasküler membrana (KNVM) bağlı makülopatisi olan genç hastalarda olası oküler histoplazmozis sendromu (OOHS) akılda tutulmalıdır. Bu yazıda OOHS'a bağlı nüks KNVM gelişen bir hastanın tek doz intravitreal bevacizumab ile tedavisi sunulmuştur.Ocular histoplasmosis is a disease that can lead to severe visual loss in young adults. Presumed ocular histoplasmosis syndrome (POHS) should be kept in mind in younger patients with multiple chorioretinal lesions, peripapillary atrophy and maculopathy caused by choroidal neovascular membrane (CNVM). Here a treatment of recurrent CNVM secondary to POHS with a single dose of intravitreal bevacizumab is presented

Wilson's Disease Presenting With Pancytopenia

Wilson’s disease is an autosomal recessive disorder of copper metabolism characterized by excessive amount of copper in liver, brain, eye and other body tissues. Diagnosis is based on the presence of Kayser-Fleischer rings, typical neurological symptoms, and/or a low serum ceruloplasmin concentration. The main clinical symptoms are usually due to hepatic and/or neurologic involvement. Pancytopenia is a rare initial symptom of Wilson Disease. An 11-year-old female presented with pancytopenia. This raised suspicion of Wilson’s disease, which was confirmed by Kayser-Fleischer rings, a low ceruloplasmin level and raised 24- hour urine copper level. Thus a pancytopenia may be the initial manifestation of Wilson’s disease in some patients of Wilson’s disease.Key Words: Wilson’s disease, pancytopenia, Kayser-Fleischer ring