Pub Date : 2020-01-01DOI: 10.4274/TJO.GALEN020.789OS.289
Kadircan H Keskinbora, F. Güven
{"title":"Yapay Zeka ve Oftalmoloji","authors":"Kadircan H Keskinbora, F. Güven","doi":"10.4274/TJO.GALEN020.789OS.289","DOIUrl":"https://doi.org/10.4274/TJO.GALEN020.789OS.289","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"50 1","pages":"37-43"},"PeriodicalIF":1.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70940225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yazar Ad Bir Yazar Soyad Bir, Yazar Ad İki Yazar Soyad İki, Yazar Ad Üç Yazar Soyad Üç
{"title":"Makale Basligi Bir","authors":"Yazar Ad Bir Yazar Soyad Bir, Yazar Ad İki Yazar Soyad İki, Yazar Ad Üç Yazar Soyad Üç","doi":"10.4274/tjo.12345678","DOIUrl":"https://doi.org/10.4274/tjo.12345678","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"29 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70914000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this case report we aimed to present a case of Lyme disease presenting as peripheral retinal vasculitis, intermediate uveitis and multifocal white dots in the posterior pole. The patient exhibited vitritis and snowball opacities in both eyes. A diagnosis of Lyme disease was made based on clinical, angiographic and laboratory findings. Fundus fluorescein angiography revealed optic nerve and retinal venous leakage as well as multiple hyperfluorescent foci in both eyes. The patient's symptoms and ocular findings significant improved after treatment with a combination of systemic antibiotics and steroids. Ophthalmologists should bear in mind that conditions presenting with uveitis and multifocal white dots may be related to Lyme disease.
{"title":"A Case of Lyme Disease Accompanied by Uveitis and White Dot Syndrome.","authors":"I. Muftuoglu, Y. Akova, S. Güngör","doi":"10.4274/TJO.25991","DOIUrl":"https://doi.org/10.4274/TJO.25991","url":null,"abstract":"In this case report we aimed to present a case of Lyme disease presenting as peripheral retinal vasculitis, intermediate uveitis and multifocal white dots in the posterior pole. The patient exhibited vitritis and snowball opacities in both eyes. A diagnosis of Lyme disease was made based on clinical, angiographic and laboratory findings. Fundus fluorescein angiography revealed optic nerve and retinal venous leakage as well as multiple hyperfluorescent foci in both eyes. The patient's symptoms and ocular findings significant improved after treatment with a combination of systemic antibiotics and steroids. Ophthalmologists should bear in mind that conditions presenting with uveitis and multifocal white dots may be related to Lyme disease.","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"40 1","pages":"241-243"},"PeriodicalIF":1.1,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70916307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OBJECTIVES: To report the clinical features, treatment options and complications in patients with ocular rosacea. MATERIALS AND METHODS: The records of 48 eyes of 24 patients with ocular rosacea were retrospectively reviewed. Patients' ocular signs and symptoms were scored between 1 and 4 points according to disease severity; tear film break-up time (BUT) and Schirmer's test results were recorded before and after the treatment. Preservative-free artificial tears, topical antibiotic eye drops/ointments, short-term topical corticosteroids, topical 0.05% cyclosporine and oral doxycycline treatment were applied as a standard therapy to all patients. Additional treatments were given as needed. Complications were recorded. RESULTS: Twenty-four patients with a mean age of 48.5±35.4 (32-54) years were followed for a mean 15±9.4 (8-36) months. Ocular findings included meibomitis in 100% of cases, anterior blepharitis in 83% (40 eyes), punctate keratopathy in 67% (32 eyes), chalazia in 50% (24 eyes), corneal neovascularization in 50% (24 eyes) and subepithelial infiltrates in 16.6% (8 eyes). Significant improvement of symptoms and clinical findings were achieved in all patients with treatment. The increases in Schirmer's test and BUT were 3.3±1.5 and 4.5±2.8, respectively (p<0.05). Descemetocele and small corneal perforation occurred in 2 eyes; re-epithelialization was achieved in both eyes with tissue adhesive application (1 eye) and additional amniotic membrane transplantation (1 eye). Four eyes of three patients showed significant regression of corneal neovascularization with topical bevacizumab therapy. CONCLUSION: Ocular rosacea may present with a variety of ophthalmic signs. It is possible to control the ophthalmic disease with appropriate therapeutic modalities including topical corticosteroids, topical cyclosporine and systemic doxycycline.
{"title":"Clinical Findings, Follow-up and Treatment Results in Patients with Ocular Rosacea.","authors":"I. Muftuoglu, Y. Akova","doi":"10.4274/TJO.48902","DOIUrl":"https://doi.org/10.4274/TJO.48902","url":null,"abstract":"OBJECTIVES: To report the clinical features, treatment options and complications in patients with ocular rosacea. MATERIALS AND METHODS: The records of 48 eyes of 24 patients with ocular rosacea were retrospectively reviewed. Patients' ocular signs and symptoms were scored between 1 and 4 points according to disease severity; tear film break-up time (BUT) and Schirmer's test results were recorded before and after the treatment. Preservative-free artificial tears, topical antibiotic eye drops/ointments, short-term topical corticosteroids, topical 0.05% cyclosporine and oral doxycycline treatment were applied as a standard therapy to all patients. Additional treatments were given as needed. Complications were recorded. RESULTS: Twenty-four patients with a mean age of 48.5±35.4 (32-54) years were followed for a mean 15±9.4 (8-36) months. Ocular findings included meibomitis in 100% of cases, anterior blepharitis in 83% (40 eyes), punctate keratopathy in 67% (32 eyes), chalazia in 50% (24 eyes), corneal neovascularization in 50% (24 eyes) and subepithelial infiltrates in 16.6% (8 eyes). Significant improvement of symptoms and clinical findings were achieved in all patients with treatment. The increases in Schirmer's test and BUT were 3.3±1.5 and 4.5±2.8, respectively (p<0.05). Descemetocele and small corneal perforation occurred in 2 eyes; re-epithelialization was achieved in both eyes with tissue adhesive application (1 eye) and additional amniotic membrane transplantation (1 eye). Four eyes of three patients showed significant regression of corneal neovascularization with topical bevacizumab therapy. CONCLUSION: Ocular rosacea may present with a variety of ophthalmic signs. It is possible to control the ophthalmic disease with appropriate therapeutic modalities including topical corticosteroids, topical cyclosporine and systemic doxycycline.","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"46 1","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4274/TJO.48902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70931718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Uçar, F. Dikkaya, S. Arvas, Yeliz Yıldırım, Cansu Yuksel-Elgin, Pınar Sultan, A. Sarici
{"title":"Evaulation of Incidence and Risk Factors for Intraocular Pressure Elevation After Intravitreal Triamcinolone Acetonide Injection","authors":"D. Uçar, F. Dikkaya, S. Arvas, Yeliz Yıldırım, Cansu Yuksel-Elgin, Pınar Sultan, A. Sarici","doi":"10.4274/TJO.45403","DOIUrl":"https://doi.org/10.4274/TJO.45403","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"21 1","pages":"86-91"},"PeriodicalIF":1.1,"publicationDate":"2015-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70931160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cem Sundu, E. Dinç, Ayça Sarı, Ö. Yıldırım, G. Temel
{"title":"Uncontrolled Selling of Contact Lenses","authors":"Cem Sundu, E. Dinç, Ayça Sarı, Ö. Yıldırım, G. Temel","doi":"10.4274/TJO.42713","DOIUrl":"https://doi.org/10.4274/TJO.42713","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"45 1","pages":"102-104"},"PeriodicalIF":1.1,"publicationDate":"2015-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70926917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ozet Amac: Femtosaniye laser yardimli katarakt ve refraktif lens degisimi (RLD) cerrahisinde intraoperatif komplikasyonlar ve ilk deneyimlerin degerlendirilmesi. Ge rec ve Yon tem: 2013 Mart-2013 Mayis tarihleri arasinda femtosaniye laser yardimli katarakt ve RLD ameliyati yapilan 29 hastanin 50 gozu calismaya alindi. Tum hastalara Femtosaniye laser cihazi (LenSx®, Alcon Inc.) ile komple prosedur (kapsulotomi, lens fragmantasyonu ve korneal kesiler) uygulandi. Ameliyatlar fakoemulsifikasyon ve goz ici lensi yerlestirilerek tamamlandi. Intraoperatif komplikasyonlar retrospektif olarak hasta dosyalarindan ve ameliyat videolarindan degerlendirildi. Bulgular: Hastalarin yas ortalamasi 63,8±11,7 (SD) yil idi. Vakum kaybi ya da anterior kapsul yirtigi hicbir gozde olusmadi. On bir gozde (%22) kucuk on kapsul etiketleri oldu. Yedi gozde (%14) serbest kapsulotomi, 40 gozde (%60) mikroadezyonlarla birlikte parsiyel tamamlanmis kapsuloreksis ve 3 gozde (%6) inkomplet kapsuloreksis izlendi. Bir gozde (%2) intrakapsuler basinc artisina bagli arka kapsul rupturu gelisti. Korneal kesiler 8 gozde (%16) kullanilmak istenmedi, 4 gozde (%8) tamamlanamadi. Miyozis 20 gozde (%40) meydana geldi. Vizyon kaybi ya da nukleus drop gozlenmedi. Sonuc: Femtosaniye laserlerin katarakt ve RLD cerrahisinde kullanimi guvenlidir. Komplikasyonlara bagli gorme kaybi gelismemistir. (Turk J Ophthalmol 2015; 45: 97-101) Anah tar Ke li me ler: Femtosaniye lazer, katarakt cerrahisi, komplikasyonlar Objectives: To analyze the early experience and intraoperative complications of femtosecond laser-assisted cataract and refractive lens exchange (RLE) surgery. Ma te ri als and Met hods: The initial 50 eyes of 29 patients who underwent cataract or RLE surgery between March 2013 and May 2013 were included in this study. All patients underwent anterior capsulotomy, lens fragmentation, and corneal incisions with the femtosecond laser (LenSx®, Alcon Inc.). The operation was completed by phacoemulsification and implantation of an intraocular lens. Intraoperative complications were evaluated from patient charts and video reviews retrospectively. Re sults: The mean age of the patients included was 63.8±11.7 years. No suction break or anterior capsule tear occurred in any case. Small anterior capsular tags occurred in 11 eyes (22%). The capsulotomy buttons were free-floating in 7 eyes (14%), while capsulorrhexis was partially completed with microadhesions in 40 eyes (60%) and uncompleted in 3 eyes (6%). One eye (2%) had a posterior capsule rupture secondary to increase in the intracapsular pressure. Corneal incisions either were not preferred to be used in 8 eyes (16%) or could not be completed in 4 eyes (8%). Miosis occurred in 20 eyes (40%). No vision lost or dropped nuclei were observed. Conclusion: The use of femtosecond lasers in cataract and RLE surgery is safe. There had been no vision lost secondary to complications. (Turk J Ophthalmol 2015; 45: 97-101)
Ozet Amac：手术中，股骨颈激光对晶状体摘除术（RLD）进行了重建。2013年3月，Mayis tarihleri在50个国家进行了29次RLD测试。女性激光手术（LenSx®，Alcon股份有限公司）是一种维吾尔族手术（kapsulotomi，lens fragmantsyonu ve korneal kesiler）。阿梅里亚特拉尔·法科穆尔西菲卡是我的朋友。手术中，如果olaak有剂量，并且已经改善了视频清晰度和清晰度。凸起：Hastalarin yas ortalamasi 63,8±11,7（SD）yil idi。Vakum kaybi ya da front kapsul yirtigi hicbir gozde olusmadi。在bir gozde（%22）kucuk在kapsul etiketleri oldu。Yedi gozde（%14）是最好的kapsulotomi，40个（%60）是一个完整的kapsuloreksis izlendi。Bir gozde（%2）是一个破裂凝胶状颗粒的颗粒内基质。Korneal Kesler 8戈兹（%16）kullanilmak istenmedi，4戈兹（%8）tamamlanamadi。Miyozis 20 gozde（%40）meydana geldi。Vizyon kaybi ya da nukleus drop gozlenmedi。Sonuc：女性激光在激光雷达上的应用。我很高兴见到你。（Turk J Ophthalmol2015；45:97-101）Anah tar Ke li me ler:Femtosanye lazer，katarakt cerrahisi，komplikasyolar目的：分析飞秒激光辅助白内障和屈光性晶状体置换（RLE）手术的早期经验和术中并发症。Ma te ri als和Met hods：本研究纳入了2013年3月至2013年5月期间接受白内障或RLE手术的29名患者的最初50只眼。所有患者均使用飞秒激光（LenSx®，Alcon股份有限公司）进行了前囊切开术、晶状体碎裂术和角膜切口。手术通过超声乳化和人工晶状体植入完成。回顾性分析患者病历和视频资料，评估术中并发症。结果：患者平均年龄为63.8±11.7岁。在任何情况下均未发生抽吸断裂或前囊撕裂。11眼（22%）出现小的前囊标签。7眼（14%）晶状体囊切开术后游离，40眼（60%）晶状体囊破裂部分完成，微粘连，3眼（6%）未完成。一只眼睛（2%）的后囊膜破裂继发于囊内压力增加。8只眼睛（16%）不喜欢使用角膜切口，4只眼睛（8%）无法完成角膜切口。Miosis发生在20眼（40%）。未观察到视力丧失或细胞核脱落。结论：飞秒激光用于白内障及RLE手术是安全的。没有因并发症而丧失视力。（土耳其眼科杂志2015；45:97-101）
{"title":"Early Experience in Femtosecond Laser-Assisted Cataract Surgery","authors":"Bilgehan Sezgin Asena, S. K. Erdur, M. Kaşkaloğlu","doi":"10.4274/TJO.48403","DOIUrl":"https://doi.org/10.4274/TJO.48403","url":null,"abstract":"Ozet Amac: Femtosaniye laser yardimli katarakt ve refraktif lens degisimi (RLD) cerrahisinde intraoperatif komplikasyonlar ve ilk deneyimlerin degerlendirilmesi. Ge rec ve Yon tem: 2013 Mart-2013 Mayis tarihleri arasinda femtosaniye laser yardimli katarakt ve RLD ameliyati yapilan 29 hastanin 50 gozu calismaya alindi. Tum hastalara Femtosaniye laser cihazi (LenSx®, Alcon Inc.) ile komple prosedur (kapsulotomi, lens fragmantasyonu ve korneal kesiler) uygulandi. Ameliyatlar fakoemulsifikasyon ve goz ici lensi yerlestirilerek tamamlandi. Intraoperatif komplikasyonlar retrospektif olarak hasta dosyalarindan ve ameliyat videolarindan degerlendirildi. Bulgular: Hastalarin yas ortalamasi 63,8±11,7 (SD) yil idi. Vakum kaybi ya da anterior kapsul yirtigi hicbir gozde olusmadi. On bir gozde (%22) kucuk on kapsul etiketleri oldu. Yedi gozde (%14) serbest kapsulotomi, 40 gozde (%60) mikroadezyonlarla birlikte parsiyel tamamlanmis kapsuloreksis ve 3 gozde (%6) inkomplet kapsuloreksis izlendi. Bir gozde (%2) intrakapsuler basinc artisina bagli arka kapsul rupturu gelisti. Korneal kesiler 8 gozde (%16) kullanilmak istenmedi, 4 gozde (%8) tamamlanamadi. Miyozis 20 gozde (%40) meydana geldi. Vizyon kaybi ya da nukleus drop gozlenmedi. Sonuc: Femtosaniye laserlerin katarakt ve RLD cerrahisinde kullanimi guvenlidir. Komplikasyonlara bagli gorme kaybi gelismemistir. (Turk J Ophthalmol 2015; 45: 97-101) Anah tar Ke li me ler: Femtosaniye lazer, katarakt cerrahisi, komplikasyonlar Objectives: To analyze the early experience and intraoperative complications of femtosecond laser-assisted cataract and refractive lens exchange (RLE) surgery. Ma te ri als and Met hods: The initial 50 eyes of 29 patients who underwent cataract or RLE surgery between March 2013 and May 2013 were included in this study. All patients underwent anterior capsulotomy, lens fragmentation, and corneal incisions with the femtosecond laser (LenSx®, Alcon Inc.). The operation was completed by phacoemulsification and implantation of an intraocular lens. Intraoperative complications were evaluated from patient charts and video reviews retrospectively. Re sults: The mean age of the patients included was 63.8±11.7 years. No suction break or anterior capsule tear occurred in any case. Small anterior capsular tags occurred in 11 eyes (22%). The capsulotomy buttons were free-floating in 7 eyes (14%), while capsulorrhexis was partially completed with microadhesions in 40 eyes (60%) and uncompleted in 3 eyes (6%). One eye (2%) had a posterior capsule rupture secondary to increase in the intracapsular pressure. Corneal incisions either were not preferred to be used in 8 eyes (16%) or could not be completed in 4 eyes (8%). Miosis occurred in 20 eyes (40%). No vision lost or dropped nuclei were observed. Conclusion: The use of femtosecond lasers in cataract and RLE surgery is safe. There had been no vision lost secondary to complications. (Turk J Ophthalmol 2015; 45: 97-101)","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"45 1","pages":"97-101"},"PeriodicalIF":1.1,"publicationDate":"2015-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70931375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical, Magnetic Resonance Imaging and Treatment Features in Orbital Cavernous Hemangiomas","authors":"Rövşen Nesirov, K. Gündüz, E. Erden","doi":"10.4274/tjo.99266","DOIUrl":"https://doi.org/10.4274/tjo.99266","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"45 1","pages":"105-110"},"PeriodicalIF":1.1,"publicationDate":"2015-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70940209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dorukcan Akıncıoğlu, C. Ozgonul, G. Gokce, A. Durukan
{"title":"A Case of Acute Bilateral Syphilitic Uveitis","authors":"Dorukcan Akıncıoğlu, C. Ozgonul, G. Gokce, A. Durukan","doi":"10.4274/TJO.38980","DOIUrl":"https://doi.org/10.4274/TJO.38980","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"45 1","pages":"122-124"},"PeriodicalIF":1.1,"publicationDate":"2015-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70918698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adenovirusler akut enfeksiyoz konjonktivitlerin en sik nedenlerinden olup 8, 19 ve 37 alttipleri epidemik salginlara yol acmaktadir.1 Epidemik keratokonjonktivit (EKK) tek ya da cift tarafli folikuler konjonktivit, preaurikuler lenfadenopati ve punktat epiteliyal keratit ile karakterizedir. Enfeksiyonun subakut doneminde ortaya cikabilen subepitelyal infiltratlar, adenoviral antijenlere karsi olusan immun yanit ve epitel hasari sonucunda keratositlerden kemokin salinimi sonucu gelismekte, aylar yada yillar boyunca sebat edebilmekte ve gorme keskinliginde azalmaya neden olabilmektedir.2,3,4 In vivo konfokal mikroskopi (IVKM) korneanin hucresel duzeyde incelenmesine olanak taniyan girisimsel olmayan bir goruntuleme yontemi olup hem saglikli kornealarda hem de bir cok hastaligin ayirici tanisi ve takibinde siklikla kullanilmaktadir.5,6 Bu olgu sunumunda adenoviral EKK’ye bagli subepitelyal infiltratlari olan olgularda korneadaki yapisal degisikliklerin IVKM ile degerlendirilmesi amaclanmistir.
{"title":"In Vivo Confocal Microscopic Findings of Subepithelial Infiltrates Associated with Epidemic Keratoconjunctivitis","authors":"S. Kocabeyoğlu, M. C. Mocan, M. Irkec","doi":"10.4274/TJO.10438","DOIUrl":"https://doi.org/10.4274/TJO.10438","url":null,"abstract":"Adenovirusler akut enfeksiyoz konjonktivitlerin en sik nedenlerinden olup 8, 19 ve 37 alttipleri epidemik salginlara yol acmaktadir.1 Epidemik keratokonjonktivit (EKK) tek ya da cift tarafli folikuler konjonktivit, preaurikuler lenfadenopati ve punktat epiteliyal keratit ile karakterizedir. Enfeksiyonun subakut doneminde ortaya cikabilen subepitelyal infiltratlar, adenoviral antijenlere karsi olusan immun yanit ve epitel hasari sonucunda keratositlerden kemokin salinimi sonucu gelismekte, aylar yada yillar boyunca sebat edebilmekte ve gorme keskinliginde azalmaya neden olabilmektedir.2,3,4 In vivo konfokal mikroskopi (IVKM) korneanin hucresel duzeyde incelenmesine olanak taniyan girisimsel olmayan bir goruntuleme yontemi olup hem saglikli kornealarda hem de bir cok hastaligin ayirici tanisi ve takibinde siklikla kullanilmaktadir.5,6 Bu olgu sunumunda adenoviral EKK’ye bagli subepitelyal infiltratlari olan olgularda korneadaki yapisal degisikliklerin IVKM ile degerlendirilmesi amaclanmistir.","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"45 1","pages":"119-121"},"PeriodicalIF":1.1,"publicationDate":"2015-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70913767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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