A. K. Altıntaş, Gultekin Koklu, Ç. Can, Sibel Polat, Meryem Yaşar
Yazisma Adresi/Address for Correspondence: Dr. Ayse Gul Altintas, Ulucanlar Goz Egitim ve Arastirma Hastanesi, Goz Hastaliklari Klinigi, Ankara, Turkiye Gsm.: +90 505 253 07 08 E-posta: aysegulkaltintas@hotmail.com Gelis Tarihi/Received: 25.06.2013 Kabul Tarihi/Accepted: 21.03.2014 Amac: Toksik Anterior Segment Sendromu (TASS) tanisi konan vakalarda etiyolojik faktorlerin degerlendirilmesi, tedavinin planlanmasi ve tedavi etkinliginin incelenmesi. Gerec ve Yontem: Komplikasyonsuz katarakt cerrahisi sonrasi on kamera reaksiyonu ve degisik derecelerde kornea odemi gozlenen 22 olgu degerlendirildi. Olgularin gorme seviyeleri, pnomotonometre ile goz ici basinc (GIB) olcumleri biyomikroskobik muayeneleri ve arka segment B Mod Ultrasonografik degerlendirmeleri yapildi. Enfeksiyoz endoftalmi ayirici tanisi icin farkli ortamlardan (ameliyathane, cerrahi setler, kullanilan solusyon ve malzemelerden) kultur ornekleri alinip, kultur sonuclari gelene kadar endoftalmi on tanisi ile tedavi baslandi. Bulgular: Kultur sonuclarinin negatif gelmesi, klinik bulgularin ozellikleri, ayni gun katarakt cerrahi disindaki gibi diger goz ici cerrahileri gecirmis olgularda TASS bulgularinin olmamasi, visko elastik madde (VEM) disindaki kullanilan tum cerrahi malzemelerin TASS gelisimi gozlenmeyen olgulara uygulananla ayni olmasi nedeniyle, TASS’a neden olan maddenin sadece katarakt cerrahisinde kullanilmis ve yeni kullanilmaya baslayan Horoz ibiginden elde edilen Sodyum Hyaluronat yapisindaki VEM olabilecegi sonucuna varildi. Takip eden donemde farkli VEM kullanilan olgularda benzer bir tablo ile karsilasilmadi. Sonuc: Kimyasal ozellikleri acisinda gozun on segment dokularinin tolere edebildigi fizyolojik sinirlar araliginda bulunan, ancak ideal sartlarda muhafaza edilmeyen VEM’in ideal molekuler yapisini kaybetmesi ve kimyasal yapisinin toksik etki yapmasinin TASS’a neden olabilecegi, bu olgularda erken tani ve uygun tedavi ile komplikasyon gelisiminin onlenebilecegi sonucuna varildi. (Turk J Ophthalmol 2014; 44: 341-6) Anah tar Ke li me ler: Katarakt cerrahisi, toksik anterior segment sendromu, viskoelastik maddeler Ozet
{"title":"Viskoelastik Maddeye Bağlı Gelişen Toksik Anterior Segment Sendromu","authors":"A. K. Altıntaş, Gultekin Koklu, Ç. Can, Sibel Polat, Meryem Yaşar","doi":"10.4274/TJO.44265","DOIUrl":"https://doi.org/10.4274/TJO.44265","url":null,"abstract":"Yazisma Adresi/Address for Correspondence: Dr. Ayse Gul Altintas, Ulucanlar Goz Egitim ve Arastirma Hastanesi, Goz Hastaliklari Klinigi, Ankara, Turkiye Gsm.: +90 505 253 07 08 E-posta: aysegulkaltintas@hotmail.com Gelis Tarihi/Received: 25.06.2013 Kabul Tarihi/Accepted: 21.03.2014 Amac: Toksik Anterior Segment Sendromu (TASS) tanisi konan vakalarda etiyolojik faktorlerin degerlendirilmesi, tedavinin planlanmasi ve tedavi etkinliginin incelenmesi. Gerec ve Yontem: Komplikasyonsuz katarakt cerrahisi sonrasi on kamera reaksiyonu ve degisik derecelerde kornea odemi gozlenen 22 olgu degerlendirildi. Olgularin gorme seviyeleri, pnomotonometre ile goz ici basinc (GIB) olcumleri biyomikroskobik muayeneleri ve arka segment B Mod Ultrasonografik degerlendirmeleri yapildi. Enfeksiyoz endoftalmi ayirici tanisi icin farkli ortamlardan (ameliyathane, cerrahi setler, kullanilan solusyon ve malzemelerden) kultur ornekleri alinip, kultur sonuclari gelene kadar endoftalmi on tanisi ile tedavi baslandi. Bulgular: Kultur sonuclarinin negatif gelmesi, klinik bulgularin ozellikleri, ayni gun katarakt cerrahi disindaki gibi diger goz ici cerrahileri gecirmis olgularda TASS bulgularinin olmamasi, visko elastik madde (VEM) disindaki kullanilan tum cerrahi malzemelerin TASS gelisimi gozlenmeyen olgulara uygulananla ayni olmasi nedeniyle, TASS’a neden olan maddenin sadece katarakt cerrahisinde kullanilmis ve yeni kullanilmaya baslayan Horoz ibiginden elde edilen Sodyum Hyaluronat yapisindaki VEM olabilecegi sonucuna varildi. Takip eden donemde farkli VEM kullanilan olgularda benzer bir tablo ile karsilasilmadi. Sonuc: Kimyasal ozellikleri acisinda gozun on segment dokularinin tolere edebildigi fizyolojik sinirlar araliginda bulunan, ancak ideal sartlarda muhafaza edilmeyen VEM’in ideal molekuler yapisini kaybetmesi ve kimyasal yapisinin toksik etki yapmasinin TASS’a neden olabilecegi, bu olgularda erken tani ve uygun tedavi ile komplikasyon gelisiminin onlenebilecegi sonucuna varildi. (Turk J Ophthalmol 2014; 44: 341-6) Anah tar Ke li me ler: Katarakt cerrahisi, toksik anterior segment sendromu, viskoelastik maddeler Ozet","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"44 1","pages":"341-346"},"PeriodicalIF":1.1,"publicationDate":"2014-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70931099","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}
Yazışma Adresi/Address for Correspondence: Dr. Feyza Çalış Ankara Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Gsm: +90 312 595 62 66 E-posta: feyzacalis@hotmail.com Geliş Tarihi/Received: 22.07.2013 Kabul Tarihi/Accepted: 15.04.2014 Objectives: To evaluate the clinical characteristics and treatment results in patients who were diagnosed to have ocular adnexal lymphoma (OAL). Materials and Methods: We retrospectively evaluated twenty-six patients with OAL who were diagnosed and treated in the Oncology Service, Department of Ophthalmology, Ankara University School of Medicine, between October 1998 and 2011. Results: There were 16 women and 10 men. The mean age was 61.6 (range: 27-76) years. The tumor affected the conjunctiva in 10 patients, the orbit in 8 patients, eyelids in 3 patients, the lacrimal gland in 3 patients, the conjunctiva and the orbit in 2 patients. A diagnostic incisional biopsy or subtotal tumor excision was generally performed. Total surgical excision, if possible, was performed in some cases. Histopathologically, all the tumors were diagnosed as B cell non-Hodgkin lymphoma. External beam radiotherapy (EBRT) was given in 19 patients, and chemotherapy in three patients because of systemic involvement. Combination of EBRT and chemotherapy was given in two patients. Three patients underwent total surgical excision. Orbital recurrence was detected in one patient during the mean follow-up period of 27 months (range: 2-72 months). At the end of the follow-up period, five cases developed keratopathy secondary to radiotherapy. One patient died from intracranial lymphoma involvement. Conclusion: OALs usually have favorable prognosis with congenial treatment. EBRT is the preferred treatment in localized periorbital disease, and chemotherapy is used in cases with systemic involvement. (Turk J Ophthalmol 2014; 44: 374-8)
Yazışma Adresi/通信地址:Dr. Feyza Çalış Ankara Üniversitesi Tıp fak ltesi, Göz Hastalıkları Anabilim dalyi, Ankara，土耳其 Gsm: +90 312 595 62 66 E-posta: feyzacalis@hotmail.com gelikan Tarihi/接收:22.07.2013喀布尔Tarihi/接收:15.04.2014目的:评价诊断为眼附件淋巴瘤(OAL)患者的临床特征和治疗效果。材料和方法:我们回顾性评估了1998年10月至2011年10月期间在安卡拉大学医学院眼科肿瘤科诊断和治疗的26例OAL患者。结果:女性16例，男性10例。平均年龄61.6岁(27 ~ 76岁)。肿瘤累及结膜10例，眼眶8例，眼睑3例，泪腺3例，结膜及眼眶2例。通常进行诊断性切口活检或肿瘤次全切除。如果可能的话，在一些病例中进行了完全手术切除。组织病理学均诊断为B细胞非霍奇金淋巴瘤。19例患者接受外束放疗(EBRT)， 3例患者因全身受累而接受化疗。2例患者采用EBRT联合化疗。3例患者接受了全手术切除。1例患者眼眶复发，平均随访27个月(2-72个月)。随访结束时，5例发生放疗后继发角膜病变。1例患者死于颅内淋巴瘤累及。结论:经适当治疗，OALs预后良好。EBRT是局部眶周疾病的首选治疗方法，而化疗则用于全身累及的病例。(土耳其眼科杂志2014;44: 374 - 8)
{"title":"Oküler Adneksal Lenfomalı Olgularda Klinik Bulgular ve Tedavi Sonuçları","authors":"Feyza Çalış, Kaan Gündüz, Işınsu Kuzu, Esra Erden","doi":"10.4274/tjo.75436","DOIUrl":"https://doi.org/10.4274/tjo.75436","url":null,"abstract":"Yazışma Adresi/Address for Correspondence: Dr. Feyza Çalış Ankara Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Gsm: +90 312 595 62 66 E-posta: feyzacalis@hotmail.com Geliş Tarihi/Received: 22.07.2013 Kabul Tarihi/Accepted: 15.04.2014 Objectives: To evaluate the clinical characteristics and treatment results in patients who were diagnosed to have ocular adnexal lymphoma (OAL). Materials and Methods: We retrospectively evaluated twenty-six patients with OAL who were diagnosed and treated in the Oncology Service, Department of Ophthalmology, Ankara University School of Medicine, between October 1998 and 2011. Results: There were 16 women and 10 men. The mean age was 61.6 (range: 27-76) years. The tumor affected the conjunctiva in 10 patients, the orbit in 8 patients, eyelids in 3 patients, the lacrimal gland in 3 patients, the conjunctiva and the orbit in 2 patients. A diagnostic incisional biopsy or subtotal tumor excision was generally performed. Total surgical excision, if possible, was performed in some cases. Histopathologically, all the tumors were diagnosed as B cell non-Hodgkin lymphoma. External beam radiotherapy (EBRT) was given in 19 patients, and chemotherapy in three patients because of systemic involvement. Combination of EBRT and chemotherapy was given in two patients. Three patients underwent total surgical excision. Orbital recurrence was detected in one patient during the mean follow-up period of 27 months (range: 2-72 months). At the end of the follow-up period, five cases developed keratopathy secondary to radiotherapy. One patient died from intracranial lymphoma involvement. Conclusion: OALs usually have favorable prognosis with congenial treatment. EBRT is the preferred treatment in localized periorbital disease, and chemotherapy is used in cases with systemic involvement. (Turk J Ophthalmol 2014; 44: 374-8)","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"44 1","pages":"374-378"},"PeriodicalIF":1.1,"publicationDate":"2014-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70936510","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}
Yazışma Adresi/Address for Correspondence: Dr. Şeyda Uğurlu,İzmir Katip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Gsm: +90 532 715 61 73 E-posta: ugurluseyda@yahoo.com Geliş Tarihi/Received: 23.01.2014 Kabul Tarihi/Accepted: 07.05.2014 Objectives: To evaluate the clinical features and the outcome of ptosis surgery in patients with chronic progressive external ophthalmoplegia (CPEO). Materials and Methods: The demographic features, surgical approaches, anatomic and functional outcomes, and complications were reviewed in patients with CPEO who had undergone ptosis surgery by a single surgeon between the years 2005 and 2013. The patients were asked to evaluate their postoperative result as either worse, no change, good, or very good. Results: Seven men and 5 women with an average age of 50±14.08 years (range: 28-72) were included in the study. Ragged red fibers (RRF) were identified in 5 out of 9 patients’ levator and orbicularis muscle biopsy specimens. Average levator function was 5.4±2.6 mm (range: 2-9). Frontalis suspension surgery with silicone rod was performed in 8 patients; two of those 8 patients had lower lid elevation with hard palate graft prior to ptosis surgery. The remaining 4 patients had levator resection. Postoperative margin reflex distance -1 was between +1 and +3 in all patients. One patient had punctate keratopathy following surgery, which responded rapidly to intensive use of lubricants. Head position was improved in all patients; postoperative result was rated ‘very good’. Conclusion: Eyelid elevation must be tailored to result in sufficient interpalpebral area so as to allow for normal visual function and avoid exposure keratopathy. Lower eyelid elevation with hard palate graft may help to achieve this goal by displacing the interpalpebral area superiorly without introducing additional risk for corneal exposure. (Turk J Ophthalmol 2014; 44: 379-83)
{"title":"Kronik Progresif Eksternal Oftalmoplejili Hastalarda Pitozis Cerrahisi Sonuçları","authors":"Ş. Uğurlu, S. Atik, Mehmet Işık, Gülden Diniz","doi":"10.4274/TJO.74508","DOIUrl":"https://doi.org/10.4274/TJO.74508","url":null,"abstract":"Yazışma Adresi/Address for Correspondence: Dr. Şeyda Uğurlu,İzmir Katip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Gsm: +90 532 715 61 73 E-posta: ugurluseyda@yahoo.com Geliş Tarihi/Received: 23.01.2014 Kabul Tarihi/Accepted: 07.05.2014 Objectives: To evaluate the clinical features and the outcome of ptosis surgery in patients with chronic progressive external ophthalmoplegia (CPEO). Materials and Methods: The demographic features, surgical approaches, anatomic and functional outcomes, and complications were reviewed in patients with CPEO who had undergone ptosis surgery by a single surgeon between the years 2005 and 2013. The patients were asked to evaluate their postoperative result as either worse, no change, good, or very good. Results: Seven men and 5 women with an average age of 50±14.08 years (range: 28-72) were included in the study. Ragged red fibers (RRF) were identified in 5 out of 9 patients’ levator and orbicularis muscle biopsy specimens. Average levator function was 5.4±2.6 mm (range: 2-9). Frontalis suspension surgery with silicone rod was performed in 8 patients; two of those 8 patients had lower lid elevation with hard palate graft prior to ptosis surgery. The remaining 4 patients had levator resection. Postoperative margin reflex distance -1 was between +1 and +3 in all patients. One patient had punctate keratopathy following surgery, which responded rapidly to intensive use of lubricants. Head position was improved in all patients; postoperative result was rated ‘very good’. Conclusion: Eyelid elevation must be tailored to result in sufficient interpalpebral area so as to allow for normal visual function and avoid exposure keratopathy. Lower eyelid elevation with hard palate graft may help to achieve this goal by displacing the interpalpebral area superiorly without introducing additional risk for corneal exposure. (Turk J Ophthalmol 2014; 44: 379-83)","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"44 1","pages":"379-383"},"PeriodicalIF":1.1,"publicationDate":"2014-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70936482","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":"Complications and Management of Deep Anterior Lamellar Keratoplasty","authors":"B. Acar, T. K. Bozkurt, Selin Tuğtan, S. Acar","doi":"10.4274/TJO.02259","DOIUrl":"https://doi.org/10.4274/TJO.02259","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"44 1","pages":"337-340"},"PeriodicalIF":1.1,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70912859","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":"Oküler Yüzey Skuamöz Neoplazilerinde Yeni Gelişmeler","authors":"A. Yağcı","doi":"10.4274/TJO.72623","DOIUrl":"https://doi.org/10.4274/TJO.72623","url":null,"abstract":"","PeriodicalId":46049,"journal":{"name":"Turk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology","volume":"44 1","pages":"8-14"},"PeriodicalIF":1.1,"publicationDate":"2014-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70935923","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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