No abstract

The ophthalmologist should maintain an index of suspicion that tick infestation of ocular tissues may present in urban locations. Careful examination, obtaining serology to check for zoonoses, and complete removal should be performed to ensure an uneventful recovery.

Purpose: To evaluate ophthalmic examination results which were performed with slit-lamp biomicroscope, in patients with laboratory-confirmed SARS-CoV-2 infection. Methods: In the present study, 50 patients with laboratory-confirmed SARS-CoV-2 infection, were enrolled. Ophthalmic examination with slit-lamp biomicroscopy was performed and the results were evaluated. Results: The mean age of 50 patients (24 females, 26 males) included in this study, was 58,26 ± 18,91 years. In nine patients, bilateral acute follicular conjunctivitis was present. In two patients, acute anterior uveitis was seen. Optic disc and macula were normal in all patients. Preauricular lymphadenopathy (LAP) was found in 6 (12%) patients. Of these six patients, five had follicular conjunctivitis, and one had anterior uveitis. Conclusion: Acute follicular conjunctivitis with preauricular LAP and anterior uveitis were detected and no fundus pathologies were found in detailed ophthalmic examination in patients with laboratory-confirmed SARS-CoV-2 virus infection.

Background To evaluate the association between serum biomarkers and pseudophakic cystoid macular edema (PCME) in eyes without risk factors after uneventful phacoemulsification cataract surgery. Methods This is a case–control study. Patients without risk factors and who developed clinically significant PCME after uncomplicated phacoemulsification surgery were enrolled in the study. The age- and sex-matched control group that had normal fundus examination findings and 10/10 visual acuity in the first week, first month and following postoperative control visits was randomly recruited from the same study cohort. The neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) were obtained from the preoperative complete blood count (CBC) test and compared between the two groups. Linear regression analysis was used to assess the relationship between central macular thickness (CMT) and biomarkers. A binary logistic regression model was generated to evaluate the significance of the biomarkers in predicting PCME. The receiver operating characteristic (ROC) curves of the significant parameters in the logistic regression model were presented to detect the area under the curve (AUC), the cut-off point, the sensitivity and the specificity. Results The study cohort included 5352 patients. Of these patients, 52 (0.97%) met the inclusion criteria, and 60 age- and sex-matched patients were recruited as the control group. PLR, NLR, and SII were significantly different between the two groups (p = 0.006, p = 0.002, p < 0.001, respectively). According to the linear regression analysis, SII was found to have a significant relationship with CMT (p < 0.001). Only SII was assessed as significant in the logistic regression model (p = 0.046). In the ROC curve, the AUC of SII was 0.709. The sensitivity and specificity of SII for PCME prediction were 65.38% and 75%, respectively, and the cut-off point was 433.70. Conclusion SII is associated with the occurrence of PCME in eyes without risk factors after uneventful phacoemulsification surgery. SII could be a useful tool to predict PCME in eyes without risk factors.

Purpose To report the 10 years’ results of aphakia treatment by a foldable posterior chamber intraocular lens (PCIOLs) implantation into the anterior chamber. Methods Retrospective observational case series. Patients who underwent implantation of foldable PCIOLs in the AC with the haptics passing through two iridectomies to the posterior chamber were studied. Preoperative and postoperative refractive status, postoperative corneal astigmatism, lenticular astigmatism, and complications were recorded. Anterior chamber depth (ACD) was detected by ultrasonic biomicroscopy (UBM). Results Fifty-one eyes of 51 patients were included in the study. Of these eyes, 21 eyes were examined at 10 years postoperatively. The mean preoperative corrected distance visual acuity (CDVA) was 1.06 ± 0.68 logMAR and postoperative was 0.49 ± 0.44 at 1 year (p < 0.01); 0.49 ± 0.44 (p < 0.01) at 2 years; and 0.45 ± 0.39 (p < 0.01) at 10 years. The mean lenticular astigmatism was 0.96 ± 0.78 D. Glaucoma in 11 eyes, retinal detachment in 3 eyes, cystoid macular edema in 6 eyes, corneal decompensation in 11 eyes, and haptic dislocation in 7 eyes were observed. The mean distance between the IOL and the endothelium was 3,03 ± 0.29 mm. Conclusions Advantages of our technique are lack of a need for special design lenses and surgical equipment, small learning curve, and faster surgical time. This technique is a practical alternative that leads to favorable visual outcomes and is comparable to the complications of other techniques in the eyes with the absence of capsular support.

Amaç: Kapsül yetmezliğinde, katlanabilir arka kamara (AK) göz içi lenslerin irise sütürlü (İSGİL) implantasyonunun avantajları, dezavantajları, cerrahi tekniği ve postoperatif komplikasyonlar araştırıldı. Gereç ve Yöntemler: Kapsül ve zonül yetmezliği nedeni ile kapsül içi GİL implantasyonu yapılamayan, bu nedenle katlanabilir AK GİL’i irise sütüre ederek implante ettiğimiz 30 hastanın 30 gözü retrospektif olarak incelendi. Hastalar 2,8 mm’lik kesiden primer İSGİL implantasyonu (Grup 1), 6 mm’lik kesiden primer İSGİL implantasyonu (Grup 2), sekonder İSGİL implantasyonu (Grup 3) ve GİL stabilizasyonu (Grup 4) olmak üzere 4 gruba ayrıldı. Olguların tümünde preoperatif ve postoperatif en iyi düzeltilmiş görme keskinliği (EDGK), göz içi basıncı (GİB), merkezi korneal kalınlık (MKK) ve postoperatif GİL-endotel arası mesafe ölçümleri yapıldı. Postoperatif komplikasyonlar kaydedildi. Bulgular: Gruplarda EDGK preoperatif 0,58±0,20 /2,44±0,89 /0,53±0,26 /0,90±0,73 LogMAR iken postoperatif 0,33±0,57 /0,80±0,84 /0,50±0,62 /0,95±1,37 LogMAR seviyesinde idi. Postoperatif GİL-Endotel arası mesafe 3,11±0,28 /2,77±0,32 /3,09±0,37 /3,09±0,37 mm idi. Postoperatif dönemde, Grup 1’de 2 hastada kistoid maküler ödem (KMÖ), 1 hastada üveit, 1 hastada GİL desantralizasyonu; Grup 2’de 1 hastada KMÖ, 3 hastada GİL desantralizasyonu; Grup 3’te 2 hastada üveit ve KMÖ, 1 hastada retina dekolmanı (RD), 3 hastada GİL desantralizasyonu; Grup 4’te 1 hastada KMÖ, 1 hastada RD saptandı. Sonuç: Kapsül yetmezliğinde, GİL implantasyon yöntemi seçiminde hastanın klinik özellikleri, mevcut ekipmanların durumu ve cerrahın tecrübesi önemlidir. Her GİL implantasyon yönteminin, kendine has avantaj ve dezavantajları mevcuttur. Uyguladığımız GİL implantasyon yönteminin kapsül yetmezlikli hastalarda nispeten kolay uygulanması, özellikli GİL gereksinimi olmaması gibi yönleriyle, GİL implantasyon yöntemlerine alternatif olacağını düşünmekteyiz.

The objective of the study is to compare post-operative outcomes and patient-surgeon satisfaction between a needle-tipped electrocautery incision and a cold scalpel incision in upper eyelid blepharoplasty Methods: The data from 247 patients who underwent bilateral upper eyelid blepharoplasty were retrospectively analyzed. Patients who underwent upper eyelid blepharoplasty with ptosis surgery or fat pad removal were excluded. The patients were divided into 2 groups, Group 1 -needle-tipped electrocautery incision and Group 2 -a cold scalpel incision. Pre-operative skin types of the patients, perioperative hemorrhage, and surgical time were observed. Post-operative ecchymosis on days 1 and 7 and scar cosmesis at months 1 and 6 were evaluated. Patients were asked about the level of satisfaction at 6 months. Results: One hundred and fifty-five patients, 75 patients in Group 1 and 80 patients in Group 2, were included in the study. No statistical differences were detected between the two groups for age, sex, and skin type. No serious complications were recorded. For surgeon satisfaction, surgical time and hemorrhage amount were statistically significantly lower in Group 1. Post-operative ecchymosis on days 1 and 7, scar cosmesis at months 1 and 6, and patient satisfaction at 6 months, the scores were similar between the groups. Conclusion:The clinical difference between needle-tipped electrocautery and cold scalpel incision was not observed after upper eyelid blepharoplasty. Needle-tipped electrocautery should be used conveniently and reliably for skin incisions in upper eyelid blepharoplasty for good cosmetic results.

Purpose Intravitreal injection (IVI) is a common vitreoretinal procedure, and most of the patients, over the course of their disease, have to multiple IVI. Pain sensations during IVI may reduce the desire to continue the repeated IVI and cause sudden movements of the eye that to occur complications. The aim of this study to compare the effect of needle size on immediate intraocular pressure (IOP), vitreous reflux and patients’ pain experienced after the IVI. Methods A hundreds and ten eyes of 110 patients who were firstly administered intravitreal ranibizumab or aflibercept were randomized according to the use of needle size, 30-gauge (Group 1) or 26-gauge (Group 2). The reflux was graded post-IVI procedure. Immediately after the IVI, patients were administered to visual analogue scale (VAS) to assess the pain degree. The IOP measurements were taken 30 minutes after the operation. The average of these scores was used as the primary outcome. Results Both groups consisted of 55 patients were included the study. The mean VAS score was 2.18 in group 1 and 4 in the group 2. The reflux grade of the group 1 was also lesser than that of the group 2. IOP was comparable between the groups (26.3 ± 5.66 / 25.4 ± 4.02 mmHg). Groups were divided into subgroups according to the intravitreal agent use, there was not a statistically significant difference in the VAS scores. Conclusions Thirty-gauge needle is more comfortable and safer than 26-gauge needle for the IVI.