Objective: The aim of this study was to investigate the association between intraocular pressure and metabolic syndrome by comparing central corneal thicknesses. Methods: One hundred sixty-two subjects were enrolled in this cross-sectional study, with 89 subjects in a metabolic syndrome group and 73 subjects in a control group. Ophthalmological examinations, including intraocular pressure and central corneal thickness measurements, were performed on each subject. Serum fasting glucose, triglyceride and HDL cholesterol levels were measured, and waist circumference, systolic and diastolic blood pressure of all patients were recorded. Results: Participants with metabolic syndrome had a significantly higher intraocular pressure than those without metabolic syndrome (p = 0.008), and there was no statistically significant difference between the central corneal thicknesses of the two groups (p = 0.553). Most of the metabolic syndrome components were associated with higher intraocular pressure (p < 0.05). Conclusions: There is a relationship between metabolic syndrome and intraocular pressure, but no association between metabolic syndrome and central corneal thicknesses. Intraocular pressure is affected by central corneal thicknesses, and intraocular pressure is used to correct according to the central corneal thicknesses measurement. To our knowledge, this is the first study that determines the positive relationship between metabolic syndrome and intraocular pressure by comparing the central corneal thicknesses of the groups.
BaCKground: Although there are many factors stated in the etiology of cataract, the mechanisms which are formed during the formation of cataract are still not illuminated. The purpose of this study is to evaluate the biochemical analysis of aqueous humor in diabetic and non-diabetic patients with cataract in terms of the existence of pseudoexfoliation (PSX). Material and Methods: Seventy-six patients who presented to our ophthalmology clinic with the complaint of cataract and who were planned to undergo phacoemulsification and IOL implementation were included in the study. The patients were classified into 4 groups as Group I: Cataracts with diabetes and without PSX, Group II: Cataracts without diabetes and PSX, Group III: Cataracts with diabetes and PSX, Group IV: Cataracts without diabetes and with PSX. The groups were compared statistically in terms of biochemical analysis of aqueous humor. results: The mean age of the patients was 68.0 ± 8.5, and 51.3% of the patients were male. In Group II, Na value was significantly higher than in Group I and Group III. In Group IV, Na value was significantly higher than in Group I and Group III. Cl value in Group IV was significantly higher than in Group I-III-III. In Group IV, Ca value was significantly higher than in Group I-III-III. In Group I, P value was significantly higher than in Group II and Group III. Glucose levels in Group I were significantly higher than in Group II-III-IV. Glucose levels in Group III were significantly higher than in Group II-IV. Na value in the PSX (+) group was significantly lower than in the PSX (-) group. In the PSX (+) group, glucose value was significantly higher than in the PSX (-) group. ConClusion: High glucose and low Na levels in the anterior chamber may play a role in the development of PSX and PSCC. High P level in the anterior chamber may be contributed to the development of cataract in diabetic non-PSX eyes. In non-diabetic PSX (+) group, high Ca and Cl levels may be contributed to developing cataracts.
Introduction: Cataract surgery is a widely used procedure around the world. After cataract surgery, one of the important points is that oxidative stress may cause postoperative corneal edema and vision loss. Aim: In this study, we aim to reduce the oxidative stress and related conditions that may develop during intraoperative and postoperative FAKO + IOL implantation. Material and Methods: Total amount of 32 patients with cataract were included to the study. The patients were classified as two groups randomly and the same surgical procedure was applied to the patients in both groups, except using visudrop. Group I was defined as a control group and routine FAKO + IOL implantation surgery was performed. In Group II, after the sideport was opened at the beginning of the operation, 0.5 cc visudrop (coenzyme q + vitamin E + hypermellosis) was given to the anterior camara. After the operation, 0.5 cc visudrop was also given to the anterior camara. Postoperative examination findings were compared statistically. Results: In Group II, postoperative 1st day and postoperative 7th day visual acuities were significantly higher than in Group I. In Group II, postoperative 1st day and postoperative 7th day visual acuity increments were significantly higher than in Group I. In Group I, postoperative 1st day and 7th day pachymetry value increments were significantly higher than in Group II. Conclusion: Using visudrop during the FAKO + IOL implantation may be an effective method for postoperative corneal edema and vision.
ÖzetAmaç: Amaç; doğuştan nazolakrimal kanal tıkanıklığı olan bir yaş altı olgularda, enfeksiyona neden olan mikroorganizmaları ve antibiyotik duyarlılıklarını incelemektir.
BaCKground:Corneal endothelium has an important role on the clarity of the cornea. Cataract surgery may cause corneal endothelial damages and serious vision problems. In this study, we aimed to investigate hypertension, cerebrovascular diseases, and trauma in patients who developed corneal endothelial insufficiency (CEI) after cataract surgery. Material and Methods:The study was performed in the Department of Ophthalmology in Adana Ortadogu Hospital between October 2017 and October 2018. 24 patients who developed CEI after cataract surgery and 24 patients who did not develop CEI after cataract surgery were included to the study. Eye trauma, systemic hypertension, cerebrovascular diseases were investigated in the patients' own history. The findings were compared statistically. results: The percent of cerebrovascular diseases was 54.2% in patients with CEI and 16.6% in patients without CEI. 58.3% of the patients with CEI had a systemic hypertension history. Hypertension was presented in 25% of the patients who did not develop CEI. The rate of trauma history in patients with CEI was 29.2% and 12.5% in those without CEI. The history of cerebrovascular disease and hypertension were significantly higher in patients with CEI. ConClusion: Hypertension and cerebrovascular diseases appeared to be linked with CEI.
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