Objective: To compare clinical outcomes of cataract surgeries with 2.4 mm and 2.8 mm clear corneal incisions. Materials and Methods: This retrospective study comprised 2 groups of cataract surgery cases with different wound lenghts of group 1; 2.4 mm and group 2; 2.8 mm. We evaluated 80 eyes of 72 patients with 3-month follow-ups. Procedures carried out using the temporal self-sealing incision technique. Measured intraoperative parameters included phacoemulsification time, mean cumulative dissipated ultrasound energy and total volume of balanced salt solution used. Keratometric data, specular microscopy and macular thickness were measured preoperatively, and postoperative 1 and 3 months. Vector analysis calculated the surgically induced astigmatism. SPSS 15.0 were used for statistical analysis. Results: There were no significant differences in intraoperative ultrasound energy, total phacoemulsification time and volume of balanced salt solution analyzed between two groups (p>0.05). There were no statistically significant difference between two groups in macular thickness alteration and endothelial cell loss (ECL) (p>0.05). The mean surgically induced astigmatism was significantly less in group 1 in each visit (p<0.05). Conclusion: Phacoemulsification surgery through a 2.4 mm incision size appeared to be safe and less surgically induced astigmatism.
Diyabetik makuler ödem (DMÖ) ile takip edilen hastalarda seröz makula dekolmanı (SMD) sıklığını ve epidemiyolojisini araştırmak. Ge reç ve Yön tem: Kliniğimiz retina biriminde takip edilen 104 DMÖ'lü hastanın 143 gözü retrospektif olarak incelendi. Optik koherens tomografiye (OKT) göre SMD ve DMÖ bulunan hastalar grup 1, yalnızca DMÖ tanısı alan hastalar grup 2 olarak incelendi. Hastalar demografik özellikleri, yaş ortalamalarına, diabetes mellitus (DM) sürelerine, hipertansiyon (HT) öyküsü varlığına, en iyi görme keskinliklerine ve diyabetik retinopatinin evrelerine göre değerlendirildi.
ÖzetAmaç: Otolog fasya lata veya silikon çubuk ile yapılan frontal askı cerrahisinin sonuçlarını değerlendirmek. Yöntemler: Göz kapağında düşüklük yakınması ile başvuran, levator kas fonksiyonunun 5 mm ve daha düşük kaydedildiği olgularda, uygulanan frontal askı cerrahisinin sonuçları ve komplikasyonları retrospektif olarak değerlendirildi. Tek taraflı opere edilen olgularda, kapak aralığında opere edilen taraf ile diğer taraf arasındaki farkın 1 mm'den az olması başarılı, 1-2 mm arasında olması tatminkar, 2 mm'den fazla olması başarısız sonuç olarak değerlendirildi. İki taraflı olgularda üst kapağın, korneayı 3 mm'den daha az örtmesi başarılı, optik aksı kapatmayacak şekilde 3 mm'den fazla örtmesi tatminkar, optik aksı örtmesi ise başarısızlık olarak kabul edildi. Bulgular: Çalışmaya 14 hastanın 17 gözü alındı. Frontal askı cerrahisi materyeli olarak sekiz göze otojen fasya lata, dokuz göze silikon çubuk kullanıldı. Cerrahi girişimler sonrasında yapılan değerlendirmede cerrahi sonuç dokuz gözde başarılı, dört gözde tatminkar, dört gözde ise yetersiz olarak kaydedildi. Postoperatif yetersiz düzeltmenin olduğu dört gözde, ilk 10 gün içinde revizyon yapıldı. Beş gözde punktat keratopati, bir gözde lagoftalmi, bir gözde kapak temporalinde hafif düşüklük, bir gözde üst göz kapağında belirgin ödem komplikasyon olarak kaydedildi, otojen fasta lata uygulanan bir olguda bacaktaki yara yerinde anlamlı ağrı ve diğer bir olguda ise bacakta resütürasyona gerek duyulan yara yeri ayrışması görüldü. Abs tractAim: To evaluate the results of frontal suspension surgery with autologous fascia lata or silicon rod. Methods:We retrospectively evaluated the results and the complications of frontalis suspension surgery performed in patients with levator muscle function ≤5 mm, who presented with the complaint of ptosis. In patients operated unilaterally, the success of the surgery was graded according the difference between eyelid heights: a difference of <1 mm was considered successful, 1-2 mm -satisfactory, and a difference of >2 mm was accepted as unsuccessful. In those who were operated bilaterally, the success of the surgery was graded according the upper eyelid level: an eyelid level 0-3 mm below the limbus was recorded as successful, >3 mm below the limbus with an open optic axis -satisfactory, and occluded axis was considered unsuccessful.Results: Seventeen eyes of 14 patients enrolled in the study. Silicon rod was used in 9 eyes and autogenous fascia lata was used in 8 eyes. Surgical outcome was recorded as successful in 9 eyes, as satisfactory in 4 eyes and as unsuccessful in 4 eyes. In eyes with unsuccessful outcome, revision surgery was performed within 10 days after surgery. Punctate keratopathy (5 eyes), lagophthalmos (1 eye), mild undercorrection in the temporal side of the eyelid (1 eye) and severe upper eyelid edema (1 eye) were recorded as complications. One patient who was operated with autologous fascia lata complained of leg pain in donor site and, in one patient, incision dehiscence needed to be repaired. Conclusi...
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