Brinzolamide was as effective as acetazolamide in preventing IOP elevation 4 to 6 hours after phacoemulsification and more effective than acetazolamide at 18 to 24 hours.
These findings suggest that ophthalmic artery hemodynamic parameters change in both eyes of unilateral XFS patients, illustrating out the systemic nature of the disease. We conclude that XFS decreases OA blood flow velocities and increases vascular resistance through progressive build-up.
The results of this study suggest that the combination of BTA injection with recession may increase the expected correction of a conventional horizontal rectus muscle surgery.
SUMMARYSarcoidosis is a systemic multiorgan disorder of unknown etiology characterized by a non-caseating granuloma reaction. Ocular involvement has been reported in 25-60% of the patients. Seven percent of the patients with sarcoidosis may first see an ophthalmologist due to ocular complaints. This report aims to present our diagnostic and treatment approach to a female patient with significant unilateral lacrimal gland swelling and musculoskeletal involvement, who was diagnosed with sarcoidosis on the basis of tests and histological studies.
Ge lifl Ta ri hi/Re cei ved: 12.11.2012 Ka bul Ta ri hi/Ac cep ted: 27.12.2012 Özet Akustik nörinom rezeksiyonu sonrası sağ fasial sinir felci gelişen 71 yaşındaki erkek hasta, oküler komplikasyonlar ile kliniğimize başvurdu. Kaş ptozisine bağlı sağ gözünü rahat açamıyordu. Gözünü tam kapatamadığı için oküler yüzey problemleri vardı. Alt kapakta gelişen paralitik ektropium nedeniyle göz sulanmasından şikayetçiydi. Tedavisinde aynı cerrahi seansta, sağ kaş kaldırma cerrahisi, sağ üst göz kapağına 0,8 gr altın ağırlık yerleştirilmesi, lateral kantoplasti ve yatay sağ alt kapak kısaltması işlemleri uygulandı. Cerrahi sonrası yakınmalarındaki iyileşme tatminkardı. Sonuç olarak, fasial sinir felci sonrası gelişen birden fazla oküler komplikasyonun tedavisinde, fonksiyonel ve estetiksel iyileşmeyi sağlayabilecek kombine cerrahi işlemler uygulanabilir. (Turk J Ophthalmol 2013; 43: 368-70) Anahtar Kelimeler: Fasial sinir felci, oküler komplikasyonlar, altın ağırlık yerleştirilmesi, kombine cerrahi
Sum maryA 71-year-old man who had developed right facial nerve palsy after acoustic neuroma resection was referred to our eye clinic with ocular complications. Due to the brow ptosis, he could not open his right eye properly. There were ocular surface problems as a result of incomplete closure of the upper eyelid over the cornea. He complained of epiphora resulting from paralytic ectropium. Surgical procedures performed at the same session were right brow suspension, 0.8 g gold weight implantation into the right upper eyelid, lateral canthoplasty, and horizontal lid shortening of the right lower eyelid. After the surgery, improvements of his complaints were satisfying. As a conclusion, in the treatment of more than one ocular complication developing from facial nerve palsy, combined surgical procedures may be performed in terms of both functional and aesthetics improvements. (Turk J Ophthalmol 2013; 43: 368-70) Resim 1. Sağ fasial sinir felci gelişen olgu. Sağ alın bölgesindeki çizgilerin silindiği, sağ kaş ptozisi ve sağ alt kapaktaki paralitik ektropiumu izlenmektedir Resim 2. Sağ gözde lagoftalmi izlenmektedir. Bell fenomeninin müspet olduğu görülmektedir Resim 3. Tarsın, orbiküler kasın disseksiyonu sonrası görünümü Resim 4. Altın ağırlığının tars üzerine tespiti izlenmektedir
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