Depertmem of Tho rack and Cardio vasc ular Sergery.H ecette pe Unlversny, Facu lly of~ed iti ne. Anka ra. Turkey 95 Su m mary At the Depa rtm ent of Thoracic a nd Card iovascula r Surgery of Itaeeue po University. a total number of822 pedia tric bronchoscopies were performed from 191' 14 through 1990 for suspected foreign body asp iration . Of the children 65 .3 % were boys and 34,7% were girls ran ging in age from one month to 14 years . Deflnuive state ment of foreign-body aspira tion was obtai ned from 394 patients . Unilateral hyper aeration . atelecta sis. and unilateral parenchymal infiltra tion were the most common radlologtcal flndings. In all end oscopic procedures. a pediatric rigid bronchoscope was use-d under gener al anesthesia a nd controlle-d venulauon . Fore ign bodies were found in 77.7 "10 of the 822 patients. In the rest of the children infla mmatory drsordcrs .....e re confirmed. The foreign bodies most com monly found in 639 patien ts were sun-flower seeds 121 .1%1.beans (10. 4"10). water -melon seeds 110"101. and hazelnu ts 19.8 %1.In our presente-d series. the incidence of non-fatal compllcation was 1.8"10. apa rt from these pat ients 5 cr tbe m (0.6"10) die-d afier the bronchoscopic proce-d ures. Kt') ' we r dsIJronchoscopy -Foreign-body as piration -Endosco py Introdu cuonIn spite of the endoscopic tnves ug a uo n of th e res piratory tract in new bo rns a nd c hild re n having some pote ntial ris k. bronc hosco py is a n im po rta nt diagnosti c a nd the rapeutic tool . Many authors haw regarded aspiration of a for eign body into th e respiratory tract as an important cause of mortality in childre n . Especially small c hild ren. whose ai rways a re narrow and in whom th e protective m echanisms a re inadequate. a re victims u. 13. 14 I.The diagnos is offoretgn-body aspiration in in fa nts and child ren is ofte n d ifficu lt ....-ith no n-bronchoscoplc d iagnostic techniq ues. In spite of modern techniques of radiology such as co mputed to mog ra ph y. m agne tic resonance im agin g. xerora diog raphy. o nly a n e ndosco pic techn ique ca n re veal Thorac. csrcrovesc. Surgeon 39 (199 t I95-98

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Mean diurnal IOP and peak IOP were lower with LTFC than with DTFC in patients with primary open-angle glaucoma.

We report an unusual case of hydroxychloroquine (HCQ) toxicity after only 2 months of starting the treatment. A 42-year-old woman presented with visual impairment. Her visual acuity was 20/20 in the right eye and 20/25 in the left eye. Ophthalmologic examination revealed a bull's eye pattern in both eyes which was more prominent in the left eye. She had received HCQ therapy (400 mg/day) for 1 month, and had been taking 200 mg/day for 1 month for the treatment of rheumatoid arthritis. HCQ macular toxicity is rarely seen in short-term use, before 5 years, and to our knowledge, there is only one other case reported in the literature.

Purpose. To describe our surgical technique in the management of pseudophakic malignant glaucoma refractory to conventional treatment. Methods. Two pseudophakic eyes with malignant glaucoma underwent peripheral iridectomy, lens capsulectomy, hyaloidectomy, and anterior vitrectomy through a clear corneal incision by using a vitreous cutter. Results. Prompt resolution of malignant glaucoma was achieved in both cases and no recurrence was observed during postoperative followup of five months. Conclusions. An anterior segment surgeon can treat pseudophakic malignant glaucoma successfully by using a vitreous cutter inserted through a corneal incision and performing peripheral iridectomy, capsulo-hyaloidectomy, and anterior vitrectomy.

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Purpose: To evaluate the possible hemodynamic changes following strabismus surgery via optical coherence tomography angiography. Methods: Thirty-two eyes of 16 patients who underwent strabismus surgery in one eye were included in the study. Fellow eyes were used as a control group. The vessel densities of the superficial and deep capillary plexus and superficial and deep foveal avascular zones were measured preoperatively and 3 months postoperatively. Results: The mean superficial and deep foveal avascular zones measurements were 0.84 ± 0.09 and 0.76 ± 1.13 mm 2 , respectively. The mean vessel density of the superficial capillary plexus was 1.23 ± 0.12 and 11.13 ± 1.04 mm 2 preoperatively in the 1- and 3-mm zones, respectively, whereas the mean vessel density of the deep capillary plexus was 1.13 ± 0.16 and 10.11 ± 1.28 mm 2 preoperatively. Postoperatively, the mean superficial and deep foveal avascular zones changed to 0.20 ± 0.13 and 0.23 ± 0.12 mm 2 , respectively. Postoperatively, the mean vessel density of the superficial capillary plexus changed to 1.47 ± 0.11 and 12.75 ± 1.10 mm 2 , and the mean vessel density of the deep capillary plexus changed to 1.56 ± 0.12 and 13.91 ± 1.35 mm 2 in 1- and 3-mm zones, respectively. There was a statistically significant increase in vessel density measurements of the superficial and deep capillary plexus, and a statistically significant decrease in measurements of the superficial and deep foveal avascular zone postoperatively ( P < .05). In the fellow eyes, there was no statistically significant change in any of the measurements ( P > .05). Conclusions: Following strabismus surgery, vessel density of the fovea may increase and the foveal avascular zone may decrease according to optical coherence tomography angiography measurements. [ J Pediatr Ophthalmol Strabismus . 2019;56(2):95–100.]

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