Alexandrite laser is one of the most common methods of hair removal. Its utilization is gradually increasing due to easy accessibility and high effectiveness. However, the disuse of protective goggles during the application of this laser is a serious problem. In this case report, we presented a 35-year-old male patient who had foveal injury by alexandrite laser. The inflammatory process secondary to the foveal injury and subsequent macular edema were treated with Ozurdex because of its potent antiedematous effect.

Purpose : To assess the clinical status of treatment-naive patients who had to delay 3-dose loading anti-VEGF (anti-vascular endothelial growth factor) injections during the COVID-19 lockdown, and to evaluate the effect of the delayed visual acuity treatment on spectral domain optical coherence tomography (SD-OCT) parameters. Method : A total of 55 eyes of 46 patients who were received in the study period participated in this retrospective study, including 28 patients (37 eyes) with diabetic macular edema (DME), 11 patients (11 eyes) with retinal vein occlusion (RVO), and 7 patients (7 eyes) with wet age-related macular degeneration ( wet- AMD). The patients were diagnosed with DME, RVO, or wet-AMD in February 2020 and had planned 3-dose loading injections in March, April, and May 2020, but could not be injected due to the COVID-19 pandemic. Results : From the patients’ initial examination in February 2020, the mean best corrected visual acuity (BCVA) was 0.72 ± 59 logMAR. After the patients’ lockdown visit in July 2020, the mean BCVA was 0.76 ± 64 logMAR. BCVA was stable in 11 eyes, decreased in 12 eyes, and increased in 14 eyes for patients with DME. BCVA was stable in 6, decreased in 3, and increased in 2 eyes for patients with RVO, and it was stable in 4 eyes and decreased in 3 eyes for patients with wet- AMD. Conclusion : We concluded that 6-month delay in treatment of DME patients with non-proliferative DRP had no adverse effect on the visual acuity. However, the loading dose in wet- AMD and RVO patients should be applied as soonas possible.

Purpose. To evaluate the peripapillary retinal nerve fiber layer (RNFL) thicknesses of patients treated with intravitreal Ozurdex implant due to branch retinal vein occlusion (BRVO) related macular edema (ME). Methods. Thirty-three eyes of 33 patients treated with Ozurdex implant due to ME associated with BRVO were included in the study. Ophthalmic examinations including determination of best corrected visual acuity (BCVA), measurement of intraocular pressure (IOP), and central macular thickness (CMT) and peripapillary RNFL assessment with optical coherence tomography (OCT) were performed before the injection of Ozurdex implant and during the 6-month follow-up period after the injection. Results. The mean age was 55.2 ± 7.4 (range: 40–68) years. The BCVAs were significantly increased and CMTs were significantly decreased at month 3 and month 6 visits compared to baseline values. The mean IOP was significantly increased from baseline at day 1, week 1, and month 1 visits (p 1 = 0.008, p 2 = 0.018, and p 3 = 0.022, resp.). The average and inferior quadrant peripapillary RNFL thicknesses were significantly reduced at month 6 control visit compared to baseline values (both p < 0.001). Conclusions. Ozurdex implant improved the BCVA and reduced the CMT in the eyes with RVO related ME. However, IOP elevations occurred within the first month after the injection and the average and inferior quadrant RNFL thinning was found six months after the injection. Further controlled studies are warranted.

Ö ÖZ ZE ET T A Am ma aç ç: : Psödofakik hastalarda arka kapsül kesafeti nedeni ile neodimyum: yitriyum-alü-minyum-garnet (Nd: YAG) lazer kapsülotomi uygulanan hastaların refraktif değişimlerinin değerlendirilmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi Göz Kliniğinde arka kapsül kesafeti saptanan 38 hastanın 50 gözüne Nd: YAG lazer arka kapsü-lotomi uygulandı. Kapsülotomi öncesi ile kapsülotomi sonrası birinci hafta ve birinci ay hastaların en iyi düzeltilmiş görme keskinliği (EİDGK) sonuçları ve refraktif değişiklikleri karşılaştırıldı. .17 D respectively in first month after laser. While the reduction of mean cylindrical value was significant (p<0.001), there was no statistically significant change in the mean spherical value (p=0.79). Best corrected visual acuity of the patients according to Snellen was established baseline, first week and first month after laser as 0.30±0.17, 0.78±0.23, 0.81±0.34 respectively. There were statistically significant differences in BCVA of patients compared to those of prior to laser. In addition, there were no statistically significant differences in BCVA of patients between first week and month values (p>0.05). C Co on nc cl lu us si io on n: : Nd: YAG laser capsulotomy is an effective and safe method of treatment of posterior capsular opacification. Significant changes particularly in cylindrical refractive values after laser have been seen. These changes are fixed from the first week after laser.