To evaluate medium-term outcomes of overminus lens treatment in patients with intermittent exotropia [X(T)]. A retrospective analysis was performed of the outcomes of 19 children with X(T) who were prescribed overminus lens (-2.00 to -4.00 D) for a median period of 18 months (6-33). The success was evaluated using two assessment methods: 1. Newcastle Control System (NCS), and 2. Jampolsky's assessment. The mean age of the patients was 6.8 ± 3.3 years (range 3-14 years). After the therapy, the median NCS score significantly improved from 5 to 1 (p < 0.001). Sixteen children (84 %) showed a NCS score of 2 or less after overminus lens treatment. According to Jampolsky's assessment, 84 % of the patients showed marked improvement from the baseline (47 % had qualitative improvement, 37 % quantitative decrease in the angle of deviation in addition to a qualitative improvement). The median pre-treatment distant angle decreased from 25 prism diopters (PD) to 18 PD after the treatment (p = 0.002). Overcorrecting minus lens treatment has a reasonable rate of success in the medium term and may be advised as primary therapeutic alternative for X(T). Both NCS and Jampolsky's scoring system appear to be useful and comparable for follow-up of patients with X(T).
To investigate the frequency of converting a residency dissertation to a journal article in Turkey. To compare the different residency programs and their publications rates; to sub classify of dissertations according to sub-specialties. Ophthalmologists who graduated before 2010 conducted surveys. The surveys questions included graduation year, residency program, topic of the dissertations, type of the study (prospective, retrospective, or experimental), publication rate from the dissertations, and type of journal for published dissertations. Three-hundred-eight ophthalmologists conducted surveys. Fifty seven (18.5%) dissertations were published in SCI-Expanded Indexed journals (39 of them (23%) from the university hospital programs and 17 of them (13%) from state hospital programs (p=0.036)) and 97 of dissertations were published in national journals. 92 of 170 (54%) dissertations from the university based residency programs and 59 of 131 (45%) dissertations from the state hospital based residency programs were published in national journals or international journals indexed in the SCI-Expanded Index (p=0.17). A publication rate from dissertations was similar between big city university programs and small city university programs (23.3%; 22.6%). The most frequently studied topics of dissertations were cataract-refractive surgery (21.5%), followed by retina (21%), glaucoma (21%), cornea-anterior segment (19%), and strabismus (7%). Of the study design, 57% of them were prospective, 32% were retrospective, and 10.5% were experimental study. In this study, it seems to be that lesser than one fifth of Ophthalmology Residency dissertations in Turkey converted to journal articles in SCI-Expanded journals. It is obvious that the overall quality of the dissertations was inadequate to be published in indexed journals and it is necessary to take some measures to increase the scientific quality.
We present the case of a 31-year-old patient with toxic anterior segment syndrome (TASS) that developed after undergoing deep anterior lamellar keratoplasty (DALK). She had keratoconus, and despite wearing hard contact lenses for many years in the left eye, her vision had deteriorated; therefore, DALK was performed on this eye. The preoperative visual acuity (VA) was finger counting at 3 m. Routine DALK was performed using the "big-bubble" technique. The corneal entry incision was hydrated at the end of the surgery, which was terminated by air injection into the anterior chamber. On postoperative day 1, VA was at the level of hand movements, and the cornea was edematous. Topical high-dose dexamethasone and oral steroids were initiated considering the diagnosis of TASS. Subsequently, the patient's VA increased, and the corneal edema decreased. We believe that the use of re-sterilized cannulas may have been the likely cause of TASS. Although DALK can be performed without interfering with the anterior chamber, one should keep in mind that TASS may occur in response to the solution used to hydrate the incision site and the air injected into the anterior chamber. Keywords
The success rate of the three horizontal muscle surgeries appears to be high enough in medium-term follow-up in patients with large-angle infantile esotropia. Overcorrection that necessitates additional horizontal muscle surgery does not seem to be significant in the medium term, according to this study.
Intra-scleral fixation using iris retractors in the capsular bag for patients having suffered dislocation of IOL despite the attachment of a capsular hook because of zonular dialysis can be safely implemented.
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