Objective The aim of this study is to assess the subjective and objective aspects of voice in Sjögren's syndrome. Methods The study enrolled 10 women with Sjögren's syndrome and 12 healthy women. Maximum phonation time, fundamental frequency, jitter, shimmer, and noise-to-harmonics ratio were determined during acoustic voice analysis. The Stroboscopy Evaluation Rating Form was used for the laryngostroboscopic evaluation. A subjective evaluation was performed using the Turkish version of Voice Handicap Index-10. Results The mean age of the Sjögren's syndrome and control groups was 46 ± 13.89 and 41.27 ± 6.99 years, respectively, and did not differ (P = 0.131). In the laryngostroboscopic evaluation, the smoothness and straightness of vocal folds, regularity, and glottal closure differed significantly. In the acoustic and aerodynamic analyses, none of the parameters differed statistically, while the Sjögren's syndrome group had significantly higher Voice Handicap Index-10 scores than the controls. Conclusion Sjögren's syndrome affects the voice and voice quality.

The purpose of this study is to report the intermediate-term surgical outcomes of patients with iridocorneal endothelial syndrome-related glaucoma. The medical records of four patients (five eyes) surgery (Ahmed glaucoma valve implantation surgery and EX-PRESS mini shunt) were retrospectively reviewed. Median follow-up after glaucoma surgery was 24 (15-36) months. The preoperative intraocular pressure was significantly reduced from a median of 33 (22.5-36) mmHg on a median of 4 (4-5) glaucoma medications to a median of 12 (10.5-14.5) mmHg on a median of 2 (0-2) medications at last follow-up after surgery (p = 0.043 for IOP and p = 0.042 for glaucoma medications). Median preoperative visual acuity [0.016 (0.008-0.1)] did not change significantly when compared to median visual acuity at last follow-up [0.016 (0.004-0.5)] (p = 0.59). Intraocular pressure control in patients with iridocorneal endothelial syndrome is challenging and may require multiple operations and revisions. Some modifications during glaucoma drainage implant surgery and use of EX-PRESS mini shunt in certain cases could offer an advantage in these patients.

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of the study was to compare outcomes following the use of retropupillary iris-claw lenses (ICLs) and scleral fixated intraocular lenses (SFIOLs) in aphakic patients after cataract surgery. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Nineteen eyes with secondary lens implantation were included in this study. The best corrected visual acuity (BCVA) was measured preoperatively. The anterior segment was evaluated using slit lamp biomicroscopy and dilated fundus examination was performed. Intraocular pressure (IOP) was measured. Central macular thickness (CMT) was determined with the RTVue-100 ® Fourier-Domain Optical Coherence Tomography (Optovue Inc, Fremont, USA). Endothelial cell count was evaluated using CellChek XL ® specular microscopy (Konan Medical, Hyogo, Japan). The measurements were repeated in the first week, first month, and at three months, postoperatively. R Re es su ul lt ts s: : Sixty-three per cent of the study participants were men, with a mean age was 68.11 years. A statistically significant difference was not observed between the two groups with regard to BCVA and IOP. The increase in CMT in the first week and first month was statistically significant in the group in whom retropupillary ICL were implanted. Endothelial cell loss was 9.77±3.93% in the retropupillary ICL group and 6.51±4.74% in the SFIOL group. One patient in each group developed an epiretinal membrane. Cystoid macular edema (CME) was detected in one patient who underwent retropupillary ICL implantation. C Co on nc cl lu us si io on n: : Both retropupillary ICL and SFIOL implantation were found to be successful and safe in aphakic patients. A statistically significant difference was not observed between the two groups regarding endothelial cell loss over short-term follow-up. An increase in CMT was detected early period in the retropupillary ICL cases. K Ke ey yw wo or rd ds s: : Aphakia, postcataract; corneal endothelial cell loss; lens implantation, intraocular; macular edema Ö ÖZ ZE ET T A Am ma aç ç: : Katarakt cerrahisi sonrası afak hastalarda retropupiller iris kıskaçlı lens (İKL) ile skleral fiksasyonlu göz içi lens implantasyonu (SFGİL) sonuçlarını karşılaştırmak. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Sekonder lens implantasyonu yapılan 19 göz çalışmaya alındı.Tüm hastaların preoperatif düzeltilmiş en iyi görme keskinliği (DEİGK) ölçüldü. Yarıklı lamba biyomikroskopi ile ön segment değerlendirildi ve dilate fundus muayeneleri yapıldı. Goldman aplanasyon tonometri ile göz içi basınçları (GİB) ölçüldü. RTVue-100 ® Fourier-domain optik koherens tomografi (OKT) ile santral makula kalınlığı ölçüldü (Optovue Inc, Fremont, USA). CellChek XL ® speküler mikroskopi ile endotel hücre sayıları değerlendirildi (Konan Medical, Hyogo, Japan). Tüm ölçümler postoperatif 1. hafta, 1. ay ve 3. ayda tekrarlandı. B Bu ul lg gu ul la ar r: Olguların %63'ü erkekti. Yaş ortalaması 68,11 yıl idi. İki grup arasında DEİGK ve GİB ölçümlerinde istatistiksel...