PurposeTo report toxic anterior segment syndrome (TASS) after cataract surgery possibly associated with intracameral use of cefuroxime.MethodsWe conducted a retrospective chart review and analysis on the pre- and postoperative conditions of the subjects who had developed TASS.ResultsThe patient group consisted of 17 patients. Tyndallization and fibrin fibers were positive in all eyes. In four eyes, hypopyon formation developed. These reactions diminished on the third day and fully resolved 1 week after the operations with the use of intensive topical steroid and mydriatic therapy. To determine the etiology of TASS, infusion fluid, viscoelastics, and intracameral antibiotic agent were changed respectively. After changing intracameral antibiotic agent from cefuroxime axetile to moxifloxacin no new cases of TASS were diagnosed.ConclusionAll agents injected into the anterior chamber can cause TASS. Ophthalmologists and operating room staff need to pay careful attention to all drugs and irrigating solutions.

Purpose: To evaluate the effect of topical antiglaucomatous medications on central corneal epithelial thickness measured by anterior segment optical coherence tomography. Materials and methods: A total of 153 eyes of 153 patients using topical antiglaucomatous medications and 110 eyes of 110 control subjects were enrolled. Glaucoma type, duration of therapy, the number of drugs, and drops/day were noted in the patient group. Patients and control subjects underwent ocular examinations including Schirmer test, slit lamp examination for tear film break-up time, and anterior segment optical coherence tomography for central corneal thickness and central corneal epithelial thickness. Central corneal epithelial thickness and other data were evaluated separately with regard to glaucoma type, duration of therapy, the number of drops, and drugs in the patient group. Results: The mean ages of the patients and controls were 60.1 ± 10.8 and 58.7 ± 11.2 years, respectively. The groups were similar with regard to mean age and gender (p = 0.058, p = 0.734, respectively). The median (interquartile range) central corneal thickness was 536 (54) µm in patients and 552 (53) µm in controls (p = 0.011). The median (interquartile range) central corneal epithelial thickness of patients and controls were 56 (4) µm and 60 (8) µm, respectively (p < 0.001). The median (interquartile range) tear film break-up time and Schirmer were 12 (6) s and 10 (8) mm in patients and 16 (2) s and 18 (4) mm in controls, respectively (p < 0.001, p < 0.001). In patient group, there was no significant difference in the median central corneal thickness, central corneal epithelial thickness, and tear film break-up time in terms of glaucoma type, duration of therapy, the number of drugs, and the number of daily drops. Only the median Schirmer test was found to be statistically lower in terms of number of daily eye drops (p = 0.039). Conclusion: Using topical antiglaucomatous medications seems to affect the central corneal epithelial thickness in glaucoma patients. Central corneal epithelial thickness was thinner in glaucoma patients than controls. Anterior segment optical coherence tomography might be helpful to evaluate the effect of antiglaucomatous medications on central corneal epithelial thickness during treatment.

This study was conducted to determine the level of intercultural sensitivity of the physicians and nurses. Method: This research was a descriptive study. The sample group of the study were physicians (n=70) and nurses (n=87) working in the Public Hospital. 64.3% of physicians and 71.3% of nurses participated in the study. Data were collected between April, May and June 2017. Data of the study were collected by a questionnaire including personal information and Intercultural Sensitivity Scale (ISS). The questionnaire also includes an open-ended question of "What are cultural difference elements you describe in patients to whom you administer treatment and provide care". Descriptive statistics related to the variables were calculated and Parametric and non-parametric tests were performed. Results: In the present study, ISS mean scores were determined as 3.46±0.48 for the physicians and 3.48±0.47 for the nurses. There was no significant difference between the marital status of physicians and nurses and the total score of the scale (p>0.05).The interaction engagement scores of single physicians and nurses were higher than the married ones. Interaction enjoyment mean scores were higher in the participants speaking a foreign language than those not speaking a foreign language. There were significant difference between ISS total scores and interaction engagement, respect for cultural differences and interaction confidence subscales of physicians and nurses who have previous interaction with individuals from different cultures. Mean scores of the participants not receiving the training on cultural sensitivity were higher in the subscales of interaction engagement and interaction attentiveness (p<0.05). Conclusion:It is recommended for physicians and nurses to try to increase their cultural sensitivity by knowing more people from different cultures. It is also recommended to develop language competence of the institutions in which they work and make plans to provide opportunities for physicians and nurses to gain experience abroad and cultural sensitivity education.

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