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...

Cilt yoluyla levator rezeksiyonu yapılan hastalarda, kuru göz parametreleri ve meibomian bez morfolojisini değerlendirmek. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ocak 2015-Mart 2015 tarihleri arasında, Sağlık Bilimleri Üniversitesi Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Göz Kliniği'nde aponevrotik pitoz nedeni ile cilt yoluyla levator rezeksiyonu yapılan 11 hastanın 21 gözü prospektif olarak çalışmaya alındı. On sekiz yaşından küçük hastalar, aponevrotik pitoz dışındaki hastalar ile geçirilmiş göz kapağı cerrahisi ya da travması olanlar çalışmaya alınmadı. Rutin oftalmolojik muayenenin yanı sıra preoperatif ve postoperatif 1.ayda Schirmer 1 testi, gözyaşı kırılma zamanı (GKZ) ölçümü ve meibografi (Sirius CSO korneal topografi) yapıldı. B Bu ul lg gu ul la ar r: : On bir hastanın 7 (%64)'si erkek idi. Yaş ortalaması 56,10±8,03 yıl idi. Preoperatif ortalama Schirmer 1 testi 18,76±4,69 mm iken postoperatif 1. ayda 15,90±4,07 mm ölçüldü. Preoperatif ortalama GKZ 5,57±1,89 saniye iken postoperatif 1. ayda 7,05±2,20 saniye olarak değerlendirildi. Preoperatif üst kapak meibografide ortalama alan kaybı %33,75±8,43 iken, postoperatif 1.ayda %34±9,67 hesaplandı. Preoperatif alt kapak meibografide ortalama alan kaybı %22,05±5,05 iken, postoperatif 1. ayda %21,94±6,57 hesaplandı. S So on nu uç ç: : Cilt yoluyla levator rezeksiyonu yapılan olgularda postoperatif erken dönemde Schirmer 1 testinde anlamlı kısalma izlendi. GKZ hem preoperatif dönemde hem de postoperatif 1.ayda <10 saniye saptandı. Üst ve alt göz kapağında meibomian bez alan kaybında anlamlı değişiklik izlenmedi. Çalışmamız; cilt yoluyla levator rezeksiyonunun meibomian bez morfolojisini etkilemeden erken dönemde kuru göze neden olabileceğini göstermiştir. A An na ah ht ta ar r K Ke el li im me el le er r: : Blefaropitozis; kuru göz sendromları; meibomian bezler A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To evaluate dry eye parameters and meibomian gland morphology in patients who underwent transcutaneus levator resection. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Twenty one eyes of 11 patients who underwent transcutaneus levator resection between January 2015-March 2015 at Haydarpasa Numune Training and Research Hospital Ophthalmology Clinic were included in this prospective study. Patients younger than 18 years old, except for aponeurotic ptosis, past eyelid surgery or trauma cases were not included. In addition to routine ophthalmologic examination, Schirmer 1 test, tear break up time (TBUT) and meibography (Sirius CSO corneal topography) was performed preoperatively and postoperative 1 th month. R Re es su ul lt ts s: : Seven of the 11 patients were male (64%). Mean age was 56.10±8,03. Preoperative mean Schirmer 1 test was 18,76 ± 4,69 mm and postoperative 1 th month was 15,90±4,07 mm. Preoperative mean TBUT was 5,57±1,89 sec and postoperative 1th month was 7.05±2.20 sec. The preoperative mean area loss in the upper eyelid meibography was 33.75±8.43%, whereas in the postoperative 1 th month 34±9.67%. The ...

Aim: In this study, we aimed to evaluate the results of tectonic penetrating keratoplasty (PK) in the treatment of the non-traumatic corneal perforations. Material and Method: Thirty-five eyes of 35 patients who underwent tectonic PK between January 2000 and January 2017 were included in this study retrospectively.The cases were evaluated in terms of age, sex, etiology, follow-up period, anatomical stability, graft clarity, best corrected visual acuity and complications.Results: Twenty-one of the 35 patients were male. The mean age was 49.4. The mean follow-up period after keratoplasty was 43.2 ± 8.4 months. Predisposing factors leading to perforation were microbial keratitis in 17 eyes (48.5%), corneal melting associated with ocular surface disease in 13 eyes(37.1%) and perforated descemetocele in 5 eyes (14.4%). Anatomical stability was achieved in 94% of the eyes. The graft clarity rate was 62% at the end of the follow-up period. Approximately half of the cases obtained a final visual acuity of 0.2 and better postoperatively. The most common complication was glaucoma. Discussion: Emergency PK is required to maintain anatomical integrity in corneal perforations. Success rate is evaluated with anatomical integrity; graft clarity and visual acuity are not satisfactory. However, prognosis can be improved by the control of the underlying pathology, inflammation and intraocular pressure.