Erkan Ünsal

AMAÇ: Hastanemiz acil servisine izole göz küresi yaralanması ile başvuran hastaların değerlendirilmesi.YÖNTEMLER: 2018 yılında göz küresi yaralanması ile başvuran hastalar yaş, cinsiyet, eğitim durumu, olayların iş kazası olup olmaması, korneal yaralanma dereceleri, eşlik eden korneal yabancı cisim, lens ve iris hasarı olup olmaması, göz içi yabancı cisim eşlik edip etmemesine göre değerlendirildi.BULGULAR: 2018 yılında göz küresi yaralanması ile başvuran yaş ortalaması 29,8±10,2 (9-56) olan 58 hastanın 58 gözü değerlendirildi. Hastaların 5'i(%8,6) bayan,53'ü(%91,3) erkek idi. Hastalardan 4'ü 18 yaş altı öğrenci, 4'ü üniversite mezunu, 42'si lise ve dengi okul mezunu, 3'ü ortaokul ve 5'i de ilkokul mezunu idi. Hastalardan 3'ü(%5,1) yapıştırıcı madde teması,4'ü(%6,8)alkali madde teması,6'sı(%10,3) epitel defekti, 43'ü (%74,1) korneal yabancı cisim ile birlikte olan yaralanma ve 2'si(%3,4) vitre içi yabancı cisim ile birlikte olan kornea yaralanması ile tarafımıza başvurdu. Alkali madde teması olan 4 hastadan 1'i (%25) 18 yaş altı iken, 2'si (%50) temizlik yapan ev hanımı ve 1'i de (%25) temizlik işçisiydi. Alkali madde teması olan kişilerden işyerinde temizlik yapan bir hasta erkek (%25), diğer 3 hasta bayan idi. (%75). Epitel defekti ile başvuran 6 hastadan 1 tanesi çocuk ve 2'si bayan olmak üzere 5 tanesi erişkin hasta idi. Bayan olan iki hastanın da epitel defekti sebebi çocuğunun parmağının korneaya sürtmesi idi. Erişkin hastalardan diğer 3 erkek hasta ise çalışma esnasında metalik yabancı cismin korneal epitel defekti yaptığı hastalar idi. SONUÇ: Göz küresi yaralanması her yaştan bireyi etkileyebilen ve nedenine göre tedavi edilmesi gereken bir göz hastalığıdır.

İris Hook Aracılı Gerçekleştirilen Katarakt Cerrahisi Sonuçlarımız

Unsal E, et al. Korean J Ophthalmol. 2017 Apr;31(2):115-122. https://doi.org/10.3341/kjo.2017.31.2.115

A 56-year old female patient presented to our clinic with a complaint of low vision in her right eye. Twenty-two years earlier she had undergone a scleral buckling operation in her right eye because of retinal detachment. She indicated that vision in her right eye was good after the surgery but had recently been gradually declining. Best-corrected vision acuity was counting fingers at 1 meter in the right eye and 8/10 in the left eye. Anterior segment examination revealed stage 3 nuclear cataract in the right eye. Examination of the right eye was blurred and revealed an area of chorioretinal atrophy posterior to the equator, approximately 3 disc diameters in the peripapillary zone and about 2 disc diameters in the nasal papilla zone. Anteriorly of the equator there was an area of chorioretinal atrophy as well as a narrow, sharply demarcated, shiny 360⁰ suture with high buckling pressure, situated intraretinally but extending into the vitreous in some places. The structure was thought to be made of polyethylene. Around the suture there were retinal atrophic changes. After detailed explanation of the possible surgical complications and after obtaining informed consent, the right eye cataract was removed by phacoemulsification and a foldable intraocular lens was placed into the capsule. During the operation, we worked under low fluid pressure and as atraumatically as possible due to the possibility of intraocular pressure changes and the risk of the suture causing retinal and blood vessel tears or passing completely into the eye and causing intravitreal hemorrhage. A month after an uncomplicated surgery, the posterior segment examination demonstrated a reattached retina and the patient's best corrected visual acuity was 6/10.

Purpose: To evaluate morphologic changes in the anterior segment using ultrasound biomicroscopic imaging (UBM) after phacoemulsification and foldable intraocular lens implantation (IOL). Methods: Thirty-six patients with a mean age of 68.68 ± 8.44 years (range 51-89) who had phacoemulsification and foldable IOL implantation were included in this prospective study. Several anterior segment parameters including aqueous depth (AQD), trabecular meshwork-iris angle (TIA), ciliary body thickness (CBT), sclera thickness (ST), trabecular meshwork-ciliary process distance (T-CPD), iris-ciliary processes distance (I-CPD), and iris thickness (IT) were measured using UBM preoperatively and at postoperative month 2. Results: There was a significant increase in AQD (p<0.001) and TIA (p0.05) during the study period. Conclusions: Removal of the crystalline lens results in change in the anterior segment parameters. Our results confirmed that UBM is a helpful option for the analysis of anterior segment structures both qualitatively and quantitatively.