Browsing by Author "Kayikcioglu O.R."

Now showing 1 - 4 of 4
  • No Thumbnail Available
    Item
    A new technique for the subretinal injection of small volumes by using a modified viscous fluid injector system
    (2006) Kayikcioglu O.R.; Mendez T.; Morrison V.; Freeman W.R.
    [No abstract available]
  • No Thumbnail Available
    Item
    Trabeculectomy combined with deep sclerectomy and scleral flap suture tension adjustment under an anterior chamber maintainer: A new modification of trabeculectomy
    (2010) Kayikcioglu O.R.; Emre S.; Kaya Z.
    The objective of this study was to investigate the efficacy and safety of trabeculectomy combined with deep sclerectomy in patients with primary open angled glaucoma (POAG) and to compare the results with those from conventional trabeculectomy. In the study 12 eyes of 10 patients operated with trabeculectomy combined with deep sclerectomy (Group I) and 16 eyes of 16 patients operated with conventional trabeculectomy surgery (Group II) were included. In the described form of combined deep sclerectomy with the trabeculectomy technique the superficial scleral flap was sutured with 10/0 monofilament, the number and tension of sutures were adjusted according to the outflow dynamics, under the scleral flap, of balanced salt solution (BSS) provided by an anterior chamber maintainer. In groups I and II all the patients were male POAG cases with mean ages of 60.0 ± 19.4 and 67.0 ± 7.1 years, respectively. The mean follow-up periods were 8.3 ± 3.5 months for group I and 16.6 ± 7.0 months for group II. Preoperative mean IOP were 29.7 ± 8.3 and 29.1 ± 12.8 mmHg mmHg, and averagetopical antiglaucomatous medications were 2.9 ± 0.7 and 2.7 ± 1.1 for groups I and II, respectively. Postoperatively mean IOP measurements were reduced in groups I and II to 10.5 ± 2.9 vs. 9.6 ± 4.8 mmHg at 1 week, 13.7 ± 5.6 vs. 16.0 ± 9.8 at 1st month, 12.3 ± 6.4 vs. 17.3 ± 8.0 at 3rd month, 11.0 ± 4.1 vs. 15.3 ± 5.8 at 6th month, 10.8 ± 1.6 vs. 16.1 ± 4.4 at 12th month, and 11.0 ± 1.0 vs. 16.7 ± 5.0 at 18th month. Statistical analysis revealed that mean postoperative IOP measurements for group I were significantly lower than for group II for all measurements except the first week (P<0.05). At 12th month, the complete (IOP<22 mmHg without medication) and qualified (IOP <22 mmHg with medication) success rates were 83.3 and 100% for group I and 63.6 and 90.9% for group II. Postoperatively at 12th month, the mean number of antiglaucoma medications had fallen to 0.0 ± 0.0 in group I and 0.81 ± 1.1 in group II. Trabeculectomy surgery combined with deep sclerectomy and suture adjustment under an anterior chamber maintainer provided sufficient IOP decrease and diffuse bleb morphology. This technique could be used as a safe method for management of glaucoma. © Springer Science+Business Media B.V. 2009.
  • No Thumbnail Available
    Item
    Miliary microemboli of the retinal arterioles and choriocapillaris after subcutaneous injection of triamcinolone acetonide
    (Iranian Society of Ophthalmology, 2019) Kayikcioglu O.R.; Altinisik M.; Inan S.; Kurt E.
    Purpose: To report a case of triamcinolone crystals associated miliary microemboli of the retinal arterioles and choriocapillaris. Methods: A 30-year-old woman with alopecia areata on her left auriculotemporal scalp, scheduled for 10 mg/ml triamcinolone acetonide steroid injections (maximum volume of 3 ml per session) for 1 month intervals, presented with a sudden decrease in vision in her left eye after 1 ml injection in a dermatology clinic. Results: On ocular examination her best corrected visual acuity (BCVA) was hand movement in the left eye. Retinal examination showed multiple white-yellow steroid emboli in the superior and inferior temporal branch retinal arterioles which involves macula. Also there were diffuse yellow infiltrates in the choroid consistent with choroidal microemboli. Fluorescein angiography and optical coherence tomography images were suggestive for the retinal and choroidal ischemia. Conclusion: Subcutaneous triamcinolon injection may cause embolic occlusion of retinal and choroidal capillaries. © 2018 Iranian Society of Ophthalmology
  • No Thumbnail Available
    Item
    Retinal detachment due to unrecognized retinal dialysis in a patient with choroidal Coloboma
    (Gazi Eye Foundation, 2020) Dogruya S.; Kayikcioglu O.R.
    Lower half retinal detachment was found in a young male patient with choroidal coloboma and vitreus turbidity . The treatment of the retinal detachment which was considered to originate from choroidal coloboma was lens aspiration, IOL implantation followed by 23 G Pars plana vitrectomy. Following core vitrectomy and perfluorocarbon injection, retinal dialysis was observed in the lower nasal area during the peripheral vitreous shaving using indentation. Our patient was only then correctly diagnosed as retinal detachment secondary to retinal dialysis was treated with PPV-endolaser and 16% C3F8 gas injection and in the post-operative period, the retina attached. Retinal dialysis was encountered in the patient without history of trauma in whom we thought retinal detachment was due to the subvisible tears in the coloboma. Peripheral retina and vitreous base should be examined in detail in all of our patients even if there are apparent causes for detachment as choroidal coloboma. © 2020 Gazi Eye Foundation. All rights reserved.