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Öğe Descemet membrane detachment after viscocanalostomy(Elsevier Science Inc, 2000) Unlü, K; Aksünger, APURPOSE: To report a case that developed a large Descemet membrane detachment after viscocanalostomy, METHODS: Case report. A 60-year-old man with primary open-angle glaucoma underwent viscocanalostomy RE. One day after surgery, a small, localized detachment of Descemet membrane was present at the operation site. Six months after surgery, he had a large superior Descemet membrane detachment involving his visual axis. RESULTS: The Descemet membrane remained attached after descemetopexy with sodium hyaluronate and air. Final visual acuity was 20/80, and intraocular pressure was 17 mm Hg without medication, CONCLUSION: Detachment of the Descemet membrane should be recognized as a potential complication of viscocanalostomy, (C) 2000 by Elsevier Science Inc. All rights reserved.Öğe Mitomycin C primary trabeculectomy with releasable sutures in primary glaucoma(Elsevier Science Inc, 2000) Ünlü, K; Aksünger, A; Söker, S; Ertem, MPurpose: To evaluate the effects of mitomycin C and a releasable suture technique on outcomes of primary trabeculectomy in primary glaucoma patients. Methods: A prospective analysis of patients who underwent primary trabeculectomy with a mitomycin C concentration of 0.2 mg/mL for 2 minutes. For closing the scleral flap, releasable sutures were used in 18 patients (17 eyes), Group 1, or permanent sutures in 18 patients (20 eyes), Group 2. Clinical outcome factors including postoperative intraocular pressure (IOP), visual acuity, and incidence of complications were determined. Results: The mean follow-up periods were 8.1 +/- 1.3 months in Group 1 and 8.3 +/- 1.3 months in Group 2. The postoperative reduction in IOP was highly significant (P < .0001) at all time intervals in both groups. In all measurement of IOP before the second week, mean IOP in Group 2 was found significantly lower than the mean IOP in Group 1 (P = .01). No statistically significant differences were found between the groups at later mean IOP measurements. At the last visit, the complete success rate was 88.8% in Group 1 and 85.0% in Group 2. No serious complications such as hypotonous maculopathy were observed in ally patient. Conclusion: Primary trabeculectomy with mitomycin C in eyes with primary glaucoma showed effective IOP pressure reduction. There were no cases of serious complications. In the early postoperative period IOP was controlled better in the releasable suture group. (C) 2000 Japanese Ophthalmological Society.Öğe Ocular ochronosis(Wiley, 2002) Çakmak, SS; Çevik, R; Aksünger, A; Ünlü, K; Ava, SPurpose: To report a rare case of bilateral asymmetrical melanin-like pigments found in the cornea, conjunctiva and sclera. Methods: Systemic investigation with clinical and laboratory analysis. Results: The case was diagnosed as one of alkaptonuria and ocular ochronosis.Öğe Prospective evaluation of the argon laser treatment of trachomatous trichiasis(Elsevier Science Inc, 2000) Ünlü, K; Aksünger, A; Söker, S; Karaca, C; Bilek, KPurpose: To evaluate the effectiveness of argon laser photocoagulation for the treatment of trachomatous trichiasis. Methods: This report presents a prospective, non-masked study of 22 patients (36 eyelids) with trachomatous trichiasis treated with the argon laser. Each abnormal lash was treated with a beam of 50- to 200-micron spot size, for 0.2 seconds, and 1 to 1.2 watts power. In 30 lids (83.3%) infiltration anesthesia was used and in 6 lids (16.7%) no anesthesia was used. Results: Successful treatment with no evidence of recurrence was achieved in 55.5% of lids after one laser session. The remaining 44.5% of the lids required two or three sessions. The final success rate of the method was 88.9%. No complications were observed. The mean follow-up time was 10.6 months. Conclusion: Argon laser photocoagulation is an effective and safe method far the treatment of trachomatous trichiasis. (C) 2000 Japanese Ophthalmological Society.
