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Öğe Orbital myiasis(Elsevier Science Inc, 2003) Çaça, I; Ünlü, K; Çakmak, SS; Bilek, K; Yildirim; Sakalar, B; Ünlü, GBackground: Orbital myiasis cases are very rare worldwide. We are reporting this case caused by Hypoderma bovis because invasive parasitic larvae can cause massive destruction. Case: An 85-year-old female patient was admitted to the Department of Ophthalmology of the Dicle University School of Medicine with the complaint of a wound in her right eye for over one year. Larvae had been in the same eye for one week. Observations: The clinical examination showed no light perception in her right eye. The eyelid was thickened and there was a necrotic lesion 3 x 4 cm in diameter, invading inferiorly into the upper side of the maxilla, superiorly to the roof of the orbita, medially to the lateral part of the nose, and laterally to the ossa zygomatica. Pathological examination of orbital tissue specimens confirmed basal cell carcinoma. Conclusions: Orbital exenteration, total maxillectomy and graft repair were conducted in the right eye. During the six-month follow-up period, orbital tomography was performed. No recurrence or metastasis was observed. (C) 2003 Japanese Ophthalmological Society.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.