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Öğe Conjunctival-limbal autograft, amniotic membrane transplantation, and Intraoperative mitomycin C for primary pterygium(Humana Press Inc, 2007) Keklikci, Ugur; Celik, Yusuf; Cakmak, Sevin Soker; Unlu, M. Kaan; Bilek, BagdagulWe evaluated and compared the safety and efficacy of the conjunctival-limbal autograft, amniotic membrane transplantation, and intraoperative application of mitomycin C in 94 patients undergoing primary pterygium surgery and concluded that conjunctival-limbal autografting and amniotic membrane methods were more effective and safer than intraoperative mitomycin C.Öğe Evaluation of Perforating Eye Injuries by Using Cluster Analysis(Amer Soc Contemporary Medicine Surgery & Ophthalmology, 2008) Keklikci, Ugur; Celik, Yusuf; Cakmak, Sevin Soker; Sakalar, Yildirim B.; Unlu, M. KaanWe evaluated the epidemiology, visual outcome, and clinical characteristics of serious eye injuries and identified preventable risk factors. We concluded that many accidents and their resulting injuries were preventable by education, greater intensive care and workplace safety. Perforating ocular injuries in rural environment are still a big therapeutic, social and economic problem.Öğe Is it necessary to accompany probing with endoscopy in cases of congenital nasolacrimal canal obstruction?(Elsevier Ireland Ltd, 2010) Cakmak, Sevin Soker; Yildirim, Muzeyyen; Sakalar, Yildirim Bayezit; Keklikci, Ugur; Alakus, FuatObjective To compare the results of probing with and without endoscopy in cases of congenital nasolacrimal duct obstruction who had previously not undergone probing Methods Fifty-one children with congenital nasolacrimal duct obstruction who underwent surgical intervention between June 2007 and April 2009 in our hospital were included in the study Patients who had had previous probings were excluded from the study. Conventional probing was performed in 37 eyes of 25 patients, and probing with intranasal endoscopic visualization in 36 eyes of 26 patients. Diagnosis was based on history of epiphora since birth or shortly after, and fluorescein dye disappearance test. Results Thirty-two of 37 eyes (86.48%) were cured by probing Of the 5 cases with complaints. I had lacrimal sac fistula. Thirty-four of 36 eyes (94.44%) were cured by probing guided by endoscope observation. Thirty-two cases had stenosis at the lower end of the nasolacrimal duct which required probing. In two cases the probe passed submucosally to the floor of the nose In two cases a false passage was made at the upper end of the inferior meatus In these cases, the operation was continued by repeating the process until the distal end of the nasolacrimal canal was seen to have been passed Conclusion Probing with endoscopy may be excessive in primary cases but in cases which have undergone unsuccessful probing, it is useful for visualization of anomalies in the lower nasolacrimal canal and to obtain the correct anatomic position for the probe (C) 2010 Elsevier Ireland Ltd All rights reserved.Öğe A New Method for Removing Displaced Silicone Tubing from the Nasolacrimal Duct(Taylor & Francis Inc, 2009) Cakmak, Sevin SokerSilicone tubes are widely used in lacrimal system surgery. A common complication associated with the use of silicone tubes is lateral migration or displacement of the tubes. In some cases, the distal part of the silicone tube passes through the rhinostomy area, where it may become embedded in the lacrimal sac. The silicone tubes could not be seen in the nose endoscopically. The distal part of the silicon tube could not be seen in the rhinostomy area, so it was removed using a new method.Öğe Phakomatous choristoma of the lower eyelid: A case study with a review of the literature(Amer Soc Contemporary Medicine Surgery & Ophthalmology, 2007) Keklikci, S. Ugur; Cakmak, Alpay; Cakmak, Sevin Soker; Soker, Sevida IpekWe report a case of phakomatous choristoma of the lower eyelid. A 2-week-old girl was referred with a tumor of the right lower eyelid near the inner canthus, present since birth. No other abnormalities were noted. The tumor was excised, and histopathologic examination of the tumor showed phakomatous choristoma of the eyelid. This is the first report of phakomatous choristoma of the eyelid in Turkey.Öğe Retinal Nerve Fiber Layer Thickness and Features of the Optic Disc in Patients with Nonocular Behcet's Disease(Turkish Ophthalmological Soc, 2010) Sakalar, Yildirim Bayezit; Keklikci, Ugur; Cakmak, Sevin Soker; An, Seyhmus; Erdem, Seyfettin; Unlu, KaanPurpose: To evaluate the retinal nerve fiber layer (RNFL) thickness and optic disc measurements in patients with nonocular Behcet's disease. Material and Method: Forty-six eyes of 23 patients with nonocular Beh double dagger et's disease (Group 1) and 30 eyes of 15 healthy subjects (Group 2) were included in the study. A detailed ophthalmologic examination was performed, and the RNFL thickness and optic disc measurements were made by optical coherence tomography (OCT) in all cases. Thinning was considered when the RNFL thickness values were below 5%. Results: The mean RNFL thickness was 104.08 +/- 8.27 mm and 106.98 +/- 9.14 mm in group 1 and group 2, respectively. No significant difference was found between the two groups in terms of mean RNFL thickness (p>0.05). In group 1, the thinning of RNFL was detected in: one segment-13 eyes (28%), two segments-10 eyes (22%), three segments-2 eyes (4.3%), one quadrant - 8 eyes (17.4%), and two quadrants - 1 eye (2.2%). In group 2, the thinning of RNFL was observed in one segment - 7 eyes (25%) and in three segments - 2 eyes (7%). No thinning was detected in any quadrants in group 2. The thinning of RNFL in both segments and quadrants between the two groups was found to be significantly different (p<0.05). No significant difference existed between the two groups for optic disc measurements (p>0.05). Discussion: Thinning of RNFL may be seen in patients with nonocular Behcet's disease. The OCT can be used as an ancillary examination method in these patients.Öğe Spontaneous anterior lens dislocation: a case report(Int Scientific Literature, Inc, 2008) Keklikci, Ugur; Bozarslan, Berivan S.; Unlu, M. Kaan; Cakmak, Sevin Soker; Erdem, SeyfettinBackground: We report a case of spontaneous lens dislocation into the anterior chamber in a patient. Case Report: We present a-75 years-old woman with a lens that was spontaneously dislocated into anterior with corneal touch and secondary glaucoma. The patient's complaints included decreased vision and severe pain in the right eye. On evaluation, the vision was observed to be limited to detecting hand motions, and the intraocular pressure was 70 mmHg. The intraocular pressure remained elevated after medical therapy, and the patient underwent intracapsular cataract extraction, anterior vitrectomy and peripheral iridectomy. After intracapsular cataract extraction, the final visual acuity was 20/50 and intraocular pressure 12 mmHg. Conclusions: We present in this report a case who was treated succesfully with intracapsular extraction and anterior vitrectomy in the spontaneous anterior lens dislocation.Öğe Use of endocanalicular dacryocystorhinostomy with multidiode laser in children(Elsevier Ireland Ltd, 2010) Cakmak, Sevin Soker; Yildirim, MuzeyyenObjective: To evaluate the clinical outcome and efficacy of endocanalicular laser dacryocystorhinostomy using a multidiode laser in cases unresponsive to medical therapy, probing or intubation of pediatric nasolacrimal duct obstruction. Methods: Eight children with nasolacrimal duct obstruction were treated with a multidiode laser. The study was prospective, non-randomized, and noncomparative. The patients, 2 (25%) males and 6 (75%) females, ranged in age from 8 to 13 years (mean 11.25 +/- 2.43). Surgery was performed under general anesthesia. All procedures were performed using a multidiode laser. The nasal passage was visualized with a 30 degrees nasal video endoscope. In all cases, silicone stents were inserted. The main outcome measure was resolution or improvement of the epiphora and no major laser damage intranasally. Patients were followed for at least 6 months. Results: The endocanalicular laser dacryocystorhinostomy failed in one of the 8 (12.5%) cases, which had been secondary to trauma. The others were due to primary nasolacrimal duct obstruction. External dacryocystorhinostomy was performed on the failed case. None of the cases with primary nasolacrimal duct obstruction had obstruction after the endocanalicular laser dacryocystorhinostomy operation. Conclusions: Endocanalicular laser dacryocystorhinostomy using a multidiode laser appears to be an effective technique in cases unresponsive to medical therapy, probing or intubation of primary nasolacrimal duct obstruction. (C) 2010 Elsevier Ireland Ltd. All rights reserved.