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    Bilateral pterygium in the two siblings
    (Ophthoscience Publ, 2011) Ciftci, Suleyman; Ciftci, Leyla
    Ptelygia are fibrovascular connective tissue overgrowths of bulbar conjunctiva onto the cornea. There is a worldwide distribution of pterygium, but it occurs more commonly in warm, dry climates. Patients younger than the age of 15 rarely acquire a pterygium. We report a case of bilateral nasal pterygium in two siblings. A 10-year-old boy and a 12-year-old girl who are siblings presented with bilateral nasal pterygium. While pterygium is a common disorder, its bilaterality in young people is not a common condition. This report is the first known report in the peer-reviewed medical literature of patients with bilateral nasal pterygium in siblings younger than the age of 15.
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    Hemorrhagic Retinal Infarction Due to Inadvertent Overdose of Cefuroxi me in Cases of Complicated Cataract Surgery: Retrospective Case Series
    (Elsevier Science Inc, 2014) Ciftci, Suleyman; Ciftci, Leyla; Dag, Umut
    PURPOSE: To present 4 patients that developed hemorrhagic retinal infarction attributable to inadvertent overdose of cefuroxime after cataract surgery. DESIGN: Case series. SUBJECTS AND METHODS: Surgery in 4 patients was complicated-the posterior capsule was absent or torn-and anterior vitrectomy was performed. Cefufoxime was inadvertently injected at a dose higher than recommended in all 4 cases. RESULTS: Case 1 had hemorrhage in the central and inferior retinal regions, as well as optic atrophy. Case 2 had hemorrhage in the peripapillary and macular regions, as well as optic atrophy. Case 3 had hemorrhage in the peripapillary and inferior retinal regions, as well as macular pucker attributable to fibrovascular formation in the central retinal region. Case 4 had hemorrhage in the peripapillary, macular, and inferior retinal regions. The cefuroxime doses administered to the presented patients were much higher than reported in other cases and resulted in a higher concentration in the vitreous. Consequently, the severity of toxicity was much higher than in other reported cases of cefuroxime-induced toxicity. CONCLUSION: In cases of intracameral cefuroxime overdose, hemorrhagic retinal infarction can develop after cataract surgery. (C) 2014 by Elsevier Inc. All rights reserved.
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    Removal of Tenon fortified by conjunctival-limbal autograft in treatment of pterygium
    (Springer, 2017) Ciftci, Suleyman; Dogan, Eyup; Dag, Umut; Ciftci, Leyla
    To describe a simple and effective technique for the prevention of pterygium recurrence. This is a retrospective consecutive single-center case series with recurrence rate as the main outcome measure. Dissection of the conjunctiva, the Tenon's layer, and the sclera was continued up to the insertion of medial rectus. The exposed Tenon's layer was excised for 2 to 3 mm. The entire free edges of the conjunctiva was tacked firmly to the sclera. The conjunctival-limbal graft was sutured firmly to the sclera, recipient limbus, and to the conjunctiva incorporating the reciprocal edges. We report findings in a total of 36 patients, with 20 (%55.5) males and 16 (%44.4) females. Median age of the patients was 44.5 years (range 16-80). The mean follow-up period was 23.1 +/- 6.5 months. The mean size of pterygium in mm length was 3.8 +/- 0.7. Recurrence did not occur in any patient. Diplopia was not reported by any patients. Conjunctival-limbal autograft combining with selective exicison of Tenon's layer but without damage to any essential tissue such as the semilunar fold or Tenon's capsule pulley is a relatively simple and effective procedure.
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    Sensory exotropia due to keratoconus and review of the literature
    (Dove Medical Press Ltd, 2013) Ciftci, Suleyman; Simsek, Ali; Dogan, Eyup; Ciftci, Leyla
    This case report describes a 17-year-old boy with sensory strabismus due to keratoconus and an ipsilateral nodular lesion of the bulbar conjunctiva. The aligned eye was the right eye and keratoconus in this eye was of late onset. Vision in the left eye was poor and keratoconus was advanced in this eye. Due to the longstanding nature of the keratoconus and its occurrence in a developmentally sensitive period, sensory exotropia had developed in the left eye. There was a nodular lesion of the bulbar conjunctiva in the ipsilateral eye. If keratoconus occurs before the age of 7 years and the prolonged visual loss is not corrected, sensory strabismus can develop, as in this patient.