Yazar "Cinar, Yasin" seçeneğine göre listele

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    Accelerated corneal collagen cross-linking for progressive keratoconus
    (Taylor & Francis Ltd, 2014) Cinar, Yasin; Cingu, Abdullah Kursat; Turkcu, Fatih Mehmet; Yuksel, Harun; Sahin, Alparslan; Yildirim, Adnan; Caca, Ihsan
    Purpose: To evaluate the efficacy of accelerated corneal cross-linking (CXL) procedure for progressive keratoconus. Materials and methods: Twenty-three eyes of 23 patients undergone accelerated CXL procedure were evaluated preoperatively and postoperatively at 1st, 3rd and 6th month for uncorrected distant visual acuity (UDVA), best corrected distant visual acuity (CDVA), spherical error, cylindrical error, spherical equivalent (SE), keratometric values and thinnest corneal thickness (TCT) values with corneal topography by Scheimpflug camera and endothelial cell density (ECD). Results: The mean UDVA was improved from 0.97 +/- 0.41 logarithm of minimal angle of resolution (logMAR) to 0.76 +/- 0.45 logMAR at the 6th month after CXL (p = 0.332). The mean CDVA was improved from 0.49 +/- 0.30 logMAR to 0.34 +/- 0.22 logMAR at the 6th month after CXL (p = 0.026). The mean sphere was decreased from -4.47 +/- 4.1 diopter (D) to -3.79 +/- 3.86 D and the mean cylinder was decreased from -5.60 +/- 2.2D to -4.55 +/- 1.98 D and the mean SE was decreased from -7.22 +/- 4.48 D to -6.36 +/- 4.34 D at the 6th month after CXL (p = 0.128, p = 0.002 and p = 0.045, respectively). Flat keratometry, steep keratometry, mean keratometry and maximum keratometry were significantly reduced at the 6th month after CXL (p = 0.025, p < 0.001, p = 0.004 and p = 0.03, respectively). TCT and ECD were not changed significantly the 6th month after CXL (p = 0.135 and p = 0.082, respectively). Conclusion: Accelerated CXL procedure was effective to stabilize progression of keratoconus with significant reduction in topographic keratometric values and significant increase in CDVA in 6 months.
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    Activation of toxoplasma retinochoroiditis during pregnancy and evaluation of ocular findings in newborns
    (Springer, 2017) Turkcu, Fatih Mehmet; Sahin, Alparslan; Yuksel, Harun; Cinar, Yasin; Cingu, Kursat; Altindag, Suat; Deveci, Ozcan
    The purpose of this study was to evaluate patients with activation of toxoplasma retinochoroiditis during pregnancy and ocular findings in newborns. A total of 17 pregnant patients who were clinically and serologically diagnosed with ocular toxoplasmosis were retrospectively reviewed. After birth, ocular findings for all infants were recorded. The mean age of the patients was 29.08 +/- 5.71 years. In all cases, activation was present in only one eye. In 13 cases, anterior uveitis was associated with posterior uveitis. Visual acuity in all cases prior to treatment was 0.3 +/- 0.21 and increased to 0.55 +/- 0.29 after treatment. The mean gestational age of the patients was 19.76 +/- 8.71 weeks at the time of hospital admission. No case of toxoplasmic ocular involvement was identified in the infants on postnatal examination. In the case of toxoplasma retinochoroiditis during pregnancy, appropriate treatment and follow-up is very important to protect the newborns and to prevent impaired vision in mothers.
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    Anterior segment parameters of rabbits with rotating Scheimpflug camera
    (Wiley-Blackwell, 2015) Yuksel, Harun; Turkcu, Fatih M.; Ari, Seyhmus; Cinar, Yasin; Cingu, Abdullah K.; Sahin, Muhammed; Sahin, Alparslan
    BackgroundRabbit is one of the most commonly used experimental animals for corneal studies due to similarity of size to human cornea and ease of manipulation. In this study, we assessed anterior segment parameters of the healthy rabbit eyes with Pentacam HR (Oculus, Wetzlar, Germany). MethodsSix-month-old, approximately 2.5-3kg weighted, 30 female New Zealand rabbits were used in the study. Right eye of the each rabbit was imaged with Pentacam HR under intramuscular ketamine hydrochloride (Ketalar; Eczacibasi, Turkey) anesthesia (50mg/kg). After the imaging, the rabbits with blinking errors, which results in low-quality images, were excluded from the study. Keratometric readings, central corneal thickness (CCT), anterior chamber depth (ACD), and anterior and posterior elevation values, and lens density were noted. ResultsIn this study, the flattest and the steepest keratometric values were found as 43.341.86, 42.7 +/- 2.0, and 43.9 +/- 1.9diopters, respectively. The mean CCT and ACD of rabbits were found as 388 +/- 39m and 2.08 +/- 0.16mm, respectively. Mean of the anterior and posterior elevation at thinnest point was found as 1.29 +/- 4.28 and 3.91 +/- 6.17m, respectively. ConclusionsKeratometric readings and anterior and posterior elevation values of rabbits were similar to human; however, corneal thickness and anterior chamber depth (ACD) values were lower than humans.
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    AUTHOR REPLY TO: Mean platelet volume in pseudoexfoliation syndrome and glaucoma
    (Wichtig Editore, 2014) Turkcu, Fatih Mehmet; Yuksel, Harun; Sahin, Alparslan; Cinar, Yasin; Yuksel, Hatice; Cingu, Kursat; sahin, Muhammed
    [Abstract Not Available]
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    Automated quantification of foveal avascular zone and vascular density in Behcet's disease
    (Springer London Ltd, 2020) Turkcu, Fatih Mehmet; Sahin, Alparslan; Karaalp, Umit; Cinar, Yasin; Sahin, Muhammed; Ozkurt, Zeynep Gursel; Keklikci, Ugur
    PurposeTo measure the vascular density (VD) and foveal avascular zone (FAZ) area in patients with Behcet's disease (BD) obtained by optical coherence tomography angiography (OCTA).MethodsVD and FAZ area in the deep and superficial retinal vascular networks were measured in all eyes.ResultsThirty BD and 31 control subjects were included in the study. The mean overall VD measured in the entire scan was lower in BD compared with control group in both the superficial (49.526.54 vs 53.57 +/- 2.87%, respectively; p=0.003) and deep (53.44 +/- 7.44 vs 58.41 +/- 3.01%, respectively; p=0.002) areas. The FAZ in the BD group was significantly increased at the level of the superficial (0.52 +/- 0.67 vs 0.28 +/- 0.1 mm(2), respectively; p=0.05) and deep (0.91 +/- 1.25 vs 0.39 +/- 0.14 mm(2), respectively; p=0.024) areas compared with those of the control group. The deep and the superficial FAZ areas were positively correlated with disease duration and negatively with VA.Conclusionp id=ParIn the patients with BD, OCTA showed decreased VD in both the superficial and deep retinal vascular networks. Besides, the VA was correlated with the VD and FAZ.
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    Bilateral Optic Disc Drusen Mimicking Papilledema
    (Korean Neurological Assoc, 2012) Sahin, Alparslan; Cingu, Abdullah Kursat; Ari, Seyhmus; Cinar, Yasin; Caca, Ihsan
    Background Optic disc drusen, which are calcified deposits that form anterior to the lamina cribrosa in the optic nerve, may mimic papilledema. Case Report We report herein three cases referred to us with suspicion of disc swelling and papilledema. Following ophthalmologic evaluation with B-scan ultrasound, red-free fundus photography, and computed tomography, the diagnosis of papilledema was excluded in all cases and optic disc drusen was diagnosed. Conclusions Clinical suspicion of optic disc drusen in cases presenting with swelling of the optic nerve head is important in order to avoid unnecessary interventions and anxiety. The reported cases highlight the commonly encountered clinical presentations and the practical aspects of diagnosis and management of optic disc drusen. J Clin Neurol 2012;8:151-154
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    Comparison of accelerated and conventional corneal collagen cross-linking for progressive keratoconus
    (Taylor & Francis Ltd, 2014) Cinar, Yasin; Cingu, Abdullah Kursat; Turkcu, Fatih Mehmet; Cinar, Tuba; Yuksel, Harun; Ozkurt, Zeynep Gursel; Caca, Ihsan
    Purpose: To compare outcomes of accelerated and conventional corneal cross-linking (CXL) for progressive keratoconus (KC). Materials and methods: Patients were divided into two groups as the accelerated CXL group and the conventional CXL group. The uncorrected distant visual acuity (UDVA), corrected distant visual acuity (CDVA), refraction and keratometric values were measured preoperatively and postoperatively. The data of the two groups were compared statistically. Results: The mean UDVA and CDVA were better at the six month postoperative when compared with preoperative values in two groups. While change in UDVA and CDVA was statistically significant in the accelerated CXL group (p = 0.035 and p = 0.047, respectively), it did not reach statistical significance in the conventional CXL group (p = 0.184 and p = 0.113, respectively). The decrease in the mean corneal power (K-m) and maximum keratometric value (K-max) were statistically significant in both groups (p = 0.012 and 0.046, respectively in the accelerated CXL group, p = 0.012 and 0.041, respectively, in the conventional CXL group). There was no statistically significant difference in visual and refractive results between the two groups (p > 0.05). Conclusions: Refractive and visual results of the accelerated CXL method and the conventional CXL method for the treatment of KC in short time period were similar. The accelerated CXL method faster and provide high throughput of the patients.
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    Comparison of Central Corneal Thickness Measurements with a Rotating Scheimpflug Camera, a Specular Microscope, Optical Low-Coherence Reflectometry, and Ultrasound Pachymetry in Keratoconic Eyes
    (Taylor & Francis Inc, 2015) Cinar, Yasin; Cingu, Abdullah Kursat; Turkcu, Fatih Mehmet; Cinar, Tuba; Sahin, Alparslan; Yuksel, Harun; Ari, Seyhmus
    Objective: To compare central corneal thickness (CCT) measurements with a rotating Scheimpflug camera (RSC), noncontact specular microscopy (SM), optical low-coherence reflectometry (OLCR), and ultrasonic pachymetry (UP) in keratoconus (KC) patients. Method: In this prospective study, four CCT measurements taken with an RSC, SM, OLCR, and UP were compared in 81 eyes of 44 consecutive KC patients. The KC patients were divided into four subgroups according to Amsler-Krumeich's KC classification. Results: The RSC and UP measurements of the CCT were not statistically significant in all the groups. Comparison of the SM vs. the OLCR measurements yielded statistically significant differences in all the KC patients and in all KC stages. In all the KC patients, RSC and OLCR showed a high correlation coefficient factor (r = 0.87, p = 0.000). Conclusion: CCT measurements with RSC are comparable to those achieved with UP. Compared with the other devices, according to SM measurements, the central cornea is thicker in all keratoconic eyes and in all KC grades, and it is thinner according to OLCR. RSC, UP, SM, and OLCR should not be used interchangeably in keratoconic eyes.
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    Comparison of Optical versus Ultrasonic Biometry in Keratoconic Eyes
    (Hindawi Ltd, 2013) Cinar, Yasin; Cingu, Abdullah Kursat; Sahin, Muhammed; Sahin, Alparslan; Yuksel, Harun; Turkcu, Fatih Mehmet; Cinar, Tuba
    Purpose. To compare the measurements of optical versus ultrasonic biometry devices in keratoconic eyes. Materials and Methods. Forty-two eyes of 42 keratoconus (KC) patients enrolled in the study were examined. Clinical and demographic characteristics of the patients were noted, and detailed ophthalmological examination was performed. Following Pentacam measurements, central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT), and axial length (AL) were obtained using the Lenstar and US biometer to determine the reproducibility of the measurements between the two devices in keratoconic eyes. The Bland-Altman method was used to describe the agreement between the two devices. Results. The Lenstar could not measure at least one of the biometric properties in one eye and did not automatically give the corrected ACD in 2/3 of our study population. The Lenstar measured CCT (average difference 5.4 +/- 19.6 mu m; ICC = 0.90; P < 0.001), LT (average difference 0.13 +/- 0.17 mm; ICC = 0.67; P < 0.001), and AL (average difference 0.10 +/- 0.76 mm; ICC = 0.75; P < 0.001) thinner than US biometer, whereas it measured ACD (average difference 0.18 +/- 0.17 mm; ICC = 0.85; P < 0.001) deeper than US biometer in keratoconic eyes. Conclusion. Although the difference between the measurements obtained using the two devices might be clinically acceptable, US biometry and Lenstar should not be used interchangeably for biometric measurements in KC patients.
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    Corneal perforation during Nd:YAG laser capsulotomy: a case report
    (Springer, 2013) Turkcu, Fatih Mehmet; Yuksel, Harun; Cingu, Kursat; Cinar, Yasin; Murat, Mehmet; Caca, Ihsan
    We report a case where corneal perforation developed during Nd:YAG laser capsulotomy. We present a 20-year-old male with the complaint of impaired vision in the right eye. Leukoma consistent with the incision line in the cornea and opacity in the posterior capsule were observed.
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    Demographic and etiologic characteristics of children with traumatic serious hyphema
    (Turkish Assoc Trauma Emergency Surgery, 2013) Turkcu, Fatih Mehmet; Yuksel, Harnn; Sahin, Alparslan; Cingu, Kursat; Ari, Seyhmus; Cinar, Yasin; Sahin, Muhammed
    BACKGROUND We aimed to evaluate the etiologic factors, complications, follow-up, and treatment outcomes in serious hyphema following blunt ocular trauma in childhood. METHODS The medical records of 136 patients diagnosed as grade 3 or 4 hyphema due to blunt ocular trauma between January 2006 and December 2011 were evaluated. Visual acuity (VA), complications, and medical and surgical treatments were analyzed. Factors affecting visual prognosis were compared in grade 3 and 4 hyphema cases. RESULTS The mean age of patients was 9.7+/-4 years. Etiologic factors for trauma were stone in 53 (39%), bead bullet in 25 (18.4%) and others in 58 (42.6%) patients. The most common complication of grade 3 and 4 hyphema was traumatic mydriasis (19.1%), followed by cataract (9.6%) and glaucoma (5.1%). Medical treatment was successful in 114 (83.8%) patients, and 22 (16.2%) patients underwent surgery. Mean initial and final VA of grade 4 patients were found to be significantly lower than those of grade 3 patients. CONCLUSION In grade 3 and 4 hyphema due to blunt trauma, visual prognosis worsened in the presence of additional ocular pathologies. Considering the bad visual prognosis of severe hyphema patients, prompt treatment and close follow-up may prevent complications resulting in poor VA.
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    Development of a Nomogram to Predict Graft Survival After Descemet Stripping Endothelial Keratoplasty
    (Lippincott Williams & Wilkins, 2023) Cherkas, Elliot; Cinar, Yasin; Zhang, Qiang; Sharpe, James; Hammersmith, Kristin M. M.; Nagra, Parveen K. K.; Rapuano, Christopher J. J.
    Background/Purpose:The purpose of this study was to analyze Descemet stripping endothelial keratoplasty (DSEK) outcomes and develop a nomogram to compute the probability of 3- and 5-year DSEK graft survival based on risk factors.Study Design/Methods:The medical records of 794 DSEK procedures between January 1, 2008, and August 1, 2019, were retrospectively reviewed to identify 37 variables. We also evaluated for the presence of corneal graft failure, defined as irreversible and visually significant graft edema, haze, or scarring. Variables were assessed by multivariable Cox models, and a nomogram was created to predict the probability of 3- and 5-year graft survival.Results:Graft failure occurred in 80 transplants (10.1%). The strongest risk factors for graft failure included graft detachment [hazard ratio (HR) = 4.46; P < 0.001], prior glaucoma surgery (HR = 3.14; P = 0.001), and glaucoma (HR = 2.23; P = 0.018). A preoperative diagnosis of Fuchs dystrophy was associated with a decreased risk of graft failure (HR = 0.47; P = 0.005) compared with secondary corneal edema. Our nomogram has a concordance index of 0.75 (95% confidence interval, 0.69 to 0.81), which indicates that it may predict the probability of graft survival at 3 and 5 years with reasonable accuracy. We also analyzed graft rejection, which occurred in 39 cases (4.9%). The single risk factor found to be significantly associated with graft rejection was prior glaucoma surgery (HR = 2.87; P = 0.008).Conclusions:Our nomogram may accurately predict DSEK graft survival after 3 and 5 years based on 4 variables. This nomogram will empower surgeons to share useful data with patients and improve collective clinical decision-making.
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    Diagnosis of Malignant Hypertension with Ocular Examination: A Child Case
    (Informa Healthcare, 2014) Yildirim, Adnan; Turkcu, Fatih Mehmet; Yuksel, Harun; Sahin, Alparslan; Cinar, Yasin; Caca, Ihsan
    A 12-year-old female patient was admitted to our clinic complaining about low vision. Bilateral optic disc edema, macular star, and preretinal hemorrhages were found in fundoscopic examination. In fundus fluorescein angiography, massive leakage in the late phase was seen in the optic nerve head and macular area. These findings were compatible with high-grade hypertensive retinopathy. The patient consulted with pediatrics and a diagnosis of vesicourethral reflux and malignant hypertension was made.
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    Early Orbital Blood Flow Changes in Multiple Sclerosis Patients with Unilateral Acute Optic Neuritis
    (Taylor & Francis As, 2012) Ari, Seyhmus; Ekinci, Faysal; Acar, Abdullah; Sahin, Alparslan; Cingu, Abdullah Kursat; Cinar, Yasin; Caca, Ihsan
    The aim of this study was to evaluate orbital blood flow by using colour Doppler imaging before corticosteroid administration in multiple sclerosis patients with unilateral acute optic neuritis. Thirty multiple sclerosis patients with unilateral acute optic neuritis and 30 healthy subjects were included as the study and the control groups. The diagnosis of multiple sclerosis optic neuritis was based on clinical presentation, visually evoked potential, and magnetic resonance imaging findings. Data obtained from affected and unaffected eyes were compared with each other and the control group. Ophthalmic artery peak systolic velocity, end-diastolic velocity, resistivity index, and pulsatile index were measured in all patients before administration of systemic corticosteroid treatment and in control subjects. All parameters of blood flow obtained from affected eyes of patients who developed acute optic neuritis were significantly higher than those of the clinically uninvolved eyes of the affected patients (p < 0.001) and those of control eyes (p < 0.001). In addition, statistically significant increases were found in ophthalmic artery peak systolic velocity, end-diastolic velocity, and resistivity index of the clinically uninvolved eye of the affected patients compared with the control group (p = 0.002, p = 0.012, p = 0.013, respectively). No significant differences were found in blood flow data between left and right eyes of the control group (p > 0.05).
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    Effect of low molecular weight heparin (enoxaparin) on congenital cataract surgery
    (Ijo Press, 2012) Caca, Ihsan; Sahin, Alparslan; Cingu, Abdullah Kursat; Ari, Seyhmus; Alakus, Fuat; Cinar, Yasin
    AIM: To assess the efficacy of intracameral enoxaparin (a low-molecular-weight heparin) infusion, in variable doses on postoperative inflammatory response in congenital cataract surgery. METHODS: It is a prospective, randomized controlled trial. Eighty eyes of 53 children with congenital cataract were enrolled in this study. Every eye had primary posterior capsulorrhexis and intraocular lens (IOL) implantation after lens aspiration. The eyes were divided into 4 equal groups. In group 1 balanced salt solution (BSS) without enoxaparin was used as an irrigation solution. Whereas in group 2, 3 and 4, 40mg, 20mg and 10mg enoxaparin in 500mL BSS was used respectively. The inflammatory response in the anterior chamber was compared among the groups with slit-lamp biomicroscopy. RESULTS: The mean follow-up period was (17.75 +/- 3.95) months in group 1, (18.00 +/- 5.15) months in group 2, (19.20 +/- 5.47) months in group 3 and (18.65 +/- 5.16) months in group 4. Mean number of inflammatory cells in the anterior chamber in group 1 was significantly higher than that of group 2, 3, 4 (P<0.001). There was fibrin formation in the anterior chambers of 3 eyes in group 1 and one eye in group 4. There was synechiae formation in 3 eyes of group 1 and one eye of group 4. There was no significant difference among the groups by means of fibrin or synechiae formation (P>0.05). There were IOL precipitates in 4 eyes of group 1 and 2 eyes of group 4. IOL precipitate formation was significantly higher in group 1 than that of group 2 and 3 in which there was no IOL precipitate (P=0.048). There was IOL subluxation in only one eye of group 1, 3 and 4 while no subluxation was observed in group 2 (P>0.05). There was no statistically significant difference detected about IOL subluxation occurance in all 4 groups (P>0.05). CONCLUSION: Complications of cataract surgery in congenital cataract patients associated with postoperative inflammatory response found to be decreased with the use of enoxaparin in intraocular infusion solutions. Furthermore according to our results the anti-inflammatory effect of enoxaparin was dose dependant.
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    Effect of Vernal Keratoconjunctivitis on Vitreous Depth in Patients with Keratoconus
    (Informa Healthcare, 2015) Cingu, Abdullah Kursat; Kaya, Savas; Cinar, Yasin; Sahin, Muhammed; Turkcu, Fatih Mehmet; Yuksel, Harun; Murat, Mehmet
    Purpose: The aim of this study was to comparatively evaluate the vitreous depth (VD) of keratoconic eyes in patients with or without vernal keratoconjunctivitis (VKC). Material and Methods: Eighty eyes of 80 consecutive keratoconus (KC) patients and 40 emmetropic control subjects were enrolled. KC patients were divided into two groups according to accompanying VKC (VKC-KC group and KC group). Mean outcome measures were best-corrected visual acuity (BCVA), spherical equivalent (SE), mean keratometry (Km), intraocular pressure (IOP), and axial length (AL) and its components. The eyes with the highest Km were selected for statistical analysis for each participant. Results: There were 50, 30, and 40 patients in the VKC-KC group, KC group, and control group respectively. The KC group and VKC-KC group were similar in BCVA, SE, Km, CCT, ACD, LT, and IOP (p>0.05). The mean ACD was significantly lower in the control group when compared with the KC group and VKC-KC group. The mean AL and VD were significantly higher in VKC-KC group than those of KC group and the control group, whereas similar in KC and control groups (p>0.05). Conclusion: In the current study we showed that VKC-associated KC patients have significantly longer AL and VD when compared with KC patients without VKC. Posterior segment elongation in VKC-KC group may be associated with the type IV collagen destruction due to chronic longstanding inflammation in VKC patients.
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    Effects of hyperbaric oxygen on crystalline lens and retina in nicotine-exposed rats
    (Taylor & Francis Ltd, 2013) Ari, Seyhmus; Nergiz, Yusuf; Cingu, Abdullah Kursat; Atay, Ahmet Engin; Sahin, Alparslan; Cinar, Yasin; Caca, Ihsan
    Objective: To determine histopathological changes on crystalline lens and retina of rats after subcutaneous injection of nicotine and to examine the effects of hyperbaric oxygen (HBO) on these changes related to nicotine exposure. Methods: Twenty-eight female Sprague-Dawley rats were enrolled in the study and the rats were divided into four equal sized groups randomly (Group N: the rats exposed only to nicotine, group HB: the rats received only HBO, group N+HB: the rats that underwent to nicotine injection and subsequently received HBO, group C: the control group that neither exposed to nicotine nor received HBO). The rats were sacrified by decapitation method and all were enucleated immediately after scarification. Tissue samples from crystalline lens, lens capsule, and the retina from the right eyes of the rats were examined by light microscopy. Results: While the histological appearances of the retina and the lens was similar in group HB, group N+HB, and the control group; group N showed some pathological changes like decrement in the retinal ganglion cell density, atrophy of the retinal nerve fiber layer, congestion of the vessels in the optic nerve head, thinning of the internal plexiform layer, thinning of the lens capsule, and transformation of the anterior subcapsular epithelium into squamous epithelia. Discussion: Subcutaneous injection of nicotine was found to be related with some pathological changes in the retina and lens of the Sprague-Dawley rats. However HBO caused no significant negative effect. Furthermore, the histopathological changes related to nicotine exposure in the lens and retina of the rats recovered by the application of HBO.
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    The Effects of Nd:YAG Laser Posterior Capsulotomy on Macular Thickness, Intraocular Pressure, and Visual Acuity
    (Slack Inc, 2012) Ari, Seyhmus; Cingu, Abdullah Kursat; Sahin, Alparslan; Cinar, Yasin; Caca, Ihsan
    BACKGROUND AND OBJECTIVE: To evaluate how different energy levels of Nd:YAG laser posterior capsulotomy affect best-corrected visual acuity (BCVA), intraocular pressure (IOP), and macular thickness of patients with posterior capsule opacification.. PATIENTS AND METHODS: Thirty eyes of 30 patients with posterior capsule opacification following phacoemulsification were enrolled in the study. Patients were classified according to total energy used during Nd: YAG laser capsulotomy (<= 80 mJ = group I, > 80 mJ = group II). RESULTS: Mean total energy levels were 58 +/- 18 mJ (range: 14 to 80 mJ) in group I and 117 +/- 36 mJ (range: 84 to 200 mJ) in group II. BCVA at 1 week preoperatively and 1 and 3 months postoperatively was significantly better compared to preoperative BCVA in both groups (P < .001). In group I, IOP increased 1 week postoperatively (P = .007) and declined to preoperative levels at 1 month. In group II, IOP increased 1 week postoperatively (P = .001) and did not return to preoperative levels during 3 months of follow-up (P = .04). Both groups had increased macular thickness compared to preoperative levels, but group II measurements were significantly higher 1 week and 1 month postoperatively compared to group I (P = .004 and .03, respectively). CONCLUSION: Increased IOP and macular thickness are inevitable after Nd: YAG laser capsulotomy, but the severity and duration are less when a total energy level less than 80 mJ is used. [ Ophthalmic Surg Lasers Imaging 2012;43:395-400.]
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    Effects of smoking on visual acuity of central serous chorioretinopathy patients
    (Informa Healthcare, 2014) Turkcu, Fatih Mehmet; Yuksel, Harun; Sahin, Alparslan; Cinar, Yasin; Cingu, Kursat; Ari, Seyhmus; Sahin, Muhammed
    Background: The aim of this study was to evaluate the differences, in terms of visual outcome and treatment needs, between smokers and non-smokers central serous chorioretinopathy (CSCR) patients. Methods: The files of 252 patients diagnosed with CSCR who had presented to the Retina Unit of the Ophthalmology Clinic at Dicle University Medical School in Turkey were retrospectively evaluated. Eighty-four smokers, with a known history of smoking of at least one pack-year, and 133 non-smokers were included, whereas 35 patients with additional pathologies were excluded from the study. Results: Of the patients, 192 (88.5%) were male and 25 (11.5%) were female. The mean patient age was 38.8 +/- 8.1 years (range: 20-68 years). Visual acuity (VA) of the smoker and non-smoker groups was measured as 0.45 +/- 0.35 and 0.24 +/- 0.28 logarithm of the minimum angle of resolution (logMar), respectively, at the first visit; 0.19 +/- 0.29 and 0.06 +/- 0.14 logMar at the sixth month; and 0.07 +/- 0.14 and 0.02 +/- 0.05 logMar at the ninth month. VA measurements at presentation and during all examinations (1th, 6th and 9th month) were significantly different for the two groups. VA was lower in the smoker group. In 27 patients (12.4%), an additional treatment modality was needed. Of the 27 patients, only 8 (6%) were non-smokers, whereas 19 (22.6%) were smokers. There was no difference between groups in the recurrence rate during follow-up (p = 0.907); 14 (16.7%) smokers and 8 (19.0%) non-smokers experienced a recurrence. Conclusion: This study has shown that patients selected and who are current smokers have poorer vision and need longer treatment.
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    Effects of vernal and allergic conjunctivitis on severity of keratoconus
    (Ijo Press, 2013) Cingu, Abdullah Kursat; Cinar, Yasin; Turkcu, Fatih Mehmet; Sahin, Alparslan; Ari, Seyhmus; Yuksel, Harun; Sahin, Muhammed
    AIM: To demonstrate the effects of two different types of allergic conjunctivitis on severity of keratoconus (KC). METHODS: We retrospectively reviewed the medical records of 171 KC patients referred between June 2010 and June 2011. The KC patients were divided into 3 groups as KC (group A), KC with vernal keratoconjunctivitis (VKC) (group B) and KC with allergic conjunctivitis (AC) (group C). Main outcome measures were demographic and ocular clinical features including age at presentation, gender, spherical equivalent (SE), best spectacle corrected visual acuity (BCVA), mean keratometric measurement (Km), central corneal thickness (CCT), and intraocular pressure (IOP). Groups were compared in term of study variables. RESULTS: The median age at presentation was significantly lower in group B (P<0.001). According to the median SE (P=0.003), BCVA(P=0.022), Km(P<0.001), CCT (P=0.015) and Amsler-Krumeich classification (P< 0.001), KC was more severe in group B. There was no significant difference in terms of IOP and corrected IOP among the groups (P=0.44), however there were 4 patients who had increased corrected IOP developed after topical corticosteroid use in group B. The differences among the groups persisted even after controlling for age and gender. CONCLUSION: Our findings demonstrated a more severe KC in VKC patients despite their younger age which suggests evaluation of VKC patients as a separate group in keratoconus disease.