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    Intravitreal bevacizumab combined with panretinal photocoagulation in the treatment of open angle neovascular glaucoma
    (Sage Publications Ltd, 2009) Ciftci, Suleyman; Sakalar, Yildirim Bayezit; Unlu, Kaan; Keklikci, Ugur; Caca, Ihsan; Dogan, Eyup
    PURPOSE. To evaluate the clinical efficacy of intravitreal bevacizumab (IVB) combined with panretinal photocoagulation in patients with open angle neovascular glaucoma (NVG). METHODS. Nine patients (9 eyes) with NVG participated in this study. Patients received IVB (1.25 mg) as the initial treatment for NVG and were followed up for at least 4 months. IVB was offered as the first treatment of choice to patients with NVG. Panretinal photocoagulation was performed as soon as feasible after the second week and completed in all patients the fourth week after IVB. The main outcome measures are resolution of INV, inhibition of peripheral anterior synechia (PAS), and controllability of intraocular pressure (IOP). RESULTS. The mean follow-up period was 5.6 +/- 1.4 months (range, 4-9 months). The mean IOP before treatment was 35.1 +/- 9.7 mmHg (range, 24-56) under medication before IVB treatment. After IVB and after combined treatment, the mean IOP was reduced to 22.8 +/- 8.1 mmHg (range, 9-33) and 13.0 +/- 4.0 mmHg (range, 7-20), respectively. The mean referral INV was 3.6 +/- 0.4 grade (range, 3-4) and reduced to 1.6 +/- 0.4 (range 1-2) grade after IVB and 0.6 +/- 0.8 (range 0-2) grade after combined therapy. By IVB, combined panretinal photocoagulation recurrence of INV was not observed. CONCLUSIONS. In NVG, IVB treatment can reduce iris and angle neovascularization and inhibits further PAS formation temporarily. Panretinal photocoagulation inhibits neovascularization constantly. Therefore, management of open angle NVG is more feasible with bevacizumab combined with panretinal photocoagulation. (Eur J Ophthalmol 2009; 1028-33)
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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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    Öğe
    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.