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Icoz M, Yildirim B, Gurturk Icoz SG. Comparison of different methods of correcting astigmatism in cataract surgery. Clin Exp Optom 2024; 107:409-414. [PMID: 37699788 DOI: 10.1080/08164622.2023.2239816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 07/11/2023] [Accepted: 07/19/2023] [Indexed: 09/14/2023] Open
Abstract
CLINICAL RELEVANCE Astigmatism causes a decrement in visual acuity, and deterioration in visual quality. BACKGROUND The aim of this study is to compare clear corneal incision (CCI) in the steepest meridian, opposed clear corneal incision (OCCI) and toric intraocular lens implantation methods for the correction of astigmatism in cataract surgery. METHODS Total of 93 preoperative patients with the rule corneal astigmatism (between 1.00-3.00 D)underwent uncomplicated cataract surgery are retrospectively included in this study. Whole patients are divided into three groups of equal number of patients of 31 by considering the astigmatism correcting methods that are as follows. Group 1 consists of patients underwent CCI on the steepest meridian, group 2 consists of the patients underwent paired OCCI, and group 3 consists of those with toric intraocular lens implantation. The preoperative and postoperative 3rd month uncorrected distance visual acuity, refraction and, keratometry values, and surgically induced astigmatism values calculated by Alpins method are recorded. RESULTS The age, preoperative and postoperative 3rd month spherical, spherical equivalent refraction and keratometry values of the groups are similar (p > 0.05). The preoperative uncorrected distance visual acuity values are similar in whole groups, postoperative uncorrected distance visual acuity values are the highest in group 1, and lowest in group 3 (p = 0.85, p = 0.02, respectively). The preoperative and postoperative 3rd month mean cylinder refraction values are -1.86 D, -1.00 D in group 1, -1.77 D, -0.70 D in group 2, and -1.95 D, -0.40 D in group 3. There is a statistically significant difference among the groups (p = 0.01). The surgically induced astigmatism values are statistically different among the groups [it was 0.46 ± 0.21 in group 1, 0.91 ± 0.44 in group 2, 0.33 ± 0.18 in group 3 (p < 0.001, respectively)]. CONCLUSION This study indicated that; CCI, paired OCCI, and toric intraocular lens implantation should be preferred and performed for the steepest meridian in low D, middle D, and high D astigmatism patients, respectively. CCI can easily be applied for low to medium D without needing extra skills and tools. On the other hand, toric intraocular lens implantation is a better option for a high astigmatism with proper and accurate planning before the surgery.
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Affiliation(s)
- Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey
| | - Busra Yildirim
- Department of Ophthalmology, Besni State Hospital, Adıyaman, Turkey
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Gultutan P, Nalcacioglu P, Icoz M, Yilmaz D, Citak Kurt AN. Ocular hemodynamics in epileptic children treated with antiepileptic drugs. Eur J Ophthalmol 2024; 34:843-851. [PMID: 37849301 DOI: 10.1177/11206721231207507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2023]
Abstract
PURPOSE To evaluate the quantitative measurements obtained for vessel density (VD) of the optic nerve head, macula, peripapillary retinal nerve fibre layer (p-RNFL) and total retinal thicknesses (Trt) by optical coherence tomography angiography (OCT-A) and the choroidal vascular structure using an image binarization method in children with epilepsy using three different antiepileptic drugs (AEDs) and to compare these measurements with healthy participants. METHODS This observational, cross-sectional study included 124 patients divided into 4 groups: Group-1: patients receiving carbamazepine(n = 30), group-2: patients receiving levetiracetam (n = 31), group-3: patients receiving valproic acid (n = 32), and group 4: healthy controls (n = 31).A fully automated microstructural analysis of the VD of the retinal superficial capillary plexus (SCP), deep capillary plexus (DCP), and the choriocapillaris (CC) layers and radial peripapillary capillary, and Trt, p-RNFL thickness were analyzed by using OCT-A. Enhanced depth imaging (EDI)-OCT scans of the macula were obtained and the images were binarized using the ImageJ software. RESULTS The mean age, gender distribution and the duration of epilepsy were similar in all groups. Evaluation of the p-RNFL thickness and perifoveal Trt between the groups showed a statistically significant difference in all quadrants.The p-RNFL thickness was lower in patients receiving carbamazepine and valproic acid. The lowest values of the luminal area and choroidal vascular index (CVI) were found in patients receiving valproic acid; comparison with matched healthy controls showed statistically significant differences. CONCLUSION Valproic acid and carbamazepine are associated with thinning of the p-RNFL in epilepsy patients, but the macular and radial peripapillary VD were not affected.However, a reduction of choroidal vascular blood flow was found in epilepsy patients taking valproic acid.
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Affiliation(s)
- Pembe Gultutan
- Department of Pediatric Neurology, Ankara City Hospital, Children's Hospital, Ankara, Türkiye
| | - Pinar Nalcacioglu
- Department of Ophthalmology, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey
| | - Deniz Yilmaz
- Department of Pediatric Neurology, Ankara City Hospital, Children's Hospital, Ankara, Türkiye
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Akcay Usta S, Icoz M. Evaluation of Ocular Surface Parameters and Systemic Inflammatory Biomarkers in Hazelnut Harvesters. Ocul Immunol Inflamm 2024:1-6. [PMID: 38557359 DOI: 10.1080/09273948.2024.2336598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 03/25/2024] [Indexed: 04/04/2024]
Abstract
AIM To assess the relationship between systemic inflammation markers and ocular surface parameters in hazelnut harvesters. MATERIAL AND METHOD This prospective study included 30 patients presenting with moderate ocular surface diseases during the hazelnut harvesting season. A detailed ophthalmological examination was performed during the harvesting season and the first month after the end of treatment (control). Schirmer test, tear break-up time (TBUT), and ocular surface disease index (OSDI) scores were determined. In complete blood count analysis, in addition to the evaluation of inflammatory cells, the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) were calculated. RESULTS Eosinophil percentage had a high level of negative correlation with the TBUT and Schirmer values and a high level of positive correlation with the OSDI score during the hazelnut picking season (r = -0.727, r = -0.735, r = 0.750, respectively). During the hazelnut harvesting season, the NLR and SII parameters had a moderate level of negative correlation with the TBUT (r = -0.29 and r = -0.276) and Schirmer (r = -0.33 and r = -0.298) values and a moderate level of positive correlation with the OSDI score (r = 0.389 and r = 0.264). CONCLUSION In hazelnut harvesters, ocular allergy and inflammation may be associated with systemic biomarkers.
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Affiliation(s)
- Sevde Akcay Usta
- Department of Ophthalmology, Akcakoca State Hospital, Duzce, Turkey
| | - Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey
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Icoz M, Arıkan Yorgun M, Bayhan GI, Gurturk Icoz SG, Yahsi A. Assessment of the Choroidal Vascular Structure in Multisystem Inflammatory Syndrome in Children. J Pediatr Ophthalmol Strabismus 2024; 61:120-126. [PMID: 37882188 DOI: 10.3928/01913913-20230809-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
PURPOSE To evaluate the choroidal vascular structure in cases of multisystem inflammatory syndrome in children (MIS-C). METHODS This prospective study included 38 eyes of 19 patients with MIS-C and 60 eyes of 30 healthy participants. Optical coherence tomography (OCT) imaging was performed at 1 month after diagnosis in the MIS-C group. Using enhanced depth imaging OCT, choroidal thickness was measured in the subfoveal, nasal, and temporal quadrants at 500 and 1,500 µm distances from the fovea (SCT, N500CT, T500CT, N1500CT, and T1500CT, respectively). The luminal, stromal, and total choroidal areas were evaluated with the binarization method in ImageJ software (National Institutes of Health). The ratio of the luminal area to the total choroidal area was determined as the choroidal vascular index (CVI). RESULTS The age and sex distributions of the two groups without any ophthalmologic pathology were similar (P > .05). The choroidal thickness values in all quadrants except for T1500CT were similar between the two groups (P > .05). T1500CT was significantly lower in the MIS-C group (P = .02). The luminal choroidal area was 1.04 ± 0.10 mm2 in the MIS-C group and 1.26 ± 0.24 mm2 in the healthy control group (P < .001), and the CVI values were 0.52 ± 0.04 and 0.57 ± 0.09, respectively (P = .01). The stromal and total choroidal area values did not significantly differ between the two groups (P > .05). CONCLUSIONS This is the first study to evaluate CVI in patients with MIS-C. It was observed that the choroidal vascular structure could be affected in the early period of MIS-C, as shown by a decrease in the CVI value and luminal vascular area. OCT can be used to monitor ocular vascular changes in these patients. [J Pediatr Ophthalmol Strabismus. 2024;61(2):120-126.].
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Icoz M, Gurturk Icoz SG. Comparison of dominant- and non-dominant-hand cateract surgery outcomes by a single surgeon. Photodiagnosis Photodyn Ther 2024; 45:103895. [PMID: 37977225 DOI: 10.1016/j.pdpdt.2023.103895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 11/13/2023] [Accepted: 11/14/2023] [Indexed: 11/19/2023]
Abstract
PURPOSE To compare dominant and non-dominant hand phacoemulsification surgery outcomes. METHODS This retrospective, single-center study included 300 patients who underwent phacoemulsification surgery by a single, right-handed surgeon. The patients were divided into two groups according to whether the surgeon used his dominant or non-dominant hand during surgery. Right eye operations were performed with the right hand, and left eye operations were performed with the left hand. Detailed ophthalmological examinations were performed on all patients preoperatively and postoperatively. Intraoperative phacoemulsification parameters, the presence of intraoperative and postoperative complications, postoperative refractive errors, visual acuity, and surgically induced astigmatism values were compared between the groups. RESULTS There were 171 patients in the dominant hand phacoemulsification group and 129 patients in the non-dominant hand phacoemulsification group. The distributions of age, gender, systemic diseases, and lens opacification were similar between the groups (p>0.05, for all). No statistically significant difference was observed between the two groups in terms of total operation time, phaco power, ellips fx, or ultrasonic time (p>0.05, for all). There was also no significant difference in relation to intraoperative and postoperative complication distributions, postoperative third-month refractive errors, visual acuity, or surgically induced astigmatism values (p>0.05, for all). CONCLUSION This study demonstrated that cataract surgery performed by a single surgeon can be effectively and safely performed using both hands on patients in a real operating theater environment. More objective results can be obtained with surgeries performed by a larger number of experienced surgeons.
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Affiliation(s)
- Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey.
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Icoz M, Yuzbasıoglu S. Evaluation of choroidal thickness and choroidal vascular index in patients using combined oral contraceptive pills. Cutan Ocul Toxicol 2023; 42:232-236. [PMID: 37437218 DOI: 10.1080/15569527.2023.2235429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 07/04/2023] [Accepted: 07/04/2023] [Indexed: 07/14/2023]
Abstract
PURPOSE To evaluate the choroidal thickness and choroidal vascular index (CVI) in healthy women using the combined oral contraceptive pill (COCp). METHODS This prospective study included 30 women using COCp (3 mg drospirenone/0.03 mg ethinylestradiol) for contraception for at least 1 year and 30 healthy women who did not use COCp. Intraocular pressure (IOP), axial length (AL) and body mass index (BMI) values of all participants were recorded. Subfoveal choroidal thickness (SCT) and choroidal thickness at 1500 micron distance in nasal and temporal regions (NCT, TCT) were measured through optical coherence tomography (OCT) images. Luminal, stromal and total choroidal area values were evaluated by binarization method. The ratio of the luminal choroidal area to the total choroidal area was determined as the CVI value. RESULTS There was no statistically significant difference in IOP and AL values between the two groups at no significant difference in age and BMI index (p > 0.05, for all). SCT, NCT and TCT values were no significant difference in the two groups (p > 0.05, for all). Luminal and stromal choroidal area values were found to be lower in the group using COCp (p = 0.01, p = 0.02 respectively). The CVI value was 62.1 ± 3.6% in the COCp group and 65.6 ± 4.3% in the control group. There was a significant difference between the two groups in terms of CVI value (p = 0.002). CONCLUSION To our knowledge, this is the first study to evaluate CVI in women using COCp, and CVI was found to be lower in individuals using COCp. Therefore, CVI can be used in the follow-up of possible ocular pathologies that may develop in individuals using COCp.
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Affiliation(s)
- Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey
| | - Sema Yuzbasıoglu
- Department of Ophthalmology, Ministry of Health Ankara City Hospital, Ophthalmology Clinic, Yıldırım Beyazıt University, Ankara, Turkey
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Icoz M, Tarım B, Icoz SGG. The effect of Nd:YAG Laser applied in the posterior capsule opacification on retinal and choroidal structures. Photodiagnosis Photodyn Ther 2023; 43:103653. [PMID: 37295662 DOI: 10.1016/j.pdpdt.2023.103653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 05/23/2023] [Accepted: 06/06/2023] [Indexed: 06/12/2023]
Abstract
PURPOSE To assess the effect of neodymium:yttrium-aluminum-garnet (Nd-YAG) laser procedure on the choroid and retina in patients who developed posterior capsular opacification (PCO) after cataract surgery. METHODS In this study, 32 eyes of 30 patients who underwent Nd:YAG laser treatment for PCO were evaluated. Visual acuity (VA), intraocular pressure (IOP), central macular thickness (CMT) with optical coherence tomography device (OCT), ganglion cell layer (GCL), inner plexiform layer (IPL), retinal nerve fiber layer (RNFL) and subfoveal choroidal thickness (SCT) were measured. Choroidal vascular index (CVI) was calculated from HD line images obtained by spectral domain OCT with the software Image J. RESULTS The mean age of the patients participating in the study was 60.1 ± 8.9 years. There was no significant difference in IOP, CMT, RNFL, GCL, IPL and SCT values in all comparisons before and after laser (p>0.05 for all values). While Nd:YAG laser pretreatment CVI was 63.2 ± 3.2%, it was 66.8 ± 2.9% at 1 week and 67.1 ± 2.6% at 1 month after laser treatment. A significant difference was detected in the comparison of pre-laser CVI and post-laser 1 week and 1 month CVI (p<0.05 for all values). DISCUSSION CVI was found to be significantly higher in the post-laser period in patients who underwent Nd:YAG laser. As far as the author knows, this study is the first research in the literature to evaluate this relationship. CVI can be used to evaluate choroidal vascular changes after Nd:YAG laser.
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Affiliation(s)
- Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Erdoğan Akdağ Mah., Viyana Cad., 66100 Merkez, Yozgat, Turkey.
| | - Bilge Tarım
- Department of Ophthalmology, Ankara City Hospital, Ankara, Turkey
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Yuzbasioglu S, Icoz M. Evaluation of effect of covıd-19 pandemic on anatomical and functional changes and vision-related quality of life in patients with glaucoma. Photodiagnosis Photodyn Ther 2023; 43:103705. [PMID: 37451656 DOI: 10.1016/j.pdpdt.2023.103705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 06/23/2023] [Accepted: 07/11/2023] [Indexed: 07/18/2023]
Abstract
BACKGROUND To evaluate anatomical and functional changes and vision-related quality of life in patients whose glaucoma follow-up was disrupted by the COVID-19 restrictions. METHODS This retrospective observational study included 100 patients who were followed up at the glaucoma unit. For the patients whose follow-up evaluations were postponed due to COVID-19 restrictions, visual acuity (VA), intraocular pressure (IOP), retinal nerve fiber layer (RNFL) thickness, visual field parameters [mean deviation (MD), pattern standard deviation (PSD), and visual field index (VFI)], and the National Institute of Ophthalmology Visual Function Scale-25 (NEI-VFQ-25) score were evaluated based on the measurements performed at the last visit before COVID-19 (V1) and at the first visit after the removal of COVID-19 restrictions (V2). RESULTS The mean age of the patients was 61.1 ± 13.4 years, the mean follow-up time was 11.4 ± 4.2 months, and the mean interval between the last two visits was 7.2 ± 2.7 months. In the evaluation of the last two visits, VA was lower and IOP was higher at V2, and there was progression in the MD, PSD, and VFI values (p<0.05, for all). RNFL thickness progression was seen in 13-23% of the patients. According to the NEI-VFQ-25 evaluation, except for peripheral vision and near vision, all the remaining subscale scores and the total score were lower at V2 (p<0.05, for all). CONCLUSIONS This study demonstrates the devastating impact of the COVID-19 pandemic on the anatomical and functional changes and vision-related quality of life together in patients with glaucoma.
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Affiliation(s)
- Sema Yuzbasioglu
- Ophthalmology Clinic, Department of Ophthalmology, Yıldırım Beyazıt University Faculty of Medicine, Ministry of Health Ankara City Hospital, Ankara, Turkey
| | - Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Erdoğan Akdağ Mah., Viyana Cad., Merkez, Yozgat 66100, Turkey.
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Icoz M, Gurturk-Icoz ŞG, Kolsuz-Koldamca H. Effect of oral contraceptive pills on the retinal microvascular structure: An optical coherence tomography angiography study. Photodiagnosis Photodyn Ther 2023:103635. [PMID: 37244452 DOI: 10.1016/j.pdpdt.2023.103635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 05/23/2023] [Accepted: 05/24/2023] [Indexed: 05/29/2023]
Abstract
BACKGROUND To investigate the effect of oral contraceptive pills (OCPs) on foveal avascular zone (FAZ), peripapillary capillary plexus, and superficial and deep capillary plexus (SCP and DCP) measurements. METHODS This cross-sectionally designed study included 32 healthy female participants using OCPs (3 mg drospirenone and 0.03 mg ethinylestradiol) for at least one year for contraception and 32 healthy controls that did not use any drugs. All subjects were evaluated using optical coherence tomography angiography (OCTA). Using OCTA, the measurements of SCP, DCP, radial peripapillary capillary (RPC) vessel density; FAZ area and perimeter; acircularity index (AI); and foveal density (FD) were undertaken. Each participant's measurements were taken while they were in the follicular phase of their menstrual cycles (day 3). RESULTS Age and body mass index did not significantly differ between the groups (p=0.56 and p=0.15, respectively). The DCP vessel densities in all the regions were lower in the OCP group (p<0.05 for all). The vessel densities of SCP and RPC, FAZ area and perimeter, AI, and FD were similar between the two groups (p>0.05 for all). CONCLUSION We determined that the DCP vessel density was reduced in women using this drug. OCPs can cause changes in retinal microvascular structures. Therefore, OCTA can be used in the follow-up of healthy women using OCP.
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Affiliation(s)
- Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey.
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Nalcacioglu P, Icoz M, Gultutan P, Yilmaz D, Kurt ANC. Ocular Perfusion Characteristics of Children with Newly Diagnosed Epilepsy. Photodiagnosis Photodyn Ther 2023; 42:103582. [PMID: 37119934 DOI: 10.1016/j.pdpdt.2023.103582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 03/30/2023] [Accepted: 04/21/2023] [Indexed: 05/01/2023]
Abstract
BACKGROUND To investigate the vascular changes of the optic nerve head(ONH) and macula by using optical coherence tomography angiography(OCT-A), and also the choroidal vascular structure by using an image binarization tool in children with newly diagnosed epilepsy and to then compare these parameters with healthy subjects. METHODS Forty-one epilepsy children and 36 healthy controls were included in this prospective and cross-sectional study.The radial peripapillary capillary(RPC) vessel density(VD) and macular foveal,parafoveal,perifoveal of superficial capillary plexus(SCP),deep capillary plexus(DCP) and choriocapillaris(CC) VD, and CC flow area were analyzed.Enhanced depth imaging(EDI) OCT scans of the macula were obtained and the images were binarized using the ImageJ software (National Institutes of Health, Bethesda, MD, USA).The subfoveal choroidal thickness(SFCT),the area of choroidal, luminal, and interstitial and the percentage of luminal area in the choroid(Choroidal vascular index (CVI)) were analyzed.We also evaluated the thickness of the peripapillary retinal nerve fiber layer(RNFL),the macular ganglion cell layer(GCL), and the inner plexiform layer(IPL). RESULTS There was a significant decrease in the VD of the CC and the CC flow area in children with epilepsy compared to healthy subjects(p<0.05).However, the VD of the RPC, and of the SCP and DCP of the macula were similar between the two groups(p>0.05).The SFCT,choroidal area,luminal area, and CVI were statistically significant lower in children with newly diagnosed epilepsy compared to healthy subjects. CONCLUSION This study has demonstrated that the choroidal perfusion from the microcirculation is lower in children with newly diagnosed epilepsy.The pathophysiology of epilepsy and neurodegenerative processes may also include this vascular dysfunction as one of the factors.
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Affiliation(s)
- Pinar Nalcacioglu
- Yildirim Beyazit University, Faculty of Medicine, Department of Ophthalmology, Ankara, Turkey.
| | - Mehmet Icoz
- Yozgat City Hospital, Department of Ophthalmology, Yozgat, Turkey
| | - Pembe Gultutan
- Ankara City Hospital, Children's Hospital, Department of Pediatric Neurology, Ankara, Turkey
| | - Deniz Yilmaz
- Ankara City Hospital, Children's Hospital, Department of Pediatric Neurology, Ankara, Turkey
| | - Aysegul Nese Citak Kurt
- Yildirim Beyazit University, Faculty of Medicine, Department of Ophthalmology, Ankara, Turkey
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Icoz M, Tarım B, Icoz SGG, Akcay EK. Comparison of pain between first and second operated eyelids after upper eyelid blepharoplasty. Korean J Ophthalmol 2023:kjo.2023.0011. [PMID: 37068833 DOI: 10.3341/kjo.2023.0011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 04/13/2023] [Indexed: 04/19/2023] Open
Abstract
Purpose To evaluate and compare intraoperative pain during upper eyelid blepharoplasty (UEB) between on first and second operated eyelids. Methods In this cross-sectional observational study, the patients were divided into 2 groups, with group 1 representing 40 patients whose surgery was first started on the right and group 2 representing the other 40 patients who started surgery on the left first. UEB was performed to all patients by the same surgeon under the same and equal amount of local anesthesia. Degree of pain felt during surgery on first and second operated eyelid was evaluated with the Visual Analogue Scale (VAS) and Wong Baker Facial Pain Expression Scale (WBFPES) of all patients immediately after surgery and was compared using paired t-test. Results There were 20 female and 20 male patients in both groups. In group 1, the VAS value was 2.8 ± 1.5, WBFPES value was 2.7 ± 1.6 UEB in the first operated eyelid and the VAS value was 4.1 ± 1.8, WBFPES value was 3.9 ± 1.8 UEB in the second operated eyelid. A significant difference was found between pains felt during first and second operated eyelid UEB regarding VAS and WBFPES values, respectively in group 1 (p=0.003 and p=0.002). In group 2, the VAS value was 1.9 ± 1.0, WBFPES value was 2.0 ± 1.0 UEB in the first operated eyelid and the VAS value was 3.0 ± 1.5, WBFPES value was 2.8 ± 1.6 UEB in the second operated eyelid. A significant difference was found between pains felt during first operated and second operated eyelid UEB regarding VAS and WBFPES values, respectively in group 2 (p=0.009 and p=0.005). Conclusion To the best of our knowledge, this study is the first to evaluate which eyelid is more painful during surgery in UEB. Patients tend to feel more pain during surgery on the second operated eyelid. Therefore, surgeons should consider using local anesthetics with more volume or longer duration in the second operating eyelid in light of this information and patients should be given detailed information about pain.
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Affiliation(s)
- Mehmet Icoz
- Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey
| | - Bilge Tarım
- Department of Ophthalmology, Ankara City Hospital, Ankara, Turkey
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Toklu Y, Yorgun MA, Tanriverdi B, Icoz M. Temporal Inverted Internal Limiting Membrane Flap Technique for the Treatment of Macular Holes. Eur J Ther 2022. [DOI: 10.54614/eurjther.2022.0019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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