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Öğe Anthrax in upper eyelid [Üst göz kapa?inda şarbon](2013) Köktekir B.E.; Sümer Ş.; Gedik Ş.; Okudan S.Anthrax is an acute infection caused by Bacillus anthracis. Although it is a zoonotic disease that mainly affects herbivorous animals, it might also be contagious to humans by infected animals. The most common type is skin anthrax. When eyelid is involved; echymosis, bulla formation and necrosis can be observed. We report a 75 years old woman presenting with bilateral extensive lid echymosis and edema and diagnosed as anthrax. The clinical findings resolved with appropriate systemic and topical antibiotic treatment, and the lesions on the eyelid resulted with scatrizating ectropion. In failure of early diagnosis and treatment, there is a high risk of mortality and sequela with this particular disease which rarely involves eyelids.Öğe The association of non-arteritic anterior ischemic optic neuropathy and cystoid macular edema [Non-arteritik anterior iskemik optik nöropati ve kistoid maküler ödem birlikteli?i](2013) Ekinci Köktekir B.; Yavuzer K.; Gönül Ş.; Bakbak B.; Gedik Ş.A sixty one years old patient who sufferred from visual loss in the left eye upon awakening, presented with optic atrophy in the right eye and hyperemic optic disc edema combined with flame shaped hemorrhages in the left eye. He was diagnosed as Non-Arteritic Anterior Ischemic Optic Neuropathy (NA-AION) after ophthalmological examination. Optical Coherence Tomography (OCT) revealed cystoid macular edema (CME) in the left eye. NA-AION is a common disease which is associated with optic disc edema and painless visual loss. In this case report, a patient who probably experienced NA-AION in the right eye and sufferred from NA-AION and CME in the left eye is reported, and the combination and pathogenesis of NA-AION and CME have been discussed.Öğe The management of a patient with elevated intraocular pressure resistant to medical treatment: Anterior chamber irrigation [Medikal tedaviye dirençli göziçi basınç yüksekliği bulunan komplike hifemalı olgunun yönetimi: Ön kamara lavajı](Turkish Ophthalmology Society, 2014) Beyoğlu A.; Gönül Ş.; Ekinci Köktekir B.; Gedik Ş.A 7-year-old male patient was medically treated in another center for hyphema which occurred after blunt trauma to his right eye. He was admitted to our clinic when his visual acuity decreased after being discharged. Biomicroscopic examination revealed total hyphema. Intraocular pressure (IOP) was 48 mm Hg in the right eye with Goldmann applanation tonometry. Since IOP could not be managed by medical therapy and there was no regression in hyphema, anterior chamber was irrigated. As in our case, it should not be forgotten that re-hemorrhage may occur in the frst week of hyphema during childhood. Moreover, surgical treatment should be considered when hemorrhage does not regress with medical treatment, increased IOP persists, and when there is a risk of corneal endothelial staining (corneal blood staining). © 2014 Turkish Ophthalmology Society. All rights reserved.Öğe Optical coherence tomography findings in patients with Wolfram syndrome [Wolfram sendromlu hastalarda optik koherans tomografi bulgulari{dotless}](Turkish Ophthalmology Society, 2014) Köktekir B.E.; Bakbak B.; Gönül Ş.; Gedik Ş.Objectives: To report the optical coherence tomography (OCT) fndings in patients with Wolfram syndrome. Materials and Methods: Four patients who fulfilled the criteria for Wolfram syndrome were recruited to the study. In all patients, OCT was performed with Stratus OCT (OCT-3, Carl Zeiss Meditec, Inc. Germany). The fast retinal nerve fiber layer (RNFL) and fast macular thickness protocols were used to measure the RNFL and macular thickness, respectively. The fast optic disc protocol was used to determine the cup-to-disc ratios of the optic disc. All patients were examined with VEP (Retimax, CSO Strumenti Oftalmici, Florence, Italy). Results: In eight eyes of four patients (3 male and 1 female) with a mean age of 18.5±2.08 years (range 16-21 years), RNFL, macular thickness, and cup-to-disc ratios were determined. The mean RNFL was 42.2±5.6 ?m (range 34.1-49.5 ?m), while the mean macular thickness and cup-to-disc ratios were 145±15 ?m (range 125-160 ?m) and 0.79±0.07 (range 0.7-0.92), respectively. There was a moderate negative correlation between VEP latencies and macular and RNFL thicknesses (Spearman correlation coefficient was -0.23 and -0.34, respectively). Conclusions: RNFL loss and secondary optical atrophy are severe complications that may affect the visual acuity in patients with Wolfram syndrome. Retinal changes in these patients may be quantified and can be observed using OCT.Öğe Spontaneous closure of macular hole induced by accidental Nd: YAG laser injury(2013) Bakbak B.; Gedik Ş.; Öztürk B.T.; Kerimoglu H.The natural history of Neodymium:yttrium aluminum garnet (Nd:YAG) laser-induced macular holes remains uncertain because this type of injury is uncommon. A 47 years old male physicist with the diagnosis of macular hole induced by accidental Nd:YAG laser injury was followed-up. The size of the macular hole decreased and vitreous hemorrhage resolved spontaneously. Accidental exposure to high-energy Nd:YAG laser may lead to concussive retinal damage and create a macular hole. Laser-induced macular holes can resolve spontaneously. The presence of an epiretinal membrane and the size of the macular hole are the common ocular signs that seem to affect the natural course of laser-induced macular holes.
