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Biomedical subjects

M Irkeç

Publications and source records attributed to M Irkeç.

At least 37 records · Page 2Linked to original sources
PubMed1996

Intraoperative and postoperative use of mitomycin-C in the treatment of primary pterygium.

BACKGROUND AND OBJECTIVE: The effectiveness of 0.04% mitomycin-C, either postoperatively for 2 weeks or intraoperatively as a single dose, as an adjunct in the surgical treatment of primary pterygium was evaluated. PATIENTS AND METHODS: Mitomycin-C was used in addition to the bare sclera technique in 43 eyes with pterygia. The mean follow-up time was 18.5 months for the 24 eyes in the postoperative mitomycin-C group, 10.3 months for the 19 eyes in the intraoperative mitomycin-C group, and 17.3 months for the 17 eyes in the control group (eyes that had undergone surgical excision only). RESULTS: The recurrence rate was 4.2% with postoperative administration, 5.3% with intraoperative application, and 41.2% in the control group. There was a significant reduction in recurrence rates for both the postoperative and the intraoperative mitomycin-C groups compared with the control group (P = .005 and P = .01, respectively). However, recurrence rates were not statistically different according to the type of application. No serious side effect occurred during the follow-up period. CONCLUSION: Topical mitomycin-C, either intraoperatively or postoperatively, as an adjunct decreases the recurrence rate of primary pterygium. Intraoperative application seems advantageous because it decreases the symptomatic side effects and restricts the inappropriate use by the patient.

Administration, Topical↗
PubMed1995

Tear LTC4 levels in patients with subclinical contact lens related giant papillary conjunctivitis.

We determined the tear levels of LTC4 in contact lens wearers who had minimal irritative symptoms and signs suggesting subclinical conjunctival abnormalities and the possible development of giant papillary conjunctivitis (GPC). We examined 25 patients wearing rigid gas permeable lenses. Ten of the contact lens wearers had minimal irritative symptoms and nonspecific papillary hypertrophy, and 15 patients had no symptoms. We included eight controls chosen from the same age group who were not contact lens wearers and who had normal conjunctiva. Tear samples were examined through the ELISA technique. Elevated levels of LTC4 were found in the tears of symptomatic patients (525.50 +/- 202 pg/mL) compared with tears of asymptomatic contact lens wearers (52.6 +/- 10.2 pg/mL) and the control group (75 +/- 8.4 pg/mL) (P < 0.001). Two patients in the first group developed GPC in the course of their follow-up. The results of this study indicate that detecting tear LTC4 levels in contact lens wearers can give useful information regarding the presence of contact lens related subclinical inflammation and subclinical GPC.

Biomarkers↗
PubMed1991

Zinc in tears.

The tear and serum zinc (Zn) levels were determined simultaneously by atomic absorption spectrophotometry in 11 healthy subjects. The mean tear Zn level was found to be 1.537 +/- 0.146 (SEM) ppm while the mean serum Zn level was found to be 1.03 +/- 0.046 (SEM) ppm.

Adult↗
PubMed1990

Characterization of peripheral blood and salivary gland lymphocytes in Sjögren's syndrome.

Primary Sjögren's syndrome (SS) is an autoimmune disease resulting from lymphocyte infiltration of lacrimal and salivary glands (SG). This study was designed to investigate the peripheral blood (PBL) and SG lymphocytes in 14 patients with primary SS and control subjects. With the use of monoclonal antibodies, cells were stained to identify T-cells and T-cell subsets (T-helper and T-suppressor) and cells positive for HLA-DR antigen, whereas B cells were determined by the Smlg (surface membrane immunoglobulin) method. Lymphocytes in SG biopsy specimens were characterized by means of monoclonal antibodies and the immunoperoxidase technique. In the peripheral blood lymphocytes, there was a significant reduction in T cells and suppressor T cells. T lymphocytes and mostly helper T cells were predominant around the ducts and within the lymphocytic infiltrates in the minor SG biopsy samples of patients with SS. Suppressor T cells and B cells were found in fewer numbers, HLA-DR(+) cell populations had increased, and IgG- and IgA-bearing plasma cells were also present within the infiltrates. These results may contribute to our understanding of the immunopathogenesis of primary SS.

Adolescent↗
PubMed1990

Tear cholesterol levels in blepharitis.

The tear levels of cholesterol of 17 patients with chronic blepharitis and 17 healthy subjects were determined by the photometric method. The mean cholesterol level of the patients was determined to be 56.1 +/- 8.9 (SEM) mg/dl. No statistically significant difference between the tear cholesterol levels of the two groups could be detected.

Adult↗
PubMed1990

Characterization of peripheral blood and salivary gland lymphocytes in secondary Sjögren's syndrome.

Secondary Sjögren's syndrome (SS) is defined as a condition of patients with sicca symptoms in association with a connective tissue disease such as rheumatoid arthritis. This study was designed to investigate the peripheral blood and affected minor salivary gland (SG) tissue lymphocytes with monoclonal antibodies in patients with secondary SS having rheumatoid arthritis. Minor SG lymphocytes of the patients and normals were determined in the fresh-frozen sections of the minor SG biopsy samples using monoclonal antibodies with immunoperoxidase technique. Peripheral blood of secondary SS patients revealed significant reduction in CD3+ and CD8+ cells. CD4/CD8 radio, HLA-DR+ cells, and B-cells were unchanged. SG biopsies showed varying degrees of lymphocytic infiltration with predominance of CD3+CD4+ cells located at the periductal areas. CD8+ cells were found to be in low numbers within the infiltrates. IgG- and IgA-producing plasma cells were both numerous in the biopsy samples. Our findings suggest that there is an alteration of lymphocyte subpopulations at the local site of inflammation in the salivary glands without, however, a corresponding alteration in the peripheral blood.

Adult↗
PubMed1989

[Leukotrienes and neurological diseases].

Assessment of Leukotriene C4 (LTC4) activity in the serum and cerebrospinal fluid (CSF) specimens of patients with multiple sclerosis (MS), Parkinson's disease, amyotrophic lateral sclerosis (ALS), Myasthenia gravis (MG), Behçet's disease and neuro-Behçet, as well as in normal controls were carried out in order to determine its role in the pathogenesis of neurologic disorders. LTC4 levels were found to be elevated in MS and Behçet patient in comparison with controls. Augmentation of LTC4 levels underlines the fact that leukotrienes may be held responsible the pathogenesis of these disorders.

Adult↗
PubMed1988

[Assessment of viral factors in the etiopathogenesis of Sjögren's syndrome].

This study has been carried out in serums of 32 Sjögren's syndrome (SS) patients -16 primary and 16 secondary- who have been followed-up for 3 years in Hacettepe University Medicine Faculty Ophthalmology Department. The serum levels of cytomegalovirus (CMV) antibodies and the antibody titers of herpes simplex virus (HSV) type I has been determined by the ELISA test and the complement fixation method respectively. The viral factors that play a role in the pathogenesis of SS have been discussed in regard to the results of the study.

Antibodies, Viral↗
PubMed1988

[The immunologic processes of the etiopathogenesis of Sjögren's syndrome].

In this study 32 Sjögren's syndrome cases--16 primary and 16 secondary--have been followed-up for 3 years in Hacettepe University Medicine Faculty Ophthalmology Department. The serum levels of rheumatoid factor and complement have been determined and autoantibodies have been looked for by the indirect immunofluorescence technique. The immunological processes that play a role in the pathogenesis of Sjögren's syndrome have been discussed with regard to the results of the study.

Antibodies, Antinuclear↗
PubMed1988

[Normal and abnormal ocular flora in contact lens wearers].

In spite of satisfactory contact lens hygiene, bacterial corneal ulcers may be caused by opportunistic normal conjunctival flora bacteria in case of contact lens trauma or unidentified foreign bodies. We have studied the bacterial flora of the conjunctiva in contact lens users and non-users. There was no significant difference between the two groups. The significance of conjunctival flora in contact-lens wearers is discussed with special emphasis on features of the bacterial flora in contact lens users.

Bacteria↗
PubMed1987

[Clinical and therapeutic features of herpetic ocular lesions in immunosuppressed patients].

Clinical and therapeutic features of herpetic ocular lesions, which developed in 10 eyes of 9 patients with immune systems suppressed due to immunosuppressive treatment were evaluated. Although the herpetic ocular lesions in these patients did not exhibit extraordinary morphological patterns, it was noticeable that they were more widespread in extent with rapid course of development. Complete healing of the lesions essentially needed employment of topical acyclovir ointment for relatively extended period of time.

Acyclovir↗
PubMed1982

[Humoral and cellular immunity in uremia].

Uremia is a metabolic imbalance accompanied by an acquired immunologic deficiency state. Fatal infections frequently met with uremia may be explained both by cellular and humoral immunologic disorders. In this article, the cellular immune status was investigated via intradermal skin test, and the serum and cerebrospinal fluid (CSF) immunoglobulins were detected. Results indicated that a cellular and humoral immunologic deficiency, which deteriorated in accordance with the clinical status, existed and a CSF immunoglobulin increase, presumably due to changes in the blood - CSF barrier, was noted.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

The pharmacokinetics and effects of diltiazem in rabbits.

PURPOSE: To investigate the effect of diltiazem on wound healing after the creation of conjunctival flaps in rabbit eyes. Also, to investigate the pharmacokinetics of diltiazem in rabbits after subconjunctival and topical administration. METHODS: For the histopathological study, a limbal-based flap was prepared and diltiazem was injected subconjunctivally for five days after the surgery. The rabbits were euthanised 20 days after surgery. The effectiveness of diltiazem on wound healing was evaluated by histopathological examination and measurement of the thickness of subconjunctival fibrous tissue. For the pharmacokinetic study, diltiazem was applied topically or injected subconjunctivally. Aqueous paracenteses were performed 0.5, 1, 2, 4 hours thereafter. RESULTS: The histopathological study found no difference in thickness of the subconjunctival fibrous tissue in control and diltiazem-treated eyes. No significant toxicity was observed in eyes treated with diltiazem. The peak aqueous concentration was 3.8 +/- 0.4 microg/ml after topical application and 15.3 +/- 1.1 microg/ml after subconjunctival injection. The peak aqueous concentration was achieved 1/2 hours after administration in both cases. CONCLUSIONS: Diltiazem did not appear to affect wound healing at the dose tested. Topical and subconjunctival diltiazem successfully penetrated the aqueous humor of rabbit eyes.

Animals↗
PubMedDate not supplied

Evaluation of retinoic acid ophthalmic emulsion in dry eye.

PURPOSE: An oil in water emulsion of 0.01% all-trans-retinoic acid (tretinoin) was prepared and clinically evaluated in dry eye patients. METHODS: The ophthalmic emulsion consisted of 10% of arachis oil and 90% of the hydrogel of Carbopol 940. To evaluate retinoic acid emulsion clinically, a placebo-controlled, open-labeled, randomized study was performed with 22 dry-eye patients. Symptoms were recorded before and after the treatments. The Schirmer I test, measurement of tear film break-up time (BUT), rose Bengal and fluorescein staining of cornea and conjunctiva, and mucus fern test were done. RESULTS: Retinoic acid did not improve the dryness, photophobia and foreign body sensation more than placebo. Schirmer test and BUT were significantly improved by retinoic acid treatment. Corneal and conjunctival epithelium maintained their characteristics during the use of retinoic acid, as indicated by rose Bengal and fluorescein staining. CONCLUSIONS: Ophthalmic emulsion of retinoic acid can be suggested as a promising approach for the treatment of dry eye.

Adult↗
PubMedDate not supplied

Ocular ferning during the menstrual cycle in healthy women.

PURPOSE: The aim of the study is to investigate whether tear ferning patterns change during different phases of the menstrual cycle. METHODS: The tear ferning test was performed on twelve normal women of childbearing age at three day intervals throughout one complete menstrual cycle. Serum hormone levels (progesterone, estrogen, testosterone) were measured. RESULTS: Eight women showed type I ferning, and the other four had type II ferning initially. These patterns did not change during the menstrual cycle. Serum hormone levels were all in the normal range. Since no change in ferning pattern was detected during the menstrual cycle, the ferning test can be done at any time in women. CONCLUSIONS: This study showed no effect of different menstrual cycle phases on tear ferning patterns.

Adult↗
PubMedDate not supplied

Corneal topographical study of the effect of lacrimal punctum occlusion on corneal surface regularity in dry eye patients.

PURPOSE: To compare topographic indices of surface regularity in dry eye patients and in normal subjects (controls) and to investigate the short-term effect of lacrimal punctal plugs on these indices in dry eye patients. METHODS: The surface regularity index (SRI) and surface asymmetry index (SAI) of the TMS-2 corneal topographic modelling system were used to evaluate corneal surface regularity in 20 eyes of 10 dry eye patients before and after the insertion of Herrick silicon lacrimal plugs (Lacrimedics, Rialto, CA, USA) and in 24 eyes of 12 normal subjects as controls. RESULTS: SRI and SAI were significantly lower in controls than dry eye patients (p=0.00). Median SRI was 1.72 in dry eye patients before punctal occlusion and 0.525 in the control group. Median SAI was 1.305 in dry eye patients and 0.240 in controls. After lacrimal punctal occlusion, Schirmer test results and fluorescein breakup time increased in nine patients and remained the same in one patient. After occlusion, the SRI decreased in 9 eyes, and increased in 11 (p=0.970); SAI decreased in 13 eyes and increased in 7 (p=0.135). CONCLUSIONS: No significant change in topographic indices of corneal surface irregularity could be detected in severe dry eye patients with lacrimal punctal plugs in the short-term follow-up.

Biocompatible Materials↗
PubMedDate not supplied

Conventional or endoscopic probing for congenital nasolacrimal duct obstruction.

PURPOSE: To compare conventional and endoscopic probing for congenital nasolacrimal duct obstruction in infants. METHODS: Conventional probing was performed in 22 eyes of 18 patients, age range 7-14 months (mean 11.4 months). Probing was done with intranasal endoscopic visualization in 18 eyes of 14 patients, age range 7-13 months (mean 11.2 months). All were primary probing cases. RESULTS: After conventional probing 2 of the 22 cases required reprobing. After endoscopic probing only 1 of the 18 cases required reprobing. CONCLUSIONS: In most cases of congenital nasolacrimal duct obstruction endoscopy is not required; however, in failed cases direct visualization of the inferior meatus with endoscopic guidance may be helpful.

Dacryocystorhinostomy↗