Nazife Sefi Yurdakul | PubMed Health

PubMed2003

Traumatic subconjunctival crystalline lens dislocation.

PURPOSE: To evaluate the clinical features and visual outcomes in patients with traumatic subconjunctival crystalline lens dislocation. SETTING: Izmir Atatürk Education and Research Hospital, Department of Ophthalmology, Izmir, Turkey. METHODS: The clinical records of 5 patients with subconjunctival crystalline lens dislocation secondary to blunt trauma were reviewed. RESULTS: The median age of 3 women and 2 men was 63 years (range 62 to 73 years). The lenses were dislocated to the superior (n = 1), temporal (n = 1), superotemporal (n = 1), and superonasal (n = 2) quadrants. All patients had various degrees of hyphema and vitreous hemorrhage. One patient had traumatic optic neuropathy. Visual acuity improved in all patients after lens removal and scleral rupture repair. CONCLUSION: With timely intervention, the visual outcome was reasonably good in patients with subconjunctival dislocation of the crystalline lens.

Aged↗

PubMedDate not supplied

Strabismus in Down syndrome.

PURPOSE: To determine the distribution of refractive errors and clinical characteristics of strabismus in patients with Down syndrome. PATIENTS AND METHODS: Patients with Down syndrome attending the Izmir Association for Supporting Patients With Down Syndrome in Izmir, Turkey, were screened for strabismus and refractive errors. All patients underwent a complete eye examination including cycloplegic refraction and dilated fundus examination. Ocular alignment was evaluated using the cover test and either the Krimsky or the Hirschberg corneal reflex test depending on the cooperation of the patient. Strabismic and nonstrabismic patients were compared for refractive errors, anisometropia, and amblyopia. RESULTS: Fifty-seven patients with an average (+/- standard deviation) age of 9.30 years (+/- 6.14 years; range, 1 to 31 years) were screened. Twenty-five (44%) were female and 32 (56%) were male. Eleven patients (19%) had strabismus. Ten (18%) had esotropia and 1 (2%) had exotropia. Infantile esotropia was observed in 3 patients who had no significant refractive errors. Seven patients had acquired esotropia; they had clinically significant refractive errors and anisometropia. A higher frequency of hypermetropia was noted in patients with strabismus (P < .05). CONCLUSIONS: Esotropia and hypermetropia are common in patients with Down syndrome. Early diagnosis and treatment of strabismus and associated ocular conditions such as refractive errors and amblyopia may improve the quality of life for these patients.

Adolescent↗