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Biomedical subjects

T Erakgun

Publications and source records attributed to T Erakgun.

7 recordsLinked to original sources

Anatomic outcome of scleral buckling surgery in primary rhegmatogenous retinal detachment.

PURPOSE: To evaluate the factors affecting the anatomic success of treatment of retinal detachments (RD) by scleral buckling surgery. METHODS: One-hundred and two eyes of 102 patients with rhegmatogenous RD operated on by scleral buckling surgery were included in the study. Results were analyzed according to the anatomic status of the retina at the most recent follow-up examination. The chi-squared test was used to determine the relationship between preoperative and intraoperative variables and anatomic results, and the relative risk of failure was determined for each variable. RESULTS: Retinal reattachment was achieved in 85 of 102 eyes (82.5%) after initial surgery. The success rate for anatomic reattachment was 95% after two operations. After three operations reattachment was achieved for 98 eyes (96%). Predictive factors for anatomic failure (P<0.05) were the presence of grade C(1) PVR and multiple breaks. CONCLUSION: Grade C(1) PVR and multiple breaks were found to be significant risk factors for anatomic failure in rhegmatogenous RD treated by conventional buckling surgery.

Adult↗

Clinical results of implantation of the Medevec mini-loop haptic anchor plate foldable lenses.

PURPOSE: To evaluate the surgical performance and postoperative outcomes of 50 consecutive implantations of the Medevec VS 2 UV(TM) mini-loop silicone plate lenses. SETTING: Ege University Hospital, Eye Department, Izmir, Turkey. METHODS: Forty-three patients of either sex, aged 49 years, or older, were included in the study. Clear corneal incision, circular curvilinear capsulorhexis, phacoemulsification and implantation of the Medevec VS 2 UV(TM) mini-loop silicone plate lenses using the injector-cartridge system was performed in all cases. The mean outcome measures were ease of implantation, intraoperative and postoperative complications, postoperative centration and visual acuity. RESULTS: The mean follow-up was 10.2 months (range 8-11 months). Twenty-two lenses (44 required two or more manoeuvers). In 6 cases, the lens was implanted into a bag with torn anterior capsule and in 3 patients (6 implanted into the sulcus because of a torn posterior capsule during phacoemulsification). Best corrected visual acuity was > or =7/10 in 48 eyes (96%) and > or =10/10 in 42 eyes (84%) at 8 months. The examination of the lenses after 8 months showed no sign of haze, discoloration or tilt. Mean decentration of the lenses was 0.32 mm +/- 0.19 (SD). There were no cases of cystoid macular edema or retinal detachment. YAG capsulotomy was performed in one eye. CONCLUSIONS: Medevec VS 2 UV(TM) mini-loop silicone plate lenses appeared to have some learning curve for the implantation. They provided -- even in the sulcus -- excellent centration, good visual acuity and minimal postoperative complications.

Aged↗

A novel suture technique in stellate corneal lacerations.

A novel suture technique for regular stellate corneal lacerations, called a star-shaped suture is described. The suturing begins from inside any of the wound lips in a clockwise direction. Suture placement proceeds in a counterclockwise direction by the adjacent wound limb, while the suture passes are all in clockwise direction. Finally, a star-shaped suture is achieved with the knot self-buried in the corneal stroma at the initial entry site. This is a continuous suture, of which tractional forces direct to the center of the wound providing good apical apposition for stellate lacerations. This suture technique can be an alternative for the reconstruction of stellate corneal lacerations.

Corneal Injuries↗