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Laser Pointer Induced Macular Damage Displayed with OCT. Case Report

SCIENTIFIC POSTER_Sezin Ozdogan Erkul_2 Purpose: To report a case of macular damage from a laser pointer. Method: A 17-year-old man had a visual acuity disturbance in the left eye after accidental laser pointer exposure to class IIIA green laser pointer of 650 nm wavelength and 5 mW power for few seconds. Results: The patient’s best-corrected visual acuity was 7/10, he was complaining of blurring vision in his left eye. He had one...

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Early vs Late Treatment of ME Due to BRVO with Either Ranibizumab or Bevacizumab

SCIENTIFIC POSTER_Sezin Ozdogan Erkul_1 In this study we wanted to compare efficacy and safety of bevacizumab and ranibizumab in treatment of macular edema due to branch retinal vein occlusion depending on the duration of macular edema. An institutional review board approved retrospective survey was done among 58 eyes of 57 patients having macular edema due to branch retinal vein occlusion. Patients were grouped according to the initial...

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The Effect of the Metabolic Activity of the Retina on the Cholesterol and Fatty Acids’s Contents of the Removed Silicone Oils

Purpose: To investigate the effect of the metabolic activity of the retina on the cholesterol and fatty acid contents of the removed silicone oils. Design: A retrospective trial. Participants: 25 removed silicone oils from 25 eyes were included in the study. Methods: Silicone oils (polydimethylsiloxane) were removed from a total of 25 cases after 4-8 months, who had undergone pars plana vitrectomy combined with phacoemulsification and...

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23 Gauge Pars Plana Vitrectomy in Patients with Rhegmatogenous Retinal Detachment and Choroidal Detachment

Purpose: To share the problems of 23g PPV for patients with retinal detachment and choroidal detachment. Material & Methods: Seven patients with retina and choroidal detachment were included in this study. Preoperative and other routine eye examination [BCVA, biomicroscopy, intraocular pressure, fundoscopy, A-B scan ultrasonography if needed] were recorded. The surgical findings and complications were recorded [infusion cannula...

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Retinal Nerve Fiber Layer Thickness Change in Wet AMD Treated with Ranibizumab

Poster Ozen Ayranci Osmanbasoglu Advantages: To assess the effect of intravitreal (IV) ranibizumab therapy on retinal nerve fiber layer (RNFL) thickness. Methods: Fourteen eyes of 11 treatment naive patients with neovascular age related macular degeneration treated with ranibizumab were included. Patients were followed up by monthly examinations and IV ranibizumab injections were done as on needed basis. RNFL thickness s was measured by...

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Functional and Anatomical Effect of Laser and Intravitreal Injection on the Persistence of Serous Macular Detachment

Advantages: The effect of laser and intravitreal injection on the persistence of serous macular detachment and its effect on functional and anatomical results. Methods: Thirty-one diabetic patients who had diabetic retinopathy and clinically significant macular edema with serous macular detachment were included. Data were reviewed for laser treatment (panretinal-grid-focal photocoagulation) and intravitreal injection (triamcinolone...

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The Effect of Anti-VEGF Treatment on Fundus Fluorescein Angiographic Findings in AMD Cases

Advantages: To analyse the effect of anti-VEGF treatment on arm to retinal circulation, capillary time, venous filling time, retinal artery and vein diameters measured by fluorescein angiography. Methods: Patients who had at least three anti-VEGF injections were included in the study. Patients were grouped (n: 72) regarding the intravitreal treatment as group 1 (Lucentis, n: 38) and group 2 (Avastin and /or Lucentis; n: 34). Fundus...

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Can Serous Macular Detachment Help to Predict the Types of Maculopathy and the Severity of Retinopathy in Diabetic Patients?

Advantages: To search the importance of serous macular detachment (SMD) to predict the types of maculopathy and the severity of retinopathy in diabetic patients. Methods: 189 patients with retinopathy and clinically significant macular edema were included. Patients were grouped as SMD + (group I, n: 107) and SMD – (group II, n: 82) in optical coherence tomography (OCT). Fundus fluorescein angiographic (FA) findings were evaluated...

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Assessment of Angiographic Findings of Diabetic Patients Who Underwent PPV for ERM or Taut Posterior Hyaloid

Advantages: To analyse the angiographic findings of diabetic patients who underwent pars plana vitrectomy for epimacular membrane or taut posterior hyaloid (TPH). Methods: Patients were grouped according to the presence of taut posterior hyaloid or ERM. Preoperative and postoperative angiographic, optical coherence tomography and visual acuity findings were compared in between groups. Arm to retinal circulation, arteriovenous transit...

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Primary Rhegmatogenous Retinal Detachment in Phakic and Pseudophakic Cases: The Additive Effect of Scleral Buckling to Pars Plana Vitrectomy and Comparison of the Properties of the Vitreous Base and Retinal Tears in Uncomplicated Primary Phakic Rhegmatogenous Retinal Detachment and Pseudophakic Retinal Detachment

Hülya Güngel, Sevil Karaman, Evre Peker (Istanbul, Turkey) Advantages: To evaluate the additional effect of scleral buckling (SB) to pars plana vitrectomy and to compare the properties of the vitreous base and retinal tears in uncomplicated primary phakic rhegmatogenous retinal detachment (prd group) and pseudophakic retinal detachment (psrd group). Methods: This retrospective study statistically compares primary anatomical and...

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Anatomic and Functional Outcomes of Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment in High Myopic Patients

Ozen Osmanbasoglu, Hülya Güngel, Sevil Karaman, Isýl Pasaoglu, Dilek Alp, Hakan Eren (Istanbul, Turkey) Advantages: To assess anatomic and functional outcomes of pars plana vitrectomy (PPV) for rhegmatogeneous retinal detachment (RD) in highly myopic patients. Methods: 21 patients’ data with high myopia that underwent PPV (twelve with 23 G, nine with 20 G) during May 2006-May 2010 were evaluated. Groups were defined according to the...

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Phakic Rhegmatogenous Retinal Detachment: Pars Plana Vitrectomy Combined with Phacoemulsification

Sevil Karaman, Hülya Güngel, Isil Pasaoglu (Osmaniye, Turkey) Advantages: After pars plana vitrectomy cataract development is seen often. Phacoemulsification in vitrectomized eyes is challenging. Combined surgery has advantages preoperatively and postoperatively. Methods: 46 patients underwent pars plana vitrectomy combined with phacoemulsification (by HG) were examined. Functional and anatomic successes were determined. Effectiveness...

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Comparison of 20 and 23-Gauge Pars Plana Vitrectomy Combined with Phacoemulsification in Phakic Rhegmatogenous Retinal Detachment

Sevil Karaman, Hülya Güngel, Isil Pasaoglu, Ozen Osmanbasoglu, Ece Uzun, Dilek Alp (Osmaniye, Turkey) Advantages: To compare prognosis after 20-gauge (G) and 23-G pars plana vitrectomy (PPV) combined with phacoemulsification for repair of primary phakic rhegmatogenous retinal detachment. Methods: 56 phakic patients who underwent primary rhegmatogenous retinal detachment repair with 20-G (n=28) or 23-G (n=28) transconjunctival PPV were...

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Anatomic and Functional Prognosis in Patients with Traumatic Retinal Detachment After Close Globe Injury

Ozen Osmanbasoglu, Hülya Güngel, Isil Pasaoglu, Abdurrahman Bascý, Merih Gul (Istanbul, Turkey) Advantages: To assess the anatomical and functional prognosis in patients with traumatic retinal detachment after close globe injury. Methods: The study was a nonrandomised and retrospective chart review of 25 patients who were operated for traumatic retinal detachment after close globe injury. The age, time elapsed before the surgery, the...

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Traumatic Retinal Detachment Following Open Globe Injury

Hülya Güngel, Ozen Osmanbasoglu, Isil Pasaoglu, Abdurrahman Bascý, Ece Kýrandi (Istanbul, Turkey) Advantages: It was the aim of this study to describe the clinical features and surgical outcomes of retinal detachment following open globe injuries. Methods: The study was a retrospective chart review of 11 patients who had undergone surgery for retinal detachment after open globe injury. Effectiveness / Safety: The mean age was 46,18...

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Factors Affecting Visual Prognosis After 23 Gauge Vitrectomy Combined with Phacoemulsification in Phakic Retinal Detachment

Isil Pasaoglu, Hülya Güngel, Sevil Karaman, Dilek Alp, Ozen Osmanbasoglu, Ece Uzun (Istanbul, Turkey) Advantages: To analyse the factors affecting visual outcomes of 23-gauge transconjunctival sutureless vitrectomy combined with phacoemulsification in phakic rhegmatogenous retinal detachment. Methods: A retrospective case series study was performed in 56 patients with phakic retinal detachment. Patients with a final visual acuity greater...

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Analysis of the Visual Prognostic Factors of 23 Gauge Vitrectomy in Pseudophakic Retinal Detachment

Hülya Güngel, Isil Pasaoglu, Evre Pekel, Dilek Alp, Ozen Osmanbasoglu, Ece Uzun (Istanbul, Turkey) Methods: Forty-five patients with pseudophakic retinal detachment were analyzed retrospectively. Patients with a final visual acuity greater than 0,1 (snellen equivalent) were defined as having a good visual prognosis. Parameters examined were age, gender, duration of the symptoms, preoperative visual acuity, preoperative intraocular...

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Retrospective Analysis of 16 Patients with Central Retinal Vein Obstruction

Hülya Güngel, Ozen Osmanbasoglu, Ebru Demet Aygit (Istanbul, Turkey) Advantages: To evaluate the clinical findings and treatment outcomes in patients with central retinal vein obstruction (CRVO). Methods: 16 patients’ data that were followed more than 6 months were evaluated. Based on the angiographic findings patients were grouped as ischemic and non-ischemic CRVO. Visual acuity, OCT findings and treatment modalities were...

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Examination of the Relation Between Clinic, Fluorescein Angiographic Findings and Ophthalmodynamometric Measurements in Patients with Central Retinal Vein Obstruction

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Hülya Güngel (Istanbul, Turkey) Advantages: To examine the relation between clinic, fluorescein angiographic findings and ophthalmodynamometric measurements in patients with central retinal vein obstruction. Methods: Routine ophthalmologic examination, fluorescein angiography and ophthalmodynometry was performed in 28 subjects. H.K....

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Intravitreal Ranibizumab for Neovascular Age-Related Macular Degeneration

Ebru Demet Aygit, Çigdem Altan, Hülya Güngel (Istanbul, Turkey) Advantages: This study reports clinical outcomes of intravitreal Ranibizumab treatment for choroidal neovascularization (CNV) due to age-related macular degeneration (AMD) and to identify predictive factors that may influence visual acuity (VA) outcomes. Methods: Thirty-one patients (32 eyes) with CNV were followed up at least 6 months after intravitreal injection (0,5 mg)...

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Surgical Results of Pars Plana Vitrectomy in Pseudophakic Retinal Detachment

Authors: Evre Pekel, Hülya Güngel, Çidem Altan, Engin Azman, Sevil Karaman, Gül Varan, Istanbul, Turkey Methods: This study included 28 eyes of 28 patients (21 M, 7 F) with pseudophakic retinal detachment. Twenty patients (71,4%) underwent combined scleral encircling and PPV operations, and 8 patients (28,6%) underwent only PPV. The time interval between the retinal detachment and the surgery date, macular involvement, visibility of...

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The Approaches to Central Serous Chorioretinopathy

Authors: Cigdem Altan, Hülya Güngel, Merih Gül, Hakan Eren, Tanýl Gürsel, Eyüp Durgut, Istanbul, Turkey Advantages / Purpose: To present the treatment approaches to cases with central serous chorioretinopathy (CSC). Methods: Twenty-six eyes of 25 patients who were diagnosed as CSC and followed between May 2008 and February 2009 were included in the study. Demographic data, visual acuity and macular thickness, management and...

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Comparison of Primary and Secondary Epiretinal Membranes Using Optical Coherence Tomography

Authors: Cigdem Altan, Hülya Güngel, Hakan Eren, Evre Pekel, Eylem Pynarcy, Istanbul, Turkey Advantages / Purpose: To compare the optical coherence tomography (OCT) findings of primary and secondary epiretinal membranes (ERMs). Methods: OCT was performed in 153 eyes of 116 consecutive patients (59 males, 57 females) with fundoscopic evidence of ERMs. Adherence characteristics, macular thickness, loss of foveal contour, edge/tuft...

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The Results of 20 Gauge and 23 Gauge Vitrectomy Combined with Phacoemulsification after Intravitreal Bevacizumab Injection in Tractional Retinal Detachment with Proliferative Diabetic Reinopathy

http://www.evrs.eu/medias/2009/congress/Proliferative-Diabetic-Retinopathy.flv Author: Hulya Gungel, Istanbul, Turkey Advantages: To reduce intraoperative bleeding. Methods: Forty-nine patients with tractional retinal detachment were studied retrospectively. To 23 patients 20 G PPV, to 26 patients 23 G MIVS combined with phacoemulsification were applied. They had tractional retinal detachment with macular involvement, rhegmatogenous retinal...

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An Outbreak of Fusarium Endophthalmitis after Consecutive Cataract Surgery

Authors: Hülya Güngel, Mumin Hakan Eren, Eylem Yaman Pinarci, Necip Kara, Tanil Gürsel, Istanbul, Turkey Advantages: To report an outbreak of fusarium endophthalmitis after uneventful cataract surgery performed on the same day. Methods: A retrospective consecutive case series. Nine patients who had consecutive surgery on the same day and developed acute postoperative fungal endophthalmitis were reviewed. Phacoemulsification procedures,...

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Pneumatic Displacement in the Diagnosis and Treatment of Valsavia Retiopathy in a Case with Premacular Hemorrhage

Eylem Yaman Pinarci, Berna Demirel, Hulya Gungel Advantages: Instillation of Intravitreal gas is very easy and helpful to make a differential diagnosis and also treatment in premacular haemorrhagia Methods: 0.3 cc pure C3F8 gas was instilled intravitreally with the aim of pneumatic displacement in order to make a differential diagnosis for the Valsalva retinopathy and haemorraghia due to SMD to a 72 year-old male patient who had scar...

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Anatomic and Visual Outcomes of Intravitreal Bevacizumab Injection and 23-Gauge Sutureless Transconjunctival Vitrectomy for Diabetic Retinopathy

Hulya Gungel, Deniz Oygar Baylancicek, Isil Basgil, Nihat Sayin, Eylem Yaman Pinarci Purpose: To evaluate the anatomic and visual outcomes of 23-gauge transconjunctival sutureless vitrectomy for a variety of vitreoretinal conditions in patients with diabetic retinopathy. Methods: A retrospective, consecutive, interventional case series for 21 eyes of 20 patients with proliferative diabetic retinopathy. Patients underwent vitreoretinal...

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Combined Pars Plana Vitrectomy, Phacoemulsification and Intraocular Lens Implantation with Foreign Body Extraction

Deniz Oygar Baylancicek, Hulya Gungel, Isil Basgil Purpose: To evaluate the results of combined pars plana vitrectomy (PPV), phacoemulsification with IOL in eyes with intraocular foreign body (IOFB). Methods: Ten eyes of 10 patients were included in this retrospective study. All the foreign bodies were metallic. PPV with phacoemulsification and foldable IOL with PMMA haptics implantation were performed to all patients. First...

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Study on Visual and Morphologic Evaluation of Epiretinal Membrane Using the Optical Coherence Tomography

Isil Basgil, Eylem Yaman Pinarci, Hulya Gungel, Deniz Oygar Baylancicek, Nihat Sayin Purpose: To report the clinical features and macular morphology by using optical coherence tomography (OCT) in patients with epiretinal membrane (ERM) Methods: A retrospective review of 49 eyes of 40 patients with a macular ERM was performed. In OCT, three characteristics were considered in each image: presence of foveal depression, presence of cystoid...

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Large Relaxing Retinotomy-Retinectomies for Retinal Reattachment in Severe Proliferative Vitreoretinopathy

Nur Acar*, Ziya Kapran, Yaprak Banu Ünver, Tugrul Altan,Zerrin Bayraktar, Hülya Güngel, Tolga Sahanlar Istanbul, Turkey Purpose: To evaluate the functional and anatomical success rates of large(>90 ) relaxing retinotomy-retinectomy(RRR) in retinal detachment cases complicated by severe ( C3) proliferative vitreoretinopathy(PVR). Methods: The medical records of 20 cases in whom large RRR was performed were analysed. Results: Retinas...

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