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Objectives:To present the clinical and demographic characteristics, imaging findings, diagnosis and treatment approach in cases of cat scratch disease (CSD) with ocular involvement.Materials and Methods:The records of 19 patients followed-up and treated between 2010 and 2020, including detailed ophthalmological examinations, imaging findings, and treatment approach, were evaluated retrospectively.Results:Twenty-three eyes of 19 patients, 7 female (37%) and 12 male (63%), were included in the study. The mean age was 34.1±13.3 (range: 11-56) years, and the mean follow-up duration was 12.6±18.0 (range: 1-81) months. Unilateral involvement was observed in 15 cases (79%). Cat contact was reported in 14 cases (74%). In 6 cases (32%), flu-like symptoms were present before the ocular complaints. The mean visual acuity (VA) at presentation was 0.42±0.36 (range: 0.001-1.0). Anterior uveitis was observed in 3 eyes (13%). Posterior segment findings included neuroretinitis in 14 (61%), superficial retinal infiltrate(s) in 8 (35%), papillitis in 3 (13%), branch retinal artery occlusion in 2 (8%), and cilioretinal artery occlusion in 1 (4%) of the eyes. All cases were positive for Bartonella henselae immunglobulin (Ig)M and/or IgG. Systemic antibiotic therapy was administered to all patients. Intravenous pulse or oral corticosteroids were given, especially in cases with optic disc involvement. The mean final VA was 0.80±0.25 (range: 0.01-1.0).Conclusion:CSD may present with different ocular involvement patterns. Apart from the classical neuroretinitis and macular star appearance, patients may present with isolated optic disc edema, branch retinal artery occlusion, and retinal infiltrations. In such patients, cat contact history and Bartonella serology should be evaluated to differentiate CSD.

INTRODUCTION[|]Elevated intraocular pressure (IOP) remains to be the best known modifiable risk factor for glaucoma. Ocular palpation tonometry (OPT) is an old, fast and simple method for IOP measurement. Our aim is to investigate accuracy, reproducibility of ocular palpation tonometry and its suitability to be used for screening purposes.[¤]METHODS[|]Consecutive patients without corneal pathology and glaucoma diagnosis history were included in the study. After routine ophthalmologic examination the IOP was measured by an ophthalmology specialist with Goldmann applanation tonomety (GAT). Later a blinded other ophthalmology specialist and a resident evaluated the same patients' IOP with ocular palpation tonometry. Agreement between GAT and OPT, reproducibility of OPT were evaluated using Cohen Kappa Analysis.[¤]RESULTS[|]214 eyes of 107 patients were included in the study with a mean IOP of 16.4+-3.6 (min: 8, max: 27) mmHg with GAT. OPT measurements by the resident ophthalmologist and the ophthalmology specialist were in concordance with GAT for 44.4% and 50.5% of the evaluations, respectively. We couldn't detect a significant kappa value for the agreement between GAT and OPT measurements by the resident ophthalmologist (p=0.333). Whereas a slight agreement was found between GAT and OPT measurements by the ophthalmology specialist (K=0.176, p=0.001). OPT measurements showed slight reproducibility (K=0.153, p=0.009).[¤]DISCUSSION AND CONCLUSION[|]Ocular palpation tonometry has low reliability, reproducibility and is not suitable to be used as a screening test. Except obligatory states, it should not be used as a primary and only test, and must be verified by other methods.[¤]

In this report, we present a case with presumed unilateral tuberculosis uveitis from an endemic region. A 23-year-old male presented with decreased vision in his left eye for 15 days. Visual acuities were 1.0 in his right eye and 0.3 in his left eye. Ophthalmologic examination was normal for the right eye. Slit-lamp examination revealed 2+ cells in the vitreous without anterior chamber reaction in his left eye. Fundus examination revealed occlusive vasculitis and granuloma. His history revealed that he had a respiratory infection with fever 3 months ago while visiting his native country, Rwanda, and was treated with non-specific antibiotic therapy. His visual symptom started 2 weeks after his systemic symptoms resolved. Laboratory findings included 15 mm induration in purified protein derivative tuberculin skin test, HIV negativity, and parenchymal lesions in chest X-ray. Bronchoalveolar lavage was negative for acid-fast bacillus. A pulmonary disease consultant reported presumed tuberculosis because of the patient’s history. Anti-tuberculosis treatment was initiated. The patient’s visual acuity improved rapidly and his signs regressed. A careful history should be taken from patients with uveitis. Travel to tuberculosis-endemic areas may be important for diagnosis and should be asked about directly.

Objectives: To evaluate the effect of adjuvant intracameral triamcinolone acetonide (TA) on the surgical results of trabeculectomy with mitomycin C. Materials and Methods: All consecutive trabeculectomy cases performed in the glaucoma clinic between July 2012 and December 2013 were retrospectively reviewed from the patient charts. Only those with follow-up of 12 months or longer were included. Patients with intraoperative intracameral TA (study group, n=19) were compared to those without TA (control group, n=21) in terms of surgical success, intraocular pressure (IOP) change, medication use and complications. Results: Forty eyes of 31 patients (21 male/10 female, mean age 64.2±13.8 years) were included in the study. The mean follow-up period was 20.9±5.1 months and 20.7±6.7 months in the study and control groups, respectively (p=0.830). Baseline IOP was 26.4±9.9 and 25.2±7.6 mmHg (p=0.979), and final IOP was 12.7±2.6 and 13.6±3 mmHg in both groups respectively (p=0.226). At the final follow-up, complete success was observed in 68.4% and 52.4% of the study and control groups (p=0.349) and anti-glaucoma medication was used by 31.6% (mean number of medications: 0.79±1.2) and 47.6% (mean number of medications: 1.33±1.7), respectively (p>0.05). Bleb encapsulation, leakage, suture-lysis and hypotony rates were similar in both groups (for all, p>0.05). Cataract progression was noted in six (35.3%) and in five (26.3%) of the phakic eyes in the study and control groups, respectively (p=0.720). Conclusion: When used intracamerally, TA did not increase the complication rate in trabeculectomy surgery. Although the group that received TA showed lower IOP levels, use of fewer medications and fewer eyes requiring medication, the differences did not reach significance.

Objectives: To investigate the results of different surgical techniques for treating cases of dissociated vertical deviation (DVD). Materials and Methods: A retrospective review of medical records was performed, including 94 eyes of 47 patients who had undergone bilateral superior rectus (SR) recessions (Group 1), bilateral SR recession with posterior fixation sutures (Group 2), or bilateral inferior oblique (IO) anterior transposition surgery (Group 3) for treatment of DVD. Nineteen patients underwent secondary procedures (SR weakening or IO anterior transposition) because of unsatisfactory results. The amount of the DVD in primary position before and after surgery, postoperative success ratios, and probable complications were evaluated. The Wilcoxon signed ranks test and chi-squared test were used for statistical evaluations. Results: In 69% of the 32 eyes in group 1, 65% of the 20 eyes in group 2, and 79% of the 42 eyes in group 3, satisfactory control of the DVD in primary position was achieved. All eyes undergoing both SR weakening and IO anterior transposition had a residual DVD of less than 5 prism diopters (pd). Of the total of 94 eyes, in 26 (89.6%) of 29 eyes that had a preoperative DVD angle of more than 15 pd [ten eyes from group 1, seven eyes from group 2, and nine eyes from group 3], the residual DVD angle after surgery was more than 5 pd. However, in the 65 eyes with preoperative DVD of 15 pd or less (21from Group 1, 12 from Group 2, and 32 from Group 3), the residual DVD angle after the operation was less than 5 pd. Two eyes of 2 patients had -1 limitation to elevation after surgery. Conclusion: Only IO anterior transposition or SR weakening surgery appear to be a successful surgical approaches in the management of patients with mild- and moderate-angle (≤15 pd) DVD. Weakening both the SR and IO muscles yield a greater success in the management of patients with large-angle (>15 pd) DVD. (Turk J Ophthalmol 2014; 44: 132-7)

Heterochromia is a condition of color difference between the two eyes. It is composed by the words heteros (different) and chromos (color). It can either be sporadic or benign but also can be an indicator of an eye disease. The abnormal iris can be hypochrome or hyperchrome. It can be congenital or acquired. Some diseases such as Horner syndrome, Fuchs’ heterochromic iridocyclitis, oculodermal melanocytosis, Waardenburg syndrome, unilateral topical use of prostaglandins, siderosis can be an etiological factor of heterochromia. (Turk J Ophthalmol 2014; 44: 68-71)

Pur po se: The purpose of this study was to compare the tear properties between the eyes with chronic blepharitis and normal eyes. Ma te ri al and Met hod: We prospectively examined 20 eyes of 20 consecutive patients who had symptoms and findings associated with chronic blepharitis and 16 eyes of 16 healthy persons as a control group. Patients with dry eye disease and allergic conjunctivitis or using any topical/systemic drug or wearing contact lens were not included in the study. Tear osmolarity measurement via Tearlab osmolarity system, tear break-up time (BUT) and Schirmer’s test without anesthesia were applied to all cases, and the measurements of the two groups were compared. Re sults: The mean age of all patients was 30.7±5.5 years (18 male, 18 female). The mean tear osmolarity value was 315.3±18.1 in the chronic blepharitis group, whereas it was 300.0±18.4 mOsm in the control group (P=0.02). The mean BUT was 7.2±4.5 seconds in the chronic blepharitis group and 13.2±3.6 seconds in the control group (P=0.001). The mean Schirmer’s value for the patients with chronic blepharitis was 20.5±7.4 mm and 19.9±8.1 mm in the control group (P=0.84). Dis cus si on: Tear osmolarity was higher and BUT was lower in chronic blepharitis patients, while Schirmer’s test was within normal limits. These findings imply that in chronic blepharitis, lipid and mucin layers get abnormal without any decrease in the tear production. (Turk J Ophthalmol 2012; 42: 346-8)

Pur po se: To evaluate the results of bleb needling of encapsulated blebs with 1% mitomycine-C (Mtm-C) after trabeculectomy surgery. Ma te ri al and Met hod: 98 eyes of 90 glaucoma patients who had undergone trabeculectomy between July 2009 and September 2011 were evaluated retrospectively. Twenty-five eyes of 24 patients who developed encapsulated bleb with at least 3-month follow-up were enrolled in the study. These patients had undergone bleb needling with 1% Mtm-C (16 eyes) since medications were not efficient for IOP control. The preand post-needling intraocular pressures (IOP) were compared with IOPs being controlled with anti-glaucoma medications (9 eyes). Re sults: Encapsulated bleb was seen in 25 (25.6%) eyes of 24 patients out of 98 eyes of 90 patients who had trabeculectomy. The mean age was 62.6±13.6 (23-83) years and the mean follow-up time was 5.7±4.4 (3-20) months. The mean time that encapsulated blebs were diagnosed was 4.1±1.5 (2.5-8) weeks after the trabeculectomy. The number of eyes with IOP controlled with medication only was 9 (36%) with 5.7±4.0 (3- 14) months mean follow-up time. Mtm-C 1% bleb needling was performed at mean 9.1±3.2 (3-15) weeks after trabeculectomy in 16 eyes (64%) which had uncontrolled IOP with medical treatment. The IOPs before surgery and at postoperative 1st week, 1st, 3rd, and 6th months were 26.5±8.6 mmHg, 11.9±2.6 (5-18) mmHg, 14.5±3.8 (11-20) mmHg, 15.2±5.6 (8-20) mmHg, and 14.8±1.4 (8-28) mmHg, respectively (p

Pur po se: To evaluate the efficacy and safety of transscleral diode laser cyclophotocoagulation (TDCP) for treatment of uncontrolled intraocular pressure (IOP) elevation secondary to emulsification of silicone oil (SiO) injection. Ma te ri al and Met hod: In this retrospective case series, forty-one eyes of 41 patients who underwent TDCP for uncontrolled IOP secondary to emulsified SiO were reviewed. Main outcome measures included visual acuity (VA), IOP changes, number of antiglaucomatous medication, and postoperative complications. Re sults: Mean±SD follow-up was 30.2±10.3 months (range, 16-41 months). Mean preoperative BCVA was 20/666 and mean postoperative BCVA at final visit was 20/400 (p=0.02). Mean intraocular pressure (IOP) on the preoperative and last postoperative visit was 34.1±8.3 mmHg and 15.7±4.1 mmHg, respectively (p

Pur po se: To evaluate the changes in macular and peripapillary retinal nerve fiber layer (RNFL) thickness with optic coherence tomography (OCT) during active inflammation period and after recovery in eyes with acute anterior uveitis (AAU) and to compare them with the patients’ healthy eyes. Ma te ri al and Met hod: Twenty-two consecutive patients diagnosed with unilateral AAU in the Uvea Department of our hospital were included in this study. OCT measurements were taken with ‘Stratus OCT fast macular thickness map’ program and ‘fast RNFL thickness’ program. Mean thicknesses of fovea centered 1 mm, 3 mm, 6 mm circles, total macular volume (TMV) and mean RNFL thickness in 3.4 mm peripapillary circle were compared between eyes with AAU and healthy eyes. Also, the measurements during the acute attack were compared with measurements of the same eyes after recovery. Re sults: There were 14 women and 18 men with a mean age of 37 (range, 20-65) years. Total macular volume, peripapillary RNFL thickness and macular thicknesses in 1 mm, 3mm, 6 mm circles were significantly elevated in acutely inflamed eyes as compared with healthy eyes (p0.05). When measurements after recovery were compared with the patients’ healthy eyes, the circle of 3 mm thickness and TMV were still significantly higher in the recovered eyes. Dis cus si on: Although there were no inflammation findings in the posterior segment of eyes with AAU, increased peripapillary RNFL and macular thickness can be detected with OCT. Macular thickness can be decreased after treatment but even when the clinical findings disappear, thickening in the macula can persist for some time. (Turk J Ophthalmol 2012; 42: 20-4)

Pur po se: To determine demographic and clinical factors that affect the outcomes of selective laser trabeculoplasty (SLT) in patients with primary open-angle glaucoma (POAG). Ma te ri al and Met hod: In this retrospective study, we analyzed the medical records of 54 eyes of 39 patients who underwent SLT treatment for POAG. Effects of demographic characteristics including age, sex, treated eyes, and family history of glaucoma on SLT success were investigated. Effects of clinical features including baseline intraocular pressure (IOP), baseline number of antiglaucomatous medications, baseline cup to disc ratio (c/d), trabecular meshwork (TM) pigmentation, central corneal thickness, and number of laser spots on SLT success were also evaluated. Success was defined as a ≥ 20% reduction in IOP without additional medications, laser, or glaucoma surgery. Re sults: Overall, 1-year after SLT, the mean IOP reduction was 4.7±3.2 mmHg and the mean success rate was 59.3±6%. Among the all investigated factors, only baseline IOP was a significant predictor for the efficacy of SLT in POAG (p

Cyclic esotropia is a rare form of strabismus characterized by alternating periods of esotropia and orthophoric (or almost orthophoric) eye position. Herein, we discuss two children with cyclic esotropia and their surgical treatment results. A six-year-old boy was brought to our clinic with the typical complaint of a convergent squint which had been appearing and disappearing in a regular 24-hour cycle over a period of four years. He had a large deviation angle with associated suppression and no binocular function for a 24-hour cyclic pattern, but he had a small angle of esotropia with fusion and stereopsis for another 24 hours. He had undergone strabismus surgery on the left eye at another clinic 3 years ago. The other patient was a ten-year-old girl who was brought to our clinic with the reoccurring complaint of esotropia on alternating days over a period of four years. We determined that a large deviation angle with near-distance disparity and a 24-hour cyclic pattern were present. For both cases, we planned strabismus surgery according to the amount of deviation on the esotropic day. Following the surgery, the eyes have continued to remain permanently straight during the follow-up period. (Turk J Ophthalmol 2014; 44: 164-6)

Pur po se: To evaluate the effectiveness of laser suture lysis in patients with high intraocular pressure (IOP) after trabeculectomy. Ma te ri al and Met hod: We evaluated retrospectively 22 eyes of 22 patients who had undergone trabeculectomy followed by laser suture lysis due to high IOP between July 2009 and February 2011. The process was performed in patients who had high IOP with bleb formation after ocular massage in early postoperative period. Re sults: The mean age was 62.7±10.8 (38-77) years and the male/female ratio was 11/11 in the study group. The mean interval time between trabeculectomy and performance of suture lysis was 18.5 ±31.1 days (2-150 days). The mean IOPs before and immediately after laser suture lysis were 25 ±8.6 mmHg (14-45 mmHg) and 14±5.8 mmHg (6-27 mmHg), respectively (p

A 21-year-old male patient presented to our hospital with a blunt paintball trauma to his left eye. The patient had corneal edema, traumatic cataract, traumatic mydriasis, and secondary glaucoma in his left eye. After corneal edema resolved, cataract surgery was performed. Because of uncontrolled intraocular pressure despite antiglaucoma medications, an Ahmed glaucoma valve was implanted. In the postoperative period, the patient’s visual acuity was 1/10. Paintball-related ocular injuries can be severe and visually devastating. (Turk J Ophthalmol 2013; 43: 135-7)

Purpose: To compare the intraocular pressure (IOP)-lowering efficiency of gonioscopy-assisted transluminal trabeculotomy (GATT) and trabeculectomy (TRAB) with mitomycin C in patients with primary open-angle glaucoma (POAG) and pseudoexfoliative glaucoma (PEXG). Methods: In this retrospective comparative study, consecutive patients with POAG or PEXG who underwent GATT or TRAB by a single surgeon and with a follow-up period of at least 1 year were included. Surgical success rates, change in best-corrected visual acuity, IOP, the need for antiglaucoma medication, surgical complications, and the need for additional glaucoma surgery were compared. Surgical success was defined as an IOP reduction of ≥30% or an IOP of ≤18 mmHg. Complete success was defined as without medication. Qualified success was defined as with or without topical medication. Results: The mean baseline IOP was 27.4 ± 8.3 and 24.6 ± 7.6 mmHg (P = 0.13) with the mean number of medications being 3.7 ± 1.0 and 3.7 ± 1.1 (P = 0.98) in TRAB and GATT, respectively. At 12 months, the mean IOP was 15.3 ± 3.5 and 12.5 ± 4.6 mmHg (P = 0.24) with the mean number of medications being 0.9 ± 1.2 and 0.8 ± 1.4 (P = 0.76) after GATT and TRAB, respectively. IOP was lowered from baseline by 52.7% ± 17.5% after TRAB and 45.7% ±18.6% after GATT (P = 0.12). There was no decrease in best-corrected visual acuity in either group. The qualified surgical success rate was 94.4% in the GATT group and 94.9% in the TRAB group (P = 0.75). Percentage of complete success was 64.1% and 52.8% (P = 0.22) after TRAB and GATT, respectively. Conclusion: In patients with POAG and PEXG, GATT was as effective and safe as TRAB in lowering IOP and reducing the number of antiglaucomatous drugs.

Bilateral acute depigmentation of the iris (BADI) and bilateral acute iris transillumination (BAIT) are relatively new clinical entities characterized by acute pigment dispersion from the iris stroma or iris pigment epithelium, respectively. While BADI presents with diffuse or geographic areas of iris stromal depigmentation without transillumination, BAIT cases typically develop diffuse iris transillumination and mydriatic atonic pupils. Prolonged pigment dispersion and ocular hypertension are more common in BAIT. Although the exact etiopathogenesis is still unknown, moxifloxacin toxicity appears to be a probable/likely cause. The underlying cause of BADI or BAIT in patients who were not exposed to fluoroquinolone antibiotics remains unexplained. Systemic viral infections, including coronavirus disease 2019, may be the triggering event in several cases.

INTRODUCTION[|]This study used ultrasound biomicroscopy (UBM) imaging to evaluate the anterior segment structure and surgical area of patients with open angle glaucoma following a trabeculectomy procedure.[¤]METHODS[|]Consecutive patients with primary open angle or pseudoexfoliative glaucoma who underwent a trabeculectomy were included. UBM was used to examine the anatomical parameters of anterior chamber depth, anterior chamber angle, angle opening distance at 500 µm (AOD500), trabecular ciliary process distance (TCPD), iris ciliary process distance, scleral ciliary process angle (SCPA), and ciliary process thickness, as well as the internal ostium opening, ostium-iris distance, and scleral flap dimensions. Bleb morphologies were evaluated qualitatively using the Yamamoto classification and quantitatively according to the presence of drainage from the medial, lateral, and posterior borders.[¤]RESULTS[|]Twenty-five eyes of 23 patients (4 female, 19 male) were included in the study. The TCPD and SCPA measurements were significantly greater in the postoperative third month (1.04+-0.12 mm vs 1.09+-0.16 mm, p

Background: Corneal transplantation surgery is associated with an increased risk of intraocular pressure (IOP) elevation. Increased IOP may cause irreversible vision loss and graft failure. Objective: We aimed to evaluate early IOP changes following different keratoplasty techniques and to investigate the relationship between corneal thickness (CT), keratometry values, anterior chamber depth (ACD), and IOP changes. Methods: We included patients who underwent penetrating keratoplasty (PK), deep anterior lamellar keratoplasty (DALK), and Descemet membrane endothelial keratoplasty (DMEK) in this observational study. ACD, CT, and keratometry measurements were repeated postoperatively at hour 24, week 1, and month 1. IOP measurements were repeated at postoperative hours 6 and 24, week 1, and month 1 by Tono-Pen XL. Results: In total, 22 patients underwent PK, 12 patients underwent DALK, and 19 patients underwent DMEK. The difference between the IOP preoperatively and postoperatively hour 6, and between the IOP preoperatively and postoperatively hour 24 was statistically significant in the three types of surgery ( p

Purpose: The purpose of this study is to compare the thickness and depth measurements of the lamina cribrosa (LC) obtained using a swept-source optical coherence tomography (SS-OCT) device in idiopathic intracranial hypertension (IIH) patients and healthy subjects. Methods: This retrospective, cross-sectional observational study included 16 eyes with IIH and 20 control eyes. The LC measurements with serial horizontal B scans of the optic nerve head were obtained using SS-OCT (Topcon 3D DRI OCT Triton). The anterior lamina surface (ALS) depth, posterior lamina surface (PLS) depth, and LC thickness measurements were evaluated. Results: In patients with IIH, the mean ALS depth was 225.00 ± 58.57 μm and the mean PLS depth was 449.75 ± 63.50 μm. In the IIH control group, the corresponding values were 359.40 ± 105.38 and 570.10 ± 99.41 μm (P < 0.05). The difference in LC thickness between the IIH and control subjects was not statistically significant. Conclusion: LC can be evaluated using an SS-OCT device. LC was displaced anteriorly in patients with IIH compared with normal controls. The assessment of LC level with SS-OCT in IIH cases is a valuable and reproducible adjunctive imaging method in terms of diagnosis and follow-up.

INTRODUCTION[|]The aim of the present study was to compare intraocular pressure (IOP) level as measured with Goldmann applanation tonometry (GAT) and Icare rebound tonometry (RBT; Icare Finland Oy, Vantaa, Finland) in patients with varied central corneal thickness (CCT). [¤]METHODS[|]Total of 138 eyes of 138 consecutive patients from glaucoma department were studied. Ultrasound pachymeter was used to measure CCT in all cases and patients were divided into 3 groups according to CCT. Group 1 comprised patients with thin CCT (570 μ) composed Group 3. IOP was measured with RBT, which uses average of 6 readings, followed by GAT. Measurements of groups were compared.[¤]RESULTS[|]Mean age of patients was 59.4+-10.9 years. Mean CCT value was 494.9+-15.9 μ in Group 1 (n=40), 549.1+-16.3 μ in Group 2 (n=52), and 604.0+-22.2 μ in Group 3 (n=46). Mean IOP measurement obtained by GAT and RBT was 13.2+-4.0 and 13.8+-3.9 mmHg, respectively, in Group 1 (p=0.013), 16.9+-3.2 and 16.8+-3.1 mmHg in Group 2 (p=0.745), and 18.1+-3.4 and 18.4+-3.8 mmHg in Group 3 (p=0.359). Mean difference in IOP for entire study group between GAT and RBT was -0.21+-1.7 mmHg (p=0.15). This difference was statistically significant only in Group 1 (p=0.013). Positive correlation was found between CCT and measurement via both GAT and RBT (p

A 47-year-old male presented with bilateral 4 + circulating pigment in the anterior chamber, diffuse iris transillumination, dilated pupils unresponsive to light, and high intraocular pressure (IOP) levels in both eyes. Visual acuity and IOP improved bilaterally with topical steroid and antiglaucomatous therapy. In the 10th month, bilateral cystoid macular edema (CME) was developed and resolved after subtenon triamcinolone injections. CME recurred after cataract surgery in the right eye which was treated with intravitreal dexamethasone implant injection. CME was recurred in the left eye and treated with intravitreal dexamethasone implant at the same setting with cataract surgery. CME can be seen in the course of bilateral acute iris transillumination (BAIT). This is the first BAIT case presenting with bilateral CME.

The purpose of this study is to investigate the effect of thyroid eye disease (TED) on the measurement of corneal biomechanical properties and the relationship between these parameters and disease manifestations. A total of 54 eyes of 27 individuals with TED and 52 eyes of 30 healthy control participants were enrolled. Thyroid ophthalmopathy activity was defined using the VISA (vision, inflammation, strabismus, and appearance/exposure) classification for TED. The intraocular pressure (IOP) measurement with Goldmann applanation tonometer (GAT), axial length (AL), keratometry, and central corneal thickness (CCT) measurements were taken from each patient. Corneal biomechanical properties, including corneal hysteresis (CH) and corneal resistance factor (CRF) and noncontact IOP measurements, Goldmann-correlated IOP (IOPg) and corneal-compensated IOP (IOPcc) were measured with the Ocular Response Analyzer (ORA) using the standard technique. Parameters such as best corrected visual acuity, axial length, central corneal thickness, and corneal curvature were not statistically significant between the two groups (p > 0.05). IOP measured with GAT was higher in participants with TED (p

The purpose of this study was to compare the efficacy and safety of selective laser trabeculoplasty (SLT) for patients with primary open-angle glaucoma (POAG) and pseudoexfoliative glaucoma (PXG). In this retrospective case series, 85 eyes (48 POAG, 37 PXG) of 85 patients were investigated. The medical records of patients who underwent SLT for POAG or PXG were reviewed. The main outcome measures included intraocular pressure (IOP)-lowering effect and ocular side effects. The mean decrease in IOP differed significantly (p

Malignant glaucoma is one of the most challenging conditions in ophthalmology. The exact etiology of this complication is not fully understood, and its management is usually challenging. This brief report discusses current treatment strategies for this relatively uncommon form of secondary glaucoma.

Purpose. To describe our surgical technique in the management of pseudophakic malignant glaucoma refractory to conventional treatment. Methods. Two pseudophakic eyes with malignant glaucoma underwent peripheral iridectomy, lens capsulectomy, hyaloidectomy, and anterior vitrectomy through a clear corneal incision by using a vitreous cutter. Results. Prompt resolution of malignant glaucoma was achieved in both cases and no recurrence was observed during postoperative followup of five months. Conclusions. An anterior segment surgeon can treat pseudophakic malignant glaucoma successfully by using a vitreous cutter inserted through a corneal incision and performing peripheral iridectomy, capsulo-hyaloidectomy, and anterior vitrectomy.