Yazar "Esgin H." seçeneğine göre listele
Listeleniyor 1 - 9 / 9
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Abusive head trauma: A case report(Cocuk Sagligi ve Hastaliklan Dergisi, 2015) Çiftdemir N.A.; Şimşek O.; Azizo?lu M.; Eren T.; Gökalp S.; Vatansever Ü.; Esgin H.Child abuse and neglect is described as intentional or unintentional acts performed by an adult, adversely affecting the child's health and psychosocial and physical development. Our aim was to consider the responsibility, recognition and prevention of child abuse by reporting a case with an abusive head trauma requiring multiple surgical interventions. The characterization of any child abuse with its definitive detailed history and physical examination findings will be helpful for preventing future child abuse cases and for obtaining supportive service to families.Öğe Candida pelliculosa endophthalmitis after cataract surgery: A case report(2014) Esgin H.; Bulut E.; Örüm C.Background: Here we report the first case of postoperative endophthalmitis due to Candida pelliculosa after cataract surgery. We describe the clinical management of this type of candida infection in the eye. Case presentation. A 57-year-old Turk man was seen at our clinic at the end of the first postoperative month after cataract surgery. He presented with eye redness, pain and decreased visual acuity. His ophthalmologic examination revealed moderate tyndall and a mild flare in the anterior chamber. Hypopyon in the capsular bag posterior to the intraocular lens was seen in the second postoperative month. Despite topical and subconjunctival bacterial endophthalmitis treatment, there was no improvement in the clinical situation. Candida pelliculosa was isolated from a sample culture obtained from the anterior chamber. Oral fluconazole could not be administered because of increased liver enzyme levels and intravenous amphotericin B could not be administered because of an allergic reaction. Intraocular lens explantation, pars plana vitrectomy and anterior chamber lavage by rupturing the posterior wall of the microabscesses were performed. Intravitreal and intracameral amphotericin B injections were given four times in addition to surgical interventions. The patient has been followed for 2 years and his best-corrected visual acuity was 0.4 at the last visit. Conclusion: Nearly 1 month after cataract surgery, a patient presented with eye redness and blurred vision, with corneal endothelial deposits, hypopyon in the capsular bag and microabscesses on the incision sites and corneal endothelium. Candida pelliculosa should be considered in patients showing these symptoms. Multiple intraocular amphotericin B (5 ?g) administrations can be used safely even in cases with high sensitivity to systemic use. Rupturing the posterior wall of the abscesses on the corneal endothelium surgically with intraocular lens explantation and pars plana vitrectomy are recommended. © 2014 Esgin et al.; licensee BioMed Central Ltd.Öğe A case of tuberculosis meningitis and spondylodiscitis with ocular involvement(2013) Esgin H.; Kinyas S.; Tansel O.; Kilinçer C.Ocular TB includes any infection in or around the eye caused by Mycobacterium tuberculosis or its related species. It may be either an active infection or an immunologic reaction, related to delayed hypersensitivity or an aseptic reaction. A 23-year-old female who had underwent surgery for thoracic spinal tuberculosis (TB), and was receiving treatment for concurrent TB meningitis was referred to our clinic with ocular pain and decreased visual acuity. Bilateral choroiditis with multiple tubercles was found in both eyes. Visual acuity and the ocular findings showed marked improvement with anti-tuberculous treatment. This is the only case with simultaneous occurence of spondylodiscitis, meningitis, and ocular tuberculosis. By means of the presented case, we discussed the findings and the management of this complicated situation.Öğe Corneal endothelial polymegethism and pleomorphism induced by daily-wear rigid gas-permeable contact lenses(2002) Esgin H.; Erda N.Purpose. To determine if there are any corneal endothelial cell size and shape changes (and the time course of these changes) in subjects wearing rigid high gas-permeable (RGP) contact lenses for daily wear. Methods. Ninety-seven eyes of 57 new wearers were fitted with a fluoroperm contact lens material (Persecon92E, oxygen transmissibility (Dk)= 92×10-11). Prior to lens wear and after 1 week, 1 month, 3 months, 6 months, and 1 year, noncontact endothelial photographs were taken. Maximum cell size/Minimum cell size (Max/Min) was measured as an index of polymegethism and the relative frequency of 5-, 6-, and 7-sided cells was evaluated. Results. An increase in the ratio of Max/Min was present 1 week after lens fitting and increased further over the subsequent year. This study showed significant increase in endothelial polymegethism and in the relative frequency of 7-sided cells, but a significant decrease in the relative frequency of 6-sided cells. Conclusions. Daily-wear high Dk gas-permeable contact lenses can cause endothelial polymegethism and pleomorphism similar to those caused by soft and hard contact lenses.Öğe The effectiveness of intravitreal dexamethasone implant in macular edema related to retinal vein occlusions(Gazi Eye Foundation, 2016) Ozelce R.; Gurlu V.; Ozal S.A.; Guçlu H.; Esgin H.Purpose: To evaluate the efficacy and safety of intravitreal dexamethasone implant in treatmant of macular edema related to retinal vein occlusions. Material and Methods: The charts of 38 patients treated with intravitreal dexamethasone implant due to macular edema related to retinal vein occlusions between 1 May 2013 and 1 September 2014 in Trakya University Ophthalmology Department were retrospectively evaluated. Results: In 23 patients with branch retinal vein occlusion (BRVO), while 15 had central retinal vein occlusion (CRVO). Mean age was 66.47±9.48; 17 men (%44.7) and 21 women (%55.3) patients were available. Postinjection best corrected visual acuity (BCVA) was better than preinjection at each visit in BRVO patients (p0.05). Postinjection central macular thickness (CMT) was thinner than preinjection and statistically significant at postinjection 1 day, 1 week, 1 month, 2 month, 3 month and 6 month (p0.05). BCVA increased statistically significant to preinjection at postinjection 1 week, 1 month and 2 month in CRVO patients (p0.05). BCVA was reduced at postinjection 3 months, gradually increased going from 4 to 6 months also showed no statistically significant difference compared to preinjection (p0.05). CMT decreased incipiently postinjection 1 day to postinjection 2 month and thickness reduction was statistically significant at postinjection 1 day, 1 week, 1month and 2 month (p0.05). Medical therapy was adequate in patients with intraocular pressure rising and one patient underwent cataract surgery. Results: It is shown intravitreal dexamethasone implant is effective and safe in treatment of macular edema related to retinal vein occlusions. © 2015 Gazi Eye Foundation. All rights reserved.Öğe The efficacy of treatment in Eales' disease(Gazi Eye Foundation, 2014) Özelce R.; Esgin H.Purpose: To investigate the efficacy of treatment in Eales' disease. Material and Methods: Thirty-Three eyes of 21 patients at least 11 months followed with a diagnosis of Eales' disease between 1990 to 2012 were retrospectively evaluated. Demographic characteristics, presenting symptoms, examination findings and treatments were evaluated. Fourteen eyes were treated with laser photocoagulation and systemic steroid, 10 were treated with only laser photocoagulation and 3 were treated with only systemic steroid. Four eyes were observed without treatment and 2 eyes underwent pars plana vitrectomy due to vitreous hemorrhage. Results: The mean age was 36.7±15.7 (15-65). M/F ratio was 2.5. Mean follow-up duration was 84 (11-225) months. It was 57% bilateral. The most common (58.1%) presenting symptom was blurred vision. The most common ophthalmoscopic findings on admission; neovascularization 42%, vitreous hemorrhage 39% and intraretinal hemorrhage 36%. Twenty-one (88%) of 24 eyes treated with laser photocoagulation alone or in combination with systemic steroid were maintained or showed improved vision. Macular edema or epiretinal membrane was seen in 5 of 6 eyes with decreased visual acuity. Conclusion: Laser photocoagulation treatment of Eales' disease provides a good visual prognosis. Visual prognosis is poor in macular involvement.Öğe Endogenous endophthalmitis due to Escherichia coli and management(Gazi Eye Foundation, 2016) Güçlü H.; Özal S.A.; Gürlü V.P.; Kinyas S.; Esgin H.Herein two cases with endogenous endophthalmitis and a subretinal abscess due to Escherischia coli (E. Coli) were described. First case was a sixty-eight-year-old male patient with endogenous E. coli endophthalmitis secondary to liver abscess and bronchobiliary fistula. Second case was a thirty-seven-year-old male patient with subretinal abscess caused by renal abscess. Endogenous bacterial endophthalmitis (EBE) and subretinal abscess are unusual, severe and vision threatening conditions that require close, frequent monitoring and should be considered in patients with systemic disorders. Systemic antibiotics, intravitreal antibiotics and vitrectomy have an important role in treatment. Vitrectomy helps to eliminate microorganisms, inflammatory cells, mediators, membranes from the vitreous and helps to get samples for microbiological examination in EBE. © 2016 Gazi Eye Foundation. All Rights Reserved.Öğe Endothelial cell density of the cornea during rigid gas permeable contact lens wear(2000) Esgin H.; Erda N.Purpose: To determine the influence of a daily wear rigid gas permeable (RGP) high DK lens (CIBA Vision Persecon92E, Dk=92 x 10-11) on corneal endothelial cell density (ECD). Methods: A prospective longitudinal, follow- up study was conducted. Variations in corneal ECD during the first year were reported. For this purpose, the endothelium of 97 eyes of 57 unadapted subjects were compared by specular microscopy before and after 1 week (n= 74), 1 month (n=67), 3 months (n=51), and 1 year (n=23) of wearing contact lenses. Results: There was a significant decrease in cell density vs age (r=- 0.28), P=0.005). ECD significantly increased 1 week (3.6%) (P=-0.001), 1 month (3.6%) (P=-0.003), and 3 months (4.5%) (P=-0.003) after contact lens wear. One year after the lens fitting, a similar but not significant increase was found. While ECD increase was insignificant with initially high ECD subjects (>2700 cells/mm2), subjects with low ECG initially (<2700 cells/ mm2) showed a significant increase in ECD in all time intervals. Conclusions: In the 1 week RGP contact lens wearing period, the endotheliums with low ECD probably adapted to a new oxygen environment by cell migration or mitotic activity. The increased ECD was perhaps related to the daily wear schedule in which the oxygen partial pressure was sufficient.Öğe Optical coherence tomography in optic pit maculopathy(2007) Karacorlu S.A.; Karacorlu M.; Ozdemir H.; Burumcek E.; Esgin H.Purpose: To report the optical coherence tomography (OCT) findings in patients with optic pit maculopathy. Methods: Twelve eyes of 12 patients with optic pit maculopathy were evaluated. Cross-sectional OCT images were correlated with findings from slit-lamp biomicroscopy and fluorescein angiography. The presence of retinoschisis and serous macular detachment was evaluated and the height of the serous detachment also measured. Results: Visual acuities varied between 20/400 and 20/63. The height of the serous macular detachment at the fovea was between 323 and 548 ?m. OCT findings showed that ten (83.3%) patients had both retinoschisis and serous macular detachment, one (8.3%) patient had only retinoschisis and one (8.3%) patient had only serous macular detachment. None of the patients had macular hole or vitreoretinal traction. Conclusion: These findings support the concept of a bilaminar structure that contains retinoschisis and serous macular detachment. Our data also showed that in some patients, the sole component of maculopathy was serous macular detachment or retinoschisis. © Springer Science+Business Media, Inc. 2007.
