Browsing by Author "Atakan, Mehmet"
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Item Are diabetic patients aware of the danger in Turkey?(Carbone Editore, 2016-06-02) Ulusoy, Mahmut Oğuz; Atakan, Mehmet; Uzun, Özgür; Şahin, Bilge Öztürk; Olcaysu, Osman Okan; Karatepe, Arzu Seyhan; Zorlu, Sibel Özturk; Türker, İbrahim; Kıvanç, Sertaç Argun; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; 0000-0002-0932-6977; AAH-6518-2021; 47861204900Purpose: The aim of this study is to assess the awareness of the diabetic retinopathy and the level of the diabetic retinopathy in the diabetic patients, which consulted to the state hospitals in Turkey. Methods: A total of 1071 patients, admitted to 8 different state hospitals' ophthalmology clinics around the country, were included to this cross sectional multicentred study. All diabetic patients were asked to respond specifically prepared questionnaire including diabetic retinopathy and diabetes mellitus and underwent fundus examination to assess the diabetic retinopathy level. Results: The mean age of the study population was 57.5 years and the 57.4 % of the patients were women. 34.7% of the patients' were responded "NO" to the question of "Are you aware of the eye complications of diabetes mellitus?". The study also showed that 200 of 699 patients (28.6%) who aware of the diabetic retinopathy, despite having this information do not have regular eye examination for the diabetic retinopathy. It was seen that even 40.62% (26/64) of the college graduates don't go regular checks. The majority of the aware patients (40.5 %) pointed out that they took information from internal medicine or endocrinologists and the 28.1% of the patients were informed from elsewhere (family, neighbor, TV, etc.). Conclusion: One third of the subjects monitored were not aware of diabetic retinopathy. It is noteworthy to emphasize the importance of the routine eye examination for preventing vision loss, regardless of the educational level. The warning of the physicians through written and visual media is thought to be effective in preventing irreversible condition of this disease.Item How important is the etiology in the treatment of epiphora?(Hindawi, 2016-07-17) Ulusoy, Mahmut Oğuz; Atakan, Mehmet; Kıvanç, Sertaç Argün; Akova, Berna Budak; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; 0000-0003-0995-5260; 0000-0002-0932-6977; AAH-6518-2021; ABE-3033-2020; 47861204900; 55370489800Purpose. There are several etiological factors that cause epiphora, and treatment differs according to the cause. We aimed to evaluate the etiology of epiphora and the treatment modalities of the affected patients. Materials and Methods. Data of patients who were referred to ophthalmology clinics for epiphora were retrospectively analyzed. All patients were evaluated for epiphora etiology, treatment modalities, and duration of complaints, after complete ophthalmologic examination. Results. This study consisted of 163 patients with a mean age of 64.61 +/- 16.52 years (range 1-92 years). Lacrimal system disease (48.4% [79/163]) was the most common cause, followed by ocular surface disease (dry eye/blepharitis) (38.7% [ 63/163]). Among the patients included in this study, 69% (113/163) did not receive any treatment, whereas only 1.8% (3/163) were treated surgically. About 4.3% of the patients (7/163) had a complaint for more than 5 years (p = 0.012) and six of these had chronic dacryocystitis and one had ectropion. Conclusion. Epiphora not only has a negative impact on patients' comfort, but also puts them at risk for probable intraocular operations in the future. Therefore, the wide range of its etiology must be taken into consideration and adequate etiology-specific treatment options must be applied.Publication Post-thyroidectomy iatrogenic horner's syndrome with heterochromia(Elsevier, 2016-03-01) Ulusoy, Mahmut Oğuz; Kıvanç, Sertaç Argun; Atakan, Mehmet; Mayalı, Hüseyin; KIVANÇ, SERTAÇ ARGUN; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı; AAH-6518-2021Purpose: To present a case of iatrogenic Horner's syndrome seen together with the heterochromia in the post-thyroidectomy period.Methods: A 23-year-old female patient was admitted to our clinic with complaints of low vision in the eye and difference in eye color that developed over the past two years. In the left eye, myosis and minimal ptosis (similar to 1 mm) was detected, and the color of the iris was lighter than the right eye.Results: The pre-diagnosis of left iatrogenic Horner's syndrome was finalized after 0.5% topical apraclonidine test.Conclusion: Heterochromia can be observed in iatrogenic Horner's syndrome. Copyright (c) 2016, Iranian Society of Ophthalmology. Production and hosting by Elsevier B.V.Item Prevalence and associated factors of external punctal stenosis among elderly patients in Turkey(Consel Brasil Oftalmologia, 2017-04-06) Ulusoy, Mahmut Oğuz; Atakan, Mehmet; Kıvanç, Sertaç Argün; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; 0000-0002-0932-6977; AAH-6518-2021; 47861204900Purpose: To estimate the prevalence of external punctal stenosis (EPS) in the elderly population and investigate associated factors. Methods: A total of 278 patients >= 65 years of age were evaluated for evidence of EPS from January to July 2016. Associated systemic, ocular, demographic, and lifestyle factors were investigated. Multiple logistic regression analyses were applied to evaluate the factors related to having EPS. P values <0.05 were considered statistically significant. Results: The prevalence of EPS in this study population was 63.3%, with a mean age of 70.67 +/- 7.85 (65-92 years). The ocular factor that was most commonly related to EPS was chronic blepharitis (48.9%). EPS was also associated with taking glaucoma medications (95% CI, 0.08-0.96, p=0.043), smoking history (95% CI, 0.13-0.84, p=0.021), ectropion (95% CI, 0.004-0.26, p=0.001), complaints of tearing (95% CI, 1.11-3.52, p=0.02), and outdoor occupational activity (95% CI, 3.42-9.97, p<0.05). Conclusions: EPS is more common in elderly patients than in the general population. Outdoor occupational activity, taking antiglaucomatous medications, ectropion, and smoking are significantly associated with EPS. In addition, surgical treatment decisions should be made after complete evaluation and interviewing the patients.