Browsing by Author "Sabur, Huri"

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    Early results of selective laser trabeculoplasty in patients resistant to deep sclerectomy
    (Sage Publications, 2014-05) Baykara, Mehmet; Amuk Hamidi, Nagihan; Akova, Berna Budak; Sabur, Huri; Poroy, Ceren; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; 0000-0003-0995-5260; ABI-7051-2020; ABE-3033-2020; AAI-8604-2020; 7004578592; 56140824200; 55370489800; 55633463900; 56142133900
    Purpose: In this study, we aimed to determine the early results of selective laser trabeculoplasty to trabeculo-Descemet membrane in patients resistant to deep sclerectomy (DS) surgery. Methods: Twelve eyes of 12 patients that had undergone DS for primary open-angle glaucoma were enrolled. Preoperative and postoperative intraocular pressures (IOP) were measured by Goldmann applanation tonometer. Time to failure after DS was noted. Failure is described as IOP higher than 20 mm Hg. All patients underwent selective laser trabeculoplasty (SLT) after failure. Eight to 10 applications of SLT were applied over the trabeculo-Descemet membrane. Laser was applied to the surgical site only. The IOPs before SLT, at postoperative first week, first month, and third month were measured. Results: Mean follow-up time was 23.5 +/- 9.5 months, Mean preoperative 10P was 34.2 +/- 6.7 mm Hg; mean postoperative 10P at first week was 12.7 +/- 3.2 mm Hg. Mean time to failure after DS procedure was 21.6 +/- 7.6 months. Mean 10P was 20.6 +/- 1.9 mm Hg just before SLT procedure. Mean 10P measurements after SLT at first week, first month, and third month were 10.5 +/- 2.2 mm Hg, 10.5 +/- 1.9 mm Hg, and 10.9 +/- 2.1 mm Hg, respectively. Conclusions: Selective laser trabeculoplasty after DS is an effective and noninvasive procedure that can be done on an outpatient basis. Our results suggest that SLT applied to the surgical site is an effective intervention in the short term but long-term results are required to assess the efficacy.
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    Katarakt cerrahisi sonrası refraksiyon sonucuna etkili faktörlerin farklı tipte intraokuler lenslerle değerlendirilmesi
    (Uludağ Üniversitesi, 2014-04-09) Baykara, Mehmet; Sabur, Huri; Poroy, Ceren; Budak, Berna Akova; Yılmaz, Hakan; Tok, Mediha; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.
    Çalışmamızsda, cerrahi öncesi benzer özelliklere sahip, fakoemülsifikasyon cerrahisi sırasında tek veya üç parçalı lens konulan olgularda ulaşılan refraktif sonuca ve zaman içerisindeki değişimine etki eden faktörlerin değerlendirilmasi amaçlanmıştır. Retrospektif olarak yapılan çalışmaya kliniğimizde Kasım 2012- Şubat 2013 tarihleri arasında katarakt ameliyatı olan 60 hastanın 67 gözü dâhil edildi. Olgulara 2,2 mm temporal kesili fakoemülsifikasyon + göz içi lensi (GİL) ameliyatı yapıldı. Kırk iki göze 3 parçalı hidrofobik akrilik (Alcon Acrysof MA60AC) , 25 göze tek parçalı hidrofobik akrilik (Zaraccom Ultraflex UF60125) intraokuler lens konuldu. Postoperatif 1. hafta ve 1. ayda refraksiyon değerleri, ön kamara derinliği, lens pozisyonları değerlendirildi. Ameliyat sonrası sferik refraktif kayma 1. ayda 3 parçalı Acrysoft grubunda ortalama +0,034 D, tek parçalı Ultraflex grubunda ise +0,75D idi. Ameliyat sonrası erken dönemde elde edilen postoperatif ön kamara derinliği ve refraksiyon değerleri her iki lens takılan grupta geç dönemde de aynen devam etti. Ameliyat öncesi durumları benzer olan ve aynı yöntemle ameliyat edilen bu iki gruptan tek parçalı lens grubunda hedeflenenden daha hiperopik yönde sonuç ortaya çıkması ve bunun takiplerde aynen kalması, her ne kadar hasta sayısı az olsa da bu tip lens takılacak gözlerde konacak lens gücünü hesaplarken bu durumun göz önünde bulundurulması gerektiğini göstermiştir.
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    Laser intervention on trabeculo-Descemet's membrane after resistant viscocanalostomy: Selective 532 nm gonioreconditioning or conventional 1064 nm neodymium-doped yttrium aluminum garnet laser goniopuncture?
    (Wolters Kluwer Medknow Publications, 2016-05-05) Sabur, Huri; Baykara, Mehmet; Can, Başak; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; AAI-8604-2020; ABI-7051-2020; EPR-7264-2022; 55633463900; 7004578592; 56406209200
    Purpose: To compare the results of conventional 1064 nm neodymium-doped yttrium-aluminum garnet laser goniopuncture (Nd:YAG-GP) and selective 532 nm Nd:YAG laser (selective laser trabeculoplasty [SLT]) gonioreconditioning (GR) on trabeculo-Descemet's membrane in eyes resistant to viscocanalostomy surgery. Methods: Thirty-eight eyes of 35 patients who underwent laser procedure after successful viscocanalostomy surgery were included in the study. When postoperative intraocular pressure (IOP) was above the individual target, the eyes were scheduled for laser procedure. Nineteen eyes underwent 532 nm SLT-GR (Group 1), and the remaining 19 eyes underwent conventional 1064 nm Nd:YAG-GP (Group 2). IOPs before and after laser (1 week, 1 month, 3 months, 6 months, 1 year, and last visit), follow-up periods, number of glaucoma medications, and complications were recorded for both groups. Results: Mean times from surgery to laser procedures were 17.3 +/- 9.6 months in Group 1 and 13.0 +/- 11.4 months in Group 2. Mean IOPs before laser procedures were 21.2 +/- 1.7 mmHg in Group 1 and 22.8 +/- 1.9 mmHg in Group 2 (P = 0.454). Postlaser IOP measurements of Group 1 were 12.1 +/- 3.4 mmHg and 13.8 +/- 1.7 mmHg in the 1st week and last visit, respectively; in Group 2, these measurements were 13.6 +/- 3.7 mmHg and 14.9 +/- 4.8 mmHg, respectively. There were statistically significant differences (P < 0.001) in IOP reduction at all visits in both groups; the results of the two groups were similar (P > 0.05). Mean follow-up was 16.6 +/- 6.4 months after SLT-GR and 18.9 +/- 11.2 months after Nd:YAG-GP. Conclusions: While conventional Nd:YAG-GP and SLT-GR, a novel procedure, are both effective choices in eyes resistant to viscocanalostomy, there are fewer complications with SLT-GR. SLT-GR can be an alternative to conventional Nd:YAG-GP.
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    Non-penetran glokom cerrahisi uzun dönem sonuçlarının incelenmesi
    (Uludağ Üniversitesi, 2015) Sabur, Huri; Baykara, Mehmet; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.
    Amaç: Açık açılı glokomlu (AAG) gözlerde mitomisin-C'li (MMC) viskokanalostomi ameliyatının sonuçlarını değerlendirmek. Gereç ve Yöntem: Aralık 2007- Mart 2014 tarihleri arasında MMC-viskokanalostomi ameliyatı olan 104 hastanın (41 kadın, 63 erkek; ortalama yaş: 60.7±16.2 yıl; yaş aralığı: 19-87 yıl) 122 gözü retrospektif olarak değerlendirildi. Ameliyattan önce ve sonraki göziçi basıncı (GİB), kullanılan ilaç sayısı ve görme keskinliği değerleri, ameliyattan sonra ek tedavi (anti-glokomatöz ilaç ve/veya 'lazer goniopuncture') ihtiyacı, cerrahi komplikasyonlar ve izlem süresi kaydedildi. Ameliyattan sonra GİB'nın ilaçla veya ilaçsız 21 mm Hg altında olması kısmi cerrahi başarı, ilaçsız 21 mm Hg altında olması ise tam cerrahi başarı olarak kabul edildi. Bulgular: Ortalama GİB ameliyat öncesi 27.5±9.2 mmHg iken, ameliyattan sonra son muayenede 14.5±6.6 mm Hg idi (p<0.001). Ameliyattan önce ve son muayenede, ortalama Snellen görme keskinliği, sırasıyla 0.48±0,3 ve 0.50±0.3 idi (p= 0.726). Kısmi cerrahi başarı oranı %86.9 (n=106), tam cerrahi başarı oranı %50.8 (n=62) idi. Ek tedavi olarak lazer 'goniopuncture' uygulanma oranı %35.2, anti-glokomatöz ilaç kullanma oranı %49.1 idi. Ortalama takip süresi 27.3 ay (veri aralığı:1-79 ay) idi. Sonuç: Bu çalışma MMC-viskokanalostominin, AAG'lu gözlerde, uzun süreli, stabil, etkin ve güvenli bir GİB düşüşü sağladığını desteklemektedir.
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    A novel suturing technique for filtering glaucoma surgery: The accordion suture
    (IOP Press, 2017-07-11) Sabur, Huri; Genç, Selim; Baykara, Mehmet; Ermerak, Başak Can; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; ABI-7051-2020; 23093006700; 57199077697
    AIM: To present a novel scleral flap suturing technique for filtering glaucoma surgery in order to control high postoperative intraocular pressure (IOP). METHODS: Description of 'the accordion suture' technique for mitomycin C augmented trabeculectomy. In cases of postoperative high IOP, pulling the loop of the suture helps to lift up the scleral flap by an even pressure on both edges. By means of this technique, the scleral flap opens up in an "accordion'' manner, thus preventing flap obstruction and providing adequate aqueous flow. RESULTS: Our study group consisted of 8 eyes of 8 patients with neovascular glaucoma. Mean age of the subjects was 67.42 +/- 8.21y and female/male ratio was 4/4. Mean preoperative IOP was 37 +/- 7.48 mm Hg. Mitomycin C augmented trabeculectomy was carried out on the subjects without any complications. The scleral flap closure is performed with three separate sutures; initially, our accordion suture through the center of the flap, and two releasable sutures on both corners. All the patients received removal of two side releasable sutures concomitant with pulling the accordion suture, without any complications. The average traction time was 3.5 +/- 0wk postoperatively. The mean postoperative IOP was 11.37 +/- 2.72 mm Hg. No suture related complications were observed. CONCLUSION: This technique can be the suture of choice for filtering glaucoma surgery in experienced hands by its easy learning curve for precisely indicated patients.
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    Orbital cavitary rhabdomyosarcoma: Case report and literature review
    (Lippincott Williams & Wilkins, 2014-02-14) Yazıcı, Bülent; Sabur, Huri; Yazıcı, Zeynep; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.; 0000-0001-8889-1933; AAI-8604-2020; AAA-5384-2020; AAI-2303-2021
    Orbital cavitary rhabdomyosarcoma has been previously reported in 2 cases. The case presented here was a 15-year-old boy who had proptosis, pain, periorbital hyperemia, and visual loss in his OD, which progressed in 6 weeks. Radiologic studies demonstrated a well-demarcated, multilobulated, large mass with cavities, extending from the anterior orbit to the apex, suggesting a diagnosis of venolymphatic malformation with an intrinsic hemorrhage. On surgery, a multilobular, hemorrhagic cystic mass was almost completely excised. Histologic examination revealed a diagnosis of embryonal rhabdomyosarcoma. After postoperative chemotherapy and radiotherapy, the tumor did not recur during a follow-up period of 45 months. This case, together with the previous ones, suggests that cavitary orbital rhabdomyosarcomas may have some distinct clinical, radiologic, and surgical characteristics.
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    Periocular necrotizing fasciitis causing posterior orbitopathy and vision loss: How to manage?
    (Turkish Ophthalmological Society, 2021-06-01) ; Yazıcı, Bülent; Sabur, Huri; Toka, Fatih; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Oftalmoloji Bölümü.; 0000-0001-8889-1933; AAI-8604-2020; AAA-5384-2020
    Necrotizing fasciitis (NF) is a rare, rapidly progressive bacterial infection. Periorbital NF may spread from the eyelid into the posterior orbit. Extent of the infection is critical in planning surgical debridement. A diabetic 70-year-old man presented with a black wound and severe pain in the left periorbital area following a mild trauma. Clinical findings were consistent with NF involving the eyelids, temporal and malar regions. In addition, he had proptosis, diffuse ophthalmoplegia, and central retinal artery occlusion, suggesting deep orbital involvement. Computed tomography showed soft tissue abnormalities in the anterior orbit. The patient was successfully treated with subcutaneous debridement, antibiotherapy, and metabolic support. Periorbital NF may be complicated with posterior orbital cellulitislike symptoms and retinal vascular occlusions, possibly because of remote vascular thrombi induced by bacterial toxins. This clinical manifestation should be distinguished from true bacterial invasion of the posterior orbit, which may require more aggressive surgical treatments such as exenteration.
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    Use of direct otoscope for intranasal examination after dacryocystorhinostomy
    (Lippincott Williams & Wilkins, 2015-01-26) Yazıcı, Bülent; Sabur, Huri; Oruçov, Nesimi; Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.; 0000-0001-8889-1933; AAI-8604-2020; AAA-5384-2020; 7005398015; 55633463900; 57188630965
    Purpose: To evaluate whether the use of a direct otoscope in the nose is an effective method to observe the nasolacrimal anastomosis site after dacryocystorhinostomy. Methods: In 75 eyes undergoing external dacryocystorhinostomy, the lacrimal irrigation test was performed and fluorescein solution was instilled in the conjunctival sac. After applying topical anesthetics and decongestant, a direct otoscope was inserted in the middle meatus and directed toward the medial canthus. Results: In 69 eyes (92%), intranasal lacrimal examination with the otoscope could be performed. In 6 eyes (8%), the otoscope could not be adequately advanced in the nose because of middle meatal stenosis (n = 5 eyes) or intolerance to the intranasal examination (n = 1). In 66 (96%) of 69 eyes, concordant with the results of the lacrimal irrigation test, the presence or absence of fluorescein dye flow in the nose was observed. In this examination, the main features that were useful in locating the anastomotic area were (1) the use of fluorescein dye, (2) motility of the nasal mucosa that was synchronized with eyelid movements, (3) appearance of mucosal hole or internal orifice in the nasal wall, and (4) dye or air-fluid bubble emergence upon blinking or finger pressure over the sac region. Conclusions: Direct otoscope can be effectively used in the nose for examining the nasolacrimal anastomosis in patients undergoing dacryocystorhinostomy.