Publications by authors named "Asli İnal"

Purpose: To compare the efficacy of bilateral lateral rectus recession with vertical tendon transposition (LRVT) and LRVT combined with inferior oblique (IO) disinsertion for V-pattern exotropia.

Methods: The medical records of patients who had mild-to-moderate (+1 and +2) inferior oblique overaction (IOOA) and underwent half-tendon-width upward LRVT (transposition group), and LRVT with IO disinsertion (combined surgery group) for V-pattern exotropia and who had at least 3 years of postoperative follow-up were reviewed retrospectively.

Results: A total of 45 patients were included: 22 in the transposition group and 23 in the combined surgery group.

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Objectives: The objective of the study is to evaluate the examination findings, treatment methods, and follow-up results of children diagnosed with infantile esotropia (IE) and to compare botulinum toxin A (BTA) and bilateral medial rectus (MR) recession surgery.

Methods: We retrospectively reviewed the medical records of patients who were diagnosed with IE. The age of the patient and the angle of deviation were taken into account to determine the treatment.

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Purpose: To compare the surgical outcomes in patients who had a failed botulinum toxin A injection before surgery versus those who had surgery as primary treatment (primary surgery) for infantile esotropia.

Methods: The files of patients who had strabismus surgery in the Strabismus Unit of Beyoglu Eye Training and Research Hospital between January 2012 and March 2022 were reviewed. This study included 104 eyes of 52 patients with infantile esotropia.

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Purpose: To investigate the effect of refractive errors on the results of patients followed up with infantile esotropia (IE) and treated with botulinum neurotoxin (BNT) injection.

Methods: The files of patients with IE who presented to the ophthalmology pediatric ophthalmology unit and underwent BNT injection into both medial rectus muscles between 2019 and 2021 were reviewed retrospectively. Sixty eyes of 30 patients were included in the study.

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Article Synopsis
  • - This study examines six cases of pulled-in-two syndrome (PITS) occurring during strabismus surgeries, focusing on prevention and management strategies over a period from 2000 to 2022 at Beyoglu Eye Training and Research Hospital.
  • - All six cases involved patients with congenital fibrosis of extraocular muscles (CFEOM), predominantly affecting the medial rectus muscle, with an average age of 37.2 years, and the majority being adults.
  • - After surgical intervention, all involved muscles were successfully reattached without any patients experiencing diplopia, highlighting the importance of being prepared for potential complications in patients at risk, particularly those with CFEOM.
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Purpose: To evaluate the outcomes of combined bupivacaine HCL (BPX) injection in the medial rectus (MR) muscle with recession of the lateral rectus muscle in the treatment of convergence insufficiency-type intermittent exotropia (CI-IXT).

Methods: The medical records of patients who underwent combined injection-recession treatment from January 2019 to January 2020 for CI-IXT were reviewed retrospectively along with a group of age-matched controls with IXT without CI who underwent only unilateral LR recession during the same period. The following data were extracted from the record: age at surgery, average follow-up period, angle of deviation at distance and near and the difference between them before and after surgical procedure, correction of near and distance deviations, and recession dosage.

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The search for the plant origin bioactive compounds is increasing over animal origin compounds. Echium oil (EO) contains high amounts of plant based omega-3 fatty acids. Moreover, curcumin addition may increase the release of these omega-3 fatty acids during digestion.

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Objectives: The goal of this study was to evaluate surgical techniques and outcomes in patients with Brown's syndrome.

Methods: A retrospective review was conducted of patients who underwent surgery of the superior oblique (SO) muscle between 2003 and 2011 at a referral center.

Results: In all, 190 patients (111 female and 79 male) with an age range of 4-50 years were included in the study.

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Purpose: To investigate hemodynamic changes in retinal and choroidal vasculature after surgical inferior oblique (IO) weakening through optical coherence tomography angiography (OCTA).

Methods: The medical records of patients who underwent unilateral IO-weakening surgery at a single institution were retrospectively reviewed. Patients who had OCTA measurements before surgery and on postoperative days 7 and 30 were included.

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Aim: This study aims to evaluate the long-term results of sliding shape extraocular muscle transposition, which is a novel operation method of delivering both vascular protection and strengthening of the muscles and transposition of the muscles.

Methods: The patients' files were scanned retrospectively. All patients underwent a complete eye examination in addition to motility examination, both preoperatively and postoperatively.

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Article Synopsis
  • * A total of 15 patients were analyzed, with significant improvements in eye deviation and abduction ability noted post-surgery, resulting in resolved abnormal head position for all.
  • * The findings suggest that this surgical procedure effectively enhances eye movement without worsening globe retraction in selected patients.
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Purpose: To evaluate the results of surgery involving the union of the superior rectus muscle and the lateral rectus muscle with or without medial rectus recession (MRc) for the treatment of high myopic strabismus fixus over a 20-year period.

Methods: The medical records of patients who underwent muscle belly union for the treatment of high myopic strabismus fixus were reviewed retrospectively. Patients were classified according to the timing of MRc.

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Article Synopsis
  • The study aimed to identify factors influencing the deterioration risk and refractive error changes in patients with fully accommodative esotropia, a condition where one eye turns inward while focusing on near objects.
  • A total of 223 patients were analyzed over an average of nearly 6 years, revealing significant refractive changes, particularly in younger patients, and a notable percentage (18.4%) stopped wearing glasses during follow-up.
  • Findings indicated a certain gender and age correlation with treatment needs, with boys more frequently requiring strabismus surgery, and deterioration was found in about 13.5% of patients, highlighting complexities in managing this condition.
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Purpose: To compare the measurements of cycloplegic refraction and refraction (R1-1) under general anesthesia (GA) when using the same portable auto-refractometer (ARF) in pediatric patients.

Methods: 36Thirty-six to 60-month-old patients who underwent refraction measurements using a portable ARF (Retinomax® K plus 3, Righton, Japan), who did not receive prior cycloplegics under this GA and who had cycloplegic refraction using 1% cyclopentolate and the same Retinomax® device < 3 months prior this GA, between 2015 and 2018, were included in this study. The agreement (Bland-Altman analysis) and correlation (Pearson correlation) between the mean values of the measurements were analyzed.

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Purpose: To evaluate retinal microvasculature and blood flow during Behcet's uveitis (BU) remission via optical coherence tomography angiography (OCT-A), and compare the results with those from healthy eyes.

Methods: A total of 35 eyes of 35 BU patients presenting during the remission period of BU involving the posterior segment were enrolled, as were 30 normal eyes of 30 age and sex-matched healthy participants. Optical coherence tomography angiograms were analyzed.

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Purpose: To compare results of three different tendon transposition techniques (Knapp procedure and two modified techniques) for the treatment of type 2 monocular elevation deficiency (MED) patients.

Methods: The medical records of patients with MED type 2 operated on at a single institution from 2000 to 2016 were reviewed retrospectively. Patients were divided into three vertical transposition groups: (1) full tendon width, (2) augmented surgery; and (3) partial tendon width.

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: Here we aimed to describe seven pediatric patients with cyclic strabismus and report the outcome of their surgical treatment.: Seven children with acquired esotropia manifesting in a 48-h cycle were included in the study. Four of them were boys, and three of them were girls.

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Purpose: The aim of this study was to report our postoperative results concerning the vertical rectus (VR) muscle union combined with lateral rectus (LR) plication for the treatment of large-angle esotropia (ET) in complete abducens nerve palsy.

Methods: Medical records from 36 patients who had undergone the VR union procedure for ET treatment due to sixth-nerve palsy between July 2014 and July 2018 at Beyoglu Eye Research and Training Hospital were reviewed. One week before surgery, all patients underwent a 4-IU botulinum toxin A (btx) injection into the ipsilateral medial rectus (MR).

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Article Synopsis
  • This study introduces a new surgical method aimed at enhancing muscle strength and vascular protection while repositioning the extraocular muscles.
  • The researchers analyzed patient records, comparing pre- and post-operative eye movements and measurements, with follow-ups lasting over six months.
  • Results indicated successful transposition in patients with greater than 7 mm muscle resection, while some limitations were noted in smaller resections, but overall the technique proved to be safe and effective.*
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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).

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Purpose: To evaluate the possible hemodynamic changes following strabismus surgery via optical coherence tomography angiography.

Methods: Thirty-two eyes of 16 patients who underwent strabismus surgery in one eye were included in the study. Fellow eyes were used as a control group.

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Objectives: Duane retraction syndrome (DRS) is a congenital syndrome characterized by limitation in adduction and/or abduction eye movements and narrowing of the palpebral fissure in adduction, and may include globe retraction, upshoot or downshoot. Several systemic abnormalities, syndromes, and additional ocular findings can accompany DRS. This study is an evaluation of eye findings in patients with DRS.

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Article Synopsis
  • - This study aimed to investigate how thyroid eye disease impacts ocular pulse amplitude and choroidal perfusion by comparing 38 patients with the disease to 38 healthy individuals.
  • - Measurements taken included intraocular pressure, ocular pulse amplitude, and choroidal thickness, with abnormal results found in choroidal thickness, which was significantly lower in those with thyroid eye disease compared to controls.
  • - However, both ocular pulse amplitude and intraocular pressure remained unchanged regardless of disease activity level, suggesting that choroidal perfusion might be stable as a compensatory mechanism despite reduced choroidal thickness.
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Purpose: To evaluate the outcome of surgical treatment in patients with type 1 monocular elevation deficiency.

Methods: Patients who were diagnosed as having type 1 monocular elevation deficiency by forced duction test and exaggerated traction test between 2000 and 2016 were retrospectively reviewed. Epidemiologic and clinical features of the patients were noted.

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Purpose: The aim of the study was to determine the corneal limbus-extraocular muscle insertion distance (LID), via anterior segment optical coherence tomography, in healthy children and healthy adults and to compare the results of the measurements of the two groups.

Methods: Muscle limbus distances were measured using AS-OCT in 60 healthy cases in two groups. Children aged 8-13 years were evaluated as group 1, and healthy adults aged 25-30 years were evaluated as group 2.

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