Publications by authors named "Pınar Topcu Yilmaz"

Aims: Previous structural, vascular density, and perfusion studies have mostly comprised type 1 and type 2 diabetes, even in the absence of retinopathy. The current study aimed to compare macular vessel density (VD) measurements between maturity-onset diabetes of the young (MODY) patients and controls.

Methods: The macular VD of superficial, deep retina, and choriocapillaris (CC), and central macular thickness (CMT), foveal avascular zone (FAZ), FAZ perimetry, VD of the total retina at 300 µm around the FAZ (FD), and acirculatory index (AI) measurements were taken and analyzed via OCT-A (RTVue XR 100-2 Avanti, AngioVue) and were compared between molecularly confirmed MODY (glucokinase (GCK) variants) patients and healthy controls.

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To evaluate the optical coherence tomography angiography (OCT-A) findings in patients with systemic lupus erythematosus (SLE). Twenty-eight eyes of 28 patients with SLE and 27 eyes of 27 age and sex matched healthy controls were enrolled in this cross-sectional study. The vessel densities in the macula and optic disc were evaluated using the OCT-A (Optovue, Inc.

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Article Synopsis
  • The study aimed to analyze Optical Coherence Tomography Angiography (OCT-A) results in patients with Ocular Hypertension (OHT) compared to healthy individuals.
  • It included 34 OHT patients and 22 healthy controls, measuring various factors like foveal thickness and vessel density using specialized software.
  • Results showed no significant differences in macular measurements, but OHT patients had a larger foveal avascular zone and lower optic nerve vessel density, suggesting potential risks for glaucoma development.
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Article Synopsis
  • - The study evaluated visual fields and OCT measurements to identify unnoticed visual issues in MS patients, comparing groups with and without past optic neuritis and healthy controls.
  • - Results showed that patients with previous optic neuritis had significantly worse visual field performance and thinner retinal nerve fiber layers compared to both MS patients without optic neuritis and healthy controls.
  • - The findings suggest that relying on just one testing method is not enough to detect early visual impairment in MS, indicating that various techniques should be used together for a comprehensive assessment.
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Purpose: To investigate the effect of botulinum neurotoxin-A (BTX-A) treatment on dry eye symptoms, tear meniscus, corneal topography and corneal aberrometry in patients with benign essential blepharospasm (BEB) and hemifacial spasm (HFS).

Materials And Methods: This prospective study comprised of 6 patients with BEB and 20 patients with HFS. Tear meniscus height (TMH) and depth (TMD), tear break-up time (TBUT), corneal fluorescein staining score (CFSS), Schirmer I test, ocular surface disease index (OSDI) score, corneal topography [corneal power of flat axis (K1), corneal power of steep axis (K2), mean corneal power (Km), astigmatism and thinnest pachymetry] and anterior corneal aberrometry [spherical aberration (SA), vertical coma (vcoma), horizontal coma (hcoma), higher order root mean square (hRMS) and total RMS] were evaluated before BTX-A treatment, 3 weeks after BTX-A treatment and 2 months after BTX-A treatment.

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Background And Purpose: Randomised-controlled clinical trials (the ANCHOR and MARINA) examined the intravitreal anti-vascular endothelial growth factor (anti-VEGF) efficacy for eyes having fluorescein angiographic classic and occult (OCC) neovascular lesions. No significant difference in the treatment response between the lesion types was observed. Fundus fluorescein angiography and optical coherence tomography (OCT) are complementary devices that provide information about neovascular age-related macular degeneration (n-AMD).

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Purpose: To determine the prevalence of anomalous extraocular bands in patients who underwent surgery for Duane syndrome and to compare the clinical findings in patients with and without bands.

Methods: Thirty-one patients with Duane syndrome who had their first surgery on rectus muscles to correct the primary deviation and abnormal head posture were included in this retrospective study. Patients were divided into two groups depending on the identification of anomalous extraocular bands intraoperatively.

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Purposes: To evaluate the optical coherence tomography angiography findings in patients with Behçet disease with and without ocular involvement.

Methods: A total of 40 patients with Behçet disease and 30 healthy controls were enrolled in the study. Retinal vessel density in the superficial capillary plexus and deep capillary plexus, foveal avascular zone area and perimeter, acirculatory index, foveal density, and nonflow area in the superficial retina were automatically measured using the optical coherence tomography angiography software AngioVue and compared between the groups.

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Purpose: To describe the clinical characteristics and surgical outcomes of acquired comitant esotropia with symptomatic diplopia.

Methods: The clinical features and surgical outcomes of 27 patients with diplopia due to acquired comitant esotropia were retrospectively reviewed. Exclusion criteria were a history of prematurity, cerebral palsy, head trauma, or febrile illness before the onset of acquired comitant esotropia, incomitant strabismus, accommodative spasm, and divergence paralysis.

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Introduction: Iodine deficiency is a leading cause of preventable physical and mental retardation. Potassium iodate is used for iodine supplementation to prevent iodine deficiency. We herein report a case of toxic retinopathy following intentional ingestion of potassium iodine.

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Familial Mediterranean fever (FMF) is a hereditary auto-inflammatory disease with accompanying findings of amyloidosis and vasculitis. M694V is one of the most common mutations associated with amyloidosis. This study compared the macular optical coherence tomography angiography measurements in FMF patients who were genetically verified to carry the M694V mutation of the MEFV gene to those in healthy controls.

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Olopatadine hydrochloride 0.1% is one of the known primary topical treatments in ocular allergy. Although olopatadine is a worldwide used medication, the changes in pupil diameter, cornea, and anterior chamber associated with its use have not been studied in detail.

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Purpose: To evaluate the role of botulinum toxin-A (BTX) injection as the primary treatment for patients with esotropic Duane retraction syndrome ≤2 years of age.

Methods: The medical records of patients with esotropic Duane syndrome who underwent unilateral or bilateral BTX injection to the medial rectus muscle at or before 2 years of age were reviewed retrospectively. The following data were extracted from the record: laterality, age at the time of injection, primary position deviation, duction deficit, anomalous head posture, globe retraction before and after injection, further surgeries, and complications.

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Purpose: To evaluate the results of superior rectus transposition (SRT) or inferior rectus transposition (IRT) in esotropic Duane syndrome.

Methods: The medical records of patients with esotropic Duane syndrome who underwent ciliary vessel-sparing SRT or IRT by a single surgeon in private practice were included. Pre- and postoperative head posture, primary position deviation, fundus torsion, collapse in pattern, and improvement in ductions were analyzed between groups.

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Objectives: To assess the long-term effects of soft contact lenses (SCL) on the cornea and anterior chamber by topography.

Materials And Methods: Thirty-nine eyes of 22 healthy patients were included in this prospective study. Changes in corneal and anterior chamber parameters before and after 12 months of daily SCL use (Air Optix Aqua, Air Optix Aqua for Astigmatism, Acuvue Oasys and Acuvue Oasys for Astigmatism) were evaluated with Pentacam (Oculus, Germany).

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Horner syndrome is a rare but likely underdiagnosed complication of tonsillary surgery. The authors report the case of a 2.5-year-old boy who developed miosis and mild ptosis after radiofrequency tonsil ablation surgery.

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Background: The purpose of this study was to evaluate the macular choroidal thickness in obese children with and without insulin resistance (IR).

Methods: Thirty-six patients with obesity and 26 healthy volunteers were included in this cross-sectional study. The choroidal thickness was measured with enhanced depth imaging optical coherence tomography (EDI-OCT) at the fovea and at positions 500 μm, 1000 μm, 1500 μm nasal and temporal to the fovea.

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Objectives: The aim of this study was to evaluate the macular choroidal thickness (CT) in patients with ocular hypertension (OHT) using spectral domain optical coherence tomography (SD-OCT) and compare the results with healthy individuals.

Methods: Thirty eyes of 30 patients newly diagnosed with OHT and 24 eyes of 24 healthy controls were included in this cross-sectional study. After a detailed ophthalmological examination, macular CT was measured with enhanced depth imaging optical coherence tomography (EDI-OCT) (Cirrus HD-OCT, Carl Zeiss Meditec AG, Jena, Germany) at the fovea and at positions 500 μ, 1000 μ, 1500 μ nasal and temporal to the fovea.

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Physiological palpebral fissure asymmetry is a common observation in a physician's everyday practice. The goal of this study was to examine the relationship between palpebral fissure height (PFH) and ocular dominance. Sixty-nine healthy volunteers (42 female, 27 male) were included in this research, and ocular dominance was determined using hole-in-the-card and pointing-a-finger tests.

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Purpose: To identify the ocular features of children diagnosed as having 22q11.2 deletion syndrome in a Turkish population, which is the most common microdeletion syndrome with a wide range of facial and ocular abnormalities.

Methods: Sixteen children aged between 4 months and 18 years with a microdeletion in chromosome 22q11.

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Purpose: To evaluate the clinical characteristics and surgical management of patients with an "inverted Brown pattern," which is defined clinically as a hypertropia with greatest deviation in down-and-in gaze of the higher eye, having the appearance of superior oblique muscle underaction but without significant inferior oblique muscle overaction.

Methods: The medical records of patients with this misalignment pattern who had cyclovertical muscle surgery at our institution from 2003 through 2015 were retrospectively reviewed; medical records were analyzed for pre- and postoperative motility patterns, fundus torsion, intraoperative findings, and type of strabismus surgery.

Results: A total of 45 patients presenting with a hyperdeviation worse in down-and-in gaze of the higher eye were included in the study.

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Article Synopsis
  • - The study investigates differences in optical coherence tomography (OCT) results between neurofibromatosis-1 (NF-1) patients with and without optic pathway glioma (OPG), and healthy controls, assessing retinal nerve fiber layer (RNFL) and macular thickness.
  • - Results show that NF-1 patients with OPG had significantly lower RNFL and macular volume compared to both healthy controls and NF-1 patients without OPG, particularly noting greater changes in those with decreased visual acuity.
  • - The findings suggest that RNFL thinning could indicate OPG presence in NF-1 patients, highlighting the need for larger studies to verify OCT's diagnostic and monitoring potential.
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Article Synopsis
  • The study aimed to compare cytokine levels in the serum and tears of rosacea patients with healthy controls and investigate the relationship between tear cytokine levels and tear function.
  • Results showed that rosacea patients had significantly lower levels of anti-inflammatory cytokines IL-10 and VEGF in tears compared to healthy subjects, which might lead to increased inflammation in the ocular surface.
  • The research indicates that decreased IL-10 levels correlate with poorer tear function, suggesting a potential link between cytokine levels and ocular symptoms in rosacea, and highlights the need for further studies with larger samples.
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