Purpose: The purpose of this study was to determine whether there are differences in choroidal thickness in children with iron deficiency anemia (IDA). Methods: Fifty-two patients with IDA and 54 healthy children between 3 and 16 years of age were enrolled in this study. After complete eye examinations were conducted for each participant, the choroidal thickness was measured using optical coherence tomography. Correlations between the choroidal thickness and clinical and laboratory parameters were also evaluated. Results: There were no statistically significant differences between the two groups in terms of visual acuity, intraocular pressure, central corneal thickness, or axial length (P > 0.05). The choroidal thicknesses at the foveal center were 303.13 ± 27.14 μm in the IDA patients and 333.67 ± 39.77 μm in the healthy control children (P < 0.001); additionally, the choroidal thicknesses at each point within the horizontal nasal and temporal quadrants were thinner in the IDA group. There were positive correlations between the choroidal thickness and hemoglobin (r = 0.337; P < 0.001), mean corpuscular volume (r = 0.305; P = 0.001), iron (r = 0.264; P = 0.006), and ferritin (r = 0.287; P = 0.003) levels; however, there were no correlations between the clinical or ocular characteristics and the choroidal thickness. Conclusions: The patients with IDA had significantly thinner choroidal thicknesses than those of the healthy children. Choroidal thinning in childhood may be an early sign of deterioration in the ocular blood circulation, without any risk of atherosclerosis in advanced age in the patients with IDA.

Long-term use of topical nasal steroids (especially older generation steroids) has been shown to elevate intraocular pressure (IOP), but newer intranasal steroids are thought to have a minimal effect on IOP because of their low bioavailability. This study aimed to investigate alterations in IOP with two commonly used intranasal steroids for a 6-month period of time. One-hundred allergic rhinitis patients, divided equally into two groups, used mometasone furoate and fluticasone furoate intranasal steroids for 6 months. IOPs were measured before treatment and repeated at the 3rd, 6th, 12th, and 24th weeks of treatment. The IOPs of the groups were then compared. No statistically significant alteration was observed between the groups during the treatment time period. It was found that new generation intranasal steroids can be used safely, and there may not be an increased risk of IOP elevation in prolonged use in normal healthy people.

Bu çalışmada Uşak ilinde faaliyet gösteren bir otel işletmesinin ürün seçiminde dikkat ettikleri kriterlerin önem derecelerinin MOORA yöntemiyle belirlenmesi amaçlanmaktadır. Çalışmada fiyat, kalite, teslimat, ilişki ve hizmet olmak üzere 5 ana kriter çerçevesinde 5 alternatif işletme değerlendirilmiştir. Kriter ağırlıklarının belirlenmesinde ise otel işletmelerinin satın alma biriminden sorumlu çalışanlarına mail yoluyla gönderilen anketlerin değerlendirilmesiyle elde edilmiştir. Sonuç olarak yapılan anketlerden, gerçek değeri olmayan kriterlerin önem ağırlıkları ve tüm kriterlerin tedarikçi seçimindeki kriter önem katsayısı değerleri ve alternatif tedarikçilerin bu kriterler açısından değerlendirme sonuçları elde edilmiştir. Elde edilen veriler Çok Kriterli Karar Verme yöntemlerinden MOORA yöntemine göre çözümlenerek yorumlanmaktadır.

Objective. We aimed to investigate the influences of Nd:YAG (neodymium-doped yttrium aluminum garnet) laser capsulotomy on ocular biometric parameters.Methods. In this prospective study, 117 eyes of 117 pseudophakic patients were included. Full ocular examination, the best-corrected visual acuity (BCVA), and intraocular pressure (IOP) measurements were performed before the procedure as well as one week, one month, and three months after Nd:YAG laser capsulotomy. The axial length (AL), central corneal thickness (CCT), anterior chamber depth (ACD), and pupil diameter (PD) were measured by LenStar 900 optical biometry. The measurements were repeated one week, one month, and three months.Results. The BCVA improvements at preoperative, one week, and one month were statistically significant, but no significant changes in the BCVA were found at one month and three months (p=0.345). No association was found between the capsulotomy and mean IOP changes during the follow-up period (p=0.300). No significant changes were found in the CCT (p=0.059). The ACD changes occurred at preoperative; the first week and the first month were statistically significant (p<0.001). No statistically significant differences were found between the first month and the third month (p=0.365). No significant changes in the pupil size (p=0.200) and AL (p=0.112) were found after Nd:YAG laser capsulotomy. Conclusıons. Our study demonstrated that the BCVA parameter changed after Nd:YAG laser capsulotomy. The BCVA and ACD values follow-up period should be at least one month after Nd:YAG capsulotomy.

The etiology of primary nasolacrimal duct obstruction is largely unknown, and this disease may occur bilaterally in a small percentage of patients. In this retrospective study, the authors aimed to discuss the cost, operation time, complications, and success rate of simultaneous bilateral endonasal endoscopic surgery. Twenty-eight patients (16 female, 12 male) were enrolled in this study, with a mean age of 55 years old (range: 43-76). The success rate was 91% (51/56), and the mean operation time was 44 minutes. Only minor and transient complications were observed in 2 of the patients. Overall, the authors believe that a bilateral endoscopic dacryocystorhinostomy would be useful in a single session, based on its advantages of low morbidity, low cost, and high success.

Keskinruzgar A, et al. J Dent Anesth Pain Med. 2019 Feb;19(1):37-44. https://doi.org/10.17245/jdapm.2019.19.1.37