Browsing by Author "Inanc, Merve"
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Pubmed Alterations of Tear Film and Ocular Surface in Children with Type 1 Diabetes Mellitus.(2020-04-02T00:00:00Z) Inanc, Merve; Kiziltoprak, Hasan; Hekimoglu, Rumeysa; Tekin, Kemal; Ozalkak, Servan; Koc, Mustafa; Bayramoglu, Elvan; Zirh, Selim; Yuruker, Sinan; Aycan, Zehra: To investigate whether diabetes mellitus (DM) affects ocular surface of children with well-controlled type 1 DM.: Sixty-five diabetic patients and 55 age-matched controls enrolled to study. Detailed ocular surface assessment including, ocular surface disease index (OSDI) questionnaire, tear film break-up time (TBUT) analysis, Schirmer test, and conjunctival impression cytologic analysis were performed.: Schirmer test and TBUT results were significantly lower in DM group than controls ( = 0.001, for all). OSDI scores of all participants were within normal range. Impression cytology analysis showed grade 0 changes in all participants and there was no difference between groups for goblet cell density ( > 0.05). The TBUT results were significantly associated with duration of DM ( = -0.309, = 0.036).: Diabetic children without symptoms, signs, and definite diagnosis of dry eye still had lower TBUT and Schirmer test results than controls; however, impression cytology analysis was similar in both groups.Pubmed Evaluation of biomechanical properties of the cornea in patients with primary hyperparathyroidism.(2017-06-01T00:00:00Z) Çankaya, Ali Bülent; Kan, Seyfullah; Kizilgul, Muhammed; Tokmak, Aslı; Inanc, Merve; Caliskan, Mustafa; Beyazyildiz, Emrullah; Açar, Ugur; Delibaşı, TuncayThe purpose of this study is to compare the corneal biomechanical properties in primary hyperparathyroid patients and healthy control subjects. The study consisted of 31 patients with primary hyperparathyroidism (study group) and 31 healthy subjects (control group). Corneal biomechanical properties, including corneal hysteresis (CH), corneal resistance factor (CRF), and intraocular pressure (IOP) were measured with an ocular response analyzer (ORA). IOP was also measured using Goldmann applanation tonometry (GAT), and central corneal thickness (CCT) was measured with an ultrasonic pachymeter. The differences in ORA parameters and CCT between study and control group participants were analyzed. The mean CH in study and control groups was 8.7 ± 1.9 mmHg (5.3-13.7 mmHg) and 9.8 ± 1.5 mmHg (7.7-14.3 mmHg), respectively (p = 0.018). The mean CRF was 9.5 ± 1.8 (5.5-13.7) in the study group compared with 9.8 ± 1.5 (6.2-12.8) in the control group. The difference for CRF was not statistically significant (p = 0.41). In study and control group, corneal-compensated IOP (IOPcc) values were 18.2 ± 4.2 and 16.9 ± 2.7 mmHg, respectively (p = 0.12). Mean IOP measurement values with GAT were 16.3 ± 3.4 mmHg for study group and 16.5 ± 2.7 mmHg for control group (p = 0.71). The mean differences of IOPcc and IOPGAT in the study group eyes were higher than that of control group eyes (1.9 vs. 0.4 mmHg). CCT was 536.5 ± 25.4 µm (490-593 µm) in study group eyes compared with 534.2 ± 31.4 µm (472-602 µm) in control eyes (p = 0.75). Hyperparathyroidism could be associated with a decrease of CH. The differences between IOPcc and IOPGAT in these patients were higher than normal subjects. Underestimation of IOP readings with GAT may be a consequence of the lower CH in patients with hyperparathyroididsm.