Browsing by Author "Atakan, Mehmet"

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Are Diabetic Patients Aware of The Danger in Turkey?
(2016) Ulusoy, Mahmut Oguz; Kivanc, Sertac Argun; Atakan, Mehmet; Uzun, Ozgur; Ozturk-Sahin, Bilge; Olcaysu, Osman Okan; Karatepe, Arzu Seyhan; Zorlu-Ozturk, Sibel; Turker, Ibrahim
Purpose: The aim of this study is to assess the awareness of the diabetic retinopathy and the level of the diabetic retinopathy in the diabetic patients, which consulted to the state hospitals in Turkey. Methods: A total of 1071 patients, admitted to 8 different state hospitals' ophthalmology clinics around the country, were included to this cross sectional multicentred study. All diabetic patients were asked to respond specifically prepared questionnaire including diabetic retinopathy and diabetes mellitus and underwent fundus examination to assess the diabetic retinopathy level. Results: The mean age of the study population was 57.5 years and the 57.4 % of the patients were women. 34.7% of the patients' were responded "NO" to the question of "Are you aware of the eye complications of diabetes mellitus?". The study also showed that 200 of 699 patients (28.6%) who aware of the diabetic retinopathy, despite having this information do not have regular eye examination for the diabetic retinopathy. It was seen that even 40.62% (26/64) of the college graduates don't go regular checks. The majority of the aware patients (40.5 %) pointed out that they took information from internal medicine or endocrinologists and the 28.1% of the patients were informed from elsewhere (family, neighbor, TV, etc.). Conclusion: One third of the subjects monitored were not aware of diabetic retinopathy. It is noteworthy to emphasize the importance of the routine eye examination for preventing vision loss, regardless of the educational level. The warning of the physicians through written and visual media is thought to be effective in preventing irreversible condition of this disease.
How Important Is the Etiology in the Treatment of Epiphora?
(2016) Ulusoy, Mahmut Oguz; Kivanc, Sertac Argun; Atakan, Mehmet; Akova-Budak, Berna; 27595013
Purpose. There are several etiological factors that cause epiphora, and treatment differs according to the cause. We aimed to evaluate the etiology of epiphora and the treatment modalities of the affected patients. Materials and Methods. Data of patients who were referred to ophthalmology clinics for epiphora were retrospectively analyzed. All patients were evaluated for epiphora etiology, treatment modalities, and duration of complaints, after complete ophthalmologic examination. Results. This study consisted of 163 patients with a mean age of 64.61 +/- 16.52 years (range 1-92 years). Lacrimal system disease (48.4% [79/163]) was the most common cause, followed by ocular surface disease (dry eye/blepharitis) (38.7% [ 63/163]). Among the patients included in this study, 69% (113/163) did not receive any treatment, whereas only 1.8% (3/163) were treated surgically. About 4.3% of the patients (7/163) had a complaint for more than 5 years (p = 0.012) and six of these had chronic dacryocystitis and one had ectropion. Conclusion. Epiphora not only has a negative impact on patients' comfort, but also puts them at risk for probable intraocular operations in the future. Therefore, the wide range of its etiology must be taken into consideration and adequate etiology-specific treatment options must be applied.
Prevalence and associated factors of external punctal stenosis among elderly patients in Turkey
(2017) Ulusoy, Mahmut Oguz; Atakan, Mehmet; Kivanc, Sertac Argun; 29160539
Purpose: To estimate the prevalence of external punctal stenosis (EPS) in the elderly population and investigate associated factors. Methods: A total of 278 patients >= 65 years of age were evaluated for evidence of EPS from January to July 2016. Associated systemic, ocular, demographic, and lifestyle factors were investigated. Multiple logistic regression analyses were applied to evaluate the factors related to having EPS. P values <0.05 were considered statistically significant. Results: The prevalence of EPS in this study population was 63.3%, with a mean age of 70.67 +/- 7.85 (65-92 years). The ocular factor that was most commonly related to EPS was chronic blepharitis (48.9%). EPS was also associated with taking glaucoma medications (95% CI, 0.08-0.96, p=0.043), smoking history (95% CI, 0.13-0.84, p=0.021), ectropion (95% CI, 0.004-0.26, p=0.001), complaints of tearing (95% CI, 1.11-3.52, p=0.02), and outdoor occupational activity (95% CI, 3.42-9.97, p<0.05). Conclusions: EPS is more common in elderly patients than in the general population. Outdoor occupational activity, taking antiglaucomatous medications, ectropion, and smoking are significantly associated with EPS. In addition, surgical treatment decisions should be made after complete evaluation and interviewing the patients.