Purpose: To investigate whether parents should be present during screening examinations for retin... more Purpose: To investigate whether parents should be present during screening examinations for retinopathy of prematurity (ROP) by investigating the anxiety levels of parents using two different approaches. Methods: This cross-sectional and two-center study was carried out with the parents at the time of the first ROP screening examination of their premature infants. At one center, the parents accompanied the infants during the ROP examination (Group 1), and in the other center, they did not (Group 2). Anxiety levels were assessed with the State-Trait Anxiety Inventory (STAI), which consists of the State Anxiety (STAI-S) and Trait Anxiety (STAI-T) subscales and a visual analog scale (VAS). Results: A total of 147 parents of 127 infants were included in the study. STAI-T and -S levels were 40.5 ± 8 and 37.9 ± 7.5, respectively, in Group 1 and 39.6 ± 8.1 and 39.4 ± 9.1 in Group 2 before the examination. There were no statistically significant differences in terms of these values between the two groups (P > 0.05). The state anxiety levels increased by an average of 1.7 ± 8 in Group 1 and reached 39.6 ± 10.1 after the examination. In Group 2, these levels decreased by an average of − 2.7 ± 7.5 points to a score of 36.4 ± 10.3. This difference was found to be statistically significant (P = 0.001). A similar pattern was observed in the evaluation of the VAS data. Conclusion: As a preliminary opinion, it may be more appropriate for parents to not participate in screening examinations, but single-center controlled studies are required to confirm the results.
Jinekoloji - obstetrik ve neonatoloji tıp dergisi, Dec 25, 2017
“Shaken baby syndrome” occurs due to shaking of babies under two years of age. It can lead to vis... more “Shaken baby syndrome” occurs due to shaking of babies under two years of age. It can lead to visual impairment, blindness, severe neurological deficit and death. Bilateral retinal hemorrhages are important characteristic finding of shaken baby syndrome but not pathognomonic. Because of the irreversible neurological damage related to shaken baby syndrome, primary prevention is so important. The aim of this case report is to call attention on shaken baby syndrome and to emphasize the importance of training of parents and medical staff in this area.
Jinekoloji - obstetrik ve neonatoloji tıp dergisi, Jun 18, 2017
A one month-old baby was examined with the complaints of eyelids swollen and ocular discharge for... more A one month-old baby was examined with the complaints of eyelids swollen and ocular discharge for one week. Eyelid edema, ocular discharge, conjunctival hyperemia and pseudomembrane in both eyes but more severe in the right eye were detected. It was considered that the patient had suffered outbreaks of conjunctivitis depends on the epidemic keratoconjunctivitis and pseudomembranes were removed. A corticosteroids ointment was added to the treatment. Four weeks later, the patient’s symptoms were completely recovered.
Purpose To compare the retinal thickness at the fovea center, peripapillary retinal nerve fiber l... more Purpose To compare the retinal thickness at the fovea center, peripapillary retinal nerve fiber layer (RNFL) thickness and choroidal thickness (CT) in former preterm and full-term infants. Methods A total of 121 healthy children aged 4–8 years were divided 4 groups: group 1; children born on time, group 2; preterm children without a history of retinopathy of prematurity (ROP), group 3; preterm children with a history of spontaneously regressed ROP and group 4; preterm children who underwent diode laser photocoagulation for ROP. The retinal thickness at the fovea, peripapillary RNFL thickness at global, superior, inferior, nasal and temporal quadrants and submacular CT at 7 different points were measured by using spectral-domain optical coherence tomography. Results The mean retinal thickness at the fovea center was statistically higher, whereas the mean RNFL thickness values in global, nasal, superior and inferior quadrants were statistically lower in group 4. No difference was found in the mean submacular CT value of any point between the groups. Conclusion Transpupillary diode laser photocoagulation treatment for ROP seems to cause an increase in macular thickness and a decrease in RNFL thickness.
Purpose: To investigate whether parents should be present during screening examinations for retin... more Purpose: To investigate whether parents should be present during screening examinations for retinopathy of prematurity (ROP) by investigating the anxiety levels of parents using two different approaches. Methods: This cross-sectional and two-center study was carried out with the parents at the time of the first ROP screening examination of their premature infants. At one center, the parents accompanied the infants during the ROP examination (Group 1), and in the other center, they did not (Group 2). Anxiety levels were assessed with the State-Trait Anxiety Inventory (STAI), which consists of the State Anxiety (STAI-S) and Trait Anxiety (STAI-T) subscales and a visual analog scale (VAS). Results: A total of 147 parents of 127 infants were included in the study. STAI-T and -S levels were 40.5 ± 8 and 37.9 ± 7.5, respectively, in Group 1 and 39.6 ± 8.1 and 39.4 ± 9.1 in Group 2 before the examination. There were no statistically significant differences in terms of these values between the two groups (P > 0.05). The state anxiety levels increased by an average of 1.7 ± 8 in Group 1 and reached 39.6 ± 10.1 after the examination. In Group 2, these levels decreased by an average of − 2.7 ± 7.5 points to a score of 36.4 ± 10.3. This difference was found to be statistically significant (P = 0.001). A similar pattern was observed in the evaluation of the VAS data. Conclusion: As a preliminary opinion, it may be more appropriate for parents to not participate in screening examinations, but single-center controlled studies are required to confirm the results.
Jinekoloji - obstetrik ve neonatoloji tıp dergisi, Dec 25, 2017
“Shaken baby syndrome” occurs due to shaking of babies under two years of age. It can lead to vis... more “Shaken baby syndrome” occurs due to shaking of babies under two years of age. It can lead to visual impairment, blindness, severe neurological deficit and death. Bilateral retinal hemorrhages are important characteristic finding of shaken baby syndrome but not pathognomonic. Because of the irreversible neurological damage related to shaken baby syndrome, primary prevention is so important. The aim of this case report is to call attention on shaken baby syndrome and to emphasize the importance of training of parents and medical staff in this area.
Jinekoloji - obstetrik ve neonatoloji tıp dergisi, Jun 18, 2017
A one month-old baby was examined with the complaints of eyelids swollen and ocular discharge for... more A one month-old baby was examined with the complaints of eyelids swollen and ocular discharge for one week. Eyelid edema, ocular discharge, conjunctival hyperemia and pseudomembrane in both eyes but more severe in the right eye were detected. It was considered that the patient had suffered outbreaks of conjunctivitis depends on the epidemic keratoconjunctivitis and pseudomembranes were removed. A corticosteroids ointment was added to the treatment. Four weeks later, the patient’s symptoms were completely recovered.
Purpose To compare the retinal thickness at the fovea center, peripapillary retinal nerve fiber l... more Purpose To compare the retinal thickness at the fovea center, peripapillary retinal nerve fiber layer (RNFL) thickness and choroidal thickness (CT) in former preterm and full-term infants. Methods A total of 121 healthy children aged 4–8 years were divided 4 groups: group 1; children born on time, group 2; preterm children without a history of retinopathy of prematurity (ROP), group 3; preterm children with a history of spontaneously regressed ROP and group 4; preterm children who underwent diode laser photocoagulation for ROP. The retinal thickness at the fovea, peripapillary RNFL thickness at global, superior, inferior, nasal and temporal quadrants and submacular CT at 7 different points were measured by using spectral-domain optical coherence tomography. Results The mean retinal thickness at the fovea center was statistically higher, whereas the mean RNFL thickness values in global, nasal, superior and inferior quadrants were statistically lower in group 4. No difference was found in the mean submacular CT value of any point between the groups. Conclusion Transpupillary diode laser photocoagulation treatment for ROP seems to cause an increase in macular thickness and a decrease in RNFL thickness.
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