Hülya Güngel

Publications (3) View all

• Article: An outbreak of Fusarium solani endophthalmitis after cataract surgery in an eye training and research hospital in Istanbul.

  Hülya Güngel, Mümin Hakan Eren, Eylem Yaman Pınarcı, Ciğdem Altan, Deniz Oygar Baylançiçek, Necip Kara, Tanıl Gürsel, Yildiz Yegenoğlu, Serdar Susever
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  ABSTRACT: To report an outbreak of Fusarium solani endophthalmitis after uneventful cataract surgeries performed on the same day in the same operating room. Nine patients underwent phacoemulsification at 4th Clinic of Beyoglu Eye Training and Research Hospital in Istanbul. Cefuroxime axetyl was injected intracamerally from the same vial to all patients at the end of surgery. All patients developed acute postoperative endophthalmitis. Presentation, cultural studies, treatment, clinical responses and risk factors were evaluated. Cultural and DNA sequence findings revealed F. solani. Antifungal therapy was begun and pars plana vitrectomy, intraocular lens and capsule extraction were performed. Corneal involvement was correlated with old age and systemic disease. Fusarium solani should be considered in acute postoperative endophthalmitis. This infection can be controlled with early and aggressive combined antifungal and surgical treatment. The patients with corneal involvement had poor prognosis. It is important to use solutions prepared separately for each patient.
  Mycoses 06/2011; 54(6):e767-74. · 2.25 Impact Factor
• Article: Treatment of congenital nasolacrimal duct obstruction with high-pressure irrigation under topical anesthesia.

  Gürsoy Alagöz, Didem Serin, Serdal Celebi, Sahap Kükner, Mustafa Elçioğlu, Hülya Güngel
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  ABSTRACT: To evaluate the effectiveness, safety, and success rate of high-pressure irrigation (HPI) applied under topical anesthesia in outpatient treatment of congenital nasolacrimal duct obstruction. HPI was applied under topical anesthesia to 39 eyes of 32 consecutive patients with congenital nasolacrimal duct obstruction. If obstructive symptoms persisted after the first attempt, treatment was repeated within 1 month. Patients were divided in two age groups: 7 to 12 months and 12 to 18 months. The two groups were compared in terms of the number of attempts needed to resolve the obstruction. Thirty-nine eyes that had failed conservative treatment underwent high-pressure irrigation. The overall success rate was 31 of 39 (79.48%) at the first attempt; complete success (8/8, 100%) was achieved at the second attempt. The success rate in the younger group was 18 of 22 (81.8%) at the first attempt and 4 of 4 (100%) at the second attempt. The success rate in the older group was 13 of 17 (76.5%) at the first attempt and 4 of 4 (100%) at the second attempt. There was no statistically significant difference between the two groups regarding the number of attempts needed to relieve the symptoms (p > 0.05). There was no statistically significant difference in massage times and age between cases resolved at the first and second attempts (p > 0.05). HPI can be attempted as an alternative second-step treatment or as a transition procedure between conservative and invasive methods. HPI has the advantage of being less invasive than other secondary methods, and its application under topical anesthesia seems to be safe and effective.
  Ophthalmic Plastic and Reconstructive Surgery 11/2005; 21(6):423-6. · 0.69 Impact Factor
• Article: Fourier transform infrared and 1h nuclear magnetic resonance spectroscopic findings of silicone oil removed from eyes and the relationship of emulsification with retinotomy and glaucoma.

  Hülya Güngel, Yusuf Menceoğlu, Burçin Yildiz, Ozge Akbulut
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  ABSTRACT: To investigate whether structural changes occur in silicone oil that has been left in the eye for different periods and to research the relationship of emulsification with the time during which silicone oil is left in the eye, glaucoma, and wide relaxing retinotomy. Samples of silicone oil were randomly removed from the eyes of 22 patients. Gel permeation chromatography (GPC) and spectroscopy were used to identify any changes in the silicone oil. The relationship between spectroscopically determined emulsification with time spent in the eye, glaucoma, and wide relaxing retinotomy was investigated statistically. GPC revealed that no change was found in the 1,000-centistoke silicone oil model after it had been removed from the eye. Spectroscopy identified absorption peaks belonging to water in addition to those belonging to the functional groups. The relationships between emulsification and time spent in the eye and glaucoma were found to be statistically insignificant, while that between emulsification and wide relaxing retinotomy was statistically significant. Intravitreally applied silicone oil undergoes no structural change. Wide relaxing retinotomy constitutes a risk factor for silicone oil emulsification, which can occur earlier than expected and before it can be observed clinically.
  Retina 25(3):332-8. · 2.81 Impact Factor