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  • Article
    Citation - WoS: 1
    Citation - Scopus: 1
    Early Posterior Corneal Changes and Belin/Ambrosio Scores Following Photorefractive Keratectomy: a Pentacam Study
    (Springer int Publ Ag, 2025) Yakar, Konuralp; Alacamli, Goeksu; Ozgur, Goekhan
    Introduction: To evaluate early postoperative changes in the posterior corneal surface, anterior chamber parameters, and Belin/Ambrosio Enhanced Ectasia Display (BAD) scores following photorefractive keratectomy (PRK) using Pentacam tomography. Methods: This observational study included 102 eyes of 51 patients (mean age 28.43 +/- 6.27 years) undergoing alcohol-assisted PRK for myopia and/or astigmatism. Preoperative and 1-month postoperative assessments were performed using the Pentacam system, measuring, anterior chamber depth (ACD), anterior chamber volume (ACV), central corneal thickness, posterior keratometry, posterior elevation, and BAD scores. PRK was conducted with a WaveLight (R) EX 500 excimer laser, followed by mitomycin-C application. Statistical analysis utilized paired t-tests and Pearson's correlation. Results: At 1 month post-PRK, ACV significantly decreased (p < 0.01), while ACD reduction was not significant (p = 0.40). Posterior keratometry (K1, K2, Kmean) and astigmatism decreased (p < 0.01), with a mean posterior elevation increase of -2.50 +/- 2.94 mu m (p < 0.01). A weak negative correlation was observed between maximum posterior elevation difference and ablation depth (p = 0.03, r = -0.20) and ablation depth/preoperative pachymetry ratio (p = 0.03, r = -0.20). BAD-D scores (Dp, Dt, Da, total D) significantly increased (p < 0.01), except for Df (p = 0.41). No correlation was found with preoperative pachymetry or residual stroma. Conclusions: PRK induces minimal posterior corneal protrusion and BAD score changes at 1 month, potentially mimicking early ectasia. Multimodal testing is advised for accurate ectasia detection. Larger, longer-term studies are needed to validate these findings.
  • Article
    Citation - WoS: 5
    Citation - Scopus: 9
    The mediating role of FoMO and the moderating role of narcissism in the impact of social exclusion on compulsive buying: a cross-cultural study
    (Springer int Publ Ag, 2023) Mert, Merve; Tengilimoglu, Dilaver
    Background There is an interrelationship between the concepts of social exclusion, compulsive buying behavior, fear of missing out (FoMO), and narcissism. Nevertheless, the extent to which these concepts mediate or moderate their relationships with each other has not been efficiently investigated. Objective This research aims to investigate how FoMO mediates and narcissism moderates the correlation between social exclusion and compulsive buying behavior. In addition, the research aims to test a conceptual model and highlight the differences that may occur in the conceptual model proposed in two different countries. Methods This model was analyzed among 1007 university students (Turkey = 506, Denmark = 501). The study used scales to measure social exclusion, compulsive buying behavior, FoMO, and narcissism. The study employed PROCESS Model 4 to analyze direct and indirect (mediation) effects and PROCESS Model 59 to assess conditional (moderation) effects. Furthermore, the Johnson-Neyman technique was utilized to investigate interaction terms. Results The findings indicate that those who face social exclusion tend to participate more in compulsive buying, and this connection is partly explained by FoMO. This suggests that individuals who encounter social exclusion may have an increased likelihood of experiencing FoMO, which may subsequently contribute to compulsive buying behavior. Furthermore, the moderating effect of narcissism differed between the Turkey and Danish samples. Specifically, in the Turkey sample, narcissism only modified the connection between social exclusion and FoMO, while in the Danish sample, it impacted both the connection between social exclusion and FoMO and the connection between FoMO and compulsive buying. Conclusion The obtained results show that the regulating role of narcissism is different in Turkey and Denmark within the conceptual model we studied.