Acute’ Acquired Comitant Esotropia with myopia (AACEM) is an unusual form of non-paretic, diplopia-inducing strabismus. It is a subset of (acute) acquired comitant esotropia with recent reports of increasing prevalence. No reports exist comparing botulinum toxin (BTX) to surgery beyond the six-month therapeutic effect of BTX in a western population. Clinical characteristics of AACEM are defined and immediate and longer-term results of both interventions are reported in this retrospective review of 16 cases from two centres. Eight cases received BTX and eight cases had primary surgical intervention. Mean distance and near angle pre-surgery was 37.50±10.35 prism diopters (PD) and 35.63±12.66 PD respectively. Mean distance and near angle at final follow-up post-surgery (475.88±301.21 days, median 466.5) was 5.62±3.78 PD and 5.88±5.25 PD respectively. Mean distance and near angle pre-BTX was 36.00±15.33 PD and 38.75±14.58 PD respectively. Mean distance and near angle at final follow-up post-BTX (789±548.98 days, median 700) was 20.13±15.57 PD and 22.25±17.85 PD respectively. In this the longer-term follow-up study surgery was found to be superior as compared to BTX post-intervention. Surgical alignment also appeared more stable
{"title":"Acute Acquired Comitant Esotropia with Myopia: Longer-Term Follow-Up of Botulinum Toxin vs. Strabismus Surgery in a Western Population","authors":"","doi":"10.33140/jocr.08.01.01","DOIUrl":"https://doi.org/10.33140/jocr.08.01.01","url":null,"abstract":"Acute’ Acquired Comitant Esotropia with myopia (AACEM) is an unusual form of non-paretic, diplopia-inducing strabismus. It is a subset of (acute) acquired comitant esotropia with recent reports of increasing prevalence. No reports exist comparing botulinum toxin (BTX) to surgery beyond the six-month therapeutic effect of BTX in a western population. Clinical characteristics of AACEM are defined and immediate and longer-term results of both interventions are reported in this retrospective review of 16 cases from two centres. Eight cases received BTX and eight cases had primary surgical intervention. Mean distance and near angle pre-surgery was 37.50±10.35 prism diopters (PD) and 35.63±12.66 PD respectively. Mean distance and near angle at final follow-up post-surgery (475.88±301.21 days, median 466.5) was 5.62±3.78 PD and 5.88±5.25 PD respectively. Mean distance and near angle pre-BTX was 36.00±15.33 PD and 38.75±14.58 PD respectively. Mean distance and near angle at final follow-up post-BTX (789±548.98 days, median 700) was 20.13±15.57 PD and 22.25±17.85 PD respectively. In this the longer-term follow-up study surgery was found to be superior as compared to BTX post-intervention. Surgical alignment also appeared more stable","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"374 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140501070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Report, Maxime Dantouma, Sovogui, Abdoul Karim Baldé, Christophe Zoumanigui, Mamadou Bobo Doukoure, Kokou Vonor
Objective: To describe the ophthalmological manifestations of idiopathic intracranial hypertension at the Mauritius Clinic. Patients and Observations: We report two cases of idiopathic intracranial hypertension revealed by papillary edema, received in consultation at the Mauritius Eye Clinic. The symptomatology was dominated by visual eclipses, headaches and tinnitus. Decreased visual acuity was associated in patient No. 2. Papillary edema was found in both grade III cases and respectively. Consultations, paraclinical and I examinations in neurosurgery and infectiology were not contributory. The patients all benefited from a drug treatment based on acetazolamide 250mg. Cortancyl 20mg with a low-calorie diet have been combined with the treatment of patient No. 1. The evolution was favorable in patient No. 1 while patient No. 2 was at risk of visual loss due to the stage of papillary edema. Conclusion: Faced with papillary edema associated with visual disorders, headaches, tinnitus and/ or not a decrease in visual acuity, it is necessary to suspect idiopathic intracranial hypertension until proven otherwise.
{"title":"Idiopathic Intracranial Hypertension Revealed by Papillary Oedema: About Two Cases at the Mauritius Eye Clinic in Guinea","authors":"Case Report, Maxime Dantouma, Sovogui, Abdoul Karim Baldé, Christophe Zoumanigui, Mamadou Bobo Doukoure, Kokou Vonor","doi":"10.33140/jocr.07.02.02","DOIUrl":"https://doi.org/10.33140/jocr.07.02.02","url":null,"abstract":"Objective: To describe the ophthalmological manifestations of idiopathic intracranial hypertension at the Mauritius Clinic. Patients and Observations: We report two cases of idiopathic intracranial hypertension revealed by papillary edema, received in consultation at the Mauritius Eye Clinic. The symptomatology was dominated by visual eclipses, headaches and tinnitus. Decreased visual acuity was associated in patient No. 2. Papillary edema was found in both grade III cases and respectively. Consultations, paraclinical and I examinations in neurosurgery and infectiology were not contributory. The patients all benefited from a drug treatment based on acetazolamide 250mg. Cortancyl 20mg with a low-calorie diet have been combined with the treatment of patient No. 1. The evolution was favorable in patient No. 1 while patient No. 2 was at risk of visual loss due to the stage of papillary edema. Conclusion: Faced with papillary edema associated with visual disorders, headaches, tinnitus and/ or not a decrease in visual acuity, it is necessary to suspect idiopathic intracranial hypertension until proven otherwise.","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114403889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cataract diseases, characterized by the opacification of the lens, pose a significant global health burden. Animal models are invaluable for understanding cataractogenesis and testing potential treatments [1]. The selenite-induced cataract model has been widely used due to its rapid onset and predictable progression. However, this model has limitations that must be considered. This article reviews the limitations of the selenite-induced cataract model and explores alternative approaches that better represent the complexity and natural course of human cataract diseases [2].
{"title":"Selenite-Induced Cataract as a Model for Cataract Diseases: Limitations, Considerations, and Alternative Approaches","authors":"Ali Rahmani, Maedeh Dahaghin","doi":"10.33140/jocr.07.02.01","DOIUrl":"https://doi.org/10.33140/jocr.07.02.01","url":null,"abstract":"Cataract diseases, characterized by the opacification of the lens, pose a significant global health burden. Animal models are invaluable for understanding cataractogenesis and testing potential treatments [1]. The selenite-induced cataract model has been widely used due to its rapid onset and predictable progression. However, this model has limitations that must be considered. This article reviews the limitations of the selenite-induced cataract model and explores alternative approaches that better represent the complexity and natural course of human cataract diseases [2].","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123650317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 57-year-old patient with no pathological history, who consulted urgently for a painful red eye with reduced visual acuity in her right eye, with foreign body sensation, lacrimation, and photophobia, those signs has been started three days before his admission to the emergency room.
患者57岁，无病理史，因右眼疼痛红肿，视力下降，有异物感，流泪，畏光，于入院前3天出现。
{"title":"Unilateral Mooren Ulcer","authors":"","doi":"10.33140/jocr.07.01.02","DOIUrl":"https://doi.org/10.33140/jocr.07.01.02","url":null,"abstract":"A 57-year-old patient with no pathological history, who consulted urgently for a painful red eye with reduced visual acuity in her right eye, with foreign body sensation, lacrimation, and photophobia, those signs has been started three days before his admission to the emergency room.","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133372907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phacomorphic glaucoma is the term used for secondary angle-closure glaucoma due to lens intumescence, leading to pupillary block and closure of the irido corneal angle (ICA). This condition presents as an acute glaucoma crisis due to angle closure, which can lead to serious complications. The aim of our study is to determine the usefulness of ultra biomicroscopic ultrasound (UBM) in the evaluation of the iridocorneal angle before and after cataract surgery in phacomorphic glaucoma. The prospective analytical study included 25 eyes diagnosed with phacomorphic glaucoma. The intraocular pressure, the visual acuity, the UBM parameters including; the Anterior Chamber Depth (ACD), the Trabecular-Iris Angle (AIT), the Angel Opening Distance (AOD500), were assessed preoperatively and postoperatively. The mean age of our patients was 74.7 years, there was no significant gender preference. The mean intraocular pressure (IOP) under maximal treatment was reduced from 45.36 5.4 to 25.8 mmHg in our study. With IOP at 17+/-2.5 to 15+/-1.3 after surgery within 1-3 days. The gonioscopic results were in agreement with the UBM results, which provided more specific angle measurements; all angle parameters are improved after cataract surgery. All eyes had a mean angle of more than 20° in all four quadrants with a mean angle of (37.1+/-4.5), very similar to the angle status of the uninvolved eye. In conclusion, after an acute attack of angle closure of phacomorphic origin, all parameters of the ICA measured by UBM increased significantly as well as normalization of IOP after cataract surgery
{"title":"Contribution of Ultrabiomicroscopy in Phacomorphic Glaucoma: A Prospective Study of 25 Eyes","authors":"Researc H Article, Elakhdari Meriem, Akannour Younes, Bardi Chaimaa, Serghini Louai, Berraho Amina","doi":"10.33140/jocr.07.01.01","DOIUrl":"https://doi.org/10.33140/jocr.07.01.01","url":null,"abstract":"Phacomorphic glaucoma is the term used for secondary angle-closure glaucoma due to lens intumescence, leading to pupillary block and closure of the irido corneal angle (ICA). This condition presents as an acute glaucoma crisis due to angle closure, which can lead to serious complications. The aim of our study is to determine the usefulness of ultra biomicroscopic ultrasound (UBM) in the evaluation of the iridocorneal angle before and after cataract surgery in phacomorphic glaucoma. The prospective analytical study included 25 eyes diagnosed with phacomorphic glaucoma. The intraocular pressure, the visual acuity, the UBM parameters including; the Anterior Chamber Depth (ACD), the Trabecular-Iris Angle (AIT), the Angel Opening Distance (AOD500), were assessed preoperatively and postoperatively. The mean age of our patients was 74.7 years, there was no significant gender preference. The mean intraocular pressure (IOP) under maximal treatment was reduced from 45.36 5.4 to 25.8 mmHg in our study. With IOP at 17+/-2.5 to 15+/-1.3 after surgery within 1-3 days. The gonioscopic results were in agreement with the UBM results, which provided more specific angle measurements; all angle parameters are improved after cataract surgery. All eyes had a mean angle of more than 20° in all four quadrants with a mean angle of (37.1+/-4.5), very similar to the angle status of the uninvolved eye. In conclusion, after an acute attack of angle closure of phacomorphic origin, all parameters of the ICA measured by UBM increased significantly as well as normalization of IOP after cataract surgery","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123434806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 16-years-old male, presented with complaints of both eyes decreased in vision since childhood. Ophthalmological examination revealed a limited visual acuity to counting finger in right eye and 1/10 in left eye, with clear corneas and normal intraocular pressure in both eyes.
16岁男性，自幼双眼视力下降。眼科检查:右眼数指视力有限，左眼1/10，角膜清晰，双眼眼压正常。
{"title":"Atypical Lens Subluxation in Marfan Syndrome","authors":"Clinical Image, Elakhdari Meriem","doi":"10.33140/jocr.07.01.03","DOIUrl":"https://doi.org/10.33140/jocr.07.01.03","url":null,"abstract":"A 16-years-old male, presented with complaints of both eyes decreased in vision since childhood. Ophthalmological examination revealed a limited visual acuity to counting finger in right eye and 1/10 in left eye, with clear corneas and normal intraocular pressure in both eyes.","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"169 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124712217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.24966/ocr-8887/100105
Diomandé Gf
Extra-ocular retinoblastoma has a significant impact on children’ well being and their families. This condition poses a real public health problem like most neoplastic conditions, hence the importance of public awareness and psychosocial care for children and their respective families
{"title":"Quality of Life of Patients with Extra-Ocular Retinoblastoma in Abidjan","authors":"Diomandé Gf","doi":"10.24966/ocr-8887/100105","DOIUrl":"https://doi.org/10.24966/ocr-8887/100105","url":null,"abstract":"Extra-ocular retinoblastoma has a significant impact on children’ well being and their families. This condition poses a real public health problem like most neoplastic conditions, hence the importance of public awareness and psychosocial care for children and their respective families","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122306190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.24966/ocr-8887/100107
Ofri Rimoni
There was no difference found in the efficacy of trabeculectomy when compared with Ex-PRESS shunt in pseudophakic eyes. Ex-PRESS shunt was generally found to be a safer procedure, though this difference didn’t reach statistical significance
{"title":"Trabeculectomy vs. Express P-200 Shunt Surgery in Post Cataract Patients","authors":"Ofri Rimoni","doi":"10.24966/ocr-8887/100107","DOIUrl":"https://doi.org/10.24966/ocr-8887/100107","url":null,"abstract":"There was no difference found in the efficacy of trabeculectomy when compared with Ex-PRESS shunt in pseudophakic eyes. Ex-PRESS shunt was generally found to be a safer procedure, though this difference didn’t reach statistical significance","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"162 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121791943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.24966/ocr-8887/100104
M. Ahmed
Ablepharon Macrostomia Syndrome (AMS) is a rare condition characterized by absent or extremely short eyelids and a large fish-like mouth, only 20 cases were reported. AMS is characterized by absent or short eyelids, absent eyebrows and eyelashes, macrostomia, and external ear abnormalities
{"title":"A Rare Case of Ablepharon Macrostomia Syndrome","authors":"M. Ahmed","doi":"10.24966/ocr-8887/100104","DOIUrl":"https://doi.org/10.24966/ocr-8887/100104","url":null,"abstract":"Ablepharon Macrostomia Syndrome (AMS) is a rare condition characterized by absent or extremely short eyelids and a large fish-like mouth, only 20 cases were reported. AMS is characterized by absent or short eyelids, absent eyebrows and eyelashes, macrostomia, and external ear abnormalities","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125466573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.24966/ocr-8887/100106
Alberto Mavilio
RE-PERG can detect variations in the metabolic status of the RGCs in glaucomatous patients after oral intake of a fixed combination of C+H in addition to topical treatment. RE-PERG can be a valid tool in neuroenhancement studies, representing a biological marker of neuronal performance
{"title":"RE-PERG as a Diagnostic Tool for Neuroenhancement Studies in Primary Open Angle Glaucoma: A Pilot Study","authors":"Alberto Mavilio","doi":"10.24966/ocr-8887/100106","DOIUrl":"https://doi.org/10.24966/ocr-8887/100106","url":null,"abstract":"RE-PERG can detect variations in the metabolic status of the RGCs in glaucomatous patients after oral intake of a fixed combination of C+H in addition to topical treatment. RE-PERG can be a valid tool in neuroenhancement studies, representing a biological marker of neuronal performance","PeriodicalId":135031,"journal":{"name":"Journal of Ophthalmology & Clinical Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125627349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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