Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i2a.157
Shaimaa Hady Mahmoud Sokeer, Ahmed Lotfi Ali, El-Sayed Samier Arafa, Amr Mahmoud Awara, Heba M Shafik
Background: V pattern strabismus is common with horizontal deviations as well as DVD. It is a common condition, and difficult to manage. While the only effective treatment is surgery, routine surgery often fails, and special surgical procedures need to be used. 20 Dissociated vertical deviation (DVD) is an ocular motor disorder characterized by slow upward drifting of one eye when the patient fixates with the other eye. This can be unilateral or bilateral. The deviation may be manifest or latent.Methods: Four patients from 9 to 15 years old with V pattern strabismus associated with DVD and primary IOOA were evaluated by prism cover test to assess the grade of IOOA and amplitude of V-pattern. Maximal recession and anteriorization of IO muscle was done to address the condition. Two cases were of grade 2 V pattern and two cases were of grade 3. They underwent maximum recession and anterior transposition (AT). Simultaneous correction of the horizontal deviation was performed. Follow up after I week, 1 month,3 months, and 6 months.Results: The mean age of the study patients was 12 ± 3.464. Two cases had esotropia and two cases with exotropia. Two cases (50%) were of grade 2 V-pattern and the other two cases were of grade 3. Inferior oblique maximal recession with anteriorization reduced a presurgical vertical imbalance. Of four cases, 2 cases (50%) were fully corrected with no residual IOOA, and one case (25%) was under-corrected, and one case (25%) was complicated with limited elevation in all directions. V-pattern was corrected in 2 cases (50%) and the other two cases (50%) were either under-corrected or complicated with limited elevation.Conclusions: AT is an effective procedure for version normalization and for correction of the vertical deviation in the primary position of gaze in cases of V- pattern associated with DVD and IOOA.
{"title":"Evaluation of anterior transposition of inferior oblique muscle for correction of V- pattern associated with DVD and inferior oblique overaction","authors":"Shaimaa Hady Mahmoud Sokeer, Ahmed Lotfi Ali, El-Sayed Samier Arafa, Amr Mahmoud Awara, Heba M Shafik","doi":"10.33545/26638266.2023.v5.i2a.157","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i2a.157","url":null,"abstract":"Background: V pattern strabismus is common with horizontal deviations as well as DVD. It is a common condition, and difficult to manage. While the only effective treatment is surgery, routine surgery often fails, and special surgical procedures need to be used. 20 Dissociated vertical deviation (DVD) is an ocular motor disorder characterized by slow upward drifting of one eye when the patient fixates with the other eye. This can be unilateral or bilateral. The deviation may be manifest or latent.Methods: Four patients from 9 to 15 years old with V pattern strabismus associated with DVD and primary IOOA were evaluated by prism cover test to assess the grade of IOOA and amplitude of V-pattern. Maximal recession and anteriorization of IO muscle was done to address the condition. Two cases were of grade 2 V pattern and two cases were of grade 3. They underwent maximum recession and anterior transposition (AT). Simultaneous correction of the horizontal deviation was performed. Follow up after I week, 1 month,3 months, and 6 months.Results: The mean age of the study patients was 12 ± 3.464. Two cases had esotropia and two cases with exotropia. Two cases (50%) were of grade 2 V-pattern and the other two cases were of grade 3. Inferior oblique maximal recession with anteriorization reduced a presurgical vertical imbalance. Of four cases, 2 cases (50%) were fully corrected with no residual IOOA, and one case (25%) was under-corrected, and one case (25%) was complicated with limited elevation in all directions. V-pattern was corrected in 2 cases (50%) and the other two cases (50%) were either under-corrected or complicated with limited elevation.Conclusions: AT is an effective procedure for version normalization and for correction of the vertical deviation in the primary position of gaze in cases of V- pattern associated with DVD and IOOA.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959034","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}
Background: The measurement of retinal nerve fibre layer (RNFL) thickness is widely recognized as a very delicate tool of optic nerve damage, since it manifests before the manifestation of visual field impairment. Aim of the work: The aim of this study was to evaluate the effect of refractive status and axial length of the eye on the thickness of the peripapillary RNFL in individuals with and without glaucoma. This was achieved via the use of optical coherence tomography.Methods: This research was carried on 54 eyes of 27 glaucomatous patients and 54 eyes of 27 healthy. Inclusion criteria were participants aged 20-60 years old, with clear ocular media and Glaucomatous patients were previously diagnosed by fundus examination, IOP measurement and visual field. Results: The thickness of the RNFL in different quadrants is influenced by factors such as axial length, refractive error, and age. However, it has been discovered that changes in axial length or age do not have an impact on the thickness of the RNFL in the temporal quadrant, unlike the other quadrants. Multivariate analysis show that axial length and age are the main factors affecting RNFL thickness in myopic eyes either normal or glaucomatous. Conclusions: The diagnosis of glaucoma with myopia is a controversy due to the alterations in the optic disc. This research used an OCT technology to evaluate the effect of axial length and refractive error on RNFL thickness. The findings revealed that changes in axial length had a differential effect, with the exception of the temporal quadrant. The presence or severity of changes in the temporal quadrant is often minimal or nonexistent. The thinning in the temporal quadrant may indicate the glaucoma.
{"title":"Effect of error of refraction and axial length on peripapillary retinal nerve fiber layer thickness in normal people and glaucomatous patients using optical coherence tomography","authors":"Esraa Fathy Fouda Shaltout, Mohamed Salah El-din Atef, Yasser Ragab Serag, Tamer Elsayed Wasfy","doi":"10.33545/26638266.2023.v5.i2b.160","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i2b.160","url":null,"abstract":"Background: The measurement of retinal nerve fibre layer (RNFL) thickness is widely recognized as a very delicate tool of optic nerve damage, since it manifests before the manifestation of visual field impairment. Aim of the work: The aim of this study was to evaluate the effect of refractive status and axial length of the eye on the thickness of the peripapillary RNFL in individuals with and without glaucoma. This was achieved via the use of optical coherence tomography.Methods: This research was carried on 54 eyes of 27 glaucomatous patients and 54 eyes of 27 healthy. Inclusion criteria were participants aged 20-60 years old, with clear ocular media and Glaucomatous patients were previously diagnosed by fundus examination, IOP measurement and visual field. Results: The thickness of the RNFL in different quadrants is influenced by factors such as axial length, refractive error, and age. However, it has been discovered that changes in axial length or age do not have an impact on the thickness of the RNFL in the temporal quadrant, unlike the other quadrants. Multivariate analysis show that axial length and age are the main factors affecting RNFL thickness in myopic eyes either normal or glaucomatous. Conclusions: The diagnosis of glaucoma with myopia is a controversy due to the alterations in the optic disc. This research used an OCT technology to evaluate the effect of axial length and refractive error on RNFL thickness. The findings revealed that changes in axial length had a differential effect, with the exception of the temporal quadrant. The presence or severity of changes in the temporal quadrant is often minimal or nonexistent. The thinning in the temporal quadrant may indicate the glaucoma.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135212662","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 : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1a.138
Mai Magdy, Osama A. Sorour, Mohsen Salem, M. Moussa
{"title":"Sensitivity of OCT and OCTA metrics in grading of hypertensive retinopathy","authors":"Mai Magdy, Osama A. Sorour, Mohsen Salem, M. Moussa","doi":"10.33545/26638266.2023.v5.i1a.138","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1a.138","url":null,"abstract":"","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78965100","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 : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1b.147
Mai Gamal Abd Elqawy Ahmed El Hag, Ahmed Fekry Almaria, Rabab Mohamed El Seht, Tarek Ragaiey Hussi
Background: Lens trauma is commonly found among school-children (mainly boys) aged 5-15 years. The timing of surgery is important for visual rehabilitation, it is also important to consider in a child, in whom amblyopia is a concern. Ultrasound Biomicroscopy (UBM) can be used as an effective diagnostic tool. The biometry of the anterior segment can be measured by UBM systems that encompass the entire anterior segment. This allows preoperative evaluation of the position of the sulcus plane before cataract surgery, facilitating estimation of postoperative intraocular lens position. Aim of the Work: The purpose of the current work is to investigate the causes, clinical aspects and outcome of pediatric lens trauma. Patients and Methods: This prospective, randomized study included 40 eyes of 40 patients with eye trauma coming to Tanta University Eye Hospital. During the period from September 2018 to August 2019. Their age ranged between 2 to 18 years old. All patients in this study subjected to the following: Full history taking, general examinations and precautions if polytrauma, full ophthalmic examination. Investigation were done if indicated (Orbital imaging, Ultrasound Biomicroscopy) and examination of the contralateral eye. Results: Our prospective study included 40 eyes of 40 patients with eye trauma (25 males and 15 females). The majority of our patients (67.5%) were more than 6 years. The most prevalent cause was blunt trauma which represented 62.5%. Ocular trauma in street was the most prevalent site (50%). Early detection and seeking medical advice for ocular trauma represented 62.5% of cases. Right eye was affected in 22 (55%) patients. 85% of our patients had rupture globe and 15% of patients had closed globe lesions. 70% of cases had 2 sessions of surgery. By using UBM to evaluate the cases, most of cases (42.5%) had cataract, followed by rupture of posterior capsule which was found in 8 cases. With slit lamp examination, the most prevalent status of the lens was cataract in 52% of patients, then free lens matter in anterior chamber and clear lens with the same percentage (12.5% of patients). There was a statistically significance difference between lens examination by slit lamp and UBM (P= 0.032) and there wasn’t a statistically significance between AC examination by slit lamp and UBM. There wasn’t a statistically significance association between the causative agents and both of the type of injury and the number of surgery sessions. Also there wasn’t a statistically significance with place of trauma. While There was a statistically significance association between time of presentation and type of injury p = 0.001. Conclusion: This study reported maximum incidence of paediatric ocular trauma at school age children with blunt objects as the most common cause of injury. UBM is a very helpful tool in assessment of lens status after trauma also in decision making for surgery.
{"title":"Pediatric lens trauma in Tanta University eye hospital","authors":"Mai Gamal Abd Elqawy Ahmed El Hag, Ahmed Fekry Almaria, Rabab Mohamed El Seht, Tarek Ragaiey Hussi","doi":"10.33545/26638266.2023.v5.i1b.147","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1b.147","url":null,"abstract":"Background: Lens trauma is commonly found among school-children (mainly boys) aged 5-15 years. The timing of surgery is important for visual rehabilitation, it is also important to consider in a child, in whom amblyopia is a concern. Ultrasound Biomicroscopy (UBM) can be used as an effective diagnostic tool. The biometry of the anterior segment can be measured by UBM systems that encompass the entire anterior segment. This allows preoperative evaluation of the position of the sulcus plane before cataract surgery, facilitating estimation of postoperative intraocular lens position. Aim of the Work: The purpose of the current work is to investigate the causes, clinical aspects and outcome of pediatric lens trauma. Patients and Methods: This prospective, randomized study included 40 eyes of 40 patients with eye trauma coming to Tanta University Eye Hospital. During the period from September 2018 to August 2019. Their age ranged between 2 to 18 years old. All patients in this study subjected to the following: Full history taking, general examinations and precautions if polytrauma, full ophthalmic examination. Investigation were done if indicated (Orbital imaging, Ultrasound Biomicroscopy) and examination of the contralateral eye. Results: Our prospective study included 40 eyes of 40 patients with eye trauma (25 males and 15 females). The majority of our patients (67.5%) were more than 6 years. The most prevalent cause was blunt trauma which represented 62.5%. Ocular trauma in street was the most prevalent site (50%). Early detection and seeking medical advice for ocular trauma represented 62.5% of cases. Right eye was affected in 22 (55%) patients. 85% of our patients had rupture globe and 15% of patients had closed globe lesions. 70% of cases had 2 sessions of surgery. By using UBM to evaluate the cases, most of cases (42.5%) had cataract, followed by rupture of posterior capsule which was found in 8 cases. With slit lamp examination, the most prevalent status of the lens was cataract in 52% of patients, then free lens matter in anterior chamber and clear lens with the same percentage (12.5% of patients). There was a statistically significance difference between lens examination by slit lamp and UBM (P= 0.032) and there wasn’t a statistically significance between AC examination by slit lamp and UBM. There wasn’t a statistically significance association between the causative agents and both of the type of injury and the number of surgery sessions. Also there wasn’t a statistically significance with place of trauma. While There was a statistically significance association between time of presentation and type of injury p = 0.001. Conclusion: This study reported maximum incidence of paediatric ocular trauma at school age children with blunt objects as the most common cause of injury. UBM is a very helpful tool in assessment of lens status after trauma also in decision making for surgery.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79153317","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 : 2023-01-01DOI: 10.33545/26638266.2023.v5.i2a.158
Dr. Veeresh Korwar, Dr. Diksha Karbhari
Background: Cataract is the biggest cause of curable blindness in India & worldwide.Cataract extraction is the most effective surgical intervention in terms of quality of life restored. Phacoemulsification has led to substantial decrease in duration of surgery, postoperative course and duration of hospitalization. However obtaining aqeduate, quick, stable mydriasis and anesthesia is one of the key points influencing the safety of surgery and patients comfort.Mydriatic eyedrops is the standard method for pupil dilatation.An alternative to the traditional preparation for cataract surgery is a complex drug containing mydriatics and analgesics: Phenocaine plus (entod pharma) mixture of 0.2 mg tropicamide, 0.31mg phenylephrine, and 10 mg lidocaine.The present study is undertaken to study the safety and efficacy of intracameral mydriasis by phenocaine plus in phacoemulsification cataract surgery.Materials and Methods: Single centre, prospective observational study was done over a period of 18 months between 1st March 2021 to 31st August 2022. 200 patients underwent phacoemulsification under intracameral phenocaine plus were prospectively evaluated for grade of mydriasis, pain outcome, clinical outcome and also patients and surgeon satisfaction through questionnaire. Patients with History of previous ocular co morbidities, injury or surgery, who are unable to understand pain scale, Traumatic cataract, congenital cataract, complicated cataract, Patients with Pxf (pseudoexfoliation syndrome) were excluded from the study.Results: Out of 200 patients who underwent phacoemulsification, 66.5% had mild pain and 33.5% had No pain, during the administration of intracameral mydriatics. 4 hours post operatively, 71% of the respondents had mild pain and 29% had No pain. 69% had
{"title":"A clinical study of safety and efficacy of intracameral Phenocaine in phacoemulsification cataract surgery","authors":"Dr. Veeresh Korwar, Dr. Diksha Karbhari","doi":"10.33545/26638266.2023.v5.i2a.158","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i2a.158","url":null,"abstract":"Background: Cataract is the biggest cause of curable blindness in India & worldwide.Cataract extraction is the most effective surgical intervention in terms of quality of life restored. Phacoemulsification has led to substantial decrease in duration of surgery, postoperative course and duration of hospitalization. However obtaining aqeduate, quick, stable mydriasis and anesthesia is one of the key points influencing the safety of surgery and patients comfort.Mydriatic eyedrops is the standard method for pupil dilatation.An alternative to the traditional preparation for cataract surgery is a complex drug containing mydriatics and analgesics: Phenocaine plus (entod pharma) mixture of 0.2 mg tropicamide, 0.31mg phenylephrine, and 10 mg lidocaine.The present study is undertaken to study the safety and efficacy of intracameral mydriasis by phenocaine plus in phacoemulsification cataract surgery.Materials and Methods: Single centre, prospective observational study was done over a period of 18 months between 1st March 2021 to 31st August 2022. 200 patients underwent phacoemulsification under intracameral phenocaine plus were prospectively evaluated for grade of mydriasis, pain outcome, clinical outcome and also patients and surgeon satisfaction through questionnaire. Patients with History of previous ocular co morbidities, injury or surgery, who are unable to understand pain scale, Traumatic cataract, congenital cataract, complicated cataract, Patients with Pxf (pseudoexfoliation syndrome) were excluded from the study.Results: Out of 200 patients who underwent phacoemulsification, 66.5% had mild pain and 33.5% had No pain, during the administration of intracameral mydriatics. 4 hours post operatively, 71% of the respondents had mild pain and 29% had No pain. 69% had","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136053371","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 : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1a.132
Doaa Atef Saad El-Shereif, Adel A Selima, Mohammed Sameh El-Shorbagy, A. Sharaf
Background: The clinical diagnosis of infective keratitis does not give an unequivocal indication of the causative organisms because a wide range of organisms can produce a similar clinical picture. The causative agents of infective keratitis frequently isolated are: bacteria, fungi, viruses and Parasites. Aim and Objectives: The purpose of this study was to identify the correlation between clinical and culture laboratory finding in resistant keratitis at the Ophthalmology Department of Tanta University Hospitals. Subjects and Methods: This study was a prospective interventional selectively randomized clinical study which extended for 12 months at Tanta university hospitals and included fifty eyes of fifty patients clinically diagnosed resistant keratitis and presenting to The Ophthalmology Department of Tanta University Hospitals. The study started in January 2021. Results: there was statistically significant deference between groups regarding to Medical history, Trauma, Ulcer characteristics, Satellite lesions and corneal sensation. There was no statistically significant deference between groups regarding to age, gender, Contact wearing, foreign body, Ulcer size and gutter and immune ring. Conclusion: Clinical diagnosis is more important for treatment and follows up while culture is performed for documentation of the clinical findings. Incidence of fungal keratitis is significantly high in our region. The therapeutic approach can initially be based on clinical impression and evidence of the microbiologic trends of infectious keratitis and sensitivity/resistance patterns in our locality.
{"title":"Correlation between clinical and laboratory culture findings in resistant keratitis","authors":"Doaa Atef Saad El-Shereif, Adel A Selima, Mohammed Sameh El-Shorbagy, A. Sharaf","doi":"10.33545/26638266.2023.v5.i1a.132","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1a.132","url":null,"abstract":"Background: The clinical diagnosis of infective keratitis does not give an unequivocal indication of the causative organisms because a wide range of organisms can produce a similar clinical picture. The causative agents of infective keratitis frequently isolated are: bacteria, fungi, viruses and Parasites. Aim and Objectives: The purpose of this study was to identify the correlation between clinical and culture laboratory finding in resistant keratitis at the Ophthalmology Department of Tanta University Hospitals. Subjects and Methods: This study was a prospective interventional selectively randomized clinical study which extended for 12 months at Tanta university hospitals and included fifty eyes of fifty patients clinically diagnosed resistant keratitis and presenting to The Ophthalmology Department of Tanta University Hospitals. The study started in January 2021. Results: there was statistically significant deference between groups regarding to Medical history, Trauma, Ulcer characteristics, Satellite lesions and corneal sensation. There was no statistically significant deference between groups regarding to age, gender, Contact wearing, foreign body, Ulcer size and gutter and immune ring. Conclusion: Clinical diagnosis is more important for treatment and follows up while culture is performed for documentation of the clinical findings. Incidence of fungal keratitis is significantly high in our region. The therapeutic approach can initially be based on clinical impression and evidence of the microbiologic trends of infectious keratitis and sensitivity/resistance patterns in our locality.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77770080","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 : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1b.146
Dina Gamal Al Shamakhy, A. Sharaf, W. Allam, Rabab Mohamed El Seht
Background: From harmless corneal abrasion to vision-threatening retinal detachment, ocular injuries manifest in a wide variety of ways. Frequently, injuries are preventable, and these incidents in children can result in lifelong disabilities which pose a substantial socioeconomic burden on society. Ophthalmic ultrasound is a medical imaging tool used to assess posterior segment lesions in eyes with opaque ocular media. Whenever other radiological tests (X-Ray) are negative, B-scan ultrasound offers beneficial data with regard to the existence of any type of ocular foreign body. It guides therapeutic decision-making concerning the late impacts of ocular trauma. Aim of the Work: the purpose of this prospective work was to assess the posterior segment in pediatric patients with corneo-scleral lacerations using B-scan ultrasonography. Patients and Methods: This prospective work was performed on 50 eyes of 50 kids with traumatic corneo-scleral lacerations was attending
{"title":"Posterior segment ultrasonic evaluation of cases of traumatic corneo-scleral lacerations in pediatric eyes","authors":"Dina Gamal Al Shamakhy, A. Sharaf, W. Allam, Rabab Mohamed El Seht","doi":"10.33545/26638266.2023.v5.i1b.146","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1b.146","url":null,"abstract":"Background: From harmless corneal abrasion to vision-threatening retinal detachment, ocular injuries manifest in a wide variety of ways. Frequently, injuries are preventable, and these incidents in children can result in lifelong disabilities which pose a substantial socioeconomic burden on society. Ophthalmic ultrasound is a medical imaging tool used to assess posterior segment lesions in eyes with opaque ocular media. Whenever other radiological tests (X-Ray) are negative, B-scan ultrasound offers beneficial data with regard to the existence of any type of ocular foreign body. It guides therapeutic decision-making concerning the late impacts of ocular trauma. Aim of the Work: the purpose of this prospective work was to assess the posterior segment in pediatric patients with corneo-scleral lacerations using B-scan ultrasonography. Patients and Methods: This prospective work was performed on 50 eyes of 50 kids with traumatic corneo-scleral lacerations was attending","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83098139","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 : 2022-07-01DOI: 10.33545/26638266.2022.v4.i2a.123
Dr. Yogendra Singh Dhaked, Dr. Kamlesh Khilnani, Dr. Vishal Agarwal, Dr. Varun Kumar Saini
Aim: The aim of this is to evaluate the effects on vitrectomy with inverted internal limiting membrane (ILM) flap technique versus vitrectomy with complete ILM peeling (standard macular hole surgery) for large macular hole diameter greater than 400 micron. Design: A prospective, randomized clinical trial Participants: patients with macular holes larger than 400 micron were included. In group A,75 eyes of 75 patients underwent standard macular hole surgery with complete ILM peeling. in group B,75 eyes of 75 patients underwent inverted ILM flap technique. Method : In the inverted ILM flap technique a remnant attached to the margins of the macular hole was left in place. This ILM remnant was then inverted upside down to cover the macular hole. Spectral domain optical coherence tomography and clinical examination were performed before surgery and postoperatively at 1, 3, 6 and12 months. Main outcome measures: visual acuity and macular hole closure. Results: Preoperative mean visual acuity was 0.0944 (Range 0.0630-0.1680) in group A and 0.0926 (range 0.0720-0.1430) in group B. macular hole closure was observed 93.33% of patients in group A, and in 100% of patients in group B, flat open was observed in 33.33% of patients in group A.13.33% of patients in group B. Mean postoperative visual acuity 12 months after surgery was 0.19 in group A and 0.31 in group B, (p value 0.001each) which was statistically significant. Conclusions: in the inverted ILM flap techniques prevents the postoperative flat open appearance of a macular hole and improves both the functional and anatomic outcomes of vitrectomy for macular holes with a diameter greater than 400 micron. Spectral optical coherence tomography after vitrectomy with the inverted ILM flap technique suggests improved foveal anatomy compared with the standard surgery.
{"title":"A randomized clinical trial to compare inverted ILM flap technique and standard macular hole surgery in terms of anatomical and functional outcomes for macular holes diameter greater than 400 micron","authors":"Dr. Yogendra Singh Dhaked, Dr. Kamlesh Khilnani, Dr. Vishal Agarwal, Dr. Varun Kumar Saini","doi":"10.33545/26638266.2022.v4.i2a.123","DOIUrl":"https://doi.org/10.33545/26638266.2022.v4.i2a.123","url":null,"abstract":"Aim: The aim of this is to evaluate the effects on vitrectomy with inverted internal limiting membrane (ILM) flap technique versus vitrectomy with complete ILM peeling (standard macular hole surgery) for large macular hole diameter greater than 400 micron. Design: A prospective, randomized clinical trial Participants: patients with macular holes larger than 400 micron were included. In group A,75 eyes of 75 patients underwent standard macular hole surgery with complete ILM peeling. in group B,75 eyes of 75 patients underwent inverted ILM flap technique. Method : In the inverted ILM flap technique a remnant attached to the margins of the macular hole was left in place. This ILM remnant was then inverted upside down to cover the macular hole. Spectral domain optical coherence tomography and clinical examination were performed before surgery and postoperatively at 1, 3, 6 and12 months. Main outcome measures: visual acuity and macular hole closure. Results: Preoperative mean visual acuity was 0.0944 (Range 0.0630-0.1680) in group A and 0.0926 (range 0.0720-0.1430) in group B. macular hole closure was observed 93.33% of patients in group A, and in 100% of patients in group B, flat open was observed in 33.33% of patients in group A.13.33% of patients in group B. Mean postoperative visual acuity 12 months after surgery was 0.19 in group A and 0.31 in group B, (p value 0.001each) which was statistically significant. Conclusions: in the inverted ILM flap techniques prevents the postoperative flat open appearance of a macular hole and improves both the functional and anatomic outcomes of vitrectomy for macular holes with a diameter greater than 400 micron. Spectral optical coherence tomography after vitrectomy with the inverted ILM flap technique suggests improved foveal anatomy compared with the standard surgery.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90610780","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 : 2022-07-01DOI: 10.33545/26638266.2022.v4.i2a.125
Dr. Mohammad Shahid Khan, Dr. Shalu Gupta
{"title":"Giant cell arteritis with bilateral vision loss: A case report","authors":"Dr. Mohammad Shahid Khan, Dr. Shalu Gupta","doi":"10.33545/26638266.2022.v4.i2a.125","DOIUrl":"https://doi.org/10.33545/26638266.2022.v4.i2a.125","url":null,"abstract":"","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77986221","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：