Pub Date : 2023-06-06DOI: 10.15406/aovs.2023.13.00442
Gabriel D’stefano
Aim: To describe changes in the quality of life and visual performance of advanced glaucoma patients after lensectomy. Materials and methods: Retrospective cohort study of patients with advanced glaucoma requiring cataract surgery between March and September 2018 at the Glaucoma Service of Hospital Oftalmológico Santa Lucía. Advanced glaucoma was defined as present when there was a cup/disc ratio > 0.8, visual field damage within 10 degrees of central fixation or a temporal visual field remnant. Standard phacoemulsification surgery with intraocular lens implantation was performed. An adapted low-vision quality of life questionnaire was administered before surgery and one month postoperatively. Results: A total of 9 patients (6 women and 3 men) were included. The age range was 29 to 88 (mean: 71 years). Visual acuity improved in most cases and there was an improvement of sensitivity in mean deviation and model standard deviation, as well as in the areas of quality of life evaluated. Conclusion: Cataract surgery should be considered as an alternative in cases of advanced glaucoma and stable intraocular pressure, since a substantial benefit in the function and quality of life of patients has been observed.
目的:探讨晚期青光眼患者晶状体切除术后生活质量和视力的变化。材料与方法:回顾性队列研究2018年3月至9月期间在Oftalmológico Santa Lucía青光眼服务医院接受白内障手术的晚期青光眼患者。当杯盘比> 0.8，中央固定10度以内的视野损害或颞区视野残留时，定义为晚期青光眼。标准超声乳化术合并人工晶状体植入术。术前和术后1个月进行适应性低视力生活质量问卷调查。结果:共纳入9例患者(女6例，男3例)。年龄29 ~ 88岁，平均71岁。大多数病例的视力都有所改善，平均偏差和模型标准差的敏感性以及生活质量评估领域也有所改善。结论:对于晚期青光眼且眼压稳定的患者，应考虑白内障手术作为一种替代方案，因为已观察到白内障手术对患者的功能和生活质量有实质性的好处。
{"title":"Impact of cataract surgery on the quality of life of patients with advanced glaucoma","authors":"Gabriel D’stefano","doi":"10.15406/aovs.2023.13.00442","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00442","url":null,"abstract":"Aim: To describe changes in the quality of life and visual performance of advanced glaucoma patients after lensectomy. Materials and methods: Retrospective cohort study of patients with advanced glaucoma requiring cataract surgery between March and September 2018 at the Glaucoma Service of Hospital Oftalmológico Santa Lucía. Advanced glaucoma was defined as present when there was a cup/disc ratio > 0.8, visual field damage within 10 degrees of central fixation or a temporal visual field remnant. Standard phacoemulsification surgery with intraocular lens implantation was performed. An adapted low-vision quality of life questionnaire was administered before surgery and one month postoperatively. Results: A total of 9 patients (6 women and 3 men) were included. The age range was 29 to 88 (mean: 71 years). Visual acuity improved in most cases and there was an improvement of sensitivity in mean deviation and model standard deviation, as well as in the areas of quality of life evaluated. Conclusion: Cataract surgery should be considered as an alternative in cases of advanced glaucoma and stable intraocular pressure, since a substantial benefit in the function and quality of life of patients has been observed.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114570310","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 : 2023-05-26DOI: 10.15406/aovs.2023.13.00441
Nkwegu Ogbonna Markson, S. Onwubiko, Nwachukwu Nkiru Zuadae, Okoloagu Nkiruka Nonyelum, Ibewuike Cu, E. Onwasigwe, R. Umeh
Purpose: To evaluate and compare the ocular blood flow in non-glaucoma versus primary open-angle glaucoma (POAG) subjects attending the ophthalmic clinic of University of Nigeria Teaching Hospital (UNTH) Enugu using Doppler ultrasonography. Methods: A cross-sectional comparative study was adopted. Fifty-Eight POAG and 58 non-glaucoma subjects were recruited. Information on their socio-demographic and clinical profiles was obtained via an interviewer-administered questionnaire. Ocular Doppler Imaging was performed on all the Subjects. Peak systolic volume, End diastolic volume, mean flow velocity and Resistive Index (RI) of the central retinal artery and ophthalmic artery were recorded. Data were analysed using the SPSS version 21. Person correlation was used to determine the relationship between the Doppler indices and demographic and clinical variables. The level of significance was at p <0.05. Results: The subjects were mainly males, 71(61.7%), with an age range of 40 to 79 years. The POAG Subjects lived with glaucoma for 5.57±4.2 years, and mainly on medical treatment 52(89.7%) with beta-blockers and prostaglandin analogues. The RI was significantly higher (p=0.01) in POAG subjects. A significant positive relationship (P = 0.014) was observed between RI and intraocular pressure (IOP) of the POAG subjects. Conclusion: In POAG subjects, RI was significantly higher; as the IOP increased there was an increase in RI translating to a sub-optimal ocular blood flow. Interventions aimed at modifying the RI would therefore be synergistic with IOP lowering measures. Additionally, RI assessment may offer a new target for glaucoma case finding.
目的:应用多普勒超声评价和比较尼日利亚大学埃努古教学医院眼科门诊非青光眼和原发性开角型青光眼(POAG)患者的眼血流量。方法:采用横断面比较研究。招募了58名POAG和58名非青光眼受试者。他们的社会人口和临床概况信息是通过访谈者填写的问卷获得的。所有受试者均行眼多普勒成像。记录视网膜中央动脉和眼动脉的收缩峰值容积、舒张末容积、平均流速和阻力指数(RI)。数据分析使用SPSS version 21。人相关性用于确定多普勒指数与人口统计学和临床变量之间的关系。p <0.05为显著性水平。结果:研究对象以男性为主，71例(61.7%)，年龄40 ~ 79岁。POAG患者的青光眼生存时间为5.57±4.2年，其中52人(89.7%)主要接受-受体阻滞剂和前列腺素类似物的药物治疗。POAG组的RI显著高于POAG组(p=0.01)。POAG受试者的RI与眼压(IOP)呈显著正相关(P = 0.014)。结论:POAG组RI显著高于POAG组;随着IOP的增加，RI的增加转化为次优眼血流量。因此，旨在调整RI的干预措施将与降低IOP的措施协同作用。此外，RI评估可能为青光眼病例发现提供新的目标。
{"title":"Doppler ultrasonography of ocular blood flow in non-glaucoma versus primary open angle glaucoma subjects at the university of Nigeria teaching hospital, Enugu","authors":"Nkwegu Ogbonna Markson, S. Onwubiko, Nwachukwu Nkiru Zuadae, Okoloagu Nkiruka Nonyelum, Ibewuike Cu, E. Onwasigwe, R. Umeh","doi":"10.15406/aovs.2023.13.00441","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00441","url":null,"abstract":"Purpose: To evaluate and compare the ocular blood flow in non-glaucoma versus primary open-angle glaucoma (POAG) subjects attending the ophthalmic clinic of University of Nigeria Teaching Hospital (UNTH) Enugu using Doppler ultrasonography. Methods: A cross-sectional comparative study was adopted. Fifty-Eight POAG and 58 non-glaucoma subjects were recruited. Information on their socio-demographic and clinical profiles was obtained via an interviewer-administered questionnaire. Ocular Doppler Imaging was performed on all the Subjects. Peak systolic volume, End diastolic volume, mean flow velocity and Resistive Index (RI) of the central retinal artery and ophthalmic artery were recorded. Data were analysed using the SPSS version 21. Person correlation was used to determine the relationship between the Doppler indices and demographic and clinical variables. The level of significance was at p <0.05. Results: The subjects were mainly males, 71(61.7%), with an age range of 40 to 79 years. The POAG Subjects lived with glaucoma for 5.57±4.2 years, and mainly on medical treatment 52(89.7%) with beta-blockers and prostaglandin analogues. The RI was significantly higher (p=0.01) in POAG subjects. A significant positive relationship (P = 0.014) was observed between RI and intraocular pressure (IOP) of the POAG subjects. Conclusion: In POAG subjects, RI was significantly higher; as the IOP increased there was an increase in RI translating to a sub-optimal ocular blood flow. Interventions aimed at modifying the RI would therefore be synergistic with IOP lowering measures. Additionally, RI assessment may offer a new target for glaucoma case finding.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130158978","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 : 2023-04-26DOI: 10.15406/aovs.2023.13.00439
E. Kahouadji
{"title":"Thought of the future of amblyopia treatment","authors":"E. Kahouadji","doi":"10.15406/aovs.2023.13.00439","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00439","url":null,"abstract":"","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116808953","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 : 2023-03-31DOI: 10.15406/aovs.2023.13.00438
R. Shah
Episcleritis is an inflammatory condition that affects episcleral tissue underlying the sclera and conjunctiva.1,2 It is a recurrent and mild self-remitting surface disease. Its etiology is unknown but may be associated with systemic diseases.3–5 It has been recognized for over a century as sub-conjunctivitis or subconjuctivitis phlegmatous. The condition is unilateral in two thirds of cases and bilateral in one third. Two major clinical types are noticed diffuse and nodular. The case outlined Nodular episcleritis and its clinical diagnosis and management. The condition was mild and didn’t progress to a more severe disorder. An episcleral nodule adjacent to the cornea is very rare.
{"title":"A case study of benign nodular episcleritis and management","authors":"R. Shah","doi":"10.15406/aovs.2023.13.00438","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00438","url":null,"abstract":"Episcleritis is an inflammatory condition that affects episcleral tissue underlying the sclera and conjunctiva.1,2 It is a recurrent and mild self-remitting surface disease. Its etiology is unknown but may be associated with systemic diseases.3–5 It has been recognized for over a century as sub-conjunctivitis or subconjuctivitis phlegmatous. The condition is unilateral in two thirds of cases and bilateral in one third. Two major clinical types are noticed diffuse and nodular. The case outlined Nodular episcleritis and its clinical diagnosis and management. The condition was mild and didn’t progress to a more severe disorder. An episcleral nodule adjacent to the cornea is very rare.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128886734","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 : 2023-03-27DOI: 10.15406/aovs.2023.13.00437
Rudkovska Oksana Dmytrivna
Age-related macular dystrophy (AMD) is one of the main causes of vision loss in old age. The etiopathogenesis of AMD has not been fully elucidated, therefore there is no radical treatment of AMD. The proposed hypothesis is that the trigger of AMD may be a genetically determined weakness of accommodation (related to an excessively small distance "ciliary body - lens equator"). It is necessary to carry out objective accomodometry, OCT diagnostics of the distance "ciliary body - lens equator" in older people with healthy eyes and with ophthalmopathology (including AMD). If the hypothesis is confirmed, it is proposed to: a) surgically expand the ring of the ciliary body; b) to form a simple direct myopic astigmatism of up to 1.5 diopters on an artificial eye with AMD (by calculating the optical power of the IOL or modeling the corneal surface with a femtosecond laser).
{"title":"Age maculodystrophia: the hypothesis of etiopathogenesis","authors":"Rudkovska Oksana Dmytrivna","doi":"10.15406/aovs.2023.13.00437","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00437","url":null,"abstract":"Age-related macular dystrophy (AMD) is one of the main causes of vision loss in old age. The etiopathogenesis of AMD has not been fully elucidated, therefore there is no radical treatment of AMD. The proposed hypothesis is that the trigger of AMD may be a genetically determined weakness of accommodation (related to an excessively small distance \"ciliary body - lens equator\"). It is necessary to carry out objective accomodometry, OCT diagnostics of the distance \"ciliary body - lens equator\" in older people with healthy eyes and with ophthalmopathology (including AMD). If the hypothesis is confirmed, it is proposed to: a) surgically expand the ring of the ciliary body; b) to form a simple direct myopic astigmatism of up to 1.5 diopters on an artificial eye with AMD (by calculating the optical power of the IOL or modeling the corneal surface with a femtosecond laser).","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126452111","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 : 2023-03-13DOI: 10.15406/aovs.2023.13.00436
G. Vadalà, Emanuele Siotto Pintor
Purpose: Dacryocystorhinostomy surgery may result in significant postoperative scarring. Although other surgical techniques have been developed that achieve a better aesthetic result, the ab externo technique remains the gold standard for this procedure. We developed a telephone survey to evaluate the visual impact of postoperative skin scars associated with ab externo dacryocystorhinostomy. Methods: 470 patients underwent uncomplicated external dacryocystorhinostomy surgery by two consultant surgeons from January 2014 to December 2021. Skin incisions were closed using intradermic continuous suture with prolene 6.0. The exclusion criteria were cases of dacryo-phlegmon and lacrimal sac fistulae with skin maceration. The visual effect of the postoperative scar was evaluated, and the degree of patient satisfaction was measured by a questionnaire with four subjective perceptions of the scar (very good, good, bad, very bad) given by a physician in the first postoperative month. The survey responses were used as the basis for a literature review. Results: The survey received 470 responses (100%) Very good perception of the scar was achieved in 75,8% of patients. There were no other post-operative complications noted from medical records review. Conclusions: Given the small percentage of patients who complained of marked scarring, it should not be the main reason for deciding on the procedure for dacryocystorhinostomy, especially in elderly patients. Therefore, the surgical technique should be considered as a surgically acceptable choice if cosmetic results were selection criteria in the case of total stenosis of the nasolacrimal duct.
{"title":"Intradermal suture post-surgical scar in external dacryocystorhinostomy: technique and patient satisfaction survey","authors":"G. Vadalà, Emanuele Siotto Pintor","doi":"10.15406/aovs.2023.13.00436","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00436","url":null,"abstract":"Purpose: Dacryocystorhinostomy surgery may result in significant postoperative scarring. Although other surgical techniques have been developed that achieve a better aesthetic result, the ab externo technique remains the gold standard for this procedure. We developed a telephone survey to evaluate the visual impact of postoperative skin scars associated with ab externo dacryocystorhinostomy. Methods: 470 patients underwent uncomplicated external dacryocystorhinostomy surgery by two consultant surgeons from January 2014 to December 2021. Skin incisions were closed using intradermic continuous suture with prolene 6.0. The exclusion criteria were cases of dacryo-phlegmon and lacrimal sac fistulae with skin maceration. The visual effect of the postoperative scar was evaluated, and the degree of patient satisfaction was measured by a questionnaire with four subjective perceptions of the scar (very good, good, bad, very bad) given by a physician in the first postoperative month. The survey responses were used as the basis for a literature review. Results: The survey received 470 responses (100%) Very good perception of the scar was achieved in 75,8% of patients. There were no other post-operative complications noted from medical records review. Conclusions: Given the small percentage of patients who complained of marked scarring, it should not be the main reason for deciding on the procedure for dacryocystorhinostomy, especially in elderly patients. Therefore, the surgical technique should be considered as a surgically acceptable choice if cosmetic results were selection criteria in the case of total stenosis of the nasolacrimal duct.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114685021","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 : 2023-03-06DOI: 10.15406/aovs.2023.13.00435
Dany Kabesha Birhaheka, O. Mukuku, T. B. Kabesha, J. Théra, Zacharie Kibendelwa Tsongo, S. Wembonyama
Introduction: Ptosis is a fall of the upper eyelid caused by a defect in the levator. The aim of the study was to describe epidemiological, clinical, and therapeutic features of ptosis in Bukavu. Methodology: This is a prospective study conducted on 77 patients admitted for ptosis in ophthalmology departments of the Panzi Hospital and the CBM-CELPA Ophthalmological Clinic in Bukavu (Democratic Republic of the Congo) during a period of 3 years, from 1 January 2018 to 31 December 2021. Results: The median age at management was 14 years, with a male predominance (57.1%). This was congenital ptosis in 77.9%, and acquired ptosis in 22.1%. Ptosis was major in 24.1%, and moderate in 61.0% of cases. Amblyopia was present in 63.6% of the cases. Resection of the levator muscle of the upper eyelid was the most common surgical technique (56.4%), followed by suspension of the upper eyelid from the frontal muscle (43.6%). Functional and aesthetic results were satisfactory in 17 eyes (30.9%). Among the postoperative complications, we noted the suture thread release (16.4%) and the inflammatory granuloma (12.7%). Conclusion: Ptosis is a pathology encountered in Bukavu. It is unilateral in the majority of cases. Congenital ptosis is the most common form. Surgical treatment gives good results in our context.
{"title":"Epidemiological, clinical, and therapeutic features of ptosis in Bukavu, Democratic Republic of the Congo","authors":"Dany Kabesha Birhaheka, O. Mukuku, T. B. Kabesha, J. Théra, Zacharie Kibendelwa Tsongo, S. Wembonyama","doi":"10.15406/aovs.2023.13.00435","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00435","url":null,"abstract":"Introduction: Ptosis is a fall of the upper eyelid caused by a defect in the levator. The aim of the study was to describe epidemiological, clinical, and therapeutic features of ptosis in Bukavu. Methodology: This is a prospective study conducted on 77 patients admitted for ptosis in ophthalmology departments of the Panzi Hospital and the CBM-CELPA Ophthalmological Clinic in Bukavu (Democratic Republic of the Congo) during a period of 3 years, from 1 January 2018 to 31 December 2021. Results: The median age at management was 14 years, with a male predominance (57.1%). This was congenital ptosis in 77.9%, and acquired ptosis in 22.1%. Ptosis was major in 24.1%, and moderate in 61.0% of cases. Amblyopia was present in 63.6% of the cases. Resection of the levator muscle of the upper eyelid was the most common surgical technique (56.4%), followed by suspension of the upper eyelid from the frontal muscle (43.6%). Functional and aesthetic results were satisfactory in 17 eyes (30.9%). Among the postoperative complications, we noted the suture thread release (16.4%) and the inflammatory granuloma (12.7%). Conclusion: Ptosis is a pathology encountered in Bukavu. It is unilateral in the majority of cases. Congenital ptosis is the most common form. Surgical treatment gives good results in our context.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121492228","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 : 2023-02-13DOI: 10.15406/aovs.2023.13.00434
Introduction: The objective of this study is to report the results of the management of ptosis in our practice by comparing two techniques, one consisting of the resection of the levator of the upper eyelid and the other of the suspension of the upper eyelid to the frontal muscle. Methodology: This is a prospective study of all consecutive ptosis patients in two ophthalmology departments in Bukavu (in Democratic Republic of the Congo) from 1 January 2018 to 31 December 2021. All patients were operated on by the same surgeon with a minimum of 6 months follow-up post-operatively. Results: A total of 55 patients were treated for ptosis during the study period, including 31 with upper eyelid levator resection and 24 with upper eyelid suspension to frontal muscle. We found that male sex, cosmetic gene, congenital ptosis, left location, moderate degree and isolated ptosis were predominant in both groups of patients, but statistical comparison between these two groups was not significant (p>0.05). For post-operative complications, there was a statistically significant difference between the two treatments (p=0.0002). After treatment, the statistical analysis shows that the median value of visual acuity in patients who underwent upper eyelid levator resection was significantly higher than that in patients who underwent upper eyelid suspension to frontal muscle (p=0.021). Conclusion: The results of this study show that resection of the upper eyelid levator seems to be the best surgical technique compared to the suspension to the frontal muscle in our context.
{"title":"Ptosis surgery in Bukavu, Democratic Republic of the Congo: comparative study of two surgical techniques","authors":"","doi":"10.15406/aovs.2023.13.00434","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00434","url":null,"abstract":"Introduction: The objective of this study is to report the results of the management of ptosis in our practice by comparing two techniques, one consisting of the resection of the levator of the upper eyelid and the other of the suspension of the upper eyelid to the frontal muscle. Methodology: This is a prospective study of all consecutive ptosis patients in two ophthalmology departments in Bukavu (in Democratic Republic of the Congo) from 1 January 2018 to 31 December 2021. All patients were operated on by the same surgeon with a minimum of 6 months follow-up post-operatively. Results: A total of 55 patients were treated for ptosis during the study period, including 31 with upper eyelid levator resection and 24 with upper eyelid suspension to frontal muscle. We found that male sex, cosmetic gene, congenital ptosis, left location, moderate degree and isolated ptosis were predominant in both groups of patients, but statistical comparison between these two groups was not significant (p>0.05). For post-operative complications, there was a statistically significant difference between the two treatments (p=0.0002). After treatment, the statistical analysis shows that the median value of visual acuity in patients who underwent upper eyelid levator resection was significantly higher than that in patients who underwent upper eyelid suspension to frontal muscle (p=0.021). Conclusion: The results of this study show that resection of the upper eyelid levator seems to be the best surgical technique compared to the suspension to the frontal muscle in our context.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133220186","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 : 2023-02-09DOI: 10.15406/aovs.2023.13.00433
I. Mohammed, Sareta Dubay, R. Bhola, D. Dwarika
Purpose: To discuss a case of shared optometric-ophthalmic (O-O) approach in objectively refracting and examining a paediatric high myope under general anaesthesia. Methods: A paediatric high myope was cyclopleged then underwent objective retinoscopy under general anaesthesia within a surgical theatre setting. Corneal diameter, interpupillary distance, immersion biometry axial lengths, intraocular pressures, keratometry readings, A-scan and B-scan ultrasound images were all subsequently obtained. Lastly, binocular indirect ophthalmoscopic examination with 360º scleral indentation was carried out. A comprehensive O-O report was dispensed with all collated parameters. Results: A refractive error of -11.00DS bilaterally was measured. Ocular health assessment showed no significant myopic abnormalities. The patient was dispensed spectacles and adapted well with improved comfort. Low dose atropine myopia control was commenced. Conclusion: O-O shared care in refracting and examining difficult and highly myopic paediatric cases under general anaesthesia is a useful and effective tool.
{"title":"Optometry meets ophthalmology- cycloplegic refraction and examination under general anaesthesia in a paediatric high myope","authors":"I. Mohammed, Sareta Dubay, R. Bhola, D. Dwarika","doi":"10.15406/aovs.2023.13.00433","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00433","url":null,"abstract":"Purpose: To discuss a case of shared optometric-ophthalmic (O-O) approach in objectively refracting and examining a paediatric high myope under general anaesthesia. Methods: A paediatric high myope was cyclopleged then underwent objective retinoscopy under general anaesthesia within a surgical theatre setting. Corneal diameter, interpupillary distance, immersion biometry axial lengths, intraocular pressures, keratometry readings, A-scan and B-scan ultrasound images were all subsequently obtained. Lastly, binocular indirect ophthalmoscopic examination with 360º scleral indentation was carried out. A comprehensive O-O report was dispensed with all collated parameters. Results: A refractive error of -11.00DS bilaterally was measured. Ocular health assessment showed no significant myopic abnormalities. The patient was dispensed spectacles and adapted well with improved comfort. Low dose atropine myopia control was commenced. Conclusion: O-O shared care in refracting and examining difficult and highly myopic paediatric cases under general anaesthesia is a useful and effective tool.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117176458","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 : 2023-02-01DOI: 10.15406/aovs.2023.13.00432
L. Bauchiero, F. Monteu, R. Orlassino, P. Tavormina, G. Vadalà
Purpose: To evaluate the bicanalicular tube structural integrity and the anatomical and functional post operative results of cases of long and very long bicanalicular intubation (from 2 to 13 years). Methods: We studied all the patients of our Department with long-lasting intubation (greater than one year), from 2000 to 2021. We obtained an histocytological evaluation of the material of intubation and a nasal endoscopy. We investigated the causes of the long permanency and the patient tolerability. Results: In our study, 6 eyes from 5 patients (4 women and 1 man) underwent a nasolacrimal duct intubation. The mean intubation permanency time was 6.8 years and the median value was 7 years (minimum 2 years, maximum 13 years). The bicanalicular tube examinations found traces of mucus made of amorphous protein material, sporadic leukocytes and histiocytes. In all the patients the nasal endoscopy showed good conditions of the middle meatus mucosa. Conclusions: In complex cases, such as multiple re-operations, inflamed and small lacrimal sac, fibrotic sac, inflamed nasal mucosa for previous nasal pathologies, a permanent silicone tube could be a reasonable choice as it appears to be well tolerated and without major complication risks.
{"title":"Silicone nasolacrimal intubation: our experience in long term cases","authors":"L. Bauchiero, F. Monteu, R. Orlassino, P. Tavormina, G. Vadalà","doi":"10.15406/aovs.2023.13.00432","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00432","url":null,"abstract":"Purpose: To evaluate the bicanalicular tube structural integrity and the anatomical and functional post operative results of cases of long and very long bicanalicular intubation (from 2 to 13 years). Methods: We studied all the patients of our Department with long-lasting intubation (greater than one year), from 2000 to 2021. We obtained an histocytological evaluation of the material of intubation and a nasal endoscopy. We investigated the causes of the long permanency and the patient tolerability. Results: In our study, 6 eyes from 5 patients (4 women and 1 man) underwent a nasolacrimal duct intubation. The mean intubation permanency time was 6.8 years and the median value was 7 years (minimum 2 years, maximum 13 years). The bicanalicular tube examinations found traces of mucus made of amorphous protein material, sporadic leukocytes and histiocytes. In all the patients the nasal endoscopy showed good conditions of the middle meatus mucosa. Conclusions: In complex cases, such as multiple re-operations, inflamed and small lacrimal sac, fibrotic sac, inflamed nasal mucosa for previous nasal pathologies, a permanent silicone tube could be a reasonable choice as it appears to be well tolerated and without major complication risks.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125028305","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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