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Drug-induced Cornea Verticillata: A Report of 2 Cases 药物诱发的角膜葡萄胎:2 例报告
Pub Date : 2024-07-25 DOI: 10.9734/or/2024/v19i4433
Adil Bouzidi, Mohcine El Mhadi, A. E. Ouafi
Cornea verticillata is caused by the deposition of drugs, metabolic substrates, or disease byproducts in the basal epithelial layer of the cornea, it is most associated with amiodarone and Fabry disease. It can also be caused by a variety of other drugs, the most common of which are: Chloroquine and Hydroxychloroquine, Indomethacin, Phenothiazines. We report two cases of drugs induced cornea verticillata, one secondary to prolonged intake of amiodarone and the other to amiodarone and hydroxychloroquine, to understand its pathophysiology, describe its clinical classification and discuss its treatment. The medications that cause this pathology have similar cationic and amphiphilic characteristics that enable them to penetrate the cornea's basal epithelial layer lysosomes and attach to cellular lipids there. These drug-lipid complexes build up as deposits in the cornea and are resistant to enzymatic breakdown. The deposits are generally not visually significant and generally disappear with the cessation of the causative agent. Several case reports have described resolution of whorled cornea with the use of topical heparin.
角膜眩晕症是由药物、代谢底物或疾病副产品沉积在角膜基底上皮层引起的,与胺碘酮和法布里病的关系最为密切。它也可能由其他多种药物引起,其中最常见的有氯喹和羟氯喹、吲哚美辛、吩噻嗪类药物。我们报告了两例药物诱发的角膜眩晕症,一例是继发于长期服用胺碘酮,另一例是继发于胺碘酮和羟氯喹,旨在了解其病理生理学,描述其临床分类并讨论其治疗方法。导致这种病理现象的药物具有类似的阳离子和两亲特性,使其能够穿透角膜基底上皮层溶酶体,并附着在那里的细胞脂质上。这些药物-脂质复合物会在角膜上形成沉积物,而且不易被酶分解。这些沉积物通常没有明显的视觉效果,一般会随着致病因子的停用而消失。有几份病例报告描述了局部使用肝素后角膜白化的情况。
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引用次数: 0
Sustainable Development Goals and Eye Care in Nigeria 尼日利亚的可持续发展目标和眼科护理
Pub Date : 2024-07-22 DOI: 10.9734/or/2024/v19i4432
Olomola, B. V., Isawumi M. A., Adeoti C. O., E. B. A.
Introduction: The Sustainable Development Goals (SDGs) were adopted at the United Nations (UN) General Assembly in September 2015. The Outcome Document adopted 17 Sustainable Development Goals (SDGs) [2] with 169 targets, ensuring that ‘no one is left behind’ and its importance to eye care.   Methodology: Different WHO articles were reviewed, this was then related to eye health in Nigeria.  Goals: The seventeen SDGs were related to the eye care services in this write up. This highlights key policy, institutional and regulatory measures put in place to create necessary enabling environment for mainstreaming of SDGs in national policies, plans and programmes, [1] and its coherent coordination. The need for making better use of prevalence data in strategic planning processes for eye care services in Nigeria.   Results: From this review of articles it was found out that there was great relationship between the SDGs and the eye. Conclusion: The 2030 Agenda comprises 17 Sustainable Development Goals (SDGs), or Global Goals, which will guide policy and funding for the next 15 years, beginning with a historic pledge to end poverty and to leave no one behind [14].
导言:2015 年 9 月,联合国(UN)大会通过了可持续发展目标(SDGs)。成果文件》通过了 17 项可持续发展目标 (SDGs) [2],共 169 项具体目标,确保 "不让一个人掉队",这对眼科护理具有重要意义。 研究方法:回顾世界卫生组织的不同文章,然后将其与尼日利亚的眼健康联系起来。 目标:在本报告中,十七项可持续发展目标与眼保健服务相关。这突出说明了为创造必要的有利环境,将可持续发展目标纳入国家政策、计划和方案的主流[1]及其协调一致而采取的主要政策、制度和监管措施。在尼日利亚眼科保健服务战略规划过程中更好地利用患病率数据的必要性。 结果:通过对文章的回顾发现,可持续发展目标与眼科之间存在着密切的关系。结论2030 年议程由 17 个可持续发展目标(SDGs)或全球目标组成,这些目标将指导未来 15 年的政策和筹资工作,首先是消除贫困和不让一个人掉队的历史性承诺[14]。
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引用次数: 0
Clinical Profile of Ocular Trauma at a Tertiary Care Hospital 一家三级医院眼外伤的临床概况
Pub Date : 2024-07-10 DOI: 10.9734/or/2024/v19i4431
Anju Bhaskar, Rajivkumar Gupta
Background: Ocular trauma is preventable and one of the leading causes of ocular morbidity and blindness. Approximately 6 million people are blind from eye injuries, 2.3 million with bilateral visual impairment and 19 million with unilateral visual loss worldwide. In developing countries like ours the incidence of eye injuries is very high. This study has been conducted in the view of public health importance to provide information on magnitude, clinical and epidemiological profile of ocular injuries. Methods: A hospital based, cross sectional observational study, conducted during September 2014 - March 2016 in tertiary care center in Jharkhand, all cases of ocular trauma were included in the study. Demographic profile (age, sex, locality, occupation), nature and cause of injury was recorded. Detailed ophthalmological examination including visual acuity, slit lamp examination, indirect ophthalmoscopy, B-scan, intraocular pressure measurement, gonioscopy, computed tomography brain with orbit, Magnetic Resonance Imaging, X-Ray were done in relevant cases. Results: Total of 948 patients of ocular trauma were included. Most patients belong to the age group 21-40 years (60.87%), with mean age of 29.79 + 16.47 years. Males were affected more (73.52%) than females (26.47%). Closed globe injuries were more (75%) than open globe injuries (25%). Anterior segment was involved in (94.30%) and posterior segment in (8.86%). Work-related ocular injuries formed the commonest mode of injury (41.8%) followed by road traffic accident (30.37%). Conclusion: Ocular trauma is one of the most common causes of unilateral blindness. Targeting groups most at risk with health education, providing effective eye protection and strict implementation of traffic rules may decrease the occurrence of ocular injuries.
背景:眼外伤是可以预防的,也是导致眼部疾病和失明的主要原因之一。全世界约有 600 万人因眼外伤而失明,230 万人双侧视力受损,1900 万人单侧视力丧失。在像我国这样的发展中国家,眼外伤的发病率非常高。鉴于公共卫生的重要性,本研究旨在提供有关眼外伤的严重程度、临床和流行病学概况的信息。研究方法2014年9月至2016年3月期间,在恰尔肯德邦的三级医疗中心开展了一项基于医院的横断面观察研究,所有眼外伤病例均纳入研究范围。研究记录了人口统计学特征(年龄、性别、地区、职业)、受伤性质和原因。对相关病例进行详细的眼科检查,包括视力、裂隙灯检查、间接眼底镜检查、B-扫描、眼压测量、眼底镜检查、脑部及眼眶计算机断层扫描、磁共振成像、X光检查。结果:共纳入 948 名眼外伤患者。大多数患者属于 21-40 岁年龄组(60.87%),平均年龄为 29.79 + 16.47 岁。男性患者(73.52%)多于女性患者(26.47%)。闭合性眼球损伤(75%)多于开放性眼球损伤(25%)。前段(94.30%)和后段(8.86%)受累。与工作有关的眼部损伤是最常见的损伤方式(41.8%),其次是道路交通事故(30.37%)。结论眼外伤是导致单侧失明的最常见原因之一。针对高危人群开展健康教育,提供有效的护眼措施,严格执行交通规则,可以减少眼外伤的发生。
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引用次数: 0
Amplitude of Accommodation in Young Caucasian Adults in Greece 希腊年轻高加索成年人的适应振幅
Pub Date : 2024-07-08 DOI: 10.9734/or/2024/v19i4429
E. Pateras, Α. Chrysanthopoulos
Objective: This study aims to determine the prevalence of accommodation insufficiency among young Caucasian adults in Greece. Methods: Accommodation amplitude was assessed using the minus to blur method (PRA). Results were compared against Donder's and Hofstetter's values. Participants were categorized into "normal," "borderline," and "insufficient" based on deviations from expected values. Results: Over 50% of participants exhibited accommodation insufficiency. Men had significantly lower rates of normal accommodation amplitude compared to women. Further research is required to explore the impact of refractive errors on accommodation issues. Conclusions: Accommodation insufficiency is a significant issue among young adults, necessitating further studies and the establishment of standardized measurement methods. Investigating the role of the ciliary muscle in accommodation is also recommended.
研究目的本研究旨在确定希腊年轻高加索成年人中住宿不足的患病率。方法使用减去模糊法(PRA)评估适应振幅。结果与 Donder 和 Hofstetter 的数值进行比较。根据与预期值的偏差,将参与者分为 "正常"、"边缘 "和 "不足 "三类。结果显示超过 50% 的参与者表现出调节能力不足。与女性相比,男性的调节幅度正常率明显较低。需要进一步研究屈光不正对调节问题的影响。结论:在年轻人中,调节力不足是一个重要问题,需要进一步研究并建立标准化的测量方法。此外,还建议调查睫状肌在调节中的作用。
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引用次数: 0
Antimicrobial and Immunostimulatory Effects of Senna occidentalis Ethanolic Extract against Aspergillus flavus-Induced Mycotic Keratitis: A Promising Therapeutic Approach 番泻叶乙醇提取物对黄曲霉菌诱发的霉菌性角膜炎的抗菌和免疫刺激作用:一种前景广阔的治疗方法
Pub Date : 2024-06-15 DOI: 10.9734/or/2024/v19i3428
Anwer S. El-Badry, Eman E. El-Mowafy, Saida M. Amer, Mohamed S. El-Shourbagy, Khalil M. Saad-Allah
Background: Mycotic keratitis (MK) poses a significant risk as a severe and difficult-to-treat corneal infection with potentially life-threatening consequences. Fungi are commonly implicated as causative agents. Additionally, improper care of contact lenses increases the susceptibility to MK.Aim: This study aimed to investigate the phytochemical composition and therapeutic potential of Senna occidentalis ethanolic leaf extract in the treatment of Aspergillus flavus-induced mycotic keratitis.Methodology: The selected plant extract was tested for antimicrobial activity, analyzed for active ingredients and evaluated in vivo for physiological (Kidney and liver functions), histological (corneal tissue healing rates) and immunological responses (IgM levels).Results: The GC/MS analysis revealed high levels of some active components, including o-methyl glucose, tetramethyl hexadecenol, hexadecenoic acid, and octadecatrienoic acid. The ethanolic extract of S. occidentalis demonstrated potent antimicrobial activity against A. flavus in an albino rabbit model. Treatment with the extract at a concentration of 12.5 mg/ml resulted in a significant healing rate without any side effects, as evidenced by reduced levels of blood urea, creatinine, AST, and ALT in infected rabbits. Moreover, S. occidentalis extract effectively stimulated the immune system, as indicated by increased levels of IgM in both infected and non-infected rabbits. Histopathological analysis of the eye cornea further confirmed the complete disappearance of inflammation and restoration of normal tissue appearance and layer arrangement.Conclusions: These findings highlight the potential of S. occidentalis extract as a safe, affordable, and easily accessible treatment for A. flavus-induced mycotic keratitis, owing to its rich content of safe and bioactive phytochemicals.
背景:霉菌性角膜炎(MK)是一种严重且难以治疗的角膜感染,有可能危及生命,因此风险很大。真菌是常见的致病因子。目的:本研究旨在调查番泻叶乙醇叶提取物在治疗黄曲霉菌诱发的霉菌性角膜炎中的植物化学成分和治疗潜力:方法:对所选植物提取物进行抗菌活性测试,分析其有效成分,并在体内进行生理(肾脏和肝脏功能)、组织学(角膜组织愈合率)和免疫学反应(IgM水平)评估:气相色谱/质谱分析显示,一些活性成分的含量很高,包括邻甲基葡萄糖、十四甲基十六烯醇、十六烯酸和十八碳三烯酸。在白化兔模型中,西番莲属植物的乙醇提取物对黄曲霉菌具有很强的抗菌活性。用浓度为 12.5 毫克/毫升的该提取物治疗后,感染兔的血尿素、肌酐、谷草转氨酶和谷丙转氨酶水平均有所下降,表明该提取物具有显著的治愈率,且无任何副作用。此外,S. occidentalis 提取物还能有效刺激免疫系统,感染和未感染兔子的 IgM 水平都有所提高。角膜组织病理学分析进一步证实,炎症完全消失,组织外观和角膜层排列恢复正常:这些研究结果突出表明,由于西洋接骨木果提取物富含安全、生物活性强的植物化学物质,因此具有安全、经济、易于获得的治疗黄曲霉菌引起的霉菌性角膜炎的潜力。
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引用次数: 0
Two Cases of Ocular Trauma with Air Gun Pellets 两例气枪弹丸造成的眼外伤
Pub Date : 2024-06-07 DOI: 10.9734/or/2024/v19i3427
Nakul Verma, Balbir Khan, V. Anand, Ashneet Sandhu
Two healthy males presented on separate occasions to the emergency room after sustaining trauma by air-gun pellets during farmer’s agitation against the government. Clinical examination indicated that the foreign bodies (air-gun pellets) were imbedded in different locations (subconjunctival and subcutaneous in eye lid.). The management of this traumatic injury is discussed and concurs with the published literature.
两名健康男性在农民反对政府的骚乱中被气枪子弹击中后,分别来到急诊室就诊。临床检查显示,异物(气枪弹丸)嵌入不同部位(结膜下和眼睑皮下)。本文讨论了这一外伤的处理方法,并与已发表的文献一致。
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引用次数: 0
Malignant Hypertension: Importance of the Fundus in Emergency Services 恶性高血压:眼底检查在急诊服务中的重要性
Pub Date : 2024-06-02 DOI: 10.9734/or/2024/v19i3426
Hassina S, Bardi S, Cheikhna B, Bekkar B, Bouradouane K, Akkanour Y, Serghini L, Abdalah El
In this article, we highlight the importance of the ophthalmologist in the diagnosis of hypertensive emergencies. It is crucial to know how to make the correct diagnosis and correctly refer the patient. We report a case of a 23-year-old female patient with a history of undocumented nephropathy since the age of 10 years that was admitted for a sudden decrease in visual acuity and persistent headaches that did not respond to pain medication. Diagnosis is often difficult and delayed, the role of the ophthalmologist remains crucial, as our case illustrates. It underlines the urgent need to reduce blood pressure, and highlights the importance of regular follow-up and compliance with treatment to prevent serious complications.
在本文中,我们将强调眼科医生在诊断高血压急症中的重要性。了解如何做出正确诊断并正确转诊患者至关重要。我们报告了一例 23 岁女性患者的病例,该患者自 10 岁起就有未记录的肾病史,因视力突然下降和持续头痛且对止痛药无反应而入院。正如我们的病例所示,诊断往往很困难,而且会延迟,眼科医生的作用仍然至关重要。该病例强调了降低血压的迫切需要,并强调了定期随访和遵从治疗以防止严重并发症的重要性。
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引用次数: 0
Comparative Analysis of Life Satisfaction of Patients before and after Diagnosis of Eye Pathologies 眼部疾病诊断前后患者生活满意度对比分析
Pub Date : 2024-04-16 DOI: 10.9734/or/2024/v19i3423
A. Apakama, Arinze Anthony Onwuegbuna, C. E. Nwafor, C. C. Uzozie, Fidelis Nkama Isu, A. E. Onyekwe
Aim: To compare the life satisfaction of patients before and after diagnosis of eye pathologies.Methods: This was a prospective cross-sectional survey amongst eye patients at Guinness Eye Centre, Onitsha, South East, Nigeria using pretested interviewer-administered structured questionnaire. Data collected included the socio -demographics and the life satisfaction scores of the patients before, and 4-6 weeks after diagnosis.Results: A total of 137 patients in the age range 18 to 88years, and with disease duration ranging from 1 to 23 years were enrolled. There was equal male to female ratio with mean age of 54.6 years. There was significant decreased mean life satisfaction scores from 25.9 before diagnosis to 24.3 after diagnosis among participants with eye pathology.Conclusion: The diagnosis of a vision threatening eye pathology is associated with lowering of life satisfaction hence the need to incorporate psychotherapy in the long term management of these patients.
目的:比较眼部疾病诊断前后患者的生活满意度:这是在尼日利亚东南部奥尼沙的吉尼斯眼科中心对眼科患者进行的一项前瞻性横断面调查,使用的是事先经过测试、由访问者主持的结构化问卷。收集的数据包括诊断前和诊断后 4-6 周内患者的社会人口统计数据和生活满意度评分:共有 137 名年龄介于 18 岁至 88 岁之间、病程介于 1 年至 23 年之间的患者入选。男女比例相等,平均年龄为 54.6 岁。眼部病变患者的平均生活满意度得分从诊断前的 25.9 分明显降低到诊断后的 24.3 分:结论:诊断出视力受威胁的眼部病变与生活满意度下降有关,因此有必要将心理治疗纳入这些患者的长期治疗中。
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引用次数: 0
Clinical Insights into Bardet-biedl Syndrome and Retinitis Pigmentosa: A Case Report 巴尔德-比德尔综合征和视网膜色素变性的临床启示:病例报告
Pub Date : 2024-04-13 DOI: 10.9734/or/2024/v19i3422
Z. Hazil, N. Tebay, I. Hasnaoui, A. Krichen, Y. Akannour, L. Serghini, Z. Hajji, B. Ouazzani, E.abdellah.
Bardet–Biedl syndrome (BBS) is a rare autosomal recessive ciliopathy characterized by learning impairments, obesity, post-axial polydactyly, retinal dystrophy, and hypogonadism. Numerous related minor characteristics are crucial for the clinical management of BBS and can aid in the diagnosing process. In 80% of patients, sequencing known disease-causing genes can confirm the diagnosis, which is based on clinical symptoms. BBS genes encode proteins involved in cilia biogenesis and function that localize to the basal body and cilia. Defective cilia resulting from mutations partially explain the pleiotropic effects seen in BBS. We report the case of a 23-year-old patient referred to the nephrology department for progressive bilateral visual acuity loss.
巴尔德-比德尔综合征(Bardet-Biedl Syndrome,BBS)是一种罕见的常染色体隐性纤毛症,以学习障碍、肥胖、后轴多指畸形、视网膜营养不良和性腺功能低下为特征。许多相关的次要特征对 BBS 的临床治疗至关重要,并有助于诊断过程。在 80% 的患者中,对已知的致病基因进行测序可以根据临床症状确诊。BBS 基因编码参与纤毛生物发生和功能的蛋白质,这些蛋白质定位于基底体和纤毛。基因突变导致的纤毛缺陷可部分解释 BBS 的多效应。我们报告了一例因双侧视力进行性下降而转诊到肾内科的 23 岁患者。
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引用次数: 0
Exophthalmos Revealing Malignant Lymphoma 眼球外翻揭示恶性淋巴瘤
Pub Date : 2024-04-13 DOI: 10.9734/or/2024/v19i3421
Z. Hazil, A. Krichen, I. Hasnaoui, S. Hassina, Y. Akannour, L. Seghini, Z. Hajji, B. Ouazzani, E. Abdallah
Non-Hodgkin's lymphomas are malignant tumors whose aggressiveness depends on the histological type of the tumor. The orbital localization may be isolated or associated with a systemic lymphoma. The clinical polymorphism of malignant lymphomas is extreme, posing diagnostic problems and delaying therapeutic management, which is why anatomopathological examination of a tissue biopsy is the only key to diagnosis. We report the case of a patient who presented with exophthalmos revealing a lymphoma.
非霍奇金淋巴瘤是一种恶性肿瘤,其侵袭性取决于肿瘤的组织学类型。眼眶局部淋巴瘤可能是孤立的,也可能与全身淋巴瘤伴发。恶性淋巴瘤的临床多态性极强,给诊断带来困难并延误治疗,因此组织活检的解剖病理学检查是诊断的唯一关键。我们报告了一例因眼球外翻而发现淋巴瘤的患者。
{"title":"Exophthalmos Revealing Malignant Lymphoma","authors":"Z. Hazil, A. Krichen, I. Hasnaoui, S. Hassina, Y. Akannour, L. Seghini, Z. Hajji, B. Ouazzani, E. Abdallah","doi":"10.9734/or/2024/v19i3421","DOIUrl":"https://doi.org/10.9734/or/2024/v19i3421","url":null,"abstract":"Non-Hodgkin's lymphomas are malignant tumors whose aggressiveness depends on the histological type of the tumor. The orbital localization may be isolated or associated with a systemic lymphoma. \u0000The clinical polymorphism of malignant lymphomas is extreme, posing diagnostic problems and delaying therapeutic management, which is why anatomopathological examination of a tissue biopsy is the only key to diagnosis. \u0000We report the case of a patient who presented with exophthalmos revealing a lymphoma.","PeriodicalId":287685,"journal":{"name":"Ophthalmology Research: An International Journal","volume":"2 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140708355","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}
引用次数: 0
期刊
Ophthalmology Research: An International Journal
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