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Isolated Case Presentation on Phacolytic Uveitis 溶菌性葡萄膜炎的孤立病例介绍
Pub Date : 2024-04-13 DOI: 10.9734/or/2024/v19i3420
Z. Hazil, A. Krichen, N. Tebay, I. Hasnaoui, S. Hassina, Y. Akannour, L. Seghini, Z. Hajji, B. Ouazzani, E. Abdallah
The “Type of Article” of this paper is “Letter to the Editor”. This paper discuses about: “Isolated Case Presentation on Phacolytic Uveitis”. No formal abstract is available. Readers are requested to read the full article.
本文的 "文章类型 "为 "致编辑的信"。本文讨论了"溶菌性葡萄膜炎的孤立病例介绍"。本文没有正式摘要。请读者阅读全文。
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引用次数: 0
Early and Intensive Management of Chemical Eye Injuries: Case Series 化学性眼损伤的早期和强化治疗:病例系列
Pub Date : 2024-04-12 DOI: 10.9734/or/2024/v19i3419
Roma Jha, Prabha Sonwani, Suchita Singh
Chemical injuries of the eyes are true ophthalmic emergencies causing significant visual morbidities. They require urgent and immediate assessment and intervention. They are more common in young adults either due to accidental causes or due to criminal assaults. They severely damage the ocular structures; surface epithelium, cornea, conjunctiva, limbal stem cells and can cause permanent unilateral or bilateral vision loss. In this article, we are trying to emphasis on the importance of initiating treatment in the early phase of ocular chemical injury and also emphasizing on extent of chemical ocular injuries, their severity and their varied outcomes through two different types of cases; one with good visual recovery with early initiation of treatment and the other developing complications in spite of being initiating treatment in early phase.
眼部化学伤是真正的眼科急症,会造成严重的视力病变。需要立即进行紧急评估和干预。化学性眼外伤多见于青壮年,原因可能是意外事故,也可能是犯罪分子的袭击。它们严重破坏眼部结构;表面上皮、角膜、结膜、角膜缘干细胞,并可能导致永久性单侧或双侧视力丧失。在本文中,我们试图强调在眼部化学损伤的早期阶段开始治疗的重要性,并通过两个不同类型的病例强调眼部化学损伤的范围、严重程度及其不同的结果;其中一个病例在早期开始治疗后视力恢复良好,而另一个病例尽管在早期阶段开始治疗,但仍出现了并发症。
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引用次数: 0
Congenital Fibrosis of Extraocular Muscles: A Case Report 先天性眼外肌纤维化:病例报告
Pub Date : 2024-04-11 DOI: 10.9734/or/2024/v19i3418
Rahul Chaudhary, Prabha Sonwani, Suchita Singh
Unprogressive unilateral or bilateral limited ocular motility, with or without ptosis, is a hallmark of the uncommon congenital disease known as congenital fibrosis of extraocular muscle (CFEOM). Fibrosis of the extraocular muscle leads to optic nuclear dysplasia or hypoplasia and reduced ocular mobility, which in turn causes it. diverse phenotypes of illness might cause patients to report with diverse presentations.
非进行性单侧或双侧眼球活动受限,伴有或不伴有上睑下垂,是眼外肌先天性纤维化(CFEOM)这种不常见的先天性疾病的特征。眼外肌纤维化会导致视神经核发育不良或发育不全以及眼球活动能力下降,进而引起眼球活动受限。
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引用次数: 0
Correlation between Postoperative Visual Acuity and Patient-Related Outcomes in Senile Cataract 老年性白内障术后视力与患者相关结果之间的相关性
Pub Date : 2024-04-08 DOI: 10.9734/or/2024/v19i2417
Ruth Alfin, J. Alada
Aims: This study assessed visual function (VF) and quality of life (QOL) post cataract surgery and their relationship with post-operative presenting visual acuity (PVA) in patients operated for senile cataract in two hospitals in Jos, North-central Nigeria. Study Design: A retrospective, hospital-based, cross-sectional survey. Place and duration of study: The study took place in the Eye units of the Bingham University Teaching Hospital and the Faith Alive Foundation Hospital both in Jos, North-Central Nigeria between June and August 2021. Methodology: Patients aged 40 years and above, operated on for senile cataract within 18 months before the onset of the study were included. Sociodemographic data and surgical history were obtained from patients and their surgical records. Visual acuity at presentation was assessed at six weeks or more postoperative period with available correction using Snellen’s acuity and converted to the LogMAR scale. A trained research assistant administered the VF-14 item and QOL-12 item questionnaires and responses were scored using Fletcher’s guidelines. Data was analyzed with STATA version 16.0 using the geometric mean, range, percentages, and Spearman’s rank test. Results: Eighty-seven (69.6%) participants aged 40-104 years, mean of 67.2 ± 12.0 years with a male-to-female ratio of 1.1:1 were enrolled. Their mean PVA was 0.6LogMAR (6/24) which improved to 0.3LogMAR (6/12). The mean total VF and QOL were 87.1% and 97.5% respectively. Depth perception (99.6%), visual perception, and peripheral vision (94.2% each) scored the highest in the VF subscales.  Mental well-being (97.9%) scored the highest in the QOL subscale, followed by social interaction (97.3%). There was a negative correlation between PVA and mean total VF (rs = -0.4, P<0.0001) and QOL (rs = -0.3, P = 0.011). Conclusion: In this study population, VF and QOL scores improved with increasing PVA.
目的:本研究评估了尼日利亚中北部乔斯两家医院老年性白内障手术患者术后的视觉功能(VF)和生活质量(QOL),以及它们与术后显像视力(PVA)之间的关系。研究设计:回顾性医院横断面调查。研究地点和持续时间:研究于 2021 年 6 月至 8 月期间在尼日利亚中北部乔斯的宾汉姆大学教学医院和 Faith Alive 基金会医院的眼科进行。研究方法:纳入年龄在 40 岁及以上、在研究开始前 18 个月内接受过老年性白内障手术的患者。从患者及其手术记录中获取社会人口学数据和手术史。在术后六周或更长时间内,使用斯奈伦视力表评估患者发病时的视力,并将其转换为对数视力表(LogMAR scale)。一名训练有素的研究助理负责管理 VF-14 和 QOL-12 问卷,并根据 Fletcher 指南对回答进行评分。数据使用 STATA 16.0 版进行分析,采用几何平均数、范围、百分比和斯皮尔曼等级检验。结果87 名参与者(69.6%)的年龄在 40-104 岁之间,平均年龄为 67.2±12.0 岁,男女比例为 1.1:1。他们的平均 PVA 值为 0.6LogMAR (6/24),后改善为 0.3LogMAR (6/12)。总VF和QOL的平均值分别为87.1%和97.5%。深度知觉(99.6%)、视觉感知和周边视力(各为 94.2%)在 VF 分量表中得分最高。 心理健康(97.9%)在 QOL 分量表中得分最高,其次是社交(97.3%)。PVA 与平均总 VF(rs = -0.4,P<0.0001)和 QOL(rs = -0.3,P = 0.011)呈负相关。结论在该研究人群中,VF 和 QOL 评分随着 PVA 的增加而提高。
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引用次数: 0
Asian Blepharoplasty with Concurrent Ptosis Correction by Lps Plication: Our Experiences in Northeast India 亚洲人的眼睑成形术,同时通过 Lps Plication 矫正上睑下垂:我们在印度东北部的经验
Pub Date : 2024-04-02 DOI: 10.9734/or/2024/v19i2416
Nyai Ete, Kaling Darang, Tojum Gongo
Background: Asian blepharoplasty is one of the most performed facial cosmetic procedures in northeastern India. Undiagnosed ptosis often goes unnoticed in many Asian blepharoplasty patients. To achieve proper symmetry, its essential to address ptosis simuntaneously during Asian blepharoplasty.  In this study, the author discuss ten cases of Asian blepharoplasty in which simultaneous ptosis correction was performed by lps plication.
背景:亚裔眼睑整形术是印度东北部地区开展最多的面部美容手术之一。许多亚洲眼睑成形术患者往往没有注意到诊断不出的上睑下垂。为了达到适当的对称性,在亚洲人眼睑成形术中同时解决上睑下垂问题至关重要。 在本研究中,作者讨论了十例亚洲眼睑成形术病例,在这些病例中,通过上睑提肌腱膜植入术同时矫正了上睑下垂。
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引用次数: 0
A Case Report on IRVAN Syndrome 伊凡综合征病例报告
Pub Date : 2024-03-22 DOI: 10.9734/or/2024/v19i2415
Houda Bezza, Asma El Adrari, Oumayma El Mansouri, Kawtar Zaoui, L. A. Lhaj, Mohamed Kriet, Fouad Elasri
Idiopathic retinal vasculitis, arteriolar macroaneurysms, and neuroretinitis (IRVAN) is a rare condition predominantly affecting young, healthy females without systemic disease. We present the case of a 35-year-old female who presented with a 3-month history of decreased visual acuity without associated symptoms. Ophthalmological examination revealed reduced visual acuity in both eyes, papillary oedema, stellate macular oedema, and haemorrhages bilaterally. Retinal imaging confirmed IRVAN syndrome. Treatment included pan-retinal photocoagulation (PRP) and intravitreal bevacizumab injections, resulting in macular oedema regression.
特发性视网膜血管炎、动脉大动脉瘤和神经视网膜炎(IRVAN)是一种罕见疾病,主要影响无全身性疾病的年轻健康女性。我们介绍了一例 35 岁女性的病例,她出现视力下降 3 个月,但无相关症状。眼科检查发现双眼视力下降、乳头状水肿、星状黄斑水肿和双侧出血。视网膜成像证实了 IRVAN 综合征。治疗包括全视网膜光凝(PRP)和玻璃体内贝伐单抗注射,结果黄斑水肿消退。
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引用次数: 0
Retinitis Pigmentosa in Awka, Nigeria: A Survey Study 尼日利亚阿卡的视网膜色素变性:一项调查研究
Pub Date : 2024-03-09 DOI: 10.9734/or/2024/v19i2414
Bernard Chukwunonyerem Ochiogu, Akunne Ijeoma Apakama, Anthonia Chinyelu Udeaja, Olufunmi Adebimpe Ijeoma Otuka, Arinze Anthony Onwuegbuna
Background: Retinitis pigmentosa which causes irreversible blindness and affects all gender is usually inherited. Objectives: To describe the incidence and pattern of retinitis pigmentosa at the Eye Unit of Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka, Nigeria. Materials and Methods: The case files of all the new patients seen at the Eye Unit of the Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka between January 2014 to December 2021 were reviewed. Those with clinical diagnosis of Retinitis Pigmentosa were selected and information bordering on age, sex, occupation, disease duration. associated morbidity and fundus findings were extracted and analyzed using descriptive statistics. Results: Out of the 5461 new patients seen at the Eye Clinic within the study period, 29(0.5%) were diagnosed of Retinitis Pigmentosa. Of the 29 patients 18 (62.1%) were males and 11(37.9%) females, with male to female ratio of 1.6:1. The age range was 7 years to 69 years. Thirteen patients (44.8%) were between 16 years and 44 years. Median age was 33 years while the mean age was 34. 8+15. 2 years. Nine (31.0%) patients were students. The most common complaints of the patients were poor vision, 27(93.1%) and refractive error 8(27.68). Seven patients (24.18) were blind at presentation while retinal pigmentation was the most frequent fundus finding 29 (100%). Conclusion: Retinitis Pigmentosa is a cause of visual impairment and blindness which reduces the quality of life of affected persons. Early diagnosis and visual rehabilitation should be encouraged.
背景介绍视网膜色素变性症会导致不可逆的失明,男女均可患病,通常具有遗传性。研究目的描述尼日利亚阿卡 Chukwuemeka Odumegwu Ojukwu 大学教学医院眼科视网膜色素变性症的发病率和模式。材料和方法:对 2014 年 1 月至 2021 年 12 月期间在阿卡 Chukwuemeka Odumegwu Ojukwu 大学教学医院眼科就诊的所有新患者的病历进行了审查。筛选出临床诊断为视网膜色素变性的患者,并使用描述性统计学方法提取和分析了患者的年龄、性别、职业、病程、相关发病率和眼底检查结果等信息。结果在研究期间,眼科诊所共接诊了 5461 名新患者,其中 29 人(0.5%)被确诊为视网膜色素变性。在 29 名患者中,18 名(62.1%)为男性,11 名(37.9%)为女性,男女比例为 1.6:1。年龄范围为 7 岁至 69 岁。13 名患者(44.8%)的年龄介于 16 岁至 44 岁之间。中位年龄为 33 岁,平均年龄为 34.8+15.2岁。九名患者(31.0%)是学生。患者最常见的主诉是视力不佳(27 人,占 93.1%)和屈光不正(8 人,占 27.68%)。7 名患者(24.18)在就诊时已经失明,而视网膜色素沉着是最常见的眼底发现,共有 29 人(100%)。结论视网膜色素变性是导致视力受损和失明的原因之一,降低了患者的生活质量。应鼓励早期诊断和视觉康复。
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引用次数: 0
Statistical Investigations on Relationship of Intraocular Pressure with Environmental Factors 眼压与环境因素关系的统计调查
Pub Date : 2024-02-29 DOI: 10.9734/or/2024/v19i2413
Lata Pedro, Lazaro Ana, Lopez José María, Palma Beatriz, Sanchez Cristina, Baños Carmelo, Sanchez Irene
Clinical relevance: Intraocular pressure (IOP) has a significant role in glaucoma pathophysiology. There are factors that influence in the IOP value, such as central corneal thickness or the biomechanical properties of the cornea. However, other less studied factors may influence the IOP, such as environmental pollution. Background: The increase in air pollution is related to acute respiratory pathologies. Regarding the eyes, is related to conjunctivitis or dry eye disease. The purpose was to analyse the correlation of environmental factors (atmospheric pressure, temperature, O3, NO2, PM10 and PM2.5 concentrations) with intraocular pressure in young healthy patients. Methods: A cross-sectional study was carried out on patients treated at General Optica centres in Spain and Portugal in collaboration with the University of Valladolid. This study included healthy patients (between 18 and 40 years old). IOP measurements were taken with different air tonometers (CT-80, CT-800, NCT-200, NT-510 and NT-530) for one week and correlated with environmental factors (atmospheric pressure, temperature, O3, NO2, PM10 and PM2.5 concentrations). Correlation (Spearman’s Rho) analyses were performed between IOP and the different environmental parameters. Moreover, groupings were performed as a function of the values for healthy exposure levels recommended by the WHO. Different comparisons were performed using the Mann‒Whitney U test. Results: Statistically significant correlations were found (p < .04) between IOP and temperature (r = 0.37), atmospheric pressure (r = 0.20), NO2 (r = 0.14), PM10 (r = 0.21), O3 (r = 0.16) and PM2.5 concentrations (r = 0.16). Regarding the IOP values of people who were exposed to unhealthy concentrations (AQI > 20) versus those who were not, higher IOP values were only found in people exposed to PM2.5. Conclusion: Slight correlations were found between higher temperature, atmospheric pressure and concentrations of pollutant gases and increased IOP. More clinical studies are needed to understand the role that these environmental factors play in the aqueous humour flow and the value of IOP to know if and to what extent these factors may be risk of glaucoma.
临床意义:眼压(IOP)在青光眼病理生理学中起着重要作用。影响眼压值的因素有很多,如角膜中央厚度或角膜的生物力学特性。然而,其他研究较少的因素也可能影响眼压,如环境污染。背景:空气污染的增加与急性呼吸道疾病有关。至于眼睛,则与结膜炎或干眼症有关。本研究旨在分析环境因素(大气压力、温度、O3、NO2、PM10 和 PM2.5 浓度)与年轻健康患者眼压的相关性。研究方法与巴利亚多利德大学合作,对在西班牙和葡萄牙的普通眼科中心接受治疗的患者进行了横断面研究。研究对象包括健康患者(18 至 40 岁)。使用不同的空气眼压计(CT-80、CT-800、NCT-200、NT-510 和 NT-530)对患者进行了为期一周的眼压测量,并将测量结果与环境因素(气压、温度、O3、NO2、PM10 和 PM2.5 浓度)相关联。眼压与不同环境参数之间进行了相关性(Spearman's Rho)分析。此外,还根据世界卫生组织建议的健康暴露水平值进行了分组。采用 Mann-Whitney U 检验法进行不同的比较。结果显示眼压与温度(r = 0.37)、气压(r = 0.20)、二氧化氮(r = 0.14)、可吸入颗粒物 10(r = 0.21)、臭氧(r = 0.16)和 PM2.5 浓度(r = 0.16)之间存在统计学意义上的相关性(p < .04)。关于暴露于不健康浓度(空气质量指数大于 20)的人与未暴露于不健康浓度的人的眼压值,只有暴露于 PM2.5 的人的眼压值较高。结论较高的温度、大气压力和污染气体浓度与眼压升高之间存在轻微的相关性。我们需要进行更多的临床研究,以了解这些环境因素在水液流动和眼压值中所扮演的角色,从而知道这些因素是否以及在多大程度上可能会导致青光眼。
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引用次数: 0
Exploring Lipid Abnormalities in Senile Cataract: A Cross-Sectional Investigation 探索老年性白内障中的脂质异常:一项横断面调查
Pub Date : 2024-02-23 DOI: 10.9734/or/2024/v19i1412
Harshal Sahare, Amit Barapatre, M. P. Shah, S. G. Vengurlekar, Kalpana Ganesh Kinage, S. S. Pathare
Background: Age-related cataracts (ARC) are a common cause of vision impairment in older adults. Previous studies have suggested that abnormal Lipid profile and oxidative stress may contribute to the development and progression of ARC. Aim: The aim of this study was to compare the serum Lipid profile levels in patients with ARC and healthy controls.  Materials and Methods: This was a case-control study involving 50 patients with ARC and 50 age and gender-matched controls. Serum Lipid profile levels were measured using standard methods. The data were analyzed using t-test. A P-value of less than 0.05 was considered statistically significant. Results: The results showed that the mean serum level of HDL Cholesterol was significantly lower in the ARC group than in the control group, while the mean serum level of triglyceride was significantly higher in the ARC group than in the control group. Conclusion: This study indicates that altered lipid profile may be a risk factor for ARC.
背景:老年性白内障(ARC)是老年人视力受损的常见原因。以往的研究表明,血脂异常和氧化应激可能是导致老年性白内障发生和发展的原因之一。目的:本研究旨在比较 ARC 患者和健康对照组的血清脂质谱水平。 材料与方法:这是一项病例对照研究,涉及 50 名 ARC 患者和 50 名年龄和性别匹配的对照组。采用标准方法测量血清脂质谱水平。数据采用 t 检验进行分析。P 值小于 0.05 视为具有统计学意义。结果显示结果显示,ARC 组血清中高密度脂蛋白胆固醇的平均水平明显低于对照组,而 ARC 组血清中甘油三酯的平均水平明显高于对照组。结论本研究表明,血脂变化可能是 ARC 的一个风险因素。
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引用次数: 0
Butterfly-shaped Pattern Dystrophy : Findings of Retinal Imaging 蝶形花纹营养不良:视网膜成像结果
Pub Date : 2024-02-12 DOI: 10.9734/or/2024/v19i1411
Houda Bezza, Amine Mounsif, Zineb Algouti, Y. Bennouk, Houssaine Ait Lhaj, Mohamed Kriet, Fouad Elasri
Butterfly shaped pattern dystophy (BPD) is a inherited macular disease which is characterized by the accumulation of pigment/lipofuscin in the retinal pigment epithelium, it might be misdiagnosed as age-related macular degeneration (AMD). Retinal imaging is a useful tool for the differential diagnosis of pattern dystrophy. In this report, we describe a 64 year old man presented metamorphopsia and reduced visual acuity in both eyes. Fundus examination showed an area of depigmentation delimited resembling a butterfly. The OCT revealed a subfoveal hyperreflective deposit above the retinal pigment epithelium (RPE) while fundus autofluorescence (FAF) shows hypoautofluorescent areas outlined by a lipofuscin deposits as hyperautofluorescent Finally, fluoroscein angiography (FFA) revealed early macular hyperfluorescence. 
蝶形花斑营养不良(BPD)是一种遗传性黄斑疾病,其特征是色素/脂褐素在视网膜色素上皮细胞内堆积,可能会被误诊为老年性黄斑变性(AMD)。视网膜成像是鉴别诊断模式营养不良症的有用工具。在本报告中,我们描述了一名 64 岁男性的双眼变性和视力下降。眼底检查发现一个类似蝴蝶的色素脱失区。光学视网膜扫描(OCT)显示视网膜色素上皮(RPE)上方有眼底高反射沉积,而眼底自动荧光(FAF)显示低自荧光区被脂褐素沉积勾勒为高自荧光区。最后,荧光素血管造影(FFA)显示早期黄斑高荧光。
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引用次数: 0
期刊
Ophthalmology Research: An International Journal
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