Background The corneal cross-linking procedure has been proven to be an effective method to treat and stabilize keratoconus progression, but early vision rehabilitation is still needed in patients. Aim The aim was to compare the results of the combined CXL and intrastromal corneal ring segment implantation procedure to that of the cross-linking-alone procedure in terms of visual acuity, refraction, and some corneal topographic parameters in keratoconic patients. Design This was a prospective, comparative, and interventional study. Patients and methods This study was carried out on 44 keratoconic patients (60 eyes) of both sexes who ranged from 18 to 36 years. Thirty eyes were subjected to the CXL-alone procedure and 30 eyes were subjected to the combined procedure. Measurements were performed in all patients preoperatively and at 3, 6 months, and 1 year postoperatively including unaided visual acuity, best-corrected visual acuity, refractive, and topographic outcomes. Results Through the entire study period, both procedures were safe and effective in treating and stabilizing keratoconus progression. Furthermore, the combined group showed additional improvements over the CXL group for the following: UDVA at 3 months (P=0.0028), best-corrected visual acuity at 1 year (P=0.011), refractive and keratometric astigmatism at all follow-up visits and corneal asphericity at 3 months (P=0.013) and 6 months (P=0.0221) of follow-up. No severe intraoperative or postoperative complications were observed during the entire study period in either group. Conclusions The combined procedure is safe and effective for earlier improvement of visual and refractive outcomes in addition to the corneal stabilizing effect.
{"title":"Corneal collagen cross-linking (CXL) versus combined CXL and femtosecond laser-assisted intracorneal ring segment implantation for the treatment of keratoconus","authors":"Seham Ahmed, Khalid Rashad, A. Elmassry, E. Osman","doi":"10.4103/ejos.ejos_29_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_29_21","url":null,"abstract":"Background The corneal cross-linking procedure has been proven to be an effective method to treat and stabilize keratoconus progression, but early vision rehabilitation is still needed in patients. Aim The aim was to compare the results of the combined CXL and intrastromal corneal ring segment implantation procedure to that of the cross-linking-alone procedure in terms of visual acuity, refraction, and some corneal topographic parameters in keratoconic patients. Design This was a prospective, comparative, and interventional study. Patients and methods This study was carried out on 44 keratoconic patients (60 eyes) of both sexes who ranged from 18 to 36 years. Thirty eyes were subjected to the CXL-alone procedure and 30 eyes were subjected to the combined procedure. Measurements were performed in all patients preoperatively and at 3, 6 months, and 1 year postoperatively including unaided visual acuity, best-corrected visual acuity, refractive, and topographic outcomes. Results Through the entire study period, both procedures were safe and effective in treating and stabilizing keratoconus progression. Furthermore, the combined group showed additional improvements over the CXL group for the following: UDVA at 3 months (P=0.0028), best-corrected visual acuity at 1 year (P=0.011), refractive and keratometric astigmatism at all follow-up visits and corneal asphericity at 3 months (P=0.013) and 6 months (P=0.0221) of follow-up. No severe intraoperative or postoperative complications were observed during the entire study period in either group. Conclusions The combined procedure is safe and effective for earlier improvement of visual and refractive outcomes in addition to the corneal stabilizing effect.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"77 - 82"},"PeriodicalIF":0.2,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47002915","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}
Objective To assess the precision of Barrett Universal II, SRK-T, and Haigis formulas in high myopic eyes for the estimation of intraocular lens power, using optical biometry. Patients and methods This is an interventional prospective study that included 34 eyes with an axial length more than or equal to 26 mm, who underwent uneventful phacoemulsification. One month after the surgery, we recorded the postoperative refraction. Refractive prediction error (RPE), median absolute error (Med AE), and proportion of eyes with postoperative myopic and hyperopic outcomes were compared. Results The lowest mean RPE (−0.11±0.90 D), Med AE (0.15 D), and proportion of eyes with hyperopic outcomes (44.1%) were reported with the Barrett Universal II formula. They were all statistically lower than the results of SKR/T and Haigis formulas (mean RPE 0.16±0.99 and 0.31±0.98 D, respectively; Med AE 0.47 and 0.40 D, respectively; and percentage of hyperopic outcome 70.6 and 76.5%, respectively). Conclusion We concluded that the lowest mean RPE, median AE, and the lowest percentage of hyperopic outcome were reported with the Barrett Universal II formula.
{"title":"Evaluation of Barrett Universal II, SRK-T, and Haigis formulae for intraocular lens power calculation in myopes using optical biometry","authors":"Demiana Aziz, M. Osman, N. Hassan, Nermeen Bahgat","doi":"10.4103/ejos.ejos_34_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_34_21","url":null,"abstract":"Objective To assess the precision of Barrett Universal II, SRK-T, and Haigis formulas in high myopic eyes for the estimation of intraocular lens power, using optical biometry. Patients and methods This is an interventional prospective study that included 34 eyes with an axial length more than or equal to 26 mm, who underwent uneventful phacoemulsification. One month after the surgery, we recorded the postoperative refraction. Refractive prediction error (RPE), median absolute error (Med AE), and proportion of eyes with postoperative myopic and hyperopic outcomes were compared. Results The lowest mean RPE (−0.11±0.90 D), Med AE (0.15 D), and proportion of eyes with hyperopic outcomes (44.1%) were reported with the Barrett Universal II formula. They were all statistically lower than the results of SKR/T and Haigis formulas (mean RPE 0.16±0.99 and 0.31±0.98 D, respectively; Med AE 0.47 and 0.40 D, respectively; and percentage of hyperopic outcome 70.6 and 76.5%, respectively). Conclusion We concluded that the lowest mean RPE, median AE, and the lowest percentage of hyperopic outcome were reported with the Barrett Universal II formula.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"69 - 72"},"PeriodicalIF":0.2,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47525546","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}
Kareem B. Elessawy, A. Araissi, H. Nasr, S. Abdelbaky
Purpose This study aimed to assess the efficacy of a platelet-rich plasma (PRP) injection into the lacrimal gland in severe dry eye and to compare it with preservative-free artificial tears. Patients and methods This study included a total of 74 eyes of 40 patients divided into two groups. The intervention group received three PRP injections transcutaneously in the region of the lacrimal gland. The control group was treated with preservative-free artificial tears. Results The intervention group showed improvement in all measured parameters, except the Meibomian gland score, with a statistically significant improvement in the Ocular Surface Disease Index (OSDI) score (P<0.001) and the Schirmer test (P=0.011) and less significant improvement in the ocular surface staining score (P=0.076) and tear breakup time (TBUT) (P=0.09). Compared with the control group, the PRP intervention group showed a statistically significant improvement in the OSDI score (P<0.001), the Schirmer test (P=0.005) and the ocular surface staining score (P=0.013) and less significant improvement in TBUT (P=0.2). Conclusion The use of PRP injections is safe and effective, with improvement in the OSDI, Schirmer test, and ocular surface staining and less improvement in TBUT, but it is not effective in improving Meibomian gland function.
{"title":"Assessment of the efficacy of platelet-rich plasma injections in the management of severe dry eye","authors":"Kareem B. Elessawy, A. Araissi, H. Nasr, S. Abdelbaky","doi":"10.4103/ejos.ejos_26_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_26_21","url":null,"abstract":"Purpose This study aimed to assess the efficacy of a platelet-rich plasma (PRP) injection into the lacrimal gland in severe dry eye and to compare it with preservative-free artificial tears. Patients and methods This study included a total of 74 eyes of 40 patients divided into two groups. The intervention group received three PRP injections transcutaneously in the region of the lacrimal gland. The control group was treated with preservative-free artificial tears. Results The intervention group showed improvement in all measured parameters, except the Meibomian gland score, with a statistically significant improvement in the Ocular Surface Disease Index (OSDI) score (P<0.001) and the Schirmer test (P=0.011) and less significant improvement in the ocular surface staining score (P=0.076) and tear breakup time (TBUT) (P=0.09). Compared with the control group, the PRP intervention group showed a statistically significant improvement in the OSDI score (P<0.001), the Schirmer test (P=0.005) and the ocular surface staining score (P=0.013) and less significant improvement in TBUT (P=0.2). Conclusion The use of PRP injections is safe and effective, with improvement in the OSDI, Schirmer test, and ocular surface staining and less improvement in TBUT, but it is not effective in improving Meibomian gland function.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"63 - 68"},"PeriodicalIF":0.2,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46842120","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}
We report breakage of the tip of a 25-G advanced ULTRAVIT vitreous cutter during vitrectomy for vitreous hemorrhage. During the procedure, we noticed that the cutter tip broke. We switched to another vitrectomy pack of the same brand, and the procedure continued without further complications. Intraoperative and postoperative examinations revealed no broken pieces remaining in the eye. Breakage of 25-G instruments intraoperatively during vitrectomy is a rare occurrence that can lead to complications. Keeping the vitrectomy probe at a safe distance from the light pipe and inspecting the instruments while working inside the eye can help avoid such an event.
{"title":"Intraoperative breakage of a 25-G vitrectomy probe tip","authors":"Adel Akeely, Amro Alhazimi","doi":"10.4103/ejos.ejos_53_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_53_21","url":null,"abstract":"We report breakage of the tip of a 25-G advanced ULTRAVIT vitreous cutter during vitrectomy for vitreous hemorrhage. During the procedure, we noticed that the cutter tip broke. We switched to another vitrectomy pack of the same brand, and the procedure continued without further complications. Intraoperative and postoperative examinations revealed no broken pieces remaining in the eye. Breakage of 25-G instruments intraoperatively during vitrectomy is a rare occurrence that can lead to complications. Keeping the vitrectomy probe at a safe distance from the light pipe and inspecting the instruments while working inside the eye can help avoid such an event.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"83 - 84"},"PeriodicalIF":0.2,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46038652","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}
Purpose To discuss the effect of coronavirus disease 2019 (COVID-19) pandemic on ophthalmology practice and share our experience to ensure a continual ophthalmology service to the patients at Cairo University Hospital. Patients and methods This is a retrospective study. Administrative measures taken to address challenges in different ophthalmology care settings during this pandemic are discussed. These include infection control measures, logistics, and manpower strategies. The effect of these measures on the number of ocular surgeries performed are analyzed in comparison with the same period of the last year. The records of all patients who underwent ocular surgeries between mid-March and mid-July 2020 at Kasr Al Ainy Hospital are compared with the records of patients who had ocular surgeries in the same time frame in 2019. Results The total number of elective surgical cases in the period of COVID-19 lockdown (2020) was 392 in comparison with 2470 during the same period last year. The decrease was statistically significant (P=0.0035). Intravitreal injection for macular edema was the most common indication of elective surgeries during the lockdown. The total number of emergency cases operated in the period of COVID-19 lockdown was 733 in comparison with 959 during the same period last year. The difference was not statistically significant (P=0.40). Repair of globe rupture was the most common indication of emergency surgeries. Conclusion Our protocol was able to provide sight-saving measures needed in many patients during this outbreak. With COVID-19 is expected to continue for a long time, we need to revise our protocols to improve the service presented to the patients especially those with nonurgent conditions, while maintaining the safety of both patients and health care workers.
目的探讨2019冠状病毒病(COVID-19)大流行对开罗大学医院眼科工作的影响，分享经验，确保眼科服务的持续进行。患者和方法本研究为回顾性研究。本文讨论了在本次大流行期间为应对不同眼科护理环境中的挑战而采取的行政措施。这些措施包括感染控制措施、后勤和人力战略。与去年同期相比，分析了这些措施对眼科手术数量的影响。将2020年3月中旬至7月中旬在Kasr Al Ainy医院接受眼科手术的所有患者的记录与2019年同期接受眼科手术的患者的记录进行比较。结果2020年新冠肺炎疫情防控期间择期手术病例总数为392例，上年同期为2470例。差异有统计学意义(P=0.0035)。玻璃体内注射治疗黄斑水肿是封锁期间择期手术最常见的指征。在新冠肺炎封锁期间，急救病例总数为733例，而去年同期为959例。差异无统计学意义(P=0.40)。球囊破裂修补是急诊手术最常见的指征。结论我们的方案能够在本次疫情期间为许多患者提供所需的视力保护措施。预计COVID-19将持续很长一段时间，我们需要修改我们的方案，以改善向患者提供的服务，特别是那些非紧急情况的患者，同时维护患者和医护人员的安全。
{"title":"Effect of coronavirus disease 2019 pandemic on ophthalmology practice in Kasr Al Ainy Hospital, Cairo University","authors":"M. Eissa, S. Salah, A. Abdelbaki","doi":"10.4103/ejos.ejos_68_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_68_20","url":null,"abstract":"Purpose To discuss the effect of coronavirus disease 2019 (COVID-19) pandemic on ophthalmology practice and share our experience to ensure a continual ophthalmology service to the patients at Cairo University Hospital. Patients and methods This is a retrospective study. Administrative measures taken to address challenges in different ophthalmology care settings during this pandemic are discussed. These include infection control measures, logistics, and manpower strategies. The effect of these measures on the number of ocular surgeries performed are analyzed in comparison with the same period of the last year. The records of all patients who underwent ocular surgeries between mid-March and mid-July 2020 at Kasr Al Ainy Hospital are compared with the records of patients who had ocular surgeries in the same time frame in 2019. Results The total number of elective surgical cases in the period of COVID-19 lockdown (2020) was 392 in comparison with 2470 during the same period last year. The decrease was statistically significant (P=0.0035). Intravitreal injection for macular edema was the most common indication of elective surgeries during the lockdown. The total number of emergency cases operated in the period of COVID-19 lockdown was 733 in comparison with 959 during the same period last year. The difference was not statistically significant (P=0.40). Repair of globe rupture was the most common indication of emergency surgeries. Conclusion Our protocol was able to provide sight-saving measures needed in many patients during this outbreak. With COVID-19 is expected to continue for a long time, we need to revise our protocols to improve the service presented to the patients especially those with nonurgent conditions, while maintaining the safety of both patients and health care workers.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"35 - 41"},"PeriodicalIF":0.2,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46097900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Gaafar, Sarah Azzam, Yehia M. Salah El-Din, A. Sherif
Purpose To evaluate long-term stability following pulsed accelerated cross-linking (CXL) in patients with progressive keratoconus by studying the changes in corneal topography. Patients and methods A retrospective study was conducted on patients with progressive grades 1–3 keratoconus who underwent epithelium-off pulsed-light accelerated corneal CXL (30 mW/cm2 for 8 min) using the KXL system (Avedro Inc.). Follow-up period was 12–36 months. Topographic changes including maximum keratometry (Kmax), minimum keratometry (Kmin), topographic cylinder, central corneal thickness, and thinnest point (TP) were recorded and analyzed. Results A total of 72 eyes of 38 patients were included. The 12-month results showed significant reduction in Kmin (P=0.038), central corneal thickness (P˂0.001), and TP (P˂0.001). At 24 and 36 months, there were no significant changes in corneal topography, except for reduction in TP (P=0.024 and 0.002, respectively). Conclusion Pulsed accelerated CXL is an effective long-term method of arresting keratoconus progression.
{"title":"Long-term study of topographic changes following pulsed accelerated corneal collagen cross-linking in progressive keratoconus","authors":"A. Gaafar, Sarah Azzam, Yehia M. Salah El-Din, A. Sherif","doi":"10.4103/ejos.ejos_2_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_2_21","url":null,"abstract":"Purpose To evaluate long-term stability following pulsed accelerated cross-linking (CXL) in patients with progressive keratoconus by studying the changes in corneal topography. Patients and methods A retrospective study was conducted on patients with progressive grades 1–3 keratoconus who underwent epithelium-off pulsed-light accelerated corneal CXL (30 mW/cm2 for 8 min) using the KXL system (Avedro Inc.). Follow-up period was 12–36 months. Topographic changes including maximum keratometry (Kmax), minimum keratometry (Kmin), topographic cylinder, central corneal thickness, and thinnest point (TP) were recorded and analyzed. Results A total of 72 eyes of 38 patients were included. The 12-month results showed significant reduction in Kmin (P=0.038), central corneal thickness (P˂0.001), and TP (P˂0.001). At 24 and 36 months, there were no significant changes in corneal topography, except for reduction in TP (P=0.024 and 0.002, respectively). Conclusion Pulsed accelerated CXL is an effective long-term method of arresting keratoconus progression.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"42 - 45"},"PeriodicalIF":0.2,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45253333","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}
Aim This study aimed to compare the visual outcomes and safety of femtosecond laser-assisted cataract surgery (FLACS) to conventional phacoemulsification (CP). Design This was a prospective nonrandomized interventional clinical study. Methodology Hundred eyes with nuclear cataract were divided into two groups: group A (50 eyes) underwent FLACS using the LenSx platform (Alcon Laboratories Inc., Fort Worth, Texas, USA) and group B (50 eyes) underwent CP surgery using the Centurion Vision System (Alcon Laboratories Inc., USA). Preoperative assessment included visual acuity (VA) testing, nuclear grading and specular microscopy. Ultrasound (US) total time, cumulative dissipated energy (CDE) and amount of irrigating fluid used were recorded. Postoperative assessment at 1 week, 1 month and 3 months included uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) and specular microscopy. Intra- or postoperative complications were recorded. Results There was no statistically significant difference in the US total time between both groups as a whole (P=0.248) and in each subgroup (P=0.379, 0.316 and 0.681 for NC grades 1, 2 and 3, respectively). CDE was statistically lower in FLACS with NC grade 2 (P=0.005) and 3 (P=0.006), with no significant difference with NC grade 1 (P=0.521). Irrigating fluid volume was significantly lower in the CP group as a whole (P≤0.001) and in each subgroup (P=0.004, <0.001 and <0.001 for grades 1, 2 and 3 NC). There was no significant difference between both groups in % endothelial cell loss (ECL), change in CCT, UCVA and BCVA at 1 week, 1 month and 3 months. No complications were recorded, except one case of incomplete capsulotomy with FLACS. Conclusion FLACS was associated with lower CDE than CP. However, visual outcomes were similar in both techniques.
目的比较飞秒激光辅助白内障手术(FLACS)与常规超声乳化术(CP)的视力及安全性。设计:这是一项前瞻性非随机介入临床研究。方法将100眼核性白内障患者分为两组:A组(50眼)采用LenSx平台(Alcon Laboratories Inc.， Fort Worth, Texas, USA)行FLACS; B组(50眼)采用Centurion Vision System (Alcon Laboratories Inc.， USA)行CP手术。术前评估包括视力(VA)测试，核分级和镜面显微镜。记录超声(US)总时间、累积耗散能(CDE)和冲洗液用量。术后1周、1个月和3个月的评估包括未矫正视力(UCVA)、最佳矫正视力(BCVA)和镜面显微镜。记录术中或术后并发症。结果两组间整体US总时间差异无统计学意义(P=0.248)，各亚组间NC分级1、2、3的US总时间差异无统计学意义(P=0.379、0.316、0.681)。NC 2级和NC 3级患者的CDE差异有统计学意义(P=0.005)，与NC 1级患者差异无统计学意义(P=0.521)。CP组整体灌洗液量显著降低(P≤0.001)，各亚组灌洗液量显著降低(1级、2级和3级NC分别P=0.004、<0.001和<0.001)。两组在1周、1个月和3个月时内皮细胞损失百分比(ECL)、CCT、UCVA和BCVA的变化无显著差异。除1例不完全囊膜切开合并FLACS外，无其他并发症。结论FLACS与CP相比，CDE较低，但两种方法的视觉效果相似。
{"title":"Outcomes of femtosecond laser cataract surgery in an Egyptian cohort: a comparative study","authors":"A. Gharib, A. Shama, Y. Mostafa, A. Sherif","doi":"10.4103/ejos.ejos_21_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_21_21","url":null,"abstract":"Aim This study aimed to compare the visual outcomes and safety of femtosecond laser-assisted cataract surgery (FLACS) to conventional phacoemulsification (CP). Design This was a prospective nonrandomized interventional clinical study. Methodology Hundred eyes with nuclear cataract were divided into two groups: group A (50 eyes) underwent FLACS using the LenSx platform (Alcon Laboratories Inc., Fort Worth, Texas, USA) and group B (50 eyes) underwent CP surgery using the Centurion Vision System (Alcon Laboratories Inc., USA). Preoperative assessment included visual acuity (VA) testing, nuclear grading and specular microscopy. Ultrasound (US) total time, cumulative dissipated energy (CDE) and amount of irrigating fluid used were recorded. Postoperative assessment at 1 week, 1 month and 3 months included uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) and specular microscopy. Intra- or postoperative complications were recorded. Results There was no statistically significant difference in the US total time between both groups as a whole (P=0.248) and in each subgroup (P=0.379, 0.316 and 0.681 for NC grades 1, 2 and 3, respectively). CDE was statistically lower in FLACS with NC grade 2 (P=0.005) and 3 (P=0.006), with no significant difference with NC grade 1 (P=0.521). Irrigating fluid volume was significantly lower in the CP group as a whole (P≤0.001) and in each subgroup (P=0.004, <0.001 and <0.001 for grades 1, 2 and 3 NC). There was no significant difference between both groups in % endothelial cell loss (ECL), change in CCT, UCVA and BCVA at 1 week, 1 month and 3 months. No complications were recorded, except one case of incomplete capsulotomy with FLACS. Conclusion FLACS was associated with lower CDE than CP. However, visual outcomes were similar in both techniques.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"53 - 61"},"PeriodicalIF":0.2,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45269147","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}
Purpose To assess the adherence of ophthalmologists to the current recommendations during the coronavirus disease 2019 pandemic in the real-life practice and the measures taken by different institutions to decrease the risk of infection. Methods A cross-sectional study among ophthalmologists that was done via a self-administered web-based survey with 25 questions, starting with demographic data, followed by questions regarding the effect of the pandemic on practice. After that, detailed questions about infection control measures taken by different facilities and the use of various personal protective equipment and their availability were asked. Results We received 106 responses to the survey. Most of the respondents (86.8%) reported a reduction in the number of patients in the outpatient clinics, 49% limited services to emergencies, 50% reported triage for all patients, and 28% only reported providing face masks for patients. All our participants wear masks either surgical or filtering, 67% always use slit-lamp shields, and 75.5% apply hand hygiene per patient. The availability of various personal protective equipment and disinfectants was reported by 72% of our participants. Conclusion Real-life practice differs from the theoretical recommendations. Extra measures are required regarding patients’ triage, availability, and use of slit-lamp shields, face shields, and goggles. A stricter hand hygiene policy needs to be implemented and monitored.
{"title":"Ophthalmic practice during the coronavirus disease 2019 pandemic: recommendations versus real life","authors":"D. Ashour, M. A. Awad-Allah, M. Yosef, M. Saleh","doi":"10.4103/ejos.ejos_16_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_16_21","url":null,"abstract":"Purpose To assess the adherence of ophthalmologists to the current recommendations during the coronavirus disease 2019 pandemic in the real-life practice and the measures taken by different institutions to decrease the risk of infection. Methods A cross-sectional study among ophthalmologists that was done via a self-administered web-based survey with 25 questions, starting with demographic data, followed by questions regarding the effect of the pandemic on practice. After that, detailed questions about infection control measures taken by different facilities and the use of various personal protective equipment and their availability were asked. Results We received 106 responses to the survey. Most of the respondents (86.8%) reported a reduction in the number of patients in the outpatient clinics, 49% limited services to emergencies, 50% reported triage for all patients, and 28% only reported providing face masks for patients. All our participants wear masks either surgical or filtering, 67% always use slit-lamp shields, and 75.5% apply hand hygiene per patient. The availability of various personal protective equipment and disinfectants was reported by 72% of our participants. Conclusion Real-life practice differs from the theoretical recommendations. Extra measures are required regarding patients’ triage, availability, and use of slit-lamp shields, face shields, and goggles. A stricter hand hygiene policy needs to be implemented and monitored.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"46 - 52"},"PeriodicalIF":0.2,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47226037","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}
Ahmed F. Gabr, Shaimaa S. Abdelrheem, MustafaA Gaffer, AbdallaM.E Abdalla
{"title":"Prevalence of refractive errors in Upper Egypt schoolchildren","authors":"Ahmed F. Gabr, Shaimaa S. Abdelrheem, MustafaA Gaffer, AbdallaM.E Abdalla","doi":"10.4103/ejos.ejos_38_21","DOIUrl":"https://doi.org/10.4103/ejos.ejos_38_21","url":null,"abstract":"","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70723451","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}
Introduction Intermittent exotropia ‘X(T)’ is a disorder of binocular eye movement control, in which one eye intermittently moves outward. It is the commonest type of exodeviation and is usually detected by the parents in early childhood. Patients with X(T) tend to manifest their deviation when they are tired, stressed, or have cold. Purpose To manifest the prevalence of different types of X(T) in exotropic children aged 6–12 years attending Ain Shams University ophthalmology outpatient clinic. Patients and methods This is a cross-sectional study including 139 exotropic children aged 6–12 years attending Ain Shams University ophthalmology outpatient clinic. All patients underwent full medical and ophthalmic history. The ophthalmic examinations included visual acuity, ocular movements, and the angles of deviation. Further ocular examinations included slit-lamp examination for anterior segment, fundus examination, and Worth 4-dot test. Results A total of 139 exotropic children (6–12 years old) attending the ophthalmology outpatient clinic of Ain Shams University were included. We found that X(T) is the commonest type of exodeviation, in 86.3%. The ‘basic type’ was the commonest subtype of X(T), in 84.2%. The true divergence excess was the second most common type, in 7.5%, pseudodivergence was seen in 5.8%, and the convergence insufficiency was the least common type seen in 2.5%. Conclusions Intermittent exotropia was the commonest type of exodeviation among children aged 6–12 years. The basic type was the commonest subtype of X(T).
{"title":"Prevalence of different types of intermittent exotropia among exotropic children at Ain Shams University ophthalmology outpatient clinic","authors":"Rehab A. Sallam, N. Samak, A. Ismail, M. Rashad","doi":"10.4103/ejos.ejos_62_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_62_20","url":null,"abstract":"Introduction Intermittent exotropia ‘X(T)’ is a disorder of binocular eye movement control, in which one eye intermittently moves outward. It is the commonest type of exodeviation and is usually detected by the parents in early childhood. Patients with X(T) tend to manifest their deviation when they are tired, stressed, or have cold. Purpose To manifest the prevalence of different types of X(T) in exotropic children aged 6–12 years attending Ain Shams University ophthalmology outpatient clinic. Patients and methods This is a cross-sectional study including 139 exotropic children aged 6–12 years attending Ain Shams University ophthalmology outpatient clinic. All patients underwent full medical and ophthalmic history. The ophthalmic examinations included visual acuity, ocular movements, and the angles of deviation. Further ocular examinations included slit-lamp examination for anterior segment, fundus examination, and Worth 4-dot test. Results A total of 139 exotropic children (6–12 years old) attending the ophthalmology outpatient clinic of Ain Shams University were included. We found that X(T) is the commonest type of exodeviation, in 86.3%. The ‘basic type’ was the commonest subtype of X(T), in 84.2%. The true divergence excess was the second most common type, in 7.5%, pseudodivergence was seen in 5.8%, and the convergence insufficiency was the least common type seen in 2.5%. Conclusions Intermittent exotropia was the commonest type of exodeviation among children aged 6–12 years. The basic type was the commonest subtype of X(T).","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"114 1","pages":"30 - 33"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49361094","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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