Pub Date : 2019-02-15DOI: 10.24966/OCR-8887/100049
B. Fiebai
Purpose: To determine the effects of diagnostic mydriasis using 1% tropicamide and 2.5% phenylephrine on the intraocular pressure of patients attending the Eye Clinic of University of Port Harcourt Teaching Hospital. Methods: This was an interventional ‘within-patient’ comparative hospital-based study conducted over 3 months, in which the right eyes of 137 subjects requiring diagnostic mydriasis received 1% tropicamide and 2.5% phenylephrine. The left eyes served as control. Results: There were 137 study participants: 86 males (62.8%) and 51 females (37.2%). The mean age of participants was 44.87±15.94 years. The baseline IOPs were 12.34±3mmHg for the Right Eye (RE) and 12.09±2.64mmHg for the Left Eye (LE). The mean post dilatation IOP at 30, 45, 60, 90 and 120 minutes in the RE were higher than baseline. The maximum mean post dilatation IOP in the RE was 13.75±2.99mmHg and this occurred at 45 minutes. In the control undilated LE, the mean post dilatation IOPs were lower than baseline at all the follow up periods except at 45 minutes where it was slightly higher (12.11±2.87mmHg). These differences in mean IOP change were statistically significant (p<0.05). At all the follow-up periods, 8.8%-14.6% of participant’s right eyes had large IOP elevations (>5mmHg but <10mmHg). Multiple linear regression analysis showed that pre dilatation IOPs were positively correlated to post dilatation IOPs. Conclusion: There is need to recheck IOP post dilatation preferably at 45 minutes in all patients who have had diagnostic mydriasis to prevent damage to the optic nerve. Diagnostic mydriasis could safely be done using small concentrations of tropicamide and phenylephrine.
{"title":"Effects of Diagnostic Mydriasis with Tropicamide and Phenylephrine on Intraocular Pressure","authors":"B. Fiebai","doi":"10.24966/OCR-8887/100049","DOIUrl":"https://doi.org/10.24966/OCR-8887/100049","url":null,"abstract":"Purpose: To determine the effects of diagnostic mydriasis using 1% tropicamide and 2.5% phenylephrine on the intraocular pressure of patients attending the Eye Clinic of University of Port Harcourt Teaching Hospital. Methods: This was an interventional ‘within-patient’ comparative hospital-based study conducted over 3 months, in which the right eyes of 137 subjects requiring diagnostic mydriasis received 1% tropicamide and 2.5% phenylephrine. The left eyes served as control. Results: There were 137 study participants: 86 males (62.8%) and 51 females (37.2%). The mean age of participants was 44.87±15.94 years. The baseline IOPs were 12.34±3mmHg for the Right Eye (RE) and 12.09±2.64mmHg for the Left Eye (LE). The mean post dilatation IOP at 30, 45, 60, 90 and 120 minutes in the RE were higher than baseline. The maximum mean post dilatation IOP in the RE was 13.75±2.99mmHg and this occurred at 45 minutes. In the control undilated LE, the mean post dilatation IOPs were lower than baseline at all the follow up periods except at 45 minutes where it was slightly higher (12.11±2.87mmHg). These differences in mean IOP change were statistically significant (p<0.05). At all the follow-up periods, 8.8%-14.6% of participant’s right eyes had large IOP elevations (>5mmHg but <10mmHg). Multiple linear regression analysis showed that pre dilatation IOPs were positively correlated to post dilatation IOPs. Conclusion: There is need to recheck IOP post dilatation preferably at 45 minutes in all patients who have had diagnostic mydriasis to prevent damage to the optic nerve. Diagnostic mydriasis could safely be done using small concentrations of tropicamide and phenylephrine.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47436734","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 : 2019-02-15DOI: 10.24966/ocr-8887/100048
Diomandé Gossé François
{"title":"Edema Palpebral Revealing in a Dermatobia hominis Infection: A Case Report","authors":"Diomandé Gossé François","doi":"10.24966/ocr-8887/100048","DOIUrl":"https://doi.org/10.24966/ocr-8887/100048","url":null,"abstract":"","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41628704","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 : 2019-02-15DOI: 10.24966/ocr-8887/100047
C. Pedro-Egbe
{"title":"Eye Complications of Chicken Pox in Port Harcourt Nigeria: Report of 4 Cases","authors":"C. Pedro-Egbe","doi":"10.24966/ocr-8887/100047","DOIUrl":"https://doi.org/10.24966/ocr-8887/100047","url":null,"abstract":"","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49114777","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 38 year old male came to our hospital with history of RTA 4 months back, he sustained head injury and was treated outside for brachial plexopathy. He now presented with total loss of vision in left eye which was sudden in onset and non-progressive.
{"title":"Terson Syndrome with Traumatic Optic Atrophy","authors":"S. Chowdhury, S. Kumari, Priti","doi":"10.33140/jocr.03.01.3","DOIUrl":"https://doi.org/10.33140/jocr.03.01.3","url":null,"abstract":"A 38 year old male came to our hospital with history of RTA 4 months back, he sustained head injury and was treated outside for brachial plexopathy. He now presented with total loss of vision in left eye which was sudden in onset and non-progressive.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69508645","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 : 2018-12-10DOI: 10.33140/jocr.02.04.00003
I am trying to pen an article on technique developed over the years here, Acupuncture India Centre for treatment of Macular Degeneration, Retinitis Pigmentosa, Retinal Degeneration and Optic Nerve atrophy. This technique is named as Assimilated Technique and has been given an ISO certification, AN ISO9001:2008 Certification.
{"title":"Treatment of Macular Degeneration and Other Incurable Eye Ailments with the\u0000Help of Assimilated Technique","authors":"","doi":"10.33140/jocr.02.04.00003","DOIUrl":"https://doi.org/10.33140/jocr.02.04.00003","url":null,"abstract":"I am trying to pen an article on technique developed over the\u0000years here, Acupuncture India Centre for treatment of Macular\u0000Degeneration, Retinitis Pigmentosa, Retinal Degeneration and Optic\u0000Nerve atrophy. This technique is named as Assimilated Technique and\u0000has been given an ISO certification, AN ISO9001:2008 Certification.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45007516","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 : 2018-12-10DOI: 10.33140/jocr/02/04/00002
Introduction: Acute retinal pigment epithelitis or Krill’s disease first time was described in 1972 as unknown disease and selflimiting inflammatory disorder that influence retinal pigment epithelium in the area of macula. Affecting most of all young adults. Disease equally affects males and females. Symptoms are characterized by sudden changes in vision. The etiology of ARPE is unknown, but there are suggestions that viral infection may play role in the pathogenesis. The diagnosis of ARPE is made based on clinical suspicion, as well as fundus findings. The purpose of this case is to report the clinical changes, laboratory changes and objective spectral domain optical tomography images of an ARPE at the acute phase and resolving phase. Clinical Observation: 28 years old female with subjective complains of blurring in her left eye was examined with OCT scan, vision test, refractometry, laboratory testing was taken in his acute phase of ARPE and then the patient was treated 20 days and after the examination was repeated. There were changes in subjective symptoms and objective there was positive changes in vision test, OCT scan also showed significant positive changes in foveal map, epithelium dislocation. Conclusion: ARPE has a different objective findings during different phases of illness in OCT scan, vision testing, and also in subjective patient complains. ARPE is self-limiting disease, but treatment with oral steroids also might influence development of a disease.
{"title":"Spectral Domain Optical Coherence Tomography of a Patient with Acute Retinal Pigment Epithelitis","authors":"","doi":"10.33140/jocr/02/04/00002","DOIUrl":"https://doi.org/10.33140/jocr/02/04/00002","url":null,"abstract":"Introduction: Acute retinal pigment epithelitis or Krill’s disease first time was described in 1972 as unknown disease and selflimiting inflammatory disorder that influence retinal pigment epithelium in the area of macula. Affecting most of all young adults. Disease equally affects males and females. Symptoms are characterized by sudden changes in vision. The etiology of ARPE is unknown, but there are suggestions that viral infection may play role in the pathogenesis. The diagnosis of ARPE is made based on clinical suspicion, as well as fundus findings. The purpose of this case is to report the clinical changes, laboratory changes and objective spectral domain optical tomography images of an ARPE at the acute phase and resolving phase. Clinical Observation: 28 years old female with subjective complains of blurring in her left eye was examined with OCT scan, vision test, refractometry, laboratory testing was taken in his acute phase of ARPE and then the patient was treated 20 days and after the examination was repeated. There were changes in subjective symptoms and objective there was positive changes in vision test, OCT scan also showed significant positive changes in foveal map, epithelium dislocation. Conclusion: ARPE has a different objective findings during different phases of illness in OCT scan, vision testing, and also in subjective patient complains. ARPE is self-limiting disease, but treatment with oral steroids also might influence development of a disease.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48088149","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 : 2018-11-26DOI: 10.33140/jocr/02/04/00001
Background: Non-Hodgkin’s lymphomas represent a heterogeneous group of haematological disorders characterized by a malignant monoclonal proliferation of the lymphoid system (B or T cells). Orbicatory lolisation is rare, it is seen mainly in adults. Case Report: We report the case of a 79-year-old patient with a high-grade NHML, revealed by blindness and left exophthalmos evolving for 3 months. Ophthalmological examination revealed left blindness with axil exophthalmos grade 1. MRI cranio-orbital objectified a left orbital processe lesion intra and extra conical associated with a mucosal thickening of the cavum with left necrotic jugulocarotidian adenopathies. A biopsy of the cavum and ADP objectified a NHML of type B with high grade of malignancy. Result: The patient was put on induction chemotherapy first before being placed on radiotherapy. The evolution was marked by the regression of the left exophthalmia. Conclusion: The NHML is characterized by an extreme clinical polymorphism, especially in the cervicofacial localizations, make the diagnosis difficult and lead to a delay in management.
{"title":"Exophthalmos and Blindness Revealing a Non-Hodgkin’s Malignant Lymphoma\u0000Type B with High Grade of Malignancy","authors":"","doi":"10.33140/jocr/02/04/00001","DOIUrl":"https://doi.org/10.33140/jocr/02/04/00001","url":null,"abstract":"Background: Non-Hodgkin’s lymphomas represent a heterogeneous group of haematological disorders characterized\u0000by a malignant monoclonal proliferation of the lymphoid system (B or T cells). Orbicatory lolisation is rare, it is seen\u0000mainly in adults.\u0000Case Report: We report the case of a 79-year-old patient with a high-grade NHML, revealed by blindness and left\u0000exophthalmos evolving for 3 months. Ophthalmological examination revealed left blindness with axil exophthalmos\u0000grade 1. MRI cranio-orbital objectified a left orbital processe lesion intra and extra conical associated with a mucosal\u0000thickening of the cavum with left necrotic jugulocarotidian adenopathies. A biopsy of the cavum and ADP objectified\u0000a NHML of type B with high grade of malignancy.\u0000Result: The patient was put on induction chemotherapy first before being placed on radiotherapy. The evolution was\u0000marked by the regression of the left exophthalmia.\u0000Conclusion: The NHML is characterized by an extreme clinical polymorphism, especially in the cervicofacial\u0000localizations, make the diagnosis difficult and lead to a delay in management.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44680387","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 : 2018-10-31DOI: 10.33140/jocr/02/03/00004
Purpose: To determine POAG in those patients have normal morphological fundi, C:D ratio and Neuroretinal rim, IOP may or may not significant rised. Background: At first there are no detectable symptoms except history usually given by patients altered acuity and glasses are not working properly, if this frequently complaint 3-4 times for last 8 months suspicion should developed for POAG. Design: Prospective Cohort study. Participant: Selection of Patients is based upon these factors: *Aged >40yrs regardless of gender discrimination. *Those have axial length of eye ball 24.0+/- 2.5mm. *Three or more consecutive visits to OPD for V.A correction within last 8 month. Method: We performed comphrensive Ophthalmic Examination i-e V.A, Ophthalmoscopy, Biomiroscopy, Gold standard Applanation Tonometry. When Patients have complaint persistant change of glasses without any defined morphology aetiology. We investigated these particular group for RNFL thinkness at OCT and measure thickness RNFL of twice in year. Result: There is variation of RNFL thickness in earliest suspected POAG patient with mean RNFL thickness 0.22 +/-0.1 moderate suspected POAG mean RNFL thickness 0.16 +/-0.12 and with healthy patient mean RNFL thickness 0.23 +/-0.03. All have clinical C:D ratio under range 0.2 to 0.5 and IOP under range of 14 to 18mmhg. Conclusion: We analysed the values thickness of RNFL at OCT along supportive history of frequent complaint altered V.A within last 8 months helps to sort out asymptomatic POAG before development of sign and symptoms associated with thousands of axonal death. Once Glaucoma developed, its hallmark of Irrveresible, Progressive, Permanent loss of vision badly affects quality of life.
{"title":"Earliest Detection of Asymptomatic Glaucoma (POAG) is Possible, If Patient Has\u0000Frequent Complaint of Altered Visual Acuity (V.A) within Last 6 to 8 Months","authors":"","doi":"10.33140/jocr/02/03/00004","DOIUrl":"https://doi.org/10.33140/jocr/02/03/00004","url":null,"abstract":"Purpose: To determine POAG in those patients have normal morphological fundi, C:D ratio and Neuroretinal rim, IOP may or\u0000may not significant rised.\u0000Background: At first there are no detectable symptoms except history usually given by patients altered acuity and glasses are not\u0000working properly, if this frequently complaint 3-4 times for last 8 months suspicion should developed for POAG.\u0000Design: Prospective Cohort study.\u0000Participant: Selection of Patients is based upon these factors:\u0000*Aged >40yrs regardless of gender discrimination.\u0000*Those have axial length of eye ball 24.0+/- 2.5mm.\u0000*Three or more consecutive visits to OPD for V.A correction within last 8 month.\u0000Method: We performed comphrensive Ophthalmic Examination i-e V.A, Ophthalmoscopy, Biomiroscopy, Gold standard\u0000Applanation Tonometry. When Patients have complaint persistant change of glasses without any defined morphology aetiology.\u0000We investigated these particular group for RNFL thinkness at OCT and measure thickness RNFL of twice in year.\u0000Result: There is variation of RNFL thickness in earliest suspected POAG patient with mean RNFL thickness 0.22 +/-0.1 moderate\u0000suspected POAG mean RNFL thickness 0.16 +/-0.12 and with healthy patient mean RNFL thickness 0.23 +/-0.03. All have clinical\u0000C:D ratio under range 0.2 to 0.5 and IOP under range of 14 to 18mmhg.\u0000Conclusion: We analysed the values thickness of RNFL at OCT along supportive history of frequent complaint altered V.A within\u0000last 8 months helps to sort out asymptomatic POAG before development of sign and symptoms associated with thousands of axonal\u0000death. Once Glaucoma developed, its hallmark of Irrveresible, Progressive, Permanent loss of vision badly affects quality of life.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42703939","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 : 2018-10-11DOI: 10.33140/jocr/02/03/00003
Horton’s disease or temporal giganto cellular arteritis is an inflammatory disease of the vessels, particularly affecting older female. We report the case of a 50-year-old patient with a classic clinical picture of anterior arteritic optic neuropathy with ischemia of the optic nerve, with a horizontal level and hypo-choroidal perfusion of the corresponding territory. The peculiarity in this patient is the negativity of the biological assessment and biopsy of the temporal artery
{"title":"An Unusual Presentation of Horton’s Disease","authors":"","doi":"10.33140/jocr/02/03/00003","DOIUrl":"https://doi.org/10.33140/jocr/02/03/00003","url":null,"abstract":"Horton’s disease or temporal giganto cellular arteritis is an inflammatory disease of the vessels, particularly affecting older female. We report the case of a 50-year-old patient with a classic clinical picture of anterior arteritic optic neuropathy with ischemia of the optic nerve, with a horizontal level and hypo-choroidal perfusion of the corresponding territory. The peculiarity in this patient is the negativity of the biological assessment and biopsy of the temporal artery","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42055226","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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