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Middle East African Journal of Ophthalmology

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https://www.readbyqxmd.com/read/29899654/implantation-of-customized-preshaped-implant-for-orbital-fractures-with-the-aid-of-three-dimensional-printing
#1
Sirous Nekooei, Mahsa Sardabi, Mohammad Etezad Razavi, Amirhossein Nekooei, Mohammad Yaser Kiarudi
Orbital floor fractures alone or in conjunction with other facial skeletal fractures are the most commonly encountered midfacial fractures. The technological advances in 3-dimensional (3D) printing allow the physical prototyping of 3D models, so creates an accurate representation of the patient's specific anatomy. A 56-year-old Caucasian man with severe hypoglobus and enophthalmos with an extensive blowout fracture was scheduled for reconstruction. First, 3D physical models were created based on the computed tomography scan datasets from patient...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899653/bilateral-deep-sclerectomy-with-microperforations-as-a-successful-secondary-procedure-in-aniridia-associated-glaucoma
#2
Abdulrahman AlDarrab, Rizwan Malik
Aniridia-associated glaucoma is often refractory to medical treatment. Glaucoma drainage device surgery is often considered after failed angle surgery. However, the potential complications of tube surgery in young children are not negligible. The failure rate of conventional trabeculectomy may be high and can require close and multiple postoperative follow-up visits. Here, we describe a child with aniridia who achieved good short-term results with deep sclerectomy. A 14-month-old girl was referred to our unit following bilateral trabeculotomies for aniridia-associated glaucoma and persistent uncontrolled intraocular pressure (IOP) in both eyes...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899652/palmoplantar-keratoderma-with-keratoconus
#3
Ved Prakash Gupta, Isha Chaudhari
Palmoplantar keratodermas (PPKs) are a rare heterogeneous group of disorders characterized by abnormal thickening of the skin of palms and soles. Ocular manifestations reported with palmer planter keratosis include scleral melanosis, macular deposits, and congenital cataract. We report, for the first time, a case of bilateral keratoconus in a patient with PPK.
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899651/autologous-scleral-flap-technique-to-repair-exposed-sutures-after-transscleral-suture-fixation-of-an-intraocular-lens
#4
Aliyah Hadi Alameri, Donald Ural Stone
Exposure of the suture after transscleral suture fixation of posterior chamber intraocular lenses is a known late complication that typically requires intervention. Patch grafts of sclera, cornea, or pericardium have been described. We describe a novel autologous scleral flap to cover an exposed 10-0 polypropylene suture. This technique requires no exogenous graft material and avoids the risks of intraocular manipulation of the lens. Every effort should be made to avoid external exposure of the suture, but in cases that develop suture erosion, an autologous scleral flap may be a useful intervention...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899650/frequency-of-cataract-in-iran-a-meta-analysis-and-systematic-review
#5
Hosien Shahdadi, Mohammad Naim Aminifard, Abbas Balouchi, Hosein Rafiemanesh, Jasem Allahyari
PURPOSE: Cataract is the leading cause of blindness and the second cause of low vision in the world. In the world, Asia has the highest number of blind population. The aim of the present systematic review and meta-analysis was to assess the frequency of clinical cataracts in Iran. MATERIALS AND METHODS: The frequency of clinical cataract was defined based on the international criteria and the measured outcome of the disease. Study selection, data extraction, and quality assessment were performed by two independent reviewers...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899649/bacterial-flora-of-the-conjunctiva-one-year-after-dacryocystorhinostomy
#6
Naser Owji, Alireza Zareifard
PURPOSE: The purpose of this study was to evaluate the changes of conjunctival bacterial flora 1 year after successful dacryocystorhinostomy (DCR). METHODS: Seventy-two consecutive adult patients with successful DCR were enrolled in this study. We obtained conjunctival cultures from the operated eyes, fellow eyes, and nasal mucosa of the operated side 1 year after the operation. After the period of incubation, further evaluation was performed using standard laboratory techniques...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899648/relationship-between-refraction-anthropometrics-and-educational-status-in-a-nigerian-young-adult-population
#7
Sarat A Badmus, Ayotunde I Ajaiyeoba, Bernice O Adegbehingbe, Oluwatoyin H Onakpoya, Adenike O Adeoye, Sanyaolu A Ameye
PURPOSE: The study aimed at determining the relationship between refraction and anthropometric measurements and the relationship between the level of education and refractive status in a Nigerian young adult population. MATERIALS AND METHODS: Healthy volunteers from the students and staff of a teaching hospital in South-Western Nigeria were studied. Demographic profiles including participants' highest educational status, parental educational level, and the age at first formal school enrollment were documented...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899647/causes-of-permanent-severe-visual-impairment-and-blindness-among-jordanian-population
#8
Basel Turki Baarah, Raed Ali Shatnawi, Ahmed Essa Khatatbeh
PURPOSE: To report the causes of permanent severe visual impairment and blindness among Jordanian blind people. MATERIALS AND METHODS: This study was conducted on 1422 legally blind or worse vision people of all ages who attended the ophthalmic division of a medical committee for evaluation of disabled persons from July 2013 through November 2014. They were divided into two age groups: adult group (998 cases) and childhood group (<16 years, 424 cases). Patients presented reports from their ophthalmologists detailing their eye examination including best-corrected visual acuity, slit-lamp examinations, and if applicable, intraocular pressure, dilated ophthalmoscopy, and visual field and the primary cause of visual impairment...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899646/choroidal-haller-s-and-sattler-s-layers-thickness-in-normal-indian-eyes
#9
Rupak Roy, Kumar Saurabh, Chinmayi Vyas, Kaustubh Deshmukh, Preeti Sharma, Dhileesh P Chandrasekharan, Aditya Bansal
AIM: This study aims to study normative choroidal thickness (CT) and Haller's and Sattler's layers thickness in normal Indian eyes. MATERIALS AND METHODS: The choroidal imaging of 73 eyes of 43 healthy Indian individuals was done using enhanced depth imaging feature of spectralis optical coherence tomography. Rraster scan protocol centered at fovea was used for imaging separately by two observers. CT was defined as the length of the perpendicular line drown from the outer border of hypereflective RPE-Bruch's complex to inner margin of choroidoscleral junction...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899645/accommodation-convergence-and-stereopsis-in-dyslexic-schoolchildren
#10
Monireh Feizabadi, Ebrahim Jafarzadehpur, Majid Akrami
BACKGROUND: Previous studies have shown a correlation between reading problems and binocular function, but few studies have assessed visual skills in dyslexic students, particularly in Iranian Farsi-language students. This study is aimed to determine some of the binocular functions of dyslexic children and compare it with a group of age, sex, and social class-matched control children. MATERIALS AND METHODS: We conducted a case-control study on 27 dyslexic children and 40 age, sex, and social class-matched control children (all between 7 and 13 years old) in grades one to six...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899644/comparison-of-goldmann-applanation-noncontact-air-puff-and-tono-pen-xl-tonometry-in-normal-controls-versus-glaucoma-patients-at-a-university-hospital-in-riyadh-saudi-arabia
#11
Essam A Osman, Priscilla W Gikandi, Abdul-Rahman A Al-Jasser, Majeedah Alotaibi, Ahmed Mousa
PURPOSE: The purpose of this study is to compare intraocular pressure (IOP) measured by the Goldmann applanation tonometer (GAT), the Tono-Pen XL (TPXL), and a noncontact airpuff tonometer (NCT) in glaucoma patients and normal controls. METHODOLOGY: In the current study, two groups of individuals were recruited; the first group included glaucoma patients (glaucoma group) while the second one was a glaucoma-free group. The IOP was measured through GAT, NCT, and TPXL for the same participants by three different physicians in both groups...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29899643/intravitreal-bevacizumab-with-or-without-triamcinolone-for-wet-age-related-macular-degeneration-twelve-month-results-of-a-prospective-randomized-investigation
#12
Qader Motarjemizadeh, Naser Samadi Aidenloo, Mohammad Abbaszadeh, Vahid Sadrinia
PURPOSE: The purpose of this study is to compare the long-term outcomes of intravitreal bevacizumab (IVB) with a combination therapy including IVB/intravitreal triamcinolone acetonide (IVB/IVTA) in neovascular age-related macular degeneration (AMD). MATERIALS AND METHODS: This prospective, randomized clinical trial was conducted on 136 eyes of 136 patients with neovascular AMD. Eyes were randomly assigned to receive IVB alone (71 eyes) or in combination with IVTA (65 eyes)...
January 2018: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422760/demographic-and-clinical-features-of-pediatric-uveitis-at-a-tertiary-referral-center-in-iran
#13
LETTER
Mahmood Dhahir Al-Mendalawi
No abstract text is available yet for this article.
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422759/cytomegalovirus-retinitis-as-a-presenting-feature-of-multisystem-disorder-dyskeratosis-congenita
#14
Swapnil Parchand, Adarsh Barwad
Cytomegalovirus (CMV) retinitis is an opportunistic infection commonly seen in disorders that affect the immune system of the body such as acquired immunodeficiency syndrome and hematological malignancies such as leukemia/lymphoma or organ transplantation. The occurrence of CMV retinitis in the absence of such condition should be thoroughly investigated, as it is a strong indicator of poor immune competence. We here report an interesting case of CMV retinitis as a presenting feature of rare multisystem disorde r "Dyskeratosis congenita...
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422758/localized-trichiasis-causing-focal-full-thickness-corneal-edema-endothelial-cell-loss-and-corneal-scarring-requiring-penetrating-keratoplasty
#15
Tiffany Sara Liu, Seth Meskin
The purpose of the study was to report a case of focal trichiasis causing full-thickness corneal edema, scarring, and endothelial cell loss requiring penetrating keratoplasty (PK). A 66-year-old male was referred for trichiasis of the right upper eyelid corresponding to an area of full-thickness corneal edema. No keratic precipitates or guttata was noted. Specular microscopy showed diffuse endothelial cell loss. He was treated with topical steroids and acyclovir with epilation of lashes. Anterior chamber paracentesis was negative for varicella-zoster virus, cytomegalovirus, and herpes simplex virus...
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422757/-aeromonas-salmonicida-as-a-causative-agent-for-postoperative-endophthalmitis
#16
Abhishek Varshney, Manmath Das, Priyanka Chaudhary, Rashmi Kumari, Kusha Yadav
We report a case of a 55-year-old female who presented with pain, redness, and profound visual loss in her right eye 2 weeks after cataract surgery. An ophthalmic examination showed light perception vision, corneal edema with severe anterior chamber reaction and hypopyon, exudative membranes on the anterior lens surface, and dense vitreous exudates. Under the impression of acute postoperative exogenous endophthalmitis, immediate pars plana vitrectomy with culture of vitreous aspirate and intravitreal antibiotic injections were performed...
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422756/assessment-of-annual-diabetic-eye-examination-using-telemedicine-technology-among-underserved-patients-in-primary-care-setting
#17
Elham Hatef, Miriam Alexander, Bruce G Vanderver, Peter Fagan, Michael Albert
CONTEXT: Digital retinal imaging with the application of telemedicine technology shows promising results for screening of diabetic retinopathy in the primary care setting without requiring an ophthalmologist on site. AIMS: We assessed whether the establishment of telemedicine technology was an effective and efficient way to increase completion of annual eye examinations among underserved, low-income (Medicaid) diabetic patients. SETTINGS AND DESIGN: A cross-sectional study in a primary care setting...
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422755/comparison-of-the-efficacy-of-carboxymethylcellulose-0-5-hydroxypropyl-guar-containing-polyethylene-glycol-400-propylene-glycol-and-hydroxypropyl-methyl-cellulose-0-3-tear-substitutes-in-improving-ocular-surface-disease-index-in-cases-of-dry-eye
#18
COMPARATIVE STUDY
Prafulla K Maharana, Sapna Raghuwanshi, Ashish K Chauhan, Vaishali G Rai, Rajesh Pattebahadur
PURPOSE: To compare the efficacy of carboxymethylcellulose 0.5% (CMC), hydroxypropyl-guar containing polyethylene glycol 400/propylene glycol (PEG/PG), and hydroxypropyl methylcellulose 0.3% (HPMC) as tear substitutes in patients with dry eye. METHODS: A retrospective evaluation of cases presenting with symptoms of dry eye from July 2014 to June 2015 was done. Patients with Ocular Surface Disease Index (OSDI) scoring >12 were included in the study. Parameters such as age, gender, Schirmer test (ST), and tear film breakup time (TBUT) were recorded on day 0, week 1, and week 4...
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422754/comparative-evaluation-of-corneal-endothelium-in-diabetic-patients-undergoing-phacoemulsification
#19
COMPARATIVE STUDY
Pramod Kumar Sahu, Gopal Krushna Das, Sumeet Agrawal, Sabitabh Kumar, Nitish Kumar
PURPOSE: To determine if phacoemulsification with intraocular lens implantation has a greater impact on the corneal endothelium of type 2 diabetic patients as compared to nondiabetics. MATERIALS AND METHODS: This study compared the endothelial status in 60 diabetics with good glycemic control and 60 nondiabetics before and after uneventful phacoemulsification. Central corneal endothelial cell density, percentage hexagonality and percentage coefficient of variation (%CV) were measured using a specular microscope...
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29422753/investigating-the-visual-status-of-preschool-children-in-riyadh-saudi-arabia
#20
Ali M Alsaqr, Ghayda'a Ibrahim, Ali Abu Sharha, Raied Fagehi
PURPOSE: The purpose of the study was to explore the vision status of preschool children aged 3-6 years in Al Riyadh and to identify children at risk of amblyopia. MATERIALS AND METHODS: This was a cross-sectional population-based study. Visual acuity (VA) was measured using 15-line Lea symbols, refractive error was assessed using the Mohindra near retinoscopy technique, and peak contrast sensitivity (CS) was measured with the aid of the numerical CS test. We recruited 335 children, with their parents' written consent, from 14 kindergartens...
October 2017: Middle East African Journal of Ophthalmology
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