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Middle East African Journal of Ophthalmology

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https://www.readbyqxmd.com/read/27994403/erratum-cataract-surgery-audit-at-a-private-hospital-in-saudi-arabia
#1
(no author information available yet)
[This corrects the article on p. 502 in vol. 22, PMID: 26692725.].
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994402/erratum-oestrus-ovis-as-a-cause-of-red-eye-in-aljabal-algharbi-libya
#2
(no author information available yet)
[This corrects the article on p. 305 in vol. 18, PMID: 22224020.].
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994401/streptococcus-agalactiae-endophthalmitis-in-boston-keratoprosthesis-in-a-patient-with-steven-johnson-syndrome
#3
Humoud M Al-Otaibi, Mohammed Talea, Omar Kirat, Donald U Stone, William N May, Igor Kozak
A 25-year-old Syrian male with a previous episode of Stevens-Johnson syndrome with bilateral corneal cicatrization previously underwent surgery for Type 1 Boston Keratoprosthesis (K-Pro). Sixteen months after the K-Pro surgery, the patient presented with decreased vision to hand motion and microbial keratitis of the graft around the K-Pro with purulent discharge. Corneal scrapings were nonrevealing. B-scan in 3 days showed increased debris in the vitreous cavity and thickened retinochoroidal layer. Intravitreal tap and injections of vancomycin and ceftazidime were performed...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994400/in-vivo-confocal-microscopic-architecture-of-corneal-nerves-in-a-case-of-multiple-endocrine-neoplasia-type-2b
#4
Chintan Malhotra, Arun Kumar Jain, Bikram Thapa, Sabin Sahu
A detailed ocular examination and in vivo confocal microscopy (IVCM) using the Heidelberg retinal tomograph 3 with Rostock cornea module were performed in a patient with multiple endocrine neoplasia (MEN) 2b syndrome. Ocular findings included ptosis secondary to thickening of the lid margins, subconjunctival and perilimbal neuromas, and prominent corneal nerves extending up to the pupillary area. IVCM demonstrated structural alterations of both the main nerve trunks and the smaller branches. The main nerve trunks were grossly thickened while the smaller fibers were present in an intertwining manner in the anterior stroma...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994399/serous-retinal-detachment-in-dome-shaped-macula-with-7-years-follow-up
#5
Adel G Alakeely, Saba Alrashaed
Dome-shaped macula (DSM) was first described by Gaucher et al. as a convex protrusion of macula within a staphyloma in highly myopic eyes that cause visual impairment associated with serous foveal detachment (SFD). We describe a patient with persistent SFD in DSM documented by serial spectral domain optical coherence tomography for 7 years with stable vision.
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994398/risk-of-breaking-haptic-of-trifocal-iol-and-its-management
#6
Tariq Alasbali
Fracture of an intraocular lens (IOL) haptic is a rare complication of cataract surgery. A broken haptic can cause serious damage in the anterior and posterior segments. To the best of our knowledge, a broken haptic in a high-quality, commercially available trifocal IOL has not been documented in the literature. Prompt and proactive action at 1 day postoperatively aided in addressing the complication and restoring the vision. We suggest that the ophthalmologist performed a thorough evaluation on the 1(st) postoperative day and take immediate action after a discussion with the patient and relatives...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994397/phacoantigenic-reaction-masquerading-as-postoperative-endophthalmitis-in-a-silicone-oil-filled-eye
#7
Bindu Rajesh, Rameez Hussain, Mahesh Gopalakrishnan, Anantharaman Giridhar
A 72-year-old phakic male with immature cataract underwent vitrectomy with silicone oil injection in his left eye for rhegmatogenous retinal detachment. The surgery was uneventful except for lens touch during vitrectomy. Two weeks postoperatively, he presented with circumcorneal congestion, hypopyon, and absent fundal glow suggestive of postoperative endophthalmitis. The patient was managed conservatively as he refused further intervention. Five weeks later, ocular inflammation subsided following posterior dislocation of the cataractous lens, thus revealing the error in our initial diagnosis...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994396/surgical-treatment-of-corneal-ectasia-with-motowa-s-trephine-and-selective-suturing-technique
#8
Saeed Al-Motowa, Mosa Al-Harby
A 40-year-old male presented with bilateral ectasia, contact lens intolerance, and astigmatism >10 D in both eyes. The patient had end-stage pellucid marginal degeneration that warranted surgical treatment. We present a unique surgical technique to stabilize the cornea, minimize astigmatism, improve vision and corneal status, and avoid penetrating keratoplasty.
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994395/lower-eyelid-retraction-repair-with-resorbable-polydioxanone-implants
#9
Adel H Alsuhaibani, Yasser H Al-Faky
PURPOSE: To report a unique technique to repair lower eyelid retraction using resorbable polydioxanone implants. PATIENTS AND METHODS: This was a retrospective, consecutive, nonrandomized interventional case series. Patients with lower eyelid retraction after trauma repaired facial fracture, thyroid eye disease, lower eyelid blepharoplasty, and long-standing facial palsy were treated with middle lamellar spacer using absorbable polydioxanone implant. All patients were recruited from the King Abdulaziz University Hospital, Riyadh, Saudi Arabia...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994394/comparison-of-olive-tipped-and-conventional-steven-s-cannula-for-sub-tenon-ophthalmic-anesthesia
#10
Saeed Al-Motowa, Nauman Ahmad, Rajiv Khandekar, Abdul Zahoor
PURPOSE: To compare the efficacy of the olive tipped (OT) cannula to the conventional Steven's cannula for sub-Tenon block (STB) before cataract surgery. METHODS: This prospective, randomized, double-masked compared STB delivered in cataract surgery patients with an OT cannula or a conventional Steven's cannula (ST). Outcome variables included the akinesia score and lid movement scores at 5 and 10 min. The patient perception of pain during delivery of the STB and surgery were also compared between groups...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994393/the-evaluation-of-reading-performance-with-minnesota-low-vision-reading-charts-in-patients-with-age-related-macular-degeneration
#11
Deniz Altinbay, Fatih Mehmet Adibelli, Ibrahim Taskin, Adil Tekin
PURPOSE: To evaluate the reading performance using the Minnesota low vision reading (MNREAD) charts, of patients with age-related macular degeneration (AMD) who use low vision aid (LVA) devices. MATERIALS AND METHODS: This prospective study enrolled 27 patients with AMD. Distance visual acuity (VA) was evaluated with a distance chart designed for patients with low vision. Near vision and reading performance were evaluated with the Turkish version of the MNREAD charts...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994392/bottle-characteristics-of-topical-international-glaucoma-medications-versus-local-brands-in-saudi-arabia
#12
Nasser Al-Jumaian, Rizwan Malik, Rajiv Khandekar, Abdullah Al-Humaidan, Rana Al-Madany, Reham Al-Qahtani, Ahmed Altowairqi, Abdulwahab Al-Theeb, Babar Zaman, Leyla Al-Djasim, E Randy Craven, Deepak P Edward
WHAT IS KNOWN AND OBJECTIVE: Physical bottle characteristics differ of brand name topical glaucoma medications and local generic equivalents. This study compares the bottle characteristics of international topical glaucoma brands versus local brands from the Kingdom of Saudi Arabia. METHODS: Data were collected on bottle drum volume, drop volume, bottle squeezability, bottle tip diameter, labels and instructions, cap color coding, and clarity of the drug label. Density-based calculations of drops in bottle volume were assessed using an analytic balance...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994391/causes-of-phakic-implantable-collamer-lens-explantation-exchange-at-king-khaled-eye-specialist-hospital
#13
Nasser A AlSabaani, Ashley Behrens, Sabah Jastanieah, Salem Al Malki, Mohanna Al Jindan, Saeed Al Motowa
PURPOSE: The purpose of this study is to evaluate the causes of phakic implantable collamer lens (ICL) explantation/exchange at an eye hospital in Saudi Arabia. MATERIALS AND METHODS: A retrospective chart review was performed for patients who underwent ICL implantation from 2007 to March 2014 and data were collected on cases that underwent ICL explantation. RESULTS: Of the 787 ICL implants, 30 implants (3.8% [95% confidence interval 2.6%; 5...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994390/comparison-of-anterior-segment-measurements-with-optical-low-coherence-reflectometry-and-partial-coherence-interferometry-optical-biometers
#14
Ertuğrul Can, Mustafa Duran, Tuğba Çetinkaya, Nurşen Arıtürk
AIMS: To evaluate a new noncontact optical biometer using partial-coherence interferometry and to compare the clinical measurements with those obtained from the device using optical low-coherence reflectometry (OLCR). SETTING AND DESIGN: Ondokuz Mayis University, Samsun, Turkey. Nonrandomized, prospective clinical trial. SUBJECTS AND METHODS: The study was performed on the healthy phakic eyes of volunteers in the year 2014. Measurements of axial length (AL), anterior chamber depth (ACD), central corneal thickness (CCT), mean keratometry (K), and white-to-white (WTW) measurements obtained with the low-time coherence interferometry (LTCI) were compared with those obtained with the OLCR...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994389/characteristics-of-keratoconic-patients-attending-a-specialist-contact-lens-clinic-in-kenya
#15
Zahra Aly Rashid, Michel Millodot, Katharine S E Evans
PURPOSE: To describe the characteristics of keratoconus (KC) patients seen in a contact lens clinic of a children's hospital in Kenya. RESULTS: A total of 254 patients' records were analyzed. Mean age at presentation to the clinic was 20.97 ± 11.13 year (range, 6-84 years) with 75% between the ages of 6 and 25 years. There was a preponderance of males (59.8%). Most patients were referred by an ophthalmologist. All patients were Africans. The most common complaints were blurred vision (50%), poor visual acuity with spectacles (33...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27555719/unilateral-glaucoma-associated-with-conjunctival-angioma-and-choroidal-thickening-without-facial-angioma
#16
Osamah J Saeedi, Luke Y Chang, Karun S Arora, Henry D Jampel, Harry A Quigley
We report a case of a suspected Sturge-Weber syndrome variant diagnosed at the age of 58 with the help of enhanced depth imaging spectral-domain ocular coherence tomography (EDI-SDOCT). A 58-year-old female with unilateral glaucoma was suspected to have choroidal vascular lesion, conjunctival angioma, and no facial port-wine stain who presented to the clinic with bleb dysesthesia many years after trabeculectomy. EDI-SDOCT was performed and revealed markedly increased choroidal thickness in the affected eye...
July 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27555718/reversible-corneal-toxicity-of-retained-intracameral-perfluoro-n-octane
#17
Saad S Alharbi, Mohammed S Asiri
A 58-year-old female presented with intracameral retained perfluoro-n-octane (PFO) following previous retinal reattachment surgery. After 4 years of follow-up without related sequelae, the patient complained of a gradual decrease in vision secondary to corneal edema with whitish corneal precipitate inferiorly corresponding to the area of retained PFO. Three weeks after anterior chamber washout, corneal edema resolved and the patient obtained 20/40 visual acuity. Even though PFO considered to have a relatively good safety profile, early anterior chamber washout may prevent corneal toxicity and avoid later persistent corneal decompensation...
July 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27555717/corneal-epitheliopathy-after-trauma-by-fake-snow-powder-in-a-7-year-old-child
#18
Mohammad A Al-Amry, Huda A Al-Ghadeer
Fake snow is a polymer of sodium polyacrylates used in games and celebrations. Despite the product leaflet that indicates safety, contact with the ocular surface can cause injury. We report a case of a child with corneal epitheliopathy due to a chemical burn injury after ocular surface contact with fake snow. The case was managed with epithelial debridement and a bandage contact lenses and topical antibiotics with complete resolution.
July 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27555716/traumatic-ghost-cell-glaucoma-with-successful-resolution-of-corneal-blood-staining-following-pars-plana-vitrectomy
#19
Amal Alamri, Hind Alkatan, Ibrahim Aljadaan
Ghost cell glaucoma (GCG) was first described in 1976. It is a type of a secondary open angle glaucoma, which occurs following long-standing vitreous hemorrhage. The ghost cells are rigid and less pliable than fresh red blood cells; therefore, they may cause direct obstruction of the trabecular meshwork and secondary increase in the intraocular pressure (IOP). This case report presents the diagnosis and management of a rare case of traumatic GCG after vitreous hemorrhage in a phakic child. Pars plana vitrectomy was done after unsuccessful medical therapy and the diagnosis was confirmed by cytopathology...
July 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27555715/a-surprise-in-the-lacrimal-sac
#20
Nilay Yuksel, Emine Akcay, Aydan Kilicarslan, Umut Ozen, Faruk Ozturk
To present a case with recurrent dacryocystitis as an unusual complication of medial orbital wall fracture repair with cartilage tissue graft. A 20-year-old male had facial trauma and underwent surgery to reconstruct right medial orbital wall fracture. During follow-up, he presented with continuous epiphora, mucopurulent discharge from the right eye. A thorough history taking indicated that medial orbital fracture was reconstructed with postauricular cartilage. We planned a standard external dacryocystorhinostomy (DCR)...
July 2016: Middle East African Journal of Ophthalmology
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