Middle East African Journal of Ophthalmology最新文献

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Effect of Timing of Pars Plana Vitrectomy on Visual Outcome in Cases of Nucleus Drop during Phacoemulsification. 玻璃体旁切除术的时机对乳化过程中出现髓核脱落病例视觉效果的影响
IF 0.5
Middle East African Journal of Ophthalmology Pub Date : 2024-06-14 eCollection Date: 2023-04-01 DOI: 10.4103/meajo.meajo_176_21
Deepa Sharma, Somya Ish, Satish Jeria, Ritu Dalla, Ashok Pathak
{"title":"Effect of Timing of Pars Plana Vitrectomy on Visual Outcome in Cases of Nucleus Drop during Phacoemulsification.","authors":"Deepa Sharma, Somya Ish, Satish Jeria, Ritu Dalla, Ashok Pathak","doi":"10.4103/meajo.meajo_176_21","DOIUrl":"10.4103/meajo.meajo_176_21","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to study the relationship between the timing of pars plana vitrectomy (PPV) with corrected distance visual acuity (CDVA) in cases of nucleus drop during phacoemulsification.</p><p><strong>Methods: </strong>This retrospective analysis included 83 patients, who underwent PPV for nucleus or nuclear fragment drop from July 2017 to November 2019. Timing of PPV (≤2 weeks and >2 weeks) after the primary cataract surgery was noted. The primary endpoint was CDVA at 1 month, which was compared with the time of PPV. Visual outcome was assessed as good if CDVA was better than or equal to 20/40 and poor if CDVA was worse than 20/40. Mode of management along with type of secondary intraocular lens (IOL) implanted was also evaluated.</p><p><strong>Results: </strong>Out of the 83 cases (55 males and 28 females) in which vitrectomy for nucleus drop was performed, 36 cases were operated within 2 weeks and 47 were operated between 2 weeks and 1 month. In cases which were operated within 2 weeks, CDVA of 20/20-20/40 was achieved in 33 cases. For those who were operated on after 2 weeks, CDVA of 20/20-20/40 was achieved in 43 cases. The difference in visual outcome in both the groups was statistically nonsignificant (Fisher's exact <i>t</i>-test, <i>P</i> = 0.97). In 64 (77%) cases, adequate sulcus was present, in which foldable 3-piece IOL was placed in 29 (35%) cases.</p><p><strong>Conclusion: </strong>Timing of intervention has no bearing on the final visual outcome after vitrectomy in cases of nucleus drop during phacoemulsification. The continuity of the capsulorrhexis and the availability of capsular support determines the type of placement of the lens. A foldable lens can be placed in the sulcus if continuous capsulorrhexis is present.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 2","pages":"68-71"},"PeriodicalIF":0.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiopathological Correlation in Orbital Lesions. 眼眶病变的放射病理学相关性。
IF 0.5
Middle East African Journal of Ophthalmology Pub Date : 2024-06-14 eCollection Date: 2023-04-01 DOI: 10.4103/meajo.meajo_7_23
Bipasha Mukherjee, Varsha Backiavathy, C Umadevi, Olma V Noronha
{"title":"Radiopathological Correlation in Orbital Lesions.","authors":"Bipasha Mukherjee, Varsha Backiavathy, C Umadevi, Olma V Noronha","doi":"10.4103/meajo.meajo_7_23","DOIUrl":"10.4103/meajo.meajo_7_23","url":null,"abstract":"<p><strong>Purpose: </strong>The objective is to analyze the radiological diagnosis of orbital lesions and their correlation with the final histopathological findings. We compared the initial reports by extramural radiologists and an in-house radiologist specialized in orbital imaging to evaluate the diagnostic accuracy in the interpretation of orbital imaging.</p><p><strong>Methods: </strong>This was a retrospective chart review of forty patients referred to a Tertiary Eye Care Center in South India over a period of 7 years. These patients already had their imaging done elsewhere. The imaging was re-evaluated by an in-house radiologist. The radiological findings were correlated with the histopathological diagnosis. The diagnostic accuracy between the two radiologists was compared. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value in differentiating malignant from benign lesions were calculated in both groups. The sensitivity and PPV of the radiological diagnosis for neoplastic and inflammatory lesions in both groups were analyzed.</p><p><strong>Results: </strong>The accuracy in differentiating malignant from benign and inflammatory lesions by our in-house radiologist and extramural radiologists was 95% (κ = 0.9 [0.764, 0.997]) and 50% (κ = 0.036 [-0.160, 0.232]), respectively. The sensitivity and PPV of the radiological diagnosis by our in-house radiologist were 93.31% and 100% for benign lesions and 95.24% and 95.24% for malignant lesions. On the contrary, reports from the extramural radiologists showed a sensitivity and PPV of 76.92% and 66.67% for benign lesions and 14.28% and 60% for malignant lesions.</p><p><strong>Conclusion: </strong>A high radiological diagnostic accuracy is possible when analyzed by radiologists experienced in orbital imaging.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 2","pages":"98-102"},"PeriodicalIF":0.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrence of Idiopathic Orbital Inflammation: An 11-year Retrospective Study. 特发性眼眶炎症复发:11年回顾性研究
IF 0.5
Middle East African Journal of Ophthalmology Pub Date : 2024-06-14 eCollection Date: 2023-04-01 DOI: 10.4103/meajo.meajo_225_21
Neni Anggraini, Nurjati C Siregar, Rita S Sitorus
{"title":"Recurrence of Idiopathic Orbital Inflammation: An 11-year Retrospective Study.","authors":"Neni Anggraini, Nurjati C Siregar, Rita S Sitorus","doi":"10.4103/meajo.meajo_225_21","DOIUrl":"10.4103/meajo.meajo_225_21","url":null,"abstract":"<p><strong>Purpose: </strong>The high recurrence rate of idiopathic orbital inflammation (IOI) has been reported. This study aims to determine existing predictive factors for the recurrence of IOI.</p><p><strong>Methods: </strong>This was an 11-year retrospective study with at least a 12-month follow-up. Fifty patients with biopsy-proven IOI admitted between 2006 and 2017 at our tertiary hospital were observed. We compared the clinical characteristics, histopathological profile, and biomarker expressions (mast cell, immunoglobulin G4, tumor necrosis factor-alpha, and transforming growth factor-beta) of 16 patients with recurrence (Group I) and 34 patients with no recurrence (Group II). Statistical comparison and multivariate analysis were performed to establish the predictive factors.</p><p><strong>Results: </strong>We discovered five recurrence predictive factors: presentation of proptosis (odds ratio [OR] 4.96, 95% confidence interval [CI] 1.36-18.03), visual impairment (OR 15, 95% CI 1.58-142.72), extraocular muscle (EOM) restriction (OR 3.86, 95% CI 1.07-13.94), nonanterior involvement (OR 7.94, 95% CI 1.88-33.5), and corticosteroid (CS) alone treatment (OR 7.20, 95% CI 1.87-27.8). On multivariate analysis, nonanterior involvement and CS alone treatment were validated as predictive factors (area under the curve = 0.807 [95% CI 0.69-0.92]). Histopathological profile and biomarker expressions were not associated with recurrence. However, there was a 22-fold higher recurrence risk for granulomatous-type patients given CS alone treatment.</p><p><strong>Conclusion: </strong>Unlike the five clinical characteristics mentioned, both histopathology and biomarker variables were not associated with recurrence. CS alone treatment for patients with nonanterior involvement or granulomatous type is proven to increase the risk of recurrence. Therefore, we suggest not giving CS without any combination treatment with other modalities for this group of patients.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 2","pages":"89-97"},"PeriodicalIF":0.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spontaneous Globe Rupture following Prolonged Uncontrolled Elevated Intraocular Pressure. 眼压升高长期得不到控制,导致自发性球囊破裂。
IF 0.5
Middle East African Journal of Ophthalmology Pub Date : 2024-06-14 eCollection Date: 2023-04-01 DOI: 10.4103/meajo.meajo_72_23
Akinsola S Aina, Olumide T Adeleke, Ifeoluwasemilojo Aina
{"title":"Spontaneous Globe Rupture following Prolonged Uncontrolled Elevated Intraocular Pressure.","authors":"Akinsola S Aina, Olumide T Adeleke, Ifeoluwasemilojo Aina","doi":"10.4103/meajo.meajo_72_23","DOIUrl":"10.4103/meajo.meajo_72_23","url":null,"abstract":"<p><p>We report two glaucoma patients who experienced unusual instances of spontaneous globe rupture. The patients arrived at the Bowen University Teaching Hospital's emergency ophthalmology unit with a history of bleeding from one eye without any history of ocular trauma. They were known glaucoma patients with poor control of their intraocular pressures (IOP). They eventually underwent evisceration shortly after presentation. Spontaneous eyeball rupture in glaucomatous eyes is extremely unusual and has a very poor prognosis for vision. Proper management and appropriate follow-up of glaucoma patients are very important to avert this dreaded complication of uncontrolled IOP.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 2","pages":"125-127"},"PeriodicalIF":0.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Audit for the Outcome of Primary Rhegmatogenous Retinal Detachment Repair in the Kingdom of Bahrain. 巴林王国对原发性风湿性视网膜脱离修复术结果的手术审计。
IF 0.5
Middle East African Journal of Ophthalmology Pub Date : 2024-06-14 eCollection Date: 2023-04-01 DOI: 10.4103/meajo.meajo_200_22
Maryam Almohsen, Razan Shehab, Ahmed Asal, Fatema Alqassab
{"title":"Surgical Audit for the Outcome of Primary Rhegmatogenous Retinal Detachment Repair in the Kingdom of Bahrain.","authors":"Maryam Almohsen, Razan Shehab, Ahmed Asal, Fatema Alqassab","doi":"10.4103/meajo.meajo_200_22","DOIUrl":"10.4103/meajo.meajo_200_22","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The purpose of the study was to audit the primary and final success rate for primary rhegmatogenous retinal detachment (RRD) surgery performed between 2017 and 2022 at the Department of Ophthalmology in Salmanyia Medical Complex, the Kingdom of Bahrain. In addition, secondary outcomes for our study include assessments of risk factors for recurrence, final visual outcomes and complication rates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Prospective observational study showed data analysis of case series for 75 RRD patients operated during the study period. All patients who met the inclusion criteria were included in the study and evaluated by a specialized vitreoretinal surgeon before and after their operation. All patients were operated by the same surgeon (M.A) in the study period. Data collected from the hospital's electronic medical recording system (I-Seha) include macular state, pre- and postoperative best-corrected visual acuity, duration of symptoms, the presence of proliferative vitreoretinopathy (PVR), retinal breaks and their locations, any ocular comorbidities associated in the perioperative period such as increase in intraocular pressure or development of cataract, and operative notes related to the type of primary, secondary, and tertiary surgery if needed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total number of 70 eyes from 70 patients with the majority of male patients (74.28%, n = 52) were included in the study. The mean age of the participants was 54.75 years (range: 11-91 years). Most of the patients 48.57% presented within 6 days of symptoms. Nearly 77.1% of the operated cases were macula off, whereas 22.85% were macula on. Thirty-six of the eyes (51.4%) had complex RRD with a combination of PVR (34.2%). Sixty-three of the eyes (51.4%) underwent standard 23G pars plana vitrectomy, while the combined surgery with a scleral buckle was performed on 9 eyes (12.8%). Five patients underwent pneumatic retinopexy and two patients had primary scleral buckles. Combined phacoemulsification with vitrectomy in selected cases was performed on 13 eyes (18.5%). Different tamponading agents were used 35 eyes (50%) silicon oil, 17 eyes (24%) C3F8, and 18 eyes (25%) SF6. The primary reattachment rate after one operation was 77.1% (54 eyes). The final reattachment rate following a second or third procedure was 95.7%. The mean postoperative visual acuity was 6/18 (range: 6/6 to hand motions). Thirty percent of the cohort of patients had a visual acuity of 6/12 or better. Sixteen out of the 70 eyes redetached (22.8%) and 10 of those eyes (62.5%) were classified as \"complex\" preoperatively which is thought to be a significant risk factor for failure.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our audit overall met international success rates despite the presence of some complex scenarios which required multiple surgical interventions. The primary use of gas or silicon oil did not influence reattachment rates but had a statistical significance wh","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 2","pages":"80-84"},"PeriodicalIF":0.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term Follow-up Results of Idiopathic Epiretinal Membrane Removal in the Eyes with Ectopic Inner Foveal Retinal Layers. 异位内眼窝视网膜膜摘除术的长期随访结果
IF 0.5
Middle East African Journal of Ophthalmology Pub Date : 2024-06-14 eCollection Date: 2023-04-01 DOI: 10.4103/meajo.meajo_51_24
Ecem O Tokuc, Levent Karabas, Ilkay K Muftuoglu, Sevim A Seyyar
{"title":"Long-term Follow-up Results of Idiopathic Epiretinal Membrane Removal in the Eyes with Ectopic Inner Foveal Retinal Layers.","authors":"Ecem O Tokuc, Levent Karabas, Ilkay K Muftuoglu, Sevim A Seyyar","doi":"10.4103/meajo.meajo_51_24","DOIUrl":"10.4103/meajo.meajo_51_24","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate pre- and perioperative factors related to time for the evolution of ectopic inner foveal layers (EIFL) following pars plana vitrectomy (PPV) for epiretinal membrane (ERM) peeling.</p><p><strong>Methods: </strong>This retrospective study included 81 consecutive eyes with idiopathic ERM that underwent vitrectomy surgery. Standard PPV + internal limiting membrane peeling was performed in all cases. A comprehensive ophthalmic examination was performed for all patients before and 1, 3, 6, and 12 months, and the last follow-up after surgery. We observed the postoperative improvement in EIFL severity in the short-term and longest follow-up and evaluated anatomical and functional improvement. Several parameters were assessed using the multivariate COX proportional hazard analysis.</p><p><strong>Results: </strong>Eighty patients (81 eyes) with a mean age of 70.33 ± 7.75 years were followed for a mean of 34.37 ± 23.61 months, and 55.5% of eyes (45 eyes) with EIFL ERM showed improvement of foveal contour to a better stage at the last follow-up. The median estimated time for evolving to a better stage was 29.73 months for stage 2, 49.68 months for stage 3, and 38.67 months for stage 4 (<i>P</i> = 0.001, log-rank test). The severity of EIFL was the only significant factor for time to evolution of EIFL ERM to a better stage, where the eyes with stage 4 EIFL ERM showed faster foveal contour improvement compared to those with stage 3 EIFL ERM (hazard ratio: 0.317, 95% confidence interval = 0.164-0.615, <i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>On assessing preoperative factors, the preoperative EIFL stage emerged as the sole significant factor for EIFL ERM improvement to a better disease stage. This study reports some of the longest follow-up durations for patients undergoing PPV for EIFL ERM, and both functional and anatomical improvements were observed across all stages of EIFL, including in the advanced stage 4 EIFL ERM.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 2","pages":"72-79"},"PeriodicalIF":0.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Dorzolamide-timolol Eye drop on Intraocular Pressure Change in Intravitreal Ranibizumab Injected Patients. 多佐胺-噻吗洛尔滴眼液对注射玻璃体内雷珠单抗患者眼压变化的影响
IF 0.5
Middle East African Journal of Ophthalmology Pub Date : 2024-06-14 eCollection Date: 2023-04-01 DOI: 10.4103/meajo.meajo_177_23
Mehmet Coşkun
{"title":"The Effect of Dorzolamide-timolol Eye drop on Intraocular Pressure Change in Intravitreal Ranibizumab Injected Patients.","authors":"Mehmet Coşkun","doi":"10.4103/meajo.meajo_177_23","DOIUrl":"10.4103/meajo.meajo_177_23","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of the study was to examine the effect of dorzolamide-timolol (DT) eye drop used before intravitreal ranibizumab (IVR) injection on intraocular pressure (IOP) change.</p><p><strong>Methods: </strong>50 eyes of 50 patients who received DT eye drops 1 h before IVR injection due to diabetic retinopathy and macular edema were considered Group 1, and 50 eyes of 50 patients who did not receive DT eye drops were considered Group 2. Those patients who had previously undergone intravitreal injection had intraocular surgery, and used any eye drops were not included in the study. Before the injection, IO<i>P</i> values were measured with a Tonopen contact handheld tonometer before the blepharostat was placed (BIOP), after the blepharostat was placed (AIOP), and at the 1<sup>st</sup> min after the injection (IIOP).</p><p><strong>Results: </strong>There were 25 males and 25 females in Group 1 and 25 males and 25 females in Group 2; the mean age was 65.66 ± 9.94 years in Group 1 and 65.54 ± 7.43 years in Group 2 (<i>P</i> = 0.98). In Group 1, BIOP was 18.91 ± 18.91, AIOP was 21.62 ± 6.16 mmHg, and IIOP was 49.21 ± 10.95 mmHg. In Group 2, BIOP was 20.18 ± 4.19 mmHg, AIOP was 24.60 ± 4.90 mmHg, and IIOP was 49.96 ± 9.72 mmHg. IIOP-BIOP difference was 30.30 ± 9.85 mmHg in Group 1 and 29.78 ± 9.33 mmHg in Group 2 and the difference was not statistically significant (<i>P</i> = 0.78). In Group 1, the IIOP-AIOP difference was 27.58 ± 10.60 mmHg and in Group 2, 25.36 ± 10.46 mmHg. The difference between IIOP and AIOP was not statistically significant (<i>P</i> = 0.27).</p><p><strong>Conclusion: </strong>The use of topical DT eye drops before IVR injection does not affect the intraocular pressure change.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 2","pages":"85-88"},"PeriodicalIF":0.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refractive Changes among Diode Laser-treated Retinopathy of Prematurity Patients: A Retrospective Study. 接受二极管激光治疗的早产儿视网膜病变患者的屈光变化:一项回顾性研究
IF 0.6
Middle East African Journal of Ophthalmology Pub Date : 2024-01-22 eCollection Date: 2023-01-01 DOI: 10.4103/meajo.meajo_117_23
Lujain Alqurashi, Albaraa Alfaraidi, Faeeqah Almahmoudi, Enam Danish, Manal Hadrawi
{"title":"Refractive Changes among Diode Laser-treated Retinopathy of Prematurity Patients: A Retrospective Study.","authors":"Lujain Alqurashi, Albaraa Alfaraidi, Faeeqah Almahmoudi, Enam Danish, Manal Hadrawi","doi":"10.4103/meajo.meajo_117_23","DOIUrl":"10.4103/meajo.meajo_117_23","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to assess the refractive outcomes of patients who underwent indirect laser photocoagulation for prethreshold type 1 retinopathy of prematurity (ROP) and high-risk type 2 prethreshold ROP in comparison to conservatively managed low-risk prethreshold type 2 ROP.</p><p><strong>Methods: </strong>A retrospective analysis was carried out on infants screened for ROP between the years 2015 and 2020. Surviving children who had developed ROP in one or both eyes and received diode laser photocoagulation and those with conservatively managed regressed type 2 ROP who underwent at least one cycloplegic retinoscopy were included in the study.</p><p><strong>Results: </strong>A total of 144 patients were screened for ROP between 2015 and 2020 at our institution. One hundred and thirty patients (260 eyes) fulfilled the study criteria and were included in this study. The treated group consisted of 132 eyes of 66 infants, of which 38 (14.6%) eyes had prethreshold type 1 ROP while 94 (36.2%) eyes had high-risk prethreshold type 2. The nontreated control group consisted of 128 (49.2%) eyes of 64 infants with low-risk type 2 prethreshold ROP. Earlier prematurity was found to be a significant determinant of the mean change in spherical equivalent among different gestational age groups (<i>P</i> = 0.035). In our cohort, we found that myopia is significantly related to Zone II ROP in comparison to Zone III ROP in the treated eyes (22% vs. 9%) (<i>P</i> = 0.002). No statistically significant difference was found in the final refraction among the treated eyes in relation to the birth weight or stage of prematurity.</p><p><strong>Conclusion: </strong>In the present study, the majority of patients who were treated with diode laser for ROP had favorable anatomical and refractive outcomes. In contrast to previous studies that had suggested a trend toward myopia in laser-treated patients, in our study, the majority (71%) were hyperopes. This study suggests that other factors such as the stage and zone of ROP possibly contribute more to the development of myopia than the laser photocoagulation itself.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 1","pages":"37-43"},"PeriodicalIF":0.6,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Topography and Choroidal Thickness Measurement in Healthy Asian Indian Subjects using RTVue XR 100 Optical Coherence Tomography. 使用 RTVue XR 100 光学相干断层扫描测量健康亚裔印度人的地形图和脉络膜厚度。
IF 0.6
Middle East African Journal of Ophthalmology Pub Date : 2024-01-22 eCollection Date: 2023-01-01 DOI: 10.4103/meajo.meajo_89_23
Tarannum Mansoori, Aknoor S R Charan, Balakrishna Nagalla
{"title":"Topography and Choroidal Thickness Measurement in Healthy Asian Indian Subjects using RTVue XR 100 Optical Coherence Tomography.","authors":"Tarannum Mansoori, Aknoor S R Charan, Balakrishna Nagalla","doi":"10.4103/meajo.meajo_89_23","DOIUrl":"10.4103/meajo.meajo_89_23","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose was to study the choroidal thickness and its profile, derived from different point locations in healthy Asian Indian subjects using RTVue XR 100 optical coherence tomography (OCT) and to determine its correlation with age, refractive error, and axial length.</p><p><strong>Methods: </strong>In this cross-sectional study, 300 eyes of 150 healthy subjects, with no ocular pathology, were scanned in a single session, using a line scan protocol of RTVue XR 100 OCT. Choroidal thickness was measured at the subfoveal region, and six measurements were obtained on either side of the fovea (temporal and nasal) at 500 μm interval apart, up to 3000 μm. The correlation between subfoveal choroidal thickness and age, refractive error, and axial length was assessed.</p><p><strong>Results: </strong>Three hundred eyes of 150 healthy subjects were included in the analysis. Median age of the study participants was 55 years (interquartile range [IQR]: 44-61). The median subfoveal choroidal thickness was 235 μm (IQR: 210-263). The choroidal thickness was minimum at nasal 3000 μm from the fovea, while it was maximum in the subfoveal region. The point zones which were near the fovea showed thicker choroidal thickness than the outer zones, both nasally and temporally (<i>P</i> < 0.00001 at all locations), and at all point locations the choroid were thicker temporally than nasally (All <i>P</i> < 0.00001). Subfoveal choroidal thickness showed negative correlation with age (coefficient = -0.62, <i>P</i> = 0.03) and axial length (correlation = -8.52, <i>P</i> = 0.02). A decrease in subfoveal choroidal thickness of 0.62 μm/year was found by regression analysis.</p><p><strong>Conclusion: </strong>Our study provides normative database and topographic profile of choroidal thickness in the normal Asian Indian eyes using RTVue XR 100 OCT.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 1","pages":"19-23"},"PeriodicalIF":0.6,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bibliometric Analysis of Ophthalmology Publications from Arab Countries between 2012 and 2022. 2012 年至 2022 年阿拉伯国家眼科出版物的文献计量分析。
IF 0.6
Middle East African Journal of Ophthalmology Pub Date : 2024-01-22 eCollection Date: 2023-01-01 DOI: 10.4103/meajo.meajo_74_23
Angeli C Yu, Enrico Zauli, Loretta Missiroli, Massimo Busin
{"title":"Bibliometric Analysis of Ophthalmology Publications from Arab Countries between 2012 and 2022.","authors":"Angeli C Yu, Enrico Zauli, Loretta Missiroli, Massimo Busin","doi":"10.4103/meajo.meajo_74_23","DOIUrl":"10.4103/meajo.meajo_74_23","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to conduct a bibliometric analysis of articles published in Ophthalmology Journals from Arab countries from 2012 to 2022.</p><p><strong>Methods: </strong>This cross-sectional analysis of all original ophthalmology research and review articles published by authors with an affiliation with an institution from Arab countries and indexed in the ISI Web of Science between January 2012 and December 2022.</p><p><strong>Results: </strong>For the years 2012-2022, 4292 articles published in Ophthalmology Journals by authors from Arab-based institutions were identified. A 2.11-fold progressive increase in the number of publications was observed over the last decade with a substantial increase in publication volume during the first 2 years of the COVID-19 pandemic. The countries with the highest number of publications were Egypt (38.51%), Saudi Arabia (35.56%), and the United Arab Emirates (7.88%). According to affiliation, authors from King Khaled Eye Specialist Hospital (KKESH) (<i>n</i> = 644) published the highest number of ophthalmology articles, followed by King Saud University (<i>n</i> = 585) and Cairo University (<i>n</i> = 393).</p><p><strong>Conclusion: </strong>Over the last decade, the overall productivity of research in the field of ophthalmology has significantly increased. Majority of the articles in ophthalmology were published by authors from Egypt and Saudi Arabia with KKESH as the most productive institution among Arab nations.</p>","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"30 1","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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