Middle East African Journal of Ophthalmology最新文献_第8页

How Reliable and Popular are Trabeculectomy Videos on Youtube? Youtube上的小梁切除术视频有多可靠和受欢迎?

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Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_86_22

Saadet G Irgat, Mehmet S Oruç, Fatih Özcura

{"title":"How Reliable and Popular are Trabeculectomy Videos on Youtube?","authors":"Saadet G Irgat, Mehmet S Oruç, Fatih Özcura","doi":"10.4103/meajo.meajo_86_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_86_22","url":null,"abstract":"Purpose: Evaluating the quality, dependability, and popularity of YouTube videos about trabeculectomy.Methods: A simulated user search for trabeculectomy videos on YouTube was conducted using the keywords \"trabeculectomy, trabeculectomy surgery for glaucoma, and trabeculectomy surgery.\" Hundred out of the one hundred and fifty videos met the criteria and were analyzed. To assess quality and reliability, each video was evaluated by two independent reviewers using the DISCERN (scale, 1-5), Journal of the American Medical Association (JAMA; scale, 0-4), and Global Quality (GQ; scale, 1-5) criteria. The popularity of the videos was evaluated by Video Power Index (VPI). Videos were further classified into three groups based on the source of their upload.Results: Of the 100 analyzed videos, 50 were uploaded to the system by doctors, 40 by health institutions and 10 by patients. Fifty-seven percent are videos with surgical content. The mean DISCERN score was 44.84 ± 8.14 the mean JAMA score was 2.08 ± 0.67, and the mean Global Quality score was 2.02 ± 0.72. Although some videos provided adequate information, the majority of the videos were rated as fair. While the DISCERN, JAMA, GQS scores were statistically higher in videos uploaded by doctors than in videos uploaded by patients (P < 0.01), VPI was higher in videos uploaded by patients (P = 0.003). Nonsurgical videos had the highest rate of likes and comments (P < 0.05). No substantial difference in scoring was observed between the 2 independent reviewers (P < 0.05).Conclusion: Videos with high popularity had low information quality and reliability. This situation presupposes video sharing in a more understandable language for patients.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"141-146"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807285","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

Factors Affecting the Efficacy of Botulinum Toxin Injection in the Treatment of Infantile and Partially Accommodative Esotropia. 影响肉毒毒素注射治疗婴幼儿部分调节性内斜视疗效的因素。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_39_23

Motazz A Alarfaj, Waleed K Alsarhani, Saleh H Alrashed, Faris A Alarfaj, Khabir Ahmad, Abdulaziz Awad, Gorka Sesma

{"title":"Factors Affecting the Efficacy of Botulinum Toxin Injection in the Treatment of Infantile and Partially Accommodative Esotropia.","authors":"Motazz A Alarfaj, Waleed K Alsarhani, Saleh H Alrashed, Faris A Alarfaj, Khabir Ahmad, Abdulaziz Awad, Gorka Sesma","doi":"10.4103/meajo.meajo_39_23","DOIUrl":"https://doi.org/10.4103/meajo.meajo_39_23","url":null,"abstract":"Purpose: We aimed to investigate the effect of botulinum toxin (BT) injection on the treatment of infantile and partially accommodative esotropia (PAET).Methods: This retrospective cohort study included patients who received BT injections for infantile and PAET between January 2015 and December 2018. Treatment was considered successful if orthotropia, consecutive exotropia, or esotropia within 10 prism diopters (PD) was achieved.Results: The overall success rate was 47.4%, with a mean follow-up period of 27.8 months in 403 children. BT treatment was considered successful in 37.1% of cases of infantile esotropia and 53.1% of cases of partially accommodative esotropia. The average deviation angle before starting treatment was 35.5 ± 13.9 PD. Side effects 1 week after BT injections included transient overcorrection (63.8%) and transient ptosis (41.7%). There were no significant differences in the success rates between the different doses of BT (P = 0.69). The angle of deviation at presentation was significantly associated with the success rate of BT injection (failed group, mean: 38.1 ± 15.3 PD vs. success group, mean: 32.6 ± 11.6 PD; P < 0.001). Other factors associated with higher success rates were overcorrection at 1 week and PAET, while multivariate logistic regression analysis showed that a smaller angle of deviation and overcorrection (1 week after injection) were associated with a higher success rate.Conclusion: A smaller angle of deviation and transient overcorrection were associated with a higher success rate, and no significant difference was observed in the success rates of different BT doses.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"122-126"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807287","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

Understanding Corneal Epithelial Thickness Mapping. 了解角膜上皮厚度映射。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_207_22

Abdullah Alghamdi, Muhammad S Khan, Turki A Dakhil

{"title":"Understanding Corneal Epithelial Thickness Mapping.","authors":"Abdullah Alghamdi, Muhammad S Khan, Turki A Dakhil","doi":"10.4103/meajo.meajo_207_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_207_22","url":null,"abstract":"Corneal epithelial thickness (CET) and the regional variations in response to changes in corneal architecture and biomechanics have recently drawn the interest of corneal surgeons. Corneal epithelium possesses the tremendous capability of remodeling and changing its thickness. This remodeling of corneal epithelium takes place in response to underlying stromal irregularities which can result from a variety of corneal disorders including corneal ectasia. Measurement of CET can reveal the underlying stromal abnormalities and supplement in early diagnosis of corneal disorders especially corneal ectasia which has been one of the leading challenges in planning corneal refractive surgery. A significant number of patients ends up in ectasia after refractive surgery and the most common cause of this complication is the presence of preoperative subclinical keratoconus. Furthermore, postoperative complications of corneal refractive surgery are partly masked by epithelial remodeling and make the diagnosis and management difficult and extremely challenging. This leads not only to unpredictable visual and refractive outcome but also the need of multiple interventions to treat these complications. Although corneal tomography is considered as gold standard in the detection and diagnosis of corneal ectasia, a small number of subclinical cases may still go undetected. In this review, we have highlighted the underlying mechanism of epithelial remodeling, the devices and imaging modalities used to measure CET, and application of epithelial mapping in the diagnosis and management of various corneal disorders.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"147-155"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800672","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

Peripheral Subretinal Mass Complicating Necrotizing Anterior Scleritis in a Patient with Granulomatosis with Polyangiitis. 周围视网膜下肿块合并坏死性前巩膜炎一例肉芽肿合并多血管炎。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_180_22

Abeer A Alhazzani, Mohanned F Tobaigy, Munirah I Aldofyan, Abdulrahman F AlBloushi

{"title":"Peripheral Subretinal Mass Complicating Necrotizing Anterior Scleritis in a Patient with Granulomatosis with Polyangiitis.","authors":"Abeer A Alhazzani, Mohanned F Tobaigy, Munirah I Aldofyan, Abdulrahman F AlBloushi","doi":"10.4103/meajo.meajo_180_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_180_22","url":null,"abstract":"Anterior scleritis is rarely diagnosed with a peripheral amelanotic subretinal mass. We reported a rare case of a 31-year-old woman who was referred for suspected left eye choroidal melanoma. The patient had granulomatosis with polyangiitis with a history of treated left eye necrotizing anterior scleritis. Her left eye examination revealed 20/60 vision, superotemporal diffuse scleral injection, and thinning. Dilated fundus examination of the left eye showed a large peripheral amelanotic subretinal mass below the area of anterior scleritis, optic disc hyperemia, and subretinal fluid. The patient was successfully treated with intravenous methylprednisolone, rituximab infusions, and oral methotrexate. Two months after treatment, her vision improved to 20/20, with inactive anterior scleritis and a significant reduction in the subretinal mass with complete resolution of optic disc hyperemia and subretinal fluid. High index of suspicion of this atypical presentation of anterior scleritis is important to avoid aggressive modalities of treatment.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"159-162"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180410","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: 1

Prevalence of Plateau Iris Syndrome among Patients Presenting with Primary Angle Closure and Primary Angle-Closure Glaucoma in a Tertiary Eye Care Hospital. 某三级眼科医院原发性闭角型和原发性闭角型青光眼患者中平台虹膜综合征的患病率

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-04-30 eCollection Date: 2021-10-01 DOI: 10.4103/meajo.meajo_232_21

Khalid Alshomar, Ehab Alsirhy, Abdullah Mirza, Mohamed Osman, Abdullah Alobaidan, Essam A Osman

{"title":"Prevalence of Plateau Iris Syndrome among Patients Presenting with Primary Angle Closure and Primary Angle-Closure Glaucoma in a Tertiary Eye Care Hospital.","authors":"Khalid Alshomar, Ehab Alsirhy, Abdullah Mirza, Mohamed Osman, Abdullah Alobaidan, Essam A Osman","doi":"10.4103/meajo.meajo_232_21","DOIUrl":"https://doi.org/10.4103/meajo.meajo_232_21","url":null,"abstract":"Purpose: Glaucoma is a leading cause of visual impairment worldwide, and plateau iris syndrome (PIS) is the most common nonpupillary block mechanism of angle closure. This study aims to assess the prevalence of PIS among Saudi population.Methods: It is a prospective observational study that examined patients previously diagnosed with chronic angle closure. Those patients already underwent peripheral laser iridotomy (PLI) and were assessed clinically and by ultrasound biomicroscopy (UBM).Results: A total of 147 eyes in 77 patients were included in this study. The mean age among subjects was 61.2 years, and almost 69% were females. Chronic angle closure was noted to be bilateral in 91% of patients, whereas 5% had their left eye involved and 4% had right eye involved. The mean intraocular pressure (IOP) before PLI and after laser treatment was 19.3 and 16.2, respectively. The mean visual acuity before and after PLI was 0.3 logMAR. After UBM examination, plateau iris was found in 41.5% of subjects. The anterior chamber (AC) depth was noted to be deeper in PIS patients (P = 0.046). Other risk factors were observed in our study including place of residency (P = 0.048) and preintervention IOP (P = 0.032).Conclusion: PIS is the most common mechanism of nonpupillary block angle closure. In addition to clinical findings, UBM is important to reach the appropriate diagnosis. This study reviewed the prevalence of PIS with the aid of UBM; it was found consistent with previous reports. In addition, PIS risk factors included AC depth, place of residency, and preintervention IOP.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"28 4","pages":"221-225"},"PeriodicalIF":0.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9198525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39999456","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: 1

Determining the National Cataract Surgical Rate in Pakistan. 确定巴基斯坦全国白内障手术率。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-04-30 eCollection Date: 2021-10-01 DOI: 10.4103/meajo.meajo_266_21

Asad A Khan, Haroon R Awan, Aliya Q Khan, Arif Hussain, Zahid H Awan, Mohammad Z Jadoon

{"title":"Determining the National Cataract Surgical Rate in Pakistan.","authors":"Asad A Khan, Haroon R Awan, Aliya Q Khan, Arif Hussain, Zahid H Awan, Mohammad Z Jadoon","doi":"10.4103/meajo.meajo_266_21","DOIUrl":"https://doi.org/10.4103/meajo.meajo_266_21","url":null,"abstract":"Purpose: Cataract surgical rate (CSR) (cataract surgeries performed per million population) is an eye health indicator that helps assess the state of eye care services. A survey in 2002 revealed a CSR of 2254. The current survey aimed to establish a new and sustainable development goal compliant baseline for the volume of cataract surgery performed by different service providers in Pakistan at district, provincial, and national levels.Methods: The survey was commissioned by the National Committee for Eye Health under the Ministry of National Health Services, Regulations and Coordination. The methodology used for the survey included identification and mapping of all service providers by district and category and data collection from all districts in the country.Results: There were more cataract surgeries performed in women than men with a male-to-female ratio of 0.95. About 98.9% of all cataract surgeries were performed with intraocular lenses, while 63.9% were performed by phacoemulsification. About 17.7% of cataract surgical services were provided in the government sector (including Forces), while nongovernmental organizations and the private sector contributed to 82.3%. Pakistan achieved a national CSR of 5307 which is almost double the CSR determined in 2002.Conclusion: In order to achieve a CSR of 7500+ by 2030, there is a need for at least 1,840,000 cataract surgeries to be performed annually. If there is no change in the current annual cataract surgical output, the CSR will drop to 4628 by 2030.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"28 4","pages":"245-251"},"PeriodicalIF":0.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9198534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39999930","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: 1

"Separate the Wheat from the Chaff" - Descemet's Stripping Endothelial Keratoplasty Graft Failure due to Accidental Implantation of Full-Thickness Precut Tissue. “去伪存真”- Descemet剥离内皮角膜移植术因意外植入全层预切组织而失败。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-04-30 eCollection Date: 2021-10-01 DOI: 10.4103/meajo.MEAJO_240_19

Arjun Srirampur, Tarannum Mansoori, Pasyanthi Balijepalli

引用次数: 0

Abduction Deficit Mimicking Sixth Nerve Palsy due to Metastasis in Systemic Malignancy: Rare Case Report. 系统性恶性肿瘤转移引起的外展缺损模仿第六神经麻痹:罕见病例报告。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-04-30 eCollection Date: 2021-10-01 DOI: 10.4103/meajo.MEAJO_214_19

Sucheta Parija, Saswati Sen

引用次数: 0

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-04-30 eCollection Date: 2021-10-01 DOI: 10.4103/meajo.meajo_316_21

Mohammad Al-Amry, Imtiaz A Chaudhry, Eman Al-Kahatni, Huda Al-Ghadeer

{"title":"Terror-Related Ocular Trauma in Patients Presenting to a Tertiary Eye Center in the Middle East.","authors":"Mohammad Al-Amry, Imtiaz A Chaudhry, Eman Al-Kahatni, Huda Al-Ghadeer","doi":"10.4103/meajo.meajo_316_21","DOIUrl":"https://doi.org/10.4103/meajo.meajo_316_21","url":null,"abstract":"Purpose: Injuries caused by explosive materials are associated with severe ocular morbidity and visual impairment. This study aims to document the ophthalmic morbidity of terrorist-related severe injuries at a tertiary eye care center in the Middle East and report specific injury patterns.Methods: In a noncomparative, interventional, retrospective case series, the visual outcomes were evaluated of 36 patients treated at a tertiary eye center in the Middle East for terrorist-related injuries from January 2003 to December 2019. Data were collected on age, gender, involved eye, initial examination of ocular injuries, associated systemic injuries, presenting visual acuity, anterior and posterior segment examinations, and the type of injury (open vs. closed globe).Results: Among the 36 patients (32 males; average age, 28.1 years), 28 (77.8%) sustained trauma to one eye and 8 (22.2%) to both eyes. Despite multiple surgical procedures (average 3.1 surgeries), all patients suffered a severe visual loss. Final visual acuity of no light perception was recorded in 28 (77.8%) eyes and both eyes of 5 patients (13.9%).Conclusion: Ophthalmic morbidity from terrorist-related injuries may be devastating, and the vast majority of patients experience a permanent loss of vision.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"28 4","pages":"226-229"},"PeriodicalIF":0.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9198528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39999934","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

A Novel Missense Variant C.2571 (P.Ala857=) of the DHX38 Gene in a Saudi Family Causes an Autosomal Recessive Retinitis Pigmentosa. 沙特家族DHX38基因新错义变异C.2571 (P.Ala857=)导致常染色体隐性视网膜色素变性。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-04-30 eCollection Date: 2021-10-01 DOI: 10.4103/meajo.meajo_40_21

Saud Al-Johani, Abdulelah Alabdullah, Sawsan R Nowilaty

{"title":"A Novel Missense Variant C.2571 (P.Ala857=) of the DHX38 Gene in a Saudi Family Causes an Autosomal Recessive Retinitis Pigmentosa.","authors":"Saud Al-Johani, Abdulelah Alabdullah, Sawsan R Nowilaty","doi":"10.4103/meajo.meajo_40_21","DOIUrl":"https://doi.org/10.4103/meajo.meajo_40_21","url":null,"abstract":"We present two cases of a novel missense variant mutation in the DHX38 gene, which is associated with autosomal recessive retinitis pigmentosa (RP) in two Saudi sisters who presented with poor visual acuity since childhood. On initial examination, the best-corrected visual acuity was 20/300 in both eyes for the two sisters. Fundus examination revealed widespread retinal pigmentary changes, linear peripheral hyperpigmentation clumps, bone spicules, and bilateral optic nerve drusen with bilateral macular hyperpigmentation. Spectral-domain optical coherence tomography scans reveal losses of the outer retinal layer and the presence of subretinal fibrosis and thinning of the choroid. Molecular sequencing analysis of the DHX38 exome identified a novel missense mutation of the homozygous variant c. 2571 (p. Ala857=), which co-segregates with the autosomal recessive RP gene that encodes the premRNA splicing factor, PRP16. The aim of this report is to describe the clinical feature associated with this variant and to provide additional evidence that DHX38 is involved in RP. To the best of our knowledge, this variant has not been described in the literature.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"28 4","pages":"260-262"},"PeriodicalIF":0.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9198537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40000065","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: 1