Oman Journal of Ophthalmology最新文献

{"title":"Adherence to screening recommendations for uveitis in juvenile idiopathic arthritis (JIA) patients: A retrospective cohort study from a tertiary referral hospital in Oman.","authors":"Fatma Al Hosni, Reem Abdwani, Asma Hamed Al Flaiti, Mohammed Amir Rafei, Sana Al Zuhaibi, Mahadev Mal, Anuradha Ganesh","doi":"10.4103/ojo.ojo_388_24","DOIUrl":"10.4103/ojo.ojo_388_24","url":null,"abstract":"<p><strong>Background and purpose: </strong>Juvenile idiopathic arthritis (JIA) is the most common type of arthritis in children. JIA patients are at risk of developing uveitis and undergo ophthalmic screening at specific regular intervals based on international JIA screening guidelines. This study aimed to assess the adherence of ophthalmology and rheumatology services, and patients followed at Sultan Qaboos University Hospital (SQUH), Oman, to the screening guidelines and identify factors influencing adherence.</p><p><strong>Subjects and methods: </strong>In this retrospective cohort study, we reviewed the charts of all patients diagnosed with JIA from 2015 to 2020 who were followed up by the pediatric rheumatology service at SQUH. Data collected included the patient's demographics, age at diagnosis of JIA and age at diagnosis of uveitis, disease duration, JIA subtype, disease markers, treatment, and frequency of rheumatology and ophthalmology appointments. The patients' actual appointments were compared with their planned appointments to assess adherence to the screening schedule.</p><p><strong>Results: </strong>Thirty-nine JIA patients (13 males, 26 females) were recruited in the study. The median age of the patients at diagnosis of JIA was 3 years (interquartile range 2-7 years). The distribution of JIA subtypes was 13 (33.3%) oligoarticular JIA patients, 14 (35.9%) systemic-onset JIA patients, and 12 (30.8%) polyarticular JIA patients. A total of 23 (59%) patients were on biologics. Rheumatology service adherence for referring for the first screening visit was 94.9%, while ophthalmology adherence for scheduling first-visit appointments was 76.9%, and patient adherence for the first visit was 96.7%. Over the 5 years, the average adherence to screening guidelines was 81.3% for the ophthalmology service and 88.4% for patients. One patient developed uveitis during the study period. A significant association was found between higher age at diagnosis of JIA patients and patient adherence (<i>P</i> = 0.037). A significant association was also found between shorter JIA disease duration and patient adherence (<i>P</i> = 0.000275).</p><p><strong>Conclusion: </strong>Assessment of adherence to the JIA screening recommendations for uveitis at SQUH revealed some shortcomings. While the rheumatology service's adherence is good, the ophthalmology service's adherence needs improvement. Patients' adherence to the first visit appointment is optimal but needs improvement throughout the 5 years. Although all patients had risk factors for uveitis, only one developed uveitis. In this cohort study of Omani JIA patients, the occurrence of uveitis seems to be low.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"121-125"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642992","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}

{"title":"Preretinal drug deposits mimicking exudates in a vitrectomized eye!","authors":"Yamini Sahu, Janani Sreenivasan","doi":"10.4103/ojo.ojo_298_23","DOIUrl":"10.4103/ojo.ojo_298_23","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"239-240"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643081","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}

{"title":"Transepithelial photorefractive keratectomy enhancement for myopic regression.","authors":"Turad A Alkadi, Faris Hussam Binyousef, Shahad A Alruwaili","doi":"10.4103/ojo.ojo_225_23","DOIUrl":"10.4103/ojo.ojo_225_23","url":null,"abstract":"<p><strong>Background: </strong>Uncorrected refractive errors are a major global public health concern, responsible for approximately 50% of visual impairments. Surgical options such as photorefractive keratectomy (PRK) and laser <i>in situ</i> keratomileusis (LASIK) are effective but can result in myopic regression, necessitating retreatment. To evaluate the efficacy, safety, and predictability of transepithelial PRK (Trans-PRK) for correction of myopic regression after previous refractive surgery.</p><p><strong>Methodology: </strong>Trans-PRK was performed in eyes with myopic regression after previous PRK or LASIK with a mean refractive spherical equivalent (SE) of - 1.92 diopter (D) ±0.96 (standard deviation). The mean preoperative logMAR uncorrected distance visual acuity (UDVA) was 0.59 ± 0.38. Postoperative evaluation included UDVA, SE, epithelial healing, and haze formation at 1 week, 2 months, and 6 months.</p><p><strong>Results: </strong>The study evaluated 26 eyes of 15 patients. At 6 months postoperatively, the proportion of eyes within ± 0.50 D and ± 1.00 D of the target refraction was 37.5% and 100%, respectively. After the enhancement, the percentage of eyes with Snellen UDVA of 20/20 or better was 80% at 6 months, while all of the eyes had a Snellen UDVA of 20/25 or better. The mean postoperative SE was - 1.01 ± 0.74, at 1 week, -0.61 ± 0.98 at 3 months, and - 0.38 ± 0.57 at 6 months. No significant complications were noted.</p><p><strong>Conclusions: </strong>The results of this study indicate that Trans-PRK appears to be safe, effective, stable, and predictable procedure for the treatment of myopic regression after previous PRK or LASIK.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"138-143"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643089","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}

{"title":"Comment on demographic profile, prevalence, pattern, and risk factors for retinal vein occlusion in Liberia: A retrospective study.","authors":"Pradeep Kumar Panigrahi","doi":"10.4103/ojo.ojo_342_24","DOIUrl":"10.4103/ojo.ojo_342_24","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"259"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642997","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}

{"title":"Effect of preoperative melatonin on anxiety and pain in patient undergoing phacoemulsification cataract surgery.","authors":"N Sarala, K Bhuvana, T Sangeetha, K Kanthamani","doi":"10.4103/ojo.ojo_217_23","DOIUrl":"10.4103/ojo.ojo_217_23","url":null,"abstract":"<p><strong>Introduction: </strong>Preoperative anxiety is an unpleasant state in patients undergoing Phacoemulsification cataract surgery. Benzodiazepines are used to alleviate anxiety. The anxiolytic and analgesic effects of melatonin are compared with diazepam in this study. We have assessed the effect of melatonin on verbal anxiety score (VAS), verbal pain score (VPS), sedation score, intraocular pressure, and the adverse effects.</p><p><strong>Materials and methods: </strong>Patients were randomized to receive a tablet of melatonin 3 mg or diazepam 5 mg orally 90 min before surgery. At the preoperative visit, VAS and VPS, 0-10 were explained to patients. A sedation score 4-point scale was assessed. VAS was recorded before premedication (T1), 60 min after premedication (T2), during the operation period (T3), and also postoperatively in the recovery room (T4). Pain and sedation score (T2, T3, T4). Intraocular pressure (IOP) before premedication and after 24 h. The ophthalmologist scored the intraoperative conditions as excellent, good, and poor.</p><p><strong>Results: </strong>A total of 199 patients were recruited. 99 received melatonin, 100 diazepam. Females 54 and males 45 with a mean age of 62 ± 8 and 65 ± 7 years in melatonin, 62 F and 38 M with a mean age of 61.9 ± 8, 63 ± 10, respectively. Blood pressure and pulse rate were comparable between groups at T1 and T4. VAS and sedation score with melatonin reduced significantly compared to diazepam at T2, T3, and T4 (<i>P</i> = 0.0001). VPS between melatonin and diazepam was similar at all-time points. Intraoperative condition was scored as excellent at 71% and 28% in melatonin and diazepam, respectively. IOP between groups was similar.</p><p><strong>Conclusion: </strong>Melatonin significantly reduced anxiety compared to diazepam with less sedation. Patient cooperation during the intraoperative period was better with melatonin.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643002","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}

{"title":"Strengthening clinical teaching through one-minute preceptor model and student-centered feedback.","authors":"Saurabh RamBihariLal Shrivastava, Prateek Sudhakar Bobhate, Prachi Nagrale","doi":"10.4103/ojo.ojo_348_24","DOIUrl":"10.4103/ojo.ojo_348_24","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"261-262"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643087","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}

{"title":"Urrets-Zavalia syndrome in angular recession.","authors":"Pablo González de Los Mártires","doi":"10.4103/ojo.ojo_368_24","DOIUrl":"10.4103/ojo.ojo_368_24","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"248-249"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643091","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}

{"title":"Atypical retinopathy as an important clue for abetalipoproteinemia diagnosis in a low-income setting.","authors":"Iqra Fatima Munawar Ali, Ahsan Raza Raja, M Bilal Malik, M A Rehman Siddiqui","doi":"10.4103/ojo.ojo_306_23","DOIUrl":"10.4103/ojo.ojo_306_23","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"250-252"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642994","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}

{"title":"Central serous chorioretinopathy mimicking as choroidal hemangioma - A diagnostic challenge.","authors":"Shivangi Singh, Preet Kanwar Singh Sodhi, Shivraj Tagare","doi":"10.4103/ojo.ojo_241_23","DOIUrl":"10.4103/ojo.ojo_241_23","url":null,"abstract":"<p><p>Central serous chorioretinopathy (CSCR) occurs due to hyper-permeable choroidal capillaries, which, along with retinal pigment epithelium (RPE) dysfunction, causes a serous neurosensory retinal detachment. Circumscribed choroidal hemangiomas are also characterized by serous neurosensory detachment of the macula and cause degenerative changes to the RPE, rarely mimicking CSCR. Here, we present a case of CSCR in a middle-aged patient mimicking as a choroidal mass lesion who presented as a solitary choroidal elevation with subretinal fluid and posterior choroidal loculation of fluid and showed complete resolution of fluid after fundus fluorescence angiography-guided focal laser.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"224-227"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642995","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}

{"title":"Effect of <i>Ginkgo biloba</i> extracts in the prevention of posterior capsule opacification after cataract surgery: A randomized clinical trial.","authors":"Amir Ahmadzadeh Amiri, Reza Jafari, Ali Ahmadzadeh Amiri, Hossein Asgari Rad, Fatemeh Daneshvar, Jamshid Yazdani Charati, Ahmad Ahmadzadeh Amiri","doi":"10.4103/ojo.ojo_311_21","DOIUrl":"10.4103/ojo.ojo_311_21","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to explore the effect of <i>Ginkgo biloba</i> extracts (GbE) on the prevention of posterior capsule opacification (PCO).</p><p><strong>Study design: </strong>This study was a double-blinded, placebo-controlled, single-center randomized clinical trial.</p><p><strong>Methods: </strong>Patients with senile cataracts randomly received GbE supplement capsules at a dose of 200 mg (<i>n</i> = 74) or an identical placebo (<i>n</i> = 70) daily for 6 months after cataract surgery. Patients' follow-ups were scheduled for up to 3 years after cataract surgery. PCO formation (Pearl/Fibrotic) was graded using slit-lamp examinations. The necessity of a Neodymium-doped yttrium aluminum garnet (Nd: YAG) laser capsulotomy was evaluated by patients' complaints of reduced visual acuity imputable to PCO.</p><p><strong>Results: </strong>A total of 144 patients with a mean age of 64.92 ± 7.77 years were studied. The mean Log MAR visual acuity in the placebo group started to decrease at 12 months (<i>P</i> = 0.003) and remained significantly lower than the GbE group throughout 36 months (<i>P</i> = 0.005). At 1-year postsurgery, a significant difference between the two groups of GbE and Placebo was observed regarding pearl PCO score, but obvious fibrotic PCO score differences occurred 3 years after surgery. The Nd: YAG capsulotomy was performed in six eyes (6.1%) for the GbE group and 18 eyes (20.4%) for the placebo group (<i>P</i> = 0.004) 3 years after the cataract surgery.</p><p><strong>Conclusion: </strong>Six months of supplementation with GbE was well tolerated and may provide some marginal prevention in the PCO formation. Besides the effect of the GbE in the inhibition of PCO, we also observed a noticeable reduction in the need for Nd: YAG laser capsulotomy.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"18 2","pages":"126-132"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643001","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}