Egyptian Retina Journal最新文献_第6页

Changes in subfoveal choroidal thickness in diabetic macular edema 糖尿病性黄斑水肿中央凹下脉络膜厚度的变化

Egyptian Retina Journal Pub Date : 2017-01-01 DOI: 10.4103/erj.erj_14_16

Haitham Y. Al-Nashar

{"title":"Changes in subfoveal choroidal thickness in diabetic macular edema","authors":"Haitham Y. Al-Nashar","doi":"10.4103/erj.erj_14_16","DOIUrl":"https://doi.org/10.4103/erj.erj_14_16","url":null,"abstract":"Purpose: The objective of this study is to detect the changes in subfoveal choroidal thickness (SFCT) in eyes with diabetic macular edema (DME) with the use of enhanced depth imaging optical coherence tomography (EDI-OCT). Patients and Methods: One hundred and eighty eyes were included in this prospective nonrandomized study. They were divided into three groups, each including sixty eyes; Group I with patients with DME, Group II included diabetic patients without maculopathy, and Group III were normal persons. All eyes were examined with fluorescein angiography to detect the retinopathy stage, and all eyes were examined by EDI spectral domain-OCT to measure the thickness of the choroid. Central macular thickness (CMT) and best-corrected visual acuity (BCVA) were measured in all groups to find the correlation between them and SFCT. Results: The SFCT was significantly decreased in DME group (215.12 ± 5.6 μm) compared with the other two groups (in Group II, it was 253.1 ± 9.3 μm and in Group III, it was 255.93 ± 9.2 μm) (P < 0.001). A negative correlation (r = −0.6) was detected between CMT and SFCT in patients with DME while no correlation between them was found in other two groups (in Group II, r = 0.17 and Group III, r = 0.2). A significant correlation (r = 0.5) was observed between BCVA and SFCT in Group I, while in other two groups, no correlation between the two measures was detected (in Group II, r = −0.1 and Group III, r = −0.1). Conclusion: In eyes with DME, there is a choroidal thinning on EDI OCT. There is a negative correlation between SFCT and CMT in eyes with DME.","PeriodicalId":201997,"journal":{"name":"Egyptian Retina Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127948308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Excellent results of scleral buckling in the era of microincision vitreous surgery 微切口玻璃体手术时代巩膜屈曲的优良效果

Egyptian Retina Journal Pub Date : 2017-01-01 DOI: 10.4103/erj.erj_15_16

B. Khan, V. Anand, Amit Wasil, M. Kashyap

引用次数: 3

Optic nerve head disorders in a hilly state of india: a retro/prospective study 印度丘陵地区视神经头疾病:一项回顾性/前瞻性研究

Egyptian Retina Journal Pub Date : 2017-01-01 DOI: 10.4103/2347-5617.204835

A. Chauhan, K. Chaudhary, G. Rajput

{"title":"Optic nerve head disorders in a hilly state of india: a retro/prospective study","authors":"A. Chauhan, K. Chaudhary, G. Rajput","doi":"10.4103/2347-5617.204835","DOIUrl":"https://doi.org/10.4103/2347-5617.204835","url":null,"abstract":"Aim: To study the pattern/distribution of optic nerve head disorders in the hilly terrain of Himachal Pradesh (altitude ranging from 500 to 4500 m above sea level). Subjects and Methods: It is a retro/prospective study of patients with retinal diseases attending the general ophthalmology clinic of a tertiary care facility at Shimla from August 2008 to April 2013. Out of 5600 patients, 4323 were taken as a sample. The data were taken from the hospital records and thereafter analyzed to determine their age, sex distribution, and diagnosis. All patients underwent visual acuity, refraction, slit lamp examination, and fundus evaluation. The diagnosis was confirmed from fundus clinic records and evaluation of fundus photographic records retroprospectively. The photographs were taken on the fundus camera (KOWA'S FUNDUS CAMERA VX-10) and fundus fluorescein angiography done where ever indicated. Using the inbuilt software in KOWA VX 10 FUNDUS CAMERA, cup-disc ratio calculation was done. Results: Among the 139 (3.24%) patients of congenital optic nerve head disorders, the most common entity was optic nerve head hypoplasia. Out of 248 (5.73%) cases of acquired optic nerve head disorders-nonglaucomatous (NG), optic atrophy-NG was the most common. There were 532 (12.31%) cases of glaucoma suspects. Conclusion: Optic nerve head disorders appear to be a major public health problem in India as well as Shimla hills. The present study shall help us in planning the management of such disorders in the hilly state of Himachal Pradesh to reduce the visual morbidity arising out of such disorders.","PeriodicalId":201997,"journal":{"name":"Egyptian Retina Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122988611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conjunctivitis progressing into endophthalmitis in an eye with an old scleral buckle and its managements 陈旧性巩膜扣的结膜炎进展为眼内炎及其处理

Egyptian Retina Journal Pub Date : 2017-01-01 DOI: 10.4103/erj.erj_17_16

L. Kumar, L. Tai, Widad M Yusof, W. Hitam

引用次数: 0

Focal double-frequency yttrium-aluminum-garnet laser in central serous chorioretinopathy resistant to intravitreal bevacizumab 局灶双频钇铝石榴石激光治疗对玻璃体内贝伐单抗耐药的中央浆液性脉络膜视网膜病变

Egyptian Retina Journal Pub Date : 2015-05-01 DOI: 10.4103/2347-5617.193491

Ahmed Ali Elbarky, T. Elhamaky

{"title":"Focal double-frequency yttrium-aluminum-garnet laser in central serous chorioretinopathy resistant to intravitreal bevacizumab","authors":"Ahmed Ali Elbarky, T. Elhamaky","doi":"10.4103/2347-5617.193491","DOIUrl":"https://doi.org/10.4103/2347-5617.193491","url":null,"abstract":"Purpose: The purpose of this study was to evaluate the effect of focal double-frequency yttrium-aluminum-garnet (YAG) laser therapy in patients with central serous chorioretinopathy (CSCR) resistant to intravitreal bevacizumab (IVB) injections. Methods: This is a retrospective analysis of 16 eyes of 16 patients with CSCR of >3 months duration who had been previously treated with multiple injections of bevacizumab (average 2.7) with no improvement in best-corrected visual acuity (BCVA). All patients had been treated using multiple spots of focal double-frequency YAG laser over areas of focal and diffuse leak. Spectral domain-optical coherence tomography (SD-OCT) was done a day before laser treatment and at 1, 3, and 6 months after. Fluorescein angiography was done for all patients to locate leakage site before laser treatment. Reduction in subretinal fluid height on SD-OCT was used to measure the response to treatment. Results: Mean age of patients was 37.6 ± 3.9 years. The baseline BCVA was improved significantly (P < 0.001) from 0.39 ± 0.45 logarithm of the minimum angle of resolution (log MAR) to 0.11 ± 0.43, 0.10 ± 0.44, and 0.09 ± 0.45 (log MAR) at 1, 3, and 6 months posttreatment, respectively. The baseline OCT mean central macular thickness decreased significantly (P < 0.001) from 554 ± 45 μm to 285 ± 38 μm, 279 ± 34 μm, 275 ± 33 μm at 1, 3, and 6 months posttreatment, respectively. Conclusion: Focal double-frequency YAG laser therapy improved the BCVA and reduced neurosensory detachment in patients with CSCR resistant to IVB injections.","PeriodicalId":201997,"journal":{"name":"Egyptian Retina Journal","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129964149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Twin-light-assisted scleral buckle for primary rhegmatogenous retinal detachment 双光辅助巩膜扣治疗原发性孔源性视网膜脱离

Egyptian Retina Journal Pub Date : 2015-05-01 DOI: 10.4103/2347-5617.193470

W. Ibrahim

{"title":"Twin-light-assisted scleral buckle for primary rhegmatogenous retinal detachment","authors":"W. Ibrahim","doi":"10.4103/2347-5617.193470","DOIUrl":"https://doi.org/10.4103/2347-5617.193470","url":null,"abstract":"Aims: Our aim is to evaluate the use of BIOM-3 (Oculus, Germany) and 27-gauge Eckardt twin-light chandelier endoillumination (DORC, Netherland) as an alternative to indirect ophthalmoscope. Settings and Design: A prospective, interventional case series study was conducted in T.E.H. (Private Practice), Assiut, Egypt. Subjects and Methods: Twenty patients (Twenty eyes) complaining of primary rhegmatogenous retinal detachment (RRD) with proliferative vitreoretinopathy ≤ Grade B from January 2013 to April 2014. All patients underwent 27-gauge twin-light chandelier endoillumination for retinal break localization. Break localization was followed by cryopexy (Cryomatic Cryo Console, Keeler Ltd., UK) and standard scleral buckling under surgical microscope. Anatomical and functional outcomes were evaluated at the end of 6 months. Results: Anatomical success (attachment of retina) was achieved in 18 (90%) of twenty eyes. All these eyes remained attached at the end of 6 months. Significant improvement in mean best-corrected visual acuity was achieved at the end of 6 months follow-up 0.05 ± 0.46 preoperatively compared with 0.5 ± 0.14 postoperatively (P = 0.023). Conclusion: Twin-light-assisted scleral buckling for primary RRD is a better alternative to classic surgery with indirect ophthalmoscope.","PeriodicalId":201997,"journal":{"name":"Egyptian Retina Journal","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121838082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Diabetic retinopathy in noninsulin-dependent diabetes mellitus and its relation to serum insulin level 非胰岛素依赖型糖尿病视网膜病变及其与血清胰岛素水平的关系

Egyptian Retina Journal Pub Date : 2015-05-01 DOI: 10.4103/2347-5617.193469

Pramod Kumar David, Ankur Yadav, Prateep Phadikar, Vinita Singh

{"title":"Diabetic retinopathy in noninsulin-dependent diabetes mellitus and its relation to serum insulin level","authors":"Pramod Kumar David, Ankur Yadav, Prateep Phadikar, Vinita Singh","doi":"10.4103/2347-5617.193469","DOIUrl":"https://doi.org/10.4103/2347-5617.193469","url":null,"abstract":"Background: Insulin has been shown to directly influence retinal blood flow, vascular tone, and angiogenesis, all of which are active aspects of the pathogenesis of diabetic retinopathy (DR). Intensive administration of insulin can increase vascular endothelial growth factor, potentially leading to transient worsening of retinopathy. Aims: The aim of the study is to access the role of serum insulin levels in various stages of DR in type 2 diabetes mellitus (DM). Settings and Design: This was a tertiary care center-based, cross-sectional, case-control, observational study conducted from April 2014 to March 2015. Materials and Methods: A total of 79 patients were divided into groups - controls (No DM), No DR, nonproliferative DR (NPDR), and proliferative DR (PDR). Serum insulin level was compared with severity of DR. Statistical Analysis: Data were summarized and presented as mean ΁ standard error. The variables of the study groups were compared by analysis of variance. For pairwise comparison between the groups, Tukey′s test for multiple comparison was used. Results: No significant difference was found between insulin levels in No DM and No DR groups. On the other hand, the difference was statistically significant on comparison between No DM and NPDR (P < 0.001) and also between No DM and PDR (P < 0.05). However, no such difference in insulin level was observed on comparing NPDR and PDR groups. Conclusion: Serum insulin level has an association with the development of retinopathy patients of noninsulin-dependent DM. However, prospective interventional studies are required to establish such role of serum insulin in DR.","PeriodicalId":201997,"journal":{"name":"Egyptian Retina Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127728636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sympathetic ophthalmia 15 years after penetrating ocular trauma 穿透性眼外伤后15年交感性眼炎

Egyptian Retina Journal Pub Date : 2015-05-01 DOI: 10.4103/2347-5617.193495

Z. Eldaly, Mohamed Sharaf

引用次数: 0

Early versus late silicone oil removal after pars plana vitrectomy for rhegmatogenous retinal detachment in Upper Egypt 上埃及孔源性视网膜脱离的玻璃体切割术后早期和晚期硅油去除

Egyptian Retina Journal Pub Date : 2015-05-01 DOI: 10.4103/2347-5617.193468

Ahmed Fathalla, T. Mohamed, Dalia Al-Sebaity

{"title":"Early versus late silicone oil removal after pars plana vitrectomy for rhegmatogenous retinal detachment in Upper Egypt","authors":"Ahmed Fathalla, T. Mohamed, Dalia Al-Sebaity","doi":"10.4103/2347-5617.193468","DOIUrl":"https://doi.org/10.4103/2347-5617.193468","url":null,"abstract":"Objective: To compare the results of silicone oil removal (SOR) 2 months after vitrectomy for retinal detachment with delayed removal for 6 months or more. Study: Prospective and retrospective study. Patients and Methods: A total of 32 patients (32 eyes) in the prospective series of early SOR and 19 patients (22 eyes) in the retrospective series of late removal. The two groups were compared as to the condition of the eye at the time of SOR and 6 months following SOR. Results: Patient compliance with the scheduled time for SOR was more in the early removal series. The outcome was comparable in the two groups as to the risk of retinal re-detachment, while cataract, increased intraocular pressure, oil emulsification, keratopathy, and anterior segment inflammation were more frequently encountered at the time of removal in the late removal series, particularly when it was delayed beyond 6 months. Conclusion: A protocol of early removal of silicone oil after 2 months did not increase the risk of re-detachment, and ensured a better compliance of the time of removal. It can be particularly recommended when patients are less likely to comply with a protocol for delayed removal.","PeriodicalId":201997,"journal":{"name":"Egyptian Retina Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133093184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A rare case of Wolfram syndrome 罕见的Wolfram综合症

Egyptian Retina Journal Pub Date : 2015-01-01 DOI: 10.4103/2347-5617.179366

A. Chauhan, S. Sharma, Ranesh Kumar

引用次数: 3