Egyptian Journal of Clinical Ophthalmology最新文献

SURGICAL OUTCOMES OF DUANE RETRACTION SYNDROME IN SOHAG UNIVERSITY HOSPITAL 苏海大学附属医院duane后缩综合征的手术效果分析

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305205

Ammar, H., Alsaman, A., Saro, A., E. M.

引用次数: 0

EFFECT OF PRIMARY NASAL PTERYGIUM EXCISION WITH CONJUNCTIVAL AUTOGRAFT ON VISUAL, REFRACTIVE, AND CORNEAL TOPOGRAPHIC OUTCOMES 原发性鼻翼状胬肉切除联合自体结膜移植对视力、屈光和角膜地形学结果的影响

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305208

Amer, I., Elaskary, A., S. m

{"title":"EFFECT OF PRIMARY NASAL PTERYGIUM EXCISION WITH CONJUNCTIVAL AUTOGRAFT ON VISUAL, REFRACTIVE, AND CORNEAL TOPOGRAPHIC OUTCOMES","authors":"Amer, I., Elaskary, A., S. m","doi":"10.21608/ejco.2023.305208","DOIUrl":"https://doi.org/10.21608/ejco.2023.305208","url":null,"abstract":"Aims: To evaluate the visual, refractive, and topographic outcomes after primary nasal pterygium excision with conjunctival autograft . Patients and Methods: The study included a total of 60 eyes of 60 patients with primary nasal pterygium. Visual and refractive in addition to topographic parameters (UDVA, CDVA, spherical equivalent, simulated keratometry \"Sim K-1, Sim K-2, K-max, K-mean\", CYL and Pachymetry) were evaluated preoperative and 3 months postoperative. Also, postoperative complications and recurrence rates were determined. Results: Postoperative UDVA and CDVA significantly improved (p<0.01 and p=0.03 respectively). Sphere, cylinder, and postoperative SE were changed significantly. Pterygium excision with conjunctival Autograft has an obvious effect in increasing K-1 (p<0.01), and decreasing K-2 (p=0.04) with a subsequent decrease in K-max (p=0.02) and increase in K-mean (p<0.01). The postoperative corneal pachymetry was not affected significantly (p=0.18). Recurrence was recorded in 2 cases (3.3%). Conclusion: The visual, refractive, and corneal topographic changes caused by pterygium improved significantly after successful pterygium surgery which decreases topographic astigmatism and reverses corneal flattening caused by pterygium. The conjunctival autograft technique is efficient and safe for pterygium excision. Further studies with longer follow-up periods are warranted to evaluate the long-term outcomes, particularly the recurrence rate.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"671 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127660863","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

CORNEAL TOPOGRAPHIC CHANGES AFTER PTERYGIUM SURGERY 翼状胬肉手术后角膜地形图的变化

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305202

E. M., A. S, M. E., Radwan, G.

{"title":"CORNEAL TOPOGRAPHIC CHANGES AFTER PTERYGIUM SURGERY","authors":"E. M., A. S, M. E., Radwan, G.","doi":"10.21608/ejco.2023.305202","DOIUrl":"https://doi.org/10.21608/ejco.2023.305202","url":null,"abstract":"Purpose : To assess the corneal topographic changes pre and post excision of primary pterygium and to assess the collaboration between the size of the pterygium and these changes which obtained by Pentacam. Patients and Methods : This study is prospective, non-randomized , and interventional. It involved 38 eyes of 38 individuals with primary nasal pterygium. The cases were classified into two groups in terms of the size of the pterygium. All patients were managed by surgical excision of pterygium with a bare sclera approach and intraoperative MMC application . Follow-up was done after one, three, and six months postoperatively. The following measurements were obtained using Pentacam: K1, K2, astigmatism, axis, anterior elevation map, and apical corneal thickness. Additionally, we studied the changes in UCVA, BCVA, refractive sphere , and cylinder. Results : The mean age of all cases was 56.16±5.1 years (48-64 years). The mean astigmatism decreased significantly from -4.6±3.1 preoperatively to -1.32±0.7 postoperatively. Large sized pterygium group has significant higher astigmatic values preoperatively and postoperatively . The mean K1 increased significantly (p<0.05) postoperatively, while there was no marked variation in mean K2 during 3 and 6 months postoperatively ( p>0.05). There was an obvious decrease in mean values of the anterior elevation map, apical corneal thickness, refractive sphere, and cylinder postoperatively. Both UCVA and BCVA improved significantly postoperatively. Conclusion : pterygium leads to significant topographic and refractive changes that rise with the elevation in the pterygia size and enhance after pterygium surgery.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127065612","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

SPECULAR MICROSCOPIC EVALUATION OF CORNEAL ENDOTHELIUM IN NORMAL EGYPTIAN EYES AND ITS RELATION TO AGE, GENDER, AND REFRACTION 正常埃及人眼角膜内皮的镜面显微镜评价及其与年龄、性别和屈光度的关系

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305201

E. D., A. T., Mohamed, Kh., Aly, M., Fathalla. A.

{"title":"SPECULAR MICROSCOPIC EVALUATION OF CORNEAL ENDOTHELIUM IN NORMAL EGYPTIAN EYES AND ITS RELATION TO AGE, GENDER, AND REFRACTION","authors":"E. D., A. T., Mohamed, Kh., Aly, M., Fathalla. A.","doi":"10.21608/ejco.2023.305201","DOIUrl":"https://doi.org/10.21608/ejco.2023.305201","url":null,"abstract":"Aim : Describe the parameters of corneal endothelial cell of normal Egyptians and to determine its correlation with sex, age, and refractive eye state. Methods : Non-contact specular microscopy was performed in 390 eyes of healthy Egyptian. Age, sex, refractive state, Endothelial cell density (ECD), the standard deviation of hexagonal cells HEX, coefficient of variation (CV) were analyzed. The system recorded the mean cell density MCD (cell/mm2), mean cell area MCA (μm2), central corneal thickness CCT, and HEX percentage. Results : The population's mean age was 48.90±15.77. There were 158 (40.5%) males and 232 (59.5%) females. The MCD was 2762.27±327.72. The mean CV in the cell size was 30.91±5.50, and the HEX percentage was 65.62±6.39. The mean CCT was 542.48±37.57. The ECD decreased from 2822.32 in the 20-30-year age group to 2475.64 in the 71– 80-year age group, with no substantial correlation between ECD and age. There were no substantial differences in HEX percentage, CV, and ECD between females and males. However, there was a statistical difference in CCT between females and males, with a P-value of 0.007. There was a marked difference in ECD between emmetropes, hypermetropic, and myopes, with a P-value of 0.001. Moreover, there was a substantial difference in CCT between emmetropes, hypermetropic, and myopes. Nonetheless, there were no statistically significant differences in HEX percentage and CV among emmetropes, hypermetropic, and myopes. Conclusion : Our study provides normative data for the corneal endothelium in healthy Egyptian eyes, adding to the expanding body of information about CEC parameters in healthy Egyptian eyes.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133633937","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

GIANT CELL ARTERITIS AS AN OPHTHALMIC EMERGENCY 巨细胞动脉炎作为眼科急诊

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305199

Mounir, O., Mounir, A.

引用次数: 0

INTRASTROMAL VORICONAZOLE AS A PRIMARY TREATMENT FOR CLINICALLY DIAGNOSED FUNGAL KERATITIS IN CHILDREN. 星膜内伏立康唑作为临床诊断的儿童真菌性角膜炎的主要治疗方法。

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305200

Elkadim, M., Nassar, E., S. H., S. A.

{"title":"INTRASTROMAL VORICONAZOLE AS A PRIMARY TREATMENT FOR CLINICALLY DIAGNOSED FUNGAL KERATITIS IN CHILDREN.","authors":"Elkadim, M., Nassar, E., S. H., S. A.","doi":"10.21608/ejco.2023.305200","DOIUrl":"https://doi.org/10.21608/ejco.2023.305200","url":null,"abstract":"Purpose: to evaluate the outcome of voriconazole intrastromal injection as a primary treatment of clinically presumed fungal keratitis in pediatric age. Methods: Retrospective study performed in a tertiary care hospital and included 13 eyes of 13 children less than 18 years old presented with feathery corneal infiltration after trauma with organic material. Intrastromal voriconazole injection (200ug/0.1 ml) was done upon clinical diagnosis of fungal keratitis followed by topical antifungal eye drops. Reinjection was done after 48 hours of the 1st injection if no clinical improvement found. Outcome measures were the response to treatment, number of injections, duration of hospitalization and complications. Results: The mean age of children included was 7± 2.8 years (range: 4-12 years). Ten cases (77%) had clinical improvement after 24 hours of single intrastromal injection. One case improved after a second intrastromal injection of voriconazole and two cases had three injections before clinical improvement. Duration of hospitalization ranged from 2–7 days (2.5 ± 0.8 days). After 3 months of follow up all cases developed localized corneal opacity and none developed recurrence of infection. Conclusions: Early intracorneal injection of voriconazole is a safe and effective way to treat cases of fungal keratitis in children.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121442494","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

ASSOCIATION BETWEEN THE LEVELS OF SERUM LIPID AND PRIMARY CLOSED ANGLE GLAUCOMA 血脂水平与原发性闭合型青光眼的关系

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305204

E. M., Sayed, Sh., Sinjab, A.

{"title":"ASSOCIATION BETWEEN THE LEVELS OF SERUM LIPID AND PRIMARY CLOSED ANGLE GLAUCOMA","authors":"E. M., Sayed, Sh., Sinjab, A.","doi":"10.21608/ejco.2023.305204","DOIUrl":"https://doi.org/10.21608/ejco.2023.305204","url":null,"abstract":"Purpose: to investigate if or whether there is a connection between serum lipid levels and primary angle-closure glaucoma. Patients and methods: This study is prospective and non-randomized. There were 400 participants total, and they were split into two groups. The first group included 200 patients of PACG, and the Second group included 200 patients of a healthy control group of the same age and sex. For measuring serum lipids for all cases, 12hrs fasting-blood samples were collected, and the enzymatic method (autoanalyzer) was used to assess it. The lipid profile includes all of the total cholesterol, triglycerides (TGL), high-density lipoproteins (HDL), and low-density lipoproteins (LDL) . According to the guidelines of National Cholesterol Education Program: Adult Treatment Panel III (NCEP: ATP III), the reference values for lipids were taken. Hence, according to which Hypercholesterolemia is defined as total cholesterol greater than 200 mg/dl, Hypertriglyceridemia, when triglycerides greater than 150 mg/dl, LDL greater than> 130 mg/dl were considered high, and HDL less than 40 mg/dl will be considered low. Results: there was a statistical significance at (p-value < 0.01) for triglyceride. On the other hand, the control group had higher levels of HDL, LDL, and cholesterol than the PACG group. Statistically, there was a significant difference for both HDL and LDL levels at p-value <0.01. In addition, the serum CHOL, HDL, and triglyceride levels were positively correlated with the IOP levels in the study group, while the serum LDL was negatively correlated. In the control group, all parameters showed a positive correlation with the IOP level. The correlation was statistically significant only for LDL in the study group and HDL in the control group. Conclusion: The serum triglycerides of PACG patients are noticeably greater than those of the control group. Increased serum HDL, triglyceride, and cholesterol levels are significantly linked with PACG.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125902079","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

EVALUATION OF ANTERIOR SEGMENT PENTACAM CHANGES BEFORE AND AFTER PHACOEMULSIFICATION VERSUS COMBINED PHACOTRABECULECTOMY IN PRIMARY ANGLE-CLOSURE GLAUCOMA 原发性闭角型青光眼超声乳化术与联合超声小梁切除术前后五他康前段变化的评价

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305206

H. M., Mounir, A., Farouk, M., Ahmad, A.

{"title":"EVALUATION OF ANTERIOR SEGMENT PENTACAM CHANGES BEFORE AND AFTER PHACOEMULSIFICATION VERSUS COMBINED PHACOTRABECULECTOMY IN PRIMARY ANGLE-CLOSURE GLAUCOMA","authors":"H. M., Mounir, A., Farouk, M., Ahmad, A.","doi":"10.21608/ejco.2023.305206","DOIUrl":"https://doi.org/10.21608/ejco.2023.305206","url":null,"abstract":"Background: Both Phaco alone and Phaco-trab resulted in changes of the drainage angle, anatomy of the anterior chamber and reduction of intraocular pressure (IOP). The present study aimed to evaluate anterior segment Pentacam changes before and after phacoemulsification versus combined Phacotrabeculectomy in primary angle-closure glaucoma. Methods: This comparative, prospective, randomized controlled interventional study was conducted on 40 cases with primary angle closure glaucoma associated with cataract grade II or more, visual field loss compatible with cataract density admitted and underwent surgery. The study eyes were divided randomly into two groups; group (A) included cases that underwent standard phacoemulsification only while group (B) included cases that underwent combined phacoemulsification and trabeculectomy and both groups underwent pre and post-operative pentacam. Results: There were non-discernible differences between both groups regarding baseline UCVA, BCVA, K1, K2, K max over time, astigmatism , apex pachymetry, thinnest part corneal volume and anterior chamber depth or the follow-up at 1 week, 1 month, 3 months and 6 months. There was discernible difference between both groups regarding baseline anterior chamber angle and chamber volume follow-up at 1 month, 3 months and 6 months. No discernible difference was found regarding safety and efficacy between both groups. Conclusions: It's possible that both methods are similarly effective in curing PACG. There are non-significant pentacam changes between both procedures among cornea(k1,k2,k max, apex pachymetry, thinnest part), among anterior chamber (Ac depth, Ac angle, Chamber volume)","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130175086","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

OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY AFTER RANIBIZUMAB TREATMENT FOR DIABETIC MACULAR EDEMA 雷尼单抗治疗后糖尿病黄斑水肿的光学相干断层血管造影

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305207

Ali, S., E. M., Sayed, Kh., A. M.

引用次数: 0

ANTERIOR CHAMBER CHANGES AFTER IMPLANTABLE COLLAMER LENS IMPLANTATION IN HIGH MYOPIA 高度近视人工晶状体植入术后前房的变化

Egyptian Journal of Clinical Ophthalmology Pub Date : 2023-06-01 DOI: 10.21608/ejco.2023.305203

Amer, I., A. A, Hammad, H.

{"title":"ANTERIOR CHAMBER CHANGES AFTER IMPLANTABLE COLLAMER LENS IMPLANTATION IN HIGH MYOPIA","authors":"Amer, I., A. A, Hammad, H.","doi":"10.21608/ejco.2023.305203","DOIUrl":"https://doi.org/10.21608/ejco.2023.305203","url":null,"abstract":"Background: Global acclaim has been accorded to the Vision Implantable Collamer Lens, a posterior chamber phakic intraocular lens used to cure extreme myopia. Goals & Aims: of this research is to use Pentacam and specular microscopy to assess the changes to the eye's anterior chamber (AC) and endothelial cell count after the placement of an implanted Collamer lens (ICL) in individuals with wide myopia. Procedures and cases forty eyes were employed in this prospective, non-comparative, non-randomized follow-up research, which also made use of Al-Azhr University's eye care facilities in Assiut. Results: Between preoperative, 30 days after surgery, and 3 months after surgery, there were no discernible differences, 6 months after surgery . Preoperative, 30 days postoperative, three months postoperative, and 6 month postoperative observations all showed a substantial reduction in IOP (mmhg). After ICL implantation, the ACA and CACD are markedly lowered. Conclusion: The ACA and CACD are dramatically decreased after ICL implantation. Those modifications must be taken into consideration when deciding whether a case is eligible for ICL installation. ICL implantation has no impact on pupil size or corneal angles, which may ensure satisfactory vision after surgery.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"27 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133169393","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