Egyptian Journal of Clinical Ophthalmology最新文献_第3页

INCIDENCE OF ENDOPHTHALMITIS AFTER INTRA-OPERATIVE MOXIFLOXACIN INJECTION IN THE CAPSULAR BAG, BEHIND THE INTRA OCULAR LENS, IN PHACOEMULSIFICATION. A RETROSPECTIVE STUDY 超声乳化术中晶状体后囊袋内注射莫西沙星后眼内炎的发生率。回顾性研究

Egyptian Journal of Clinical Ophthalmology Pub Date : 2022-12-01 DOI: 10.21608/ejco.2022.280977

M. Y., S. P, Altak, T., M. A.

引用次数: 0

PENTACAM STUDY OF VAULT CHANGES AFTER TROPICAMIDE 1% AND CYCLOPENTOLATE 1% INSTILLATION IN MYOPIC EYES WITH IMPLANTABLE PHAKIC CONTACT LENS 1%托品酰胺和1%环戊酸酯在近视眼植入性隐形眼镜后拱顶变化的Pentacam研究

Egyptian Journal of Clinical Ophthalmology Pub Date : 2022-06-01 DOI: 10.21608/ejco.2022.252789

M. M., A. M., A. A.

{"title":"PENTACAM STUDY OF VAULT CHANGES AFTER TROPICAMIDE 1% AND CYCLOPENTOLATE 1% INSTILLATION IN MYOPIC EYES WITH IMPLANTABLE PHAKIC CONTACT LENS","authors":"M. M., A. M., A. A.","doi":"10.21608/ejco.2022.252789","DOIUrl":"https://doi.org/10.21608/ejco.2022.252789","url":null,"abstract":"Purpose: to compare the vault changes, anterior segment parameters, and intraocular pressure (IOP) after pharmacological mydriasis by tropicamide 1% and cyclopentolate 1% in moderate-to-high myopic eyes with Implantable Phakic Contact Lens (IPCL). Methods : a prospective observational study 48 myopic eyes were implanted with IPCL V2.0 (Care group Sight Solutions , India). Pharmacological mydriasis was done by tropicamide 1% and cyclopentolate 1%. The patients were divided into 2 groups, group 1 was dilated by tropicamide1 % and group 2 was dilated by cyclopentolate 1%. The Pentacam was used to evaluate the lens vault, anterior chamber depth (ACD ), anterior chamber volume (ACV), pupil size, and endothelium-IPCL (end-IPCL). Also, IOP was evaluated and compared between both groups. Results : the Pentacam study of both groups revealed significant changes regarding the vault, ACD, ACV, and pupil size with no significant difference in end-IPCL (p-value= 0.884 and 0.880) in groups 1 and 2 respectively. And no significant difference when comparing both groups with each other. Regarding IOP, there was a significant difference in both groups with no significant difference when comparing both groups with each other (p-value=.295). Conclusion : pharmacological mydriasis in myopic eyes implanted with IPCL results in changes in the vault, ACD, and ACV with no significant difference between tropicamide 1% and cyclopentolate 1%. Both medications caused IOP elevation to a similar value so there was a need to recheck IOP post dilatation preferably at 45 minutes. So mydriasis with either tropicamide 1 % or cyclopentolate 1 % was relatively safe in eyes with IPCL implantation.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"361 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115904463","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

CHANGES IN CORNEAL ASTIGMATISM BEFORE AND AFTER PTERYGIUM EXCISION WITH BARE SCLERA TECHNIQUE AND CONJUNCTIVAL AUTO GRAFT. 裸眼巩膜技术及自体结膜移植术对翼状胬肉切除前后角膜散光的影响。

Egyptian Journal of Clinical Ophthalmology Pub Date : 2022-06-01 DOI: 10.21608/ejco.2022.252791

H. M., Eta, W.

{"title":"CHANGES IN CORNEAL ASTIGMATISM BEFORE AND AFTER PTERYGIUM EXCISION WITH BARE SCLERA TECHNIQUE AND CONJUNCTIVAL AUTO GRAFT.","authors":"H. M., Eta, W.","doi":"10.21608/ejco.2022.252791","DOIUrl":"https://doi.org/10.21608/ejco.2022.252791","url":null,"abstract":"Objectives: the goal of this study was to assess the changes in corneal astigmatism after pterygium removal with the bare sclera technique and conjunctival auto graft technique . Patients and methods: the study included 40 eyes of 40 patients with primary pterygium who underwent surgery in a prospective comparative study. Twenty individuals had their scleras removed using the bare sclera procedure (group 1). The remaining 20 patients had their eyes removed and had conjunctival autografts (group2). All patients had a complete ophthalmic examination, including visual acuity, anterior and posterior segment examinations, refraction, and keratometry, preoperatively and postoperatively at day 7, one month, and three months, with the results analyzed. Results: preoperative corneal astigmatism was (3.521.66) on average. At three months, the mean postoperative corneal astigmatism was (1.431.12). At three months after surgery, there was a statistically significant reduction in corneal astigmatism. At 3 months after surgery, the bare sclera method and conjunctival autograft both showed a reduction in corneal astigmatism of (1.690.84) and (2.561.56), respectively. Pterygium excision with conjunctival autograft is more successful than bare sclera excision in lowering corneal astigmatism, according to the study (0.033). Conclusion: pterygium removal reduces corneal astigmatism significantly and Pterygium excision with con-junctival autograft technique resulted in better reduction of corneal astigmatism than excision with bare sclera technique. in most of the cases. Pterygium excision can significantly reduce corneal astigmatism. Pterygium excision with conjunctival autograft technique resulted in better reduction of corneal astigmatism than excision with bare sclera technique.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117117489","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

ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY STUDY OF THE ANTERIOR OCULAR SURFACE IN THYROID EYE DISEASES 甲状腺眼病前眼表前段光学相干断层扫描研究

Egyptian Journal of Clinical Ophthalmology Pub Date : 2022-06-01 DOI: 10.21608/ejco.2022.252797

A. A., M. M., H. H., A. A

{"title":"ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY STUDY OF THE ANTERIOR OCULAR SURFACE IN THYROID EYE DISEASES","authors":"A. A., M. M., H. H., A. A","doi":"10.21608/ejco.2022.252797","DOIUrl":"https://doi.org/10.21608/ejco.2022.252797","url":null,"abstract":"Purpose: Use the anterior segment optical coherence tomography (AS-OCT) to evaluate the tear meniscus parameters, total corneal thickness (CT), and epithelial thickness in active and inactive thyroid eye disease (TED) patients and compare them with age-matched controls. Patients and methods: This is a prospective case-control clinical study in which the subjects were divided into three groups, group I of inactive thyroid patients, group II of active thyroid patients , and group III of healthy controls. The AS-OCT was used to measure lower tear meniscus parameters (tear meniscus height (TMH), tear meniscus depth (TMD), and tear meniscus area (TMA)), total CT, and epithelial thickness. Results: All tear meniscus parameters (TMH, TMD, and TMA) were reduced in groups I and II with more reduction in group II with no significant difference between them with a significant difference when comparing groups I and II with group III. The mean total CT was 496.7±19.9 in group I, 497.8±20.6 in group II, and 520.3±23.9 in group III with no significant difference (p-value = 0.757) between groups I and II while there was a significant difference when compared with healthy controls. The mean epithelial thickness was 46.5±2.6 in group I, 47.3±2.7 in group II, and 53.2±4.5 in group III with no significant difference between groups I and II while there was a significant difference when compared with healthy control. Conclusion: TED patients had reduced tear film parameters regardless of the thyroid activity , also the total CT and epithelial thickness was thinner in comparison with healthy controls.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126052143","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 TOMOGRAPHIC STUDY AFTER VITRECTOMY FOR DISLOCATED LENS FRAGMENTS AND/OR INTRAOCULAR LENS 玻璃体切除术后晶状体碎片和/或人工晶状体脱位的光学相干断层扫描研究

Egyptian Journal of Clinical Ophthalmology Pub Date : 2022-06-01 DOI: 10.21608/ejco.2022.252804

A. A, Radwan, G., M. E., Farouk, M.

{"title":"OPTICAL COHERENCE TOMOGRAPHIC STUDY AFTER VITRECTOMY FOR DISLOCATED LENS FRAGMENTS AND/OR INTRAOCULAR LENS","authors":"A. A, Radwan, G., M. E., Farouk, M.","doi":"10.21608/ejco.2022.252804","DOIUrl":"https://doi.org/10.21608/ejco.2022.252804","url":null,"abstract":"Background and Aim : Posterior dislocation of lens fragments is uncommon complication of phacoemulsification. However it is associated with sight threatening sequelae. These may include intraocular inflammation, secondary glaucoma, corneal edema, cystoid macular edema, and retinal detachment. Proper management is crucial to reduce the risk of these complications. Pars plana vitrectomy with intravitreal emulsification of dislocated lens fragments is indicated. Optimal timing for intervention is controversial. This study aimed to determine clinical outcomes and optical coherence tomography (OCT) changes of prompt, early and late pars plana vitrectomy with and without the use of intravitreal ultrasonic emulsification for dislocated lens fragments and/ or IOL. Methods : Thirty five eyes of 35 patients were recruited for the study. All cases underwent pars plana vitrectomy (PPV) for dislocated nuclear fragments after complicated phacoemulsification. A control group of 85 eyes with uneventful phacoemulsification were included. The clinical outcomes were visual acuity, intraocular pressure (IOP) and postoperative complications. OCT parameters including OCT-macula, OCT-Optic nerve head (ONH), and anterior segment OCT were measured at the 1 st , the 3 rd , the 6 th , the 9 th , and 12 th months postoperatively. Results : The results illustrated that eight eyes (22.8%) had CME detected by OCT at the 3rd months, while only 5 eyes (14.3%) at the 12 th months and only 4 eyes (11.4%) had chronic CME. Conclusion: Timing of PPV is an important factor affecting clinical and in dislocated nuclear fragments and IOL. The prompt PPV was associated with the best outcome followed by the early PPV. Cases in which, intravitreal ultrasound emulsification was indicated, had poorer prognostic outcome.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123673751","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

COVID19 AND THE EYE: MINIREVIEW OF OPHTHALMIC MANIFESTATIONS 2019冠状病毒病与眼睛:眼部表现综述

Egyptian Journal of Clinical Ophthalmology Pub Date : 2022-06-01 DOI: 10.21608/ejco.2022.252806

Mounir, A., M. Sh

引用次数: 0

COMPARISON BETWEEN EX-PRESS MINI SHUNT IMPLANTATION AND DEEP SCLEROTOMY IN PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA (POAG) 原发性开角型青光眼(poag)微创分流器植入术与深度巩膜切开术的比较

Egyptian Journal of Clinical Ophthalmology Pub Date : 2021-12-01 DOI: 10.21608/ejco.2021.215520

Khallaf, H., A. M., El-moddather, M., G. A.

{"title":"COMPARISON BETWEEN EX-PRESS MINI SHUNT IMPLANTATION AND DEEP SCLEROTOMY IN PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA (POAG)","authors":"Khallaf, H., A. M., El-moddather, M., G. A.","doi":"10.21608/ejco.2021.215520","DOIUrl":"https://doi.org/10.21608/ejco.2021.215520","url":null,"abstract":"Purpose: is to compare the success rate of Ex-PRESS implantation vs deep sclerotomy (DS) in patients with primary open-angle glaucoma (POAG). Patients and methods: This is a randomized prospective interventional comparative study between Ex-PRESS and DS maneuvers in patients with POAG. The study included 47patients (50 eyes) with POAG. The patients were divided into two groups. Group 1 included 25 patients (25 eyes) who underwent Ex-PRESS device implantation. Group 2 included 22 patients (25 eyes) who underwent DS. All included patients underwent a thorough ophthalmic examination. At the end of the 1 st year postoperatively, best corrected visual acuity (BCVA) [logMAR], intraocular pressure (IOP), number of anti-glaucoma medications in use were obtained. Results: In group 1, complete success rate was 76%, qualified success rate was 20% and failure rate 4% occurred in 1 eye of patients which needed explantation of the device and another glaucoma filtering surgery due to device-corneal touch. Meanwhile in group 2, complete success rate was36% and qualified success rate was 64% without any recorded failure in this group (Both Ps<0.01) in both groups. Conclusion: favorable effects on IOP and the need for IOPlowering medications in both Ex-PRESS and DS groups. However, in DS group, higher preoperative IOP is associated with increased failure rate necessitating more postoperative IOP adjustments than Ex-PRESS group.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"45 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132530755","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

OCULAR FUNGAL INFECTIONS IN COVID-19 PATIENTS: EARLY REPORT FROM EGYPT COVID-19患者眼部真菌感染:来自埃及的早期报告

Egyptian Journal of Clinical Ophthalmology Pub Date : 2021-12-01 DOI: 10.21608/ejco.2021.215515

M. H., A. M, D. A., T. D.

{"title":"OCULAR FUNGAL INFECTIONS IN COVID-19 PATIENTS: EARLY REPORT FROM EGYPT","authors":"M. H., A. M, D. A., T. D.","doi":"10.21608/ejco.2021.215515","DOIUrl":"https://doi.org/10.21608/ejco.2021.215515","url":null,"abstract":"Purpose: the aim of this study is to evaluate the occurrence of Mucromycosis in the eyes of Covid-19 patients, evaluating risk factors, presentation, treatment, and the fate of these cases. Patients and methods: an observational cross-sectional study involved adult COVID-19 patients in our institute in the period from 1 st July 2021 till 30 th July 2021, the risk factors for fungal infections were identified; the patients were examined by otolaryngology specialist, full ophthalmological examination was done using portable slit lamp and indirect ophthalmoscopy. CT scan was done in Mucromycosis positive patients to assess the invasion and to take treatment decision. Results: 1270 patients were examined, 604 (47.6%) males and 666 (52.4%) females, the mean age was (56.5±3.2) years, we diagnosed 5 patients with Mucromycosis; clinically and laboratory (using fungal culture). The group included 5 patients with +ve laboratory investigations for Mucromycosis the mean age+SD was (59+2.24) with 3 (60%) were males and 2 (40%). 4 (80%) patients were diabetics, 3 (60%) patients were asthmatic, 3 (60%) patients were on ventilators, 2 (40%) patients had renal failure, 2 (40%) patients had cardiac diseases and 2 (40%) patients had malignancies. death rate was( 60%). They presented by different ocular manifestations including blurring of vision, proptosis, disc edema, or necrotic tissue. They were treated by antifungals and surgical intervention in the form of debridement or even orbital exentration.3 of them died due to systemic complications and 2 responded to surgical debridement with antifungals. Conclusion: Mucromycosis occurs in COVID-19 patients especially those with immuncompromizing diseases, aggressive treatment is needed, the death rate is high (60%)","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114422895","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: NEW HORIZON 光学相干断层血管造影:新视野

Egyptian Journal of Clinical Ophthalmology Pub Date : 2021-12-01 DOI: 10.21608/ejco.2021.215510

M. E.

引用次数: 0

ASSESSMENT OF PERIPAPILLARY AND MACULAR VESSELS DENSITY ESTIMATED WITH OCT- ANGIOGRAPHY IN GLAUCOMA PATIENTS AND EFFECT OF INTRA OCULAR PRESSURE REDUCTION 青光眼患者乳头周围和黄斑血管密度的oct血管造影评估及眼压降低的效果

Egyptian Journal of Clinical Ophthalmology Pub Date : 2021-12-01 DOI: 10.21608/ejco.2021.215522

E. S., Mohamed, O., Fathy, A.

{"title":"ASSESSMENT OF PERIPAPILLARY AND MACULAR VESSELS DENSITY ESTIMATED WITH OCT- ANGIOGRAPHY IN GLAUCOMA PATIENTS AND EFFECT OF INTRA OCULAR PRESSURE REDUCTION","authors":"E. S., Mohamed, O., Fathy, A.","doi":"10.21608/ejco.2021.215522","DOIUrl":"https://doi.org/10.21608/ejco.2021.215522","url":null,"abstract":"Purpose: Assessment of perpapillary and macular vessels density estimated with OCTAngiography in glaucoma patients and effect of intra ocular pressure reduction on them in 0, 1, 3, 6 months. Patients and methods: This is a prospective observational study that included 40 eyes of 35 patients with glaucoma (open, closed angles) at Sohag Investigation Center from April 2018 to April 2021. The study population underwent 4.5×4.5 MM scans centered on the optic nerve head & 3×3 MM scans centered on the macula using Optical Coherence Tomography Angiography (OCTA) (RTVue XR Avanti Optovue, Fremont, CA) for measuring the perpapillary vascular density, RNFL thickness, GCL thickness and macular vascular density in glaucomatous eyes before and after treatment by 1, 3 months and 6 months. Results: Mean age of the study population was 42.6 years with SD 12.29 years and range from 30 to 63 years. There was a significant reduction of IOP from (30.075 ± 8.3939 mmHg) at baseline to maximum reduction at 6 months (17.175 ± 3.257 mmHg, P = <0.001). There was a non-significant increase in thickness peripapillary RNFL & GCL from baseline to 6 months following IOP reduction (P = 0.479, 0.234 respectively). There was a slight significant increase in thickness of the superior, inferior, temporal, nasal peripapillary vascular density (more significant in superior and nasal quadrants) & laminal vascular density (VD ID) from baseline to 6 months post treatment (P = 0.01, 0.019, 0.046, 0.032, 0.003) & there was a significant increase of macular VD in response to IOP reduction at 1, 3, 6 months (P = 0.054). There was found a strong significant correlation between all these items improvement with IOP reduction. Conclusion: IOP has a closed relation with macular and ONH vascularity that prove that vascular insult has a close relation of development or prognosis of glaucoma. OCTA is the new novel era that allows early diagnosis and good follow up for glaucoma patients.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128842647","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