Egyptian Journal of Clinical Ophthalmology最新文献

{"title":"UPDATES IN MANAGEMENT OF POSTOPERATIVE ENDOPHTHALMITIS","authors":"Farouk, M.","doi":"10.21608/ejco.2019.162992","DOIUrl":"https://doi.org/10.21608/ejco.2019.162992","url":null,"abstract":"","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131488632","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}

{"title":"RETINITIS PIGMENTOSA ASSOCIATED WITH IDIOPATHIC PANUVEITIS: TWO CASES REPORTS","authors":"R. A., Pachon, D., Mounir, A., Foster, S.","doi":"10.21608/ejco.2018.163036","DOIUrl":"https://doi.org/10.21608/ejco.2018.163036","url":null,"abstract":"We report two cases of retinitispigmentosa (RP) associated with Panuveitis in descriptive small case series. One case is RP associated with idiopathic panuveitis and the other oneis RP with multifocal choroiditis and panuveitis (MCP). These are rare entities and it is very unusual for them to coexist in a patient. The first case treated with pulsed intravenous Methotrexate (MTX) 50 mg every week then stopped when inflammation was quiet with no evidence of vasculitis or papillitis on fluoresce in angiogram. The second case was treated successfully with cellcept 2.5 grams daily along with vitamin A palmitate 15,000 IU daily. Conclusion: In patients with refractory panuveitis presenting with progressive decline in vision and visual field constriction, masquerade syndromes such as retinitis pigmentosa, must be excluded.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126068158","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}

{"title":"COMPARATIVE STUDY OF VISUAL OUTCOME OF EARLY VERSUS DELAYED PARS PLANA VITRECTOMY IN PATIENTS COMPLICATED WITH DROPPED NUCLEUS DURING PHACOEMULSIFICATION","authors":"Osman, H., E. M., A. M.","doi":"10.21608/ejco.2018.163054","DOIUrl":"https://doi.org/10.21608/ejco.2018.163054","url":null,"abstract":"Purpose: To evaluate the controversy of early and delayed pars plana Vitrectomy (PPV) for posteriorly dislocated lens fragments after phacoemulsification. Patients and Methods: A Prospective study was conducted on all consecutive cases (30 patients) with parsplana Vitrectomy performed for retained lens fragment. In first group: 15 eyes (50%), PPV were performed within 1 week of cataract extraction and in second group 15 eyes (50 %), PPV were performed more than 1 week post cataract extraction from January 2016 to November 2017. Results: In the first group, 67 % of the patients had a final Visual acuity of 0.3 or better, but 27% of them achieved a final Visual acuity of 0.5 or better. The mean improvement of Visual acuity in the 1st week was 0.13 ±0.14, in one month 0.18 ±0.16, 0.28 ±0.21 in the 3 month and 0.37 ±0.23 at the end of the 6th month .In the second group, 34 % of the patients had a final Visual acuity of 0.3 or better, but 14% of them achieved a final Visual acuity of 0.5 or better. The mean improvement of Visual acuity in the 1st week was 0.09 ±0.07, in one month 0.14±0.09, 0.19±0.13 in the 3rd month and 0.24±0.17 at the end of the 6 month. Conclusions: The visual outcome of the first group in our study is better than that of the second group but with no statistical significance (P value more than 0.05), the results did not indicate an association between clinical outcomes and whether the patient had an early or delayed PPV, However, there was evidence that early PPV may produce better outcomes than delayed PPV.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128213700","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}

{"title":"MACULAR OCT FINDINGS AFTER SUCCESSFUL RHEGMATOGENOUS RETINAL DETACHMENT REPAIR; A COMPARISON BETWEEN CASES WITH AND WITHOUT VISUAL IMPROVEMENT","authors":"E. M., Farouk, M., M. E.","doi":"10.21608/ejco.2018.163038","DOIUrl":"https://doi.org/10.21608/ejco.2018.163038","url":null,"abstract":"Purpose: A comparative study using OCT to determine the possible causes associated with incomplete visual recovery after successful rhegmatogenous retinal detachment (RRD) repair in cases with and without visual improvement. Patients& methods: We studied 200 eyes of 200 patients with RRD that involved the fovea. The patients were examined and the findings recorded before and after surgery. The period from the onset of symptoms to presentation ranged from 3-60 days. OCT was performed at the 1st, 3rd, and 6th post-operative months. The patients were followed for a period from 6-18 months (mean 8.4 months). Results: On comparing the best corrected visual acuities (BCVAs) at 1st and 6th months, there was a mean gain of 3 Snellen lines (range; 1-6 lines) in 160 patients (80%) and no improvement in 40 patients (20%).The mean postoperative BCVA at 1,3 and 6 months of the improved patients was 6/60, 6/24,and 6/18 respectively (Log MAR equivalent of 1.00, 0.60 ,and 0.50 ). OCT of these 40 eyes without visual improvement showed subfoveal fluid in 10 eyes (25%), macular edema(ME) in 21 (52.5%) eyes, epiretinal membranes(ERM) in 15 eyes (37.5%), photoreceptor damage (distortion of the photoreceptors IS/OS junction in 31 eyes (77.5%), macular holes(MH) in 2 eyes (5%), and retinal pigment epithelium (RPE) degenerative changes in 11 eyes (27.5%). OCT of those with visual improvement also showed some abnormalities which contributed to incomplete visual recovery: ME in 21 eyes (13.2%), ERM in 9 (5.6%)eyes, subfoveal fluid in 40 eyes (25%), photoreceptor damage in 31 eyes (19.4%), and RPE degenerative changes in 12 eyes (7.5%). Conclusion: Incomplete and/or delayed visual recovery after successful retinal reattachment may occur even in cases with visual improvement due to many causes; photoreceptor damage, macular edema, epiretinal membranes, subfoveal fluid, macular holes, and RPE degenerative changes. OCT is a valuable and noninvasive tool for detecting, evaluating and follow-up of these cases.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126570345","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}

{"title":"ONE SITE AND TWO SITES PHACOTRABECULECTOMY: A COMPARATIVE STUDY","authors":"A. M., A. M., Fathy, A.","doi":"10.21608/ejco.2018.163052","DOIUrl":"https://doi.org/10.21608/ejco.2018.163052","url":null,"abstract":"Purpose: To compare the results of one-site versus two-site combined glaucoma filtration and phacoemulsification surgery with respect to visual acuity (VA) and intraocular pressure (IOP) control. Methodology: A prospective study was conducted on 40 patients with glaucoma and cataract. Cases will be divided into two random groups: Group A: 20 eyes were subjected to one site Phacotrabeculectomy. Group B: 2o eyes were subjected to two-site Phacotrabeculectomy. The results were compared within one week, one month, three months and sex months postoperative as regards VA and IOP. Results: There was a statistically significant difference in VA and IOP in pre-operative and post-operative conditions in the whole patients. There was no statistically significant difference in VA and IOP post-operatively between the two groups. Conclusion: The similar and excellent results achieved in the 2 groups imply that either technique might be used to handle the problem of concurrent cataract and glaucoma in many patients.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116791935","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}

{"title":"PHOTOREFRACTIVE KERATECTOMY WITH COLLAGEN CROSS LINKING IN SUSPICIOUS AND EARLY KERATOCONUS","authors":"A. A., A. M., Radwan, G.","doi":"10.21608/ejco.2018.163047","DOIUrl":"https://doi.org/10.21608/ejco.2018.163047","url":null,"abstract":"Purpose: To study the efficacy and safety of PRK and corneal cross linking (CXL) For treatment of suspicious and early Keratoconus. Methods: fifty eyes of thirty two patients with suspicious and early keratoconus were included. all patient underwent Simultaneous PRK and corneal cross linking (CXL) The outcomes were evaluated at 18 months in all eyes. Result: 80 % percent of UNCVA postoperatively are equal to preoperatively BCVA or gained 1 or more lines 20 % only Lost 1 line, 62 % of the eyes are within 1.0D. of emmetropia. None of the eyes had > 2.0 D and 54 % of the eyes had Astigmatism by K-Reading within 1.0D. None of the eyes had > 2.0D. Conclusion: We concluded that The Combined non-topography–guided PRK and CXL is an effective procedures for correcting mild refractive error and improving visual acuity and safety option for arresting the ectatic progression, with improvement of corneal keratometric values in patients with suspicious and early keratoconus provided that we adhere to the selection criteria of that we recommend. However, future studies with larger cohorts of patients and longer follow-up periods are needed to determine the safety, efficacy, and stability of such procedure.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123372086","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}

{"title":"A COMPARATIVE STUDY IN DACRYOCYSTORHINOSTOMY WITH VERSUS WITHOUT SILICON TUBE INTUBATION IN NASOLACRIMAL DUCT OBSTRUCTION IN ADULTS","authors":"Salih, M., A. Y., A. M., Ismael, A.","doi":"10.21608/ejco.2018.163044","DOIUrl":"https://doi.org/10.21608/ejco.2018.163044","url":null,"abstract":"Background: Dacryocystorhinostomy (DCR) has been touted as the standard procedure for treatment of acquired nasolacrimal duct obstruction; it can be performed through a cutaneous incision referred to as external DCR, or via a transnasal approach. Intubation with silicone tubes has been widely used in lacrimal duct surgery. Objective: Toevaluate the role of silicon tube intubation in the clinical outcomes of external and endonasal dacryocystorhinostomy in nasolacrimal duct obstruction in adults. Patients and Methods: This is a prospective, randomized; comparative study included 80 cases of 74 patients who were diagnosed with postsaccal obstruction of the lacrimal pathway. The studied sample was randomly grouped into two main groups (n=40), group (I) undergoneexternal dacryocystorhinostomy (EX_DCR) and group (I) undergoneendonasal dacryocystorhinostomy (EN_DCR), then each group was subdivided into two subgroups (n=20) according to with or without silicon tube intubation. From all patients, full history was taken and they received a complete ophthalmologic examination, ENT and systemic assessment. After undergoing the surgical procedure, patients were followed up at1stpostoperative day, 1week, 1, 3 & 6 months, complications and outcome were assessed. Results: The overall success rate in external DCR was 82.5% (33 cases), however, the overall success rate in endonasal DCR was 77.5% (31 cases) with no significant difference between groups. The success rate was 85% for external DCR with intubation, 80% for external DCR without intubation, 80% forendonasal DCR with intubation and was 75% for endonasal DCR without intubation, with non significant differences among these subgroups (P=0.89). The results showed that DCRs without intubation recorded significantly lower operative time compared to with indubation DCRs. Conclusion: The results of endoscopic and external DCR with silicone intubation were comparable to these result without intubation with non significant differences. Using of silicone tube has no significant beneficial effect in the surgical success of primary DCR, while, it is associated with increasing cost, operative time and complication rate, there is no need for its routine use. Further studies with larger sample size are warranted.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115943275","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}

{"title":"THREE-YEAR OUTCOME OF PEDIATRIC DACRYOCYSTORHINOSTOMY FOR TREATMENT OF CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION","authors":"A. M, A. M.","doi":"10.21608/ejco.2018.163050","DOIUrl":"https://doi.org/10.21608/ejco.2018.163050","url":null,"abstract":"Purpose: to retrospectively compare the success rates of external and endoscopic dacryocystorhinostomy (DCR) surgery performed for congenital nasolacrimal duct obstruction. Methods: 79 patients with congenital nasolacrimal duct obstruction that had either external DCR (41, group 1) or endoscopic DCR (38, group 2) and completed 3 year duration after surgery were included in this study. Results: 38 patients in group 1 (92.7%) and 30 patients in group 2 (78.9%) showed success of surgery after 3 years of surgery, defining success as relief of symptoms plus endoscopic visualization of the patent stoma (p value 0.079). Conclusion: Although the endoscopic approach of pediatric DCR has the advantages of the lack of skin incision, the preservation of the pump mechanism and the ability to address other nasal pathologies at the time of surgery, the external approach looks more successful on the long run.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132382385","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}

{"title":"ADVANCED KERATOCONUS WITH LOW REFRACTIVE ERROR","authors":"Mounir, A., M. E.","doi":"10.21608/ejco.2018.163063","DOIUrl":"https://doi.org/10.21608/ejco.2018.163063","url":null,"abstract":"In this report we are presenting a 28-year-old female with right keratoconus grade3 and left keratoconus grade 2 with low degree refraction (spherical equivalent in right eye = -2.25 and +0.75D in left eye). Axial length measurement revealed short axial length (RE=19.63mm, LE=19.97 mm). After counseling the patient, the decision was to go for right simultaneous femtosecond intracorneal ring segments implantation with corneal collagen cross linking. UCVA, BCVA, sphere, cylinder, spherical equivalent, RMS total high order aberrations(HOA), RMS coma, and RMS astigmatism were measured preand postoperatively in the first week, 1 month, 3 month, 6 month. The results were favorable as regards improvement in UCVA, BCVA, with mild hyperopic shift in the sphere as expected with decrease in the cylinder, and induced flattening. As for HOA, coma and astigmatism; there was marked decrease.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122592441","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}

{"title":"INTERNAL LIMITING MEMBRANE PEELING VERSUS NO PEELING IN PRIMARY VITRECTOMY FOR MACULA OFF RHEGMATOGENOUS RETINAL DETACHMENT: A COMPARATIVE STUDY","authors":"Awny, I., A. M, M. M., Mourtada, H.","doi":"10.21608/ejco.2018.163069","DOIUrl":"https://doi.org/10.21608/ejco.2018.163069","url":null,"abstract":"Purpose: To compare the visual outcome and the rate of epiretinal membrane formation after primary vitrectomy with internal limiting membrane peeling Vs no peeling for patient with macula off retinal detachment. Patients and methods: This was a Prospective comparative uncontrolled case series. The study enrolled 30 eyes with rhegmatogenous retinal detachment with macula off subjected to primary vitrectomy, and classified into 2 groups, Group A cases subjected to primary vitrectomy without internal limiting membrane peeling and group B cases subjected to primary vitrectomy, with internal limiting membrane peeling, Assessment of best corrected visual acuity and rate of epiretinal membrane formation after removal of silicone oil had been done. Results: This study included 30 eyes of 30 patients, 16 (53.33 %) were males and 14 (46.67 %) were females, the mean age of studied patients was (43.37 ± 10.40) years old. There was no statistically significant difference in mean logMAR BCVA after silicone oil removal (1.18 ± 0.29 for group A versus 0.99 ± 0.38 for group B; P = 0.12).OCT done for all cases after silicone oil removal after 6 months and show that; epiretinal membrane with cystoid macular edema is formed in 5 cases in group A while ERM is not formed in any cases in group B (P = 0.04) , IS / OS line is interrupted in 6 cases in group A and in 3 cases (P = 0.43) as regarding foveal contour; it is lost in 5 cases and preserved in 10 cases in group A while in group B the foveal contour is preserved in 13 cases ,lost in 1 case and flat in 1 case (P = 0.06) , while comparing the mean of the central foveal thickness shows no statistically significant difference 295.73±129.46 for group A versus 237.6±47.60 for group B; P = 0.66. Conclusion: There was no statistically significant difference in mean visual acuity after silicone oil removal in both procedures however, the epiretinal membrane formation was absent in group B with ILM peeling in comparison to group A.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121124696","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}