Egyptian Journal of Clinical Ophthalmology最新文献

{"title":"OUTCOME OF SURGICAL TREATMENT IN CASES OF DISSOCIATED VERTICAL DEVIATION NOT ASSOCIATED WITH OBLIQUE MUSCLES DYSFUNCTION","authors":"El-Khattabi, M., Kasem, M., A. A., N. E., Mokbel, Th.","doi":"10.21608/ejco.2018.163065","DOIUrl":"https://doi.org/10.21608/ejco.2018.163065","url":null,"abstract":"Purpose: To evaluate the outcome of three surgical interventions: Bilateral superior rectus (SR) recession, bilateral SR Faden surgery, bilateral SR recession with Faden surgery in management of dissociated vertical deviation (DVD) not associated with oblique muscles dysfunction. Patients and Methods: This study includes 30 patients with comitant dissociated vertical deviation, they attended Mansoura Ophthalmic center for surgical management of their ocular deviation. They were divided into 3 groups according to procedure of the management. 10 patients were operated by bilateral superior rectus recession with Faden procedure (BSRRf), 10 patients operated by bilateral superior rectus recession only (BSRR), and 10 patients were operated by bilateral superior rectus Faden procedure only (BSRF). The results were compared. The patients were followed for 6 months postoperative. Results: Orthotropia were obtained in 9 cases of (BSRRf) group, while it was obtained only in 4 cases of (BSRR) and 2 cases of (BSRf) became orthotropic. Conclusion: Bilateral superior rectus recession with Faden (BSRRf) is more effective than bilateral superior rectus recession (BSRR) and bilateral Faden (BSRF) in cases of DVD.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"27 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":"117149648","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":"CLEAR LENS EXTRACTION VERSUS PHAKIC IOL IMPLANTATION: A PROSPECTIVE STUDY OF TWO PROCEDURES IN PATIENTS WITH HIGH MYOPIA","authors":"A. A., A. M., Abdelatif, I., I. A.","doi":"10.21608/ejco.2018.163068","DOIUrl":"https://doi.org/10.21608/ejco.2018.163068","url":null,"abstract":"Purpose: To compare clear lens extraction (CLE) and phakic intraocular lens posterior chamber intraocular (PIOL) lens implantation (Artisanintraocular lens (IOL) & Implantable Collamer Lens (ICL) for correction of high myopic patients younger than 40 years. Methods: A prospective nonrandomized study included 64 eyes (45 highly myopic patients) divided into three groups: Group A; received CLE and IOL implantation, Group B; received Artisan PIOL, and Group C; received ICL PIOL. All cases were evaluated on the 1 day, 1 week, 1 month, 6 month, 12 month, and 18 month postoperatively. The evaluation included assessment of visual acuity, IOP, refraction, IOL stability & search for postoperative complications. Results: The postoperative efficacy index after 1 month was (101.7%, 98.6% & 98.8%) and after 18 months (100.3%, 98.6% & 98.15%) for groups A, B & C respectively. While the postoperative spherical equivalent refraction at 18 months was variable. Group A included 17 eyes within 1.0 D and 9 eyes within 0.5 D. While group B included 18 eyes within 1.0 D and 11 eyes within 0.5 D, and group C included 22 eyes within 1.0 D and 11 eyes within 0.5 D. Conclusions: There was no difference between clear lens extraction and phakic IOL implantation as a management of high myopia.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"17 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":"124080641","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":"ACUTE COLD UNILATERAL ISOLATED PTOSIS WITH RAPID RESPONSE OF HIGH DOSE OF STEROID","authors":"A. A., R. Y.","doi":"10.21608/ejco.2018.163060","DOIUrl":"https://doi.org/10.21608/ejco.2018.163060","url":null,"abstract":"A 23-year-old female presented with acute onset left painless ptosis of 5 days duration. No other ocular or neurological symptoms were associated. Ophthalmological examination was free with noticed brisky pupil reaction. Both systemic and neurological examinations were free. CT and MRI imaging were free with no swollen levator or any extra ocular muscles. After showing no improvement over 5 days with no medications the patient started oral prednisolone in low dose 15 mg per day after one week no improvement detected then high steroid therapy 45 mg per day was given with marked improvement within couple of days. The same dose was prescribed for 5 days with gradual withdrawal over 2 weeks. The patient remains symptomless all over six months which is the follow-up period. Conclusion: Acute ptosis may indicate serious pathology or may be simple pathology with rapid improvement.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"127 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":"122063743","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":"RECENT ADVANCES IN MANAGMENT OF CATARACT SURGERY COMPLICATIONS","authors":"Mohammed, O.","doi":"10.21608/ejco.2018.163057","DOIUrl":"https://doi.org/10.21608/ejco.2018.163057","url":null,"abstract":"Cataract disease is the main cause of the global burden of visual impairment. As the technology advances, phacoemulsification becomes the surgical procedure of choice for cataract treatment; However, phacoemulsification is not a completely safe procedure and has many complications including Endophthalmitis, Cystoid macular edema, Endothelial cells loss, Vitreous loss, and retinal detachment. The aim of this review is to discuss the recent advances in management of cataract surgery complications.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"4 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":"114073934","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":"COMPARISON OF CLINICAL OUTCOMES AFTER FEMTOSECOND ASSISTED LASER IN SITU KERATOMILEUSISAND IMPLANTABLE COLLAMER LENS IMPLANTATION FOR CORRECTION OF HIGH MYOPIA","authors":"A. E., M. E., A. H., A. A.","doi":"10.21608/ejco.2019.162996","DOIUrl":"https://doi.org/10.21608/ejco.2019.162996","url":null,"abstract":"Purpose: To compare efficacy, safety and stability of Femtosecond assisted LASIK and implantable collamer lens implantation in correction of high myopia. Methods: This study was nonrandomized comparative prospective consecutive interventional study. It included 74 eyes with high myopia (≥ -6 Ds) of 40 patients attended to the outpatient ophthalmic clinic of Sohag university hospitals from the period from Jan.2016 to Jan.2017. The patients were divided into two groups depending on: Degree of myopia, corneal thickness and corneal tomography. The first group (34 eyes) of 20 patients were subjected to implantable collamer lenses implantation and the second group (40 eyes) of 40 patients were subjected to femtosecond assisted LASIK. Results: Group one (ICL group) showed UCVA preoperative was (1.90±0.29) and UCVA postoperative was (0.27±0.21) with (p-value<0.000*). BCVA preoperative was (0.526±0.272) and that of BCVA postoperative was (0.217±0.128) with (p-value<0.001*), which means that BCVA postoperative was better than what was expected from the BCVA preoperative. Spherical error decreased from (-13.576±3.945) preoperative to (-0.0385±0.821) postoperative with (p-value<0.000*).Cylindrical error preoperative was (-1.134±0.617) and postoperative was (-0.352±0.250) with (p-value<0.000*).Spherical equivalent preoperative was (-15.173± 4.079) and that of postoperative was (-0.269±0.787) with (p-value<0.000*). Pachymetry preoperative was (518.153±22.981) and postoperative was (521± 22.304) with (p-value <0.140). Group two (Femtosecond assisted LASIK) UCVA preoperative was (1.42±0.27) and UCVA postoperative was (0.366±0.21) with (p-value<0.000*).There wasn’t significant difference between BCVA preoperative and postoperative. Spherical error preoperative was (-8.398±1.733) and postoperative (-0.796±1.186) with (p-value<0.000*). Cylinder error mean value preoperative was (1.648±0.838) corrected to (-0.765±0.423) with (p-value< 0.005). Spherical equivalent preoperative was (-9.213±1.899) and that of postoperative is (-0.935±1.11) with (p-value<0.000*). Pachymetry preoperative was (535.111±26.33) and postoperative (419.88± 43.063) with (pvalue<0.000*). Conclusion: Both implantable collamer lens and Femtosecond assisted LASIK proved high efficacy and safety but implantable collamer lens showed more stability for high myopic patients.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133660776","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":"PATTERN, RISK FACTORS AND OUTCOME OF OCULAR TRAUMA IN CHILDREN TREATED AT SOHAG UNIVERSITY HOSPITAL","authors":"Awny, I., Hassan, A., A. A.","doi":"10.21608/ejco.2019.163001","DOIUrl":"https://doi.org/10.21608/ejco.2019.163001","url":null,"abstract":"Purpose: To assess the pattern, risk factors and outcome of ocular trauma in children treated at Sohag University Hospital. Methods: A prospective, observational study was conducted to provide an epidemiological data. This study included all children admitted to the Ophthalmology Department, via the Emergency Department, at Sohag University Hospital, in the period between May 2010 and April 2011 with ocular trauma. Patients were analyzed with respect to: (1) demographics, (2) time, place and nature of trauma, (3) type of injury, (4) Interval between trauma and start of treatment, (5) management and (6) visual outcomes following repair. Results: Sixty children with ocular injuries presented to the ER, at Sohag University Hospital, between May 2010 and April 2011 were included; 35 cases (58.3%) were males and 25 cases (41.7%) were females. There was a higher incidence among children from urban areas (40 cases, 66.7%) than those from rural areas (22 cases, 33.3%). The majority of patients (46 cases; 76.7%) came to the hospital within 24 hours of their trauma; 9 cases (15%) showed a delay of more than 24 hours, and 5cases (8.3%) showed a delay of more than 1 week, who had a higher rates of complications. The most common cause of ocular Trauma in children in this study was injury by sharp objects accounted for 27 cases (45%), followed by blunt trauma 10 cases (16.7%), then trauma by stones 8 cases (13.3%), trauma by a plant object 7 cases (11.7%), falling on the face 5 cases (8.3%), and trauma by woody objects 3 cases (5%). The Post traumatic Complications included traumatic cataract (26 cases, 43.3%), retinal detachment (4 cases, 6.7%), aphakia (6 cases, 10%), atrophia bulbi (7 cases, 11.7%), endophthalmitis (2 cases, 3.3%), and blood stained cornea (3 cases, 5%). Conclusion: Ocular injuries in children may result in severe visual impairment which can affect the future of these children. The earlier the presentation to the hospital, the better the visual prognosis. The author recommends establishment of educational programs to teach the first aid treatment measures to nurses working in primary health centers, teachers, and general population. Fortunately, most pediatric ocular trauma is preventable by simple measures. Increased literacy and health awareness is vital.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131309807","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":"CONTRAST SENSITIVITY AND HIGH ORDER ABERRATIONS AFTER FEMTOSECOND LASIK AND IMPLANTABLE COLLAMER LENSES IN CORRECTION OF HIGH MYOPIA","authors":"A. E., M. E., A. H., A. A.","doi":"10.21608/ejco.2019.162999","DOIUrl":"https://doi.org/10.21608/ejco.2019.162999","url":null,"abstract":"Purpose: To compare visual quality (UCVA, BCVA, and contrast sensitivity) and optical quality (High order aberrations) of Femtosecond assisted LASIK and implantable collamer lens implantation in correction of high myopia. Methods: This study was non-randomized comparative prospective consecutive interventional study. It included 31 eyes with high myopia (≥ -6 Ds) of 21 patients attended to the outpatient ophthalmic clinic of Sohag university hospitals from the period from Jan.2016 to Jan.2017. The patients were divided into two groups depending on: Degree of myopia, corneal thickness and corneal tomography. Group A (14 eyes) of 12 patients were subjected to implantable collamer lenses implantation and Group B (17 eyes) of 9 patients were subjected to femtosecond assisted LASIK. Results: Postoperative data in both groups was, in Group A (ICL group) showed UCVA was (0.188±0.123) and UCVA of Group B (Femtosecond assisted LASIK) was (0.105±0.06) with (p-value <0.133). BCVA of Group one (ICL) was (0.171±0.114) and that of Group two was (0.105±0.04) with (p-value <0.174). Spherical error in Group A was (0.321± 0,590) and that of Group B (-0.75±0.31) postoperative with (p-value <0.001*). Cylindrical error was (-0.392±0.318) and Group two was (-0.750±0.204) with (p-value <0.00*). Spherical equivalent in Group A was (-0.00±0.433) and that of Group B was (-1.12±0.748) with (p-value <0.004*). Contrast sensitivity of Group A was (132.57±39.99) and that of Group B (102.857±23.688), with (p-value <0.075). There wasn’t significant difference in RMS Group A (0.770±0.21) and that of Group B (1.15±0.53) with (p-value <0.22). There was significant difference in mean values of spherical aberrations of Group A (-0.13±0.9123), Group B (0.781±0.406) with (p-value <0.001*) , coma of Group A (0.131±0.0649), Group B (0.4600±0.2075) with (p-value <0.011*) and trefoil high order aberrations of Group A (-0.151±0.09), Group B (0.282±0.11) with (p-value <0.03* . Conclusion: Both implantable collamer lens and femtosecond assisted LASIK proved good visual quality regarding visual acuity and contrast sensitivity in photopic conditions. For optical quality both induced high order aberrations which were more in Femtosecond assisted group.","PeriodicalId":267572,"journal":{"name":"Egyptian Journal of Clinical Ophthalmology","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117326016","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}