Journal of the Egyptian Ophthalmological Society最新文献_第9页

Evaluation of fenestration technique of the medial recuts muscle with resection of ipsilateral lateral rectus muscle in patients with sensory esotropia 感觉性内斜视患者内侧直肌开窗术与同侧直肌切除术的疗效评价

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-10-01 DOI: 10.4103/ejos.ejos_28_20

M. Elkhawaga, Nehal Elshakankiri, H. Helaly, A. Elkamshoushy

{"title":"Evaluation of fenestration technique of the medial recuts muscle with resection of ipsilateral lateral rectus muscle in patients with sensory esotropia","authors":"M. Elkhawaga, Nehal Elshakankiri, H. Helaly, A. Elkamshoushy","doi":"10.4103/ejos.ejos_28_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_28_20","url":null,"abstract":"Background There is an ongoing need to move toward sutureless surgery with less surgical manipulations, while maintaining the same results achieved by conventional surgery. Aim The aim was to evaluate the safety and the effectiveness of fenestration technique of the medial recuts muscle with resection of ipsilateral lateral rectus muscle in patients with sensory esotropia. Design A prospective, noncomparative, single-institution interventional study was conducted. Patients and methods This is a prospective study conducted on 16 children with sensory esotropia. Fenestration of the medial rectus muscle is a novel technique of weakening of the medial rectus by excising a rectangular wide central part extending from the insertion to a point back 5–8 mm depending on the angle of the esotropia leaving superior and inferior longitudinal muscle sleeves with no muscle sutures needed. Postoperative angle was reported at 3 months and at final follow-up. Results The procedure reduced the angle of esotropia from mean preoperative angle of 36.6±9 (20–50) to 5.3±5.9 (0–20) PD. Satisfactory horizontal alignment, defined as postoperative alignment within 8 PD of orthotropia at distance, was achieved in 81.25% of the cases at 3 months of follow-up. There were no overcorrections. The procedure was well tolerated by patients. Conclusion Fenestration technique is a safe and effective weakening procedure for medial rectus in cases of sensory esotropia.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"142 - 146"},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42072724","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

Effect of macular optical coherence tomography on decision making before silicone oil removal 黄斑光学相干断层扫描对硅油去除前决策的影响

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-10-01 DOI: 10.4103/ejos.ejos_51_20

M. Elwan, Tharwat H. Mokbel, A. Badawi, W. A. Abou Samra, S. Hagras

{"title":"Effect of macular optical coherence tomography on decision making before silicone oil removal","authors":"M. Elwan, Tharwat H. Mokbel, A. Badawi, W. A. Abou Samra, S. Hagras","doi":"10.4103/ejos.ejos_51_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_51_20","url":null,"abstract":"Purpose To evaluate the role of spectral domain optical coherence tomography (SD-OCT) in affecting the decision making in eyes prepared for silicon oil removal (SOR) and to identify the cases that should have an obligatory preoperative SD-OCT. Patients and methods This prospective nonrandomized study involved patients with silicone-filled eyes recruited over the period from 2015 to 2018. Data from preoperative clinical examination and SD-OCT imaging and proposed modifications on SOR surgery based on both ways of examinations were recorded and compared. Cohen’s Kappa test was used to study the agreement between the clinical and OCT results. Results A total of 146 eyes of 138 patients were included in the study. Before SOR, clinical examination revealed normal macula in 108 (74%) eyes compared with 62 (42%) by OCT. OCT was able to detect significantly higher macular pathologies than did the clinical examination alone (P<0.0005). The number of eyes with macular edema (ME) and epiretinal membrane detected by OCT was significantly higher than that detected clinically (P<0.0005). There was a weak agreement between the results of clinical and OCT examination regarding ME (weighted K=0.426). Modifications added to the routine SOR based on clinical findings were suggested in 25 (17%) eyes compared with 65 (45%) eyes on adding OCT findings in decision making. Superadded modifications based on SD-OCT alone were significantly more in diabetic than nondiabetic patients regarding management of ME and macular retinal detachment (P=0.003). Conclusion SD-OCT was proved to be a helpful tool for following silicone-filled eyes, especially in diabetic patients. Preoperative OCT findings influenced the surgical plans of the routine SOR, thus aided in managing treatable macular lesions such as epiretinal membrane, ME, macular holes, and macular detachment.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"153 - 159"},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47194412","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

Prevalence of dry eye disease among healthy Egyptian population 埃及健康人群中干眼病的患病率

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-10-01 DOI: 10.4103/ejos.ejos_29_20

B. Aziz, C. Tawfik

{"title":"Prevalence of dry eye disease among healthy Egyptian population","authors":"B. Aziz, C. Tawfik","doi":"10.4103/ejos.ejos_29_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_29_20","url":null,"abstract":"Purpose The aim was to study the prevalence and related risk factors of dry eye disease (DED) in a random population sample from Cairo and upper Egypt. Materials and methods A clinic-based, cross-sectional, observational, multicenter study was conducted on eyes of healthy individuals accompanying ophthalmological patients coming for ocular examination in outpatient clinics of Ain Shams University Hospital and Al Watany Eye Hospital, Cairo; Saint Mary Hospital, Qena; and Aswan Eye center, Aswan, Egypt. Eyes were selected by systematic random sampling. Two questionnaires were used: the Ocular Surface Disease Index and another one covering medical history and risk factors for DED. External ocular examination, tear film break-up time, and Schirmer’s tests were done. Diagnosis of DED was established on an Ocular Surface Disease Index score of 50 or above associated with at least one of DED symptoms together with either tear film break-up time of less than or equal to 5 s or Schirmer’s test measurement of less than or equal to 10 mm. Results A total of 603 eyes were included; 290 of which were of male participants and 313 were of female ones. The age range was 18–94 years, with a mean age of 50.06±19.06 years. The prevalence of DED was 77.6% (468 eyes). There was a statistically highly significant difference in DED prevalence among all age groups (P<0.0001), with higher prevalence in age group of 41–50 years old, but the trend between consecutive age groups was not statistically significant (P=0.4747). Moreover, DED was statistically more common in females [86.9% of female participants versus 67.6% of male participants (P<0.0001)]. Blepharitis was found in 81% (379 eyes) and smoking in 43.8% (205 eyes). Moreover, 29.7% (139 eyes) of detected DED cases had associated dry mouth. Conclusion DED was quite common among our studied subjects, and most of them had associated blepharitis. Smoking was also a major risk factor. Moreover, DED was more common in female sex. There was a statistically significant difference in DED prevalence among the age groups.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"133 - 141"},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49487120","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: 6

The prevalence of different refractive errors in the Delta region of Egypt 埃及三角洲地区不同屈光不正的患病率

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-07-01 DOI: 10.4103/ejos.ejos_13_20

Fatma M. Ali, Mervat Mourad, Rafaat Rehan, Mouamen M. Seleet

{"title":"The prevalence of different refractive errors in the Delta region of Egypt","authors":"Fatma M. Ali, Mervat Mourad, Rafaat Rehan, Mouamen M. Seleet","doi":"10.4103/ejos.ejos_13_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_13_20","url":null,"abstract":"Introduction Epidemiologic research on the types and the distribution of refractive errors (REs) enable efficient planning to improve access to care. Aim The aim was to fill the informational gap concerning the prevalence of REs in different age groups in the Delta region of Egypt and to introduce recommendations and key points for researchers. Patients and methods This is a cross-sectional descriptive study for the prevalence of REs in the Delta region of Egypt among different age groups. The population-based study included 800 eyes of 400 patients from different age groups, 400 eyes in the child age group and 400 eyes in adult age group. Results and discussion The prevalence of myopia was higher than the prevalence of hyperopia. The prevalence of astigmatism was higher than myopia, but also higher than other studies. The prevalence of myopia was higher in the adult age group than in the child age group, which was consistent with that of other East Asian countries. The prevalence of hyperopia was higher in the child age group than in the adult age group. The prevalence of astigmatism was very high and slightly similar in both groups. Conclusion Correcting REs can reduce ophthalmic problems. Improving family awareness and promoting screening programs can be effective in identifying these errors and preventing visual impairment.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"97 - 117"},"PeriodicalIF":0.2,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43660882","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

Sensitivity of optical coherence tomography and visual evoked potential in demyelinating optic neuritis 光学相干断层扫描和视觉诱发电位在脱髓鞘性视神经炎中的敏感性

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-07-01 DOI: 10.4103/ejos.ejos_18_20

Youssef A H Helmy, Emad Sawaby, M. Awadalla, S. Salah

{"title":"Sensitivity of optical coherence tomography and visual evoked potential in demyelinating optic neuritis","authors":"Youssef A H Helmy, Emad Sawaby, M. Awadalla, S. Salah","doi":"10.4103/ejos.ejos_18_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_18_20","url":null,"abstract":"Aim The aim of this study is to analyze the structural and functional abnormalities of the optic nerve in multiple sclerosis (MS) patients utilizing optical coherence tomography (OCT) and visual evoked potential (VEP). We compare between eyes with and without a history of neuritis. Patients and methods A cross-sectional study which compared 60 eyes of MS patients with 20 eyes of the healthy control group. MS patients were classified into MS with optic neuritis (MS-ON, n=44) and MS without optic neuritis (MS-NON, n=16). Both VEP and OCT were done. Results Both groups showed thinning in the retinal nerve fiber layer (RNFL), ganglion cell complex, and prolongation in latency (P100). The decrement in RNFL was more in the MS-ON group in superior RNFL, temporal RNFL, and average RNFL (P=0.002, 0.002, 0.03), respectively. In the MS-ON group, the average, temporal, and nasal RNFL showed significant negative correlation with latency of P100 (P=0.0001, 0.0001, 0.001), respectively. Latency of P100 showed higher sensitivity (52.3%) over temporal RNFL (43.2%) in detecting ON. Conclusion Both VEP and OCT have been proven to be sensitive tools in the detection of optic neuropathy in MS. Latency showed the highest sensitivity followed by the temporal RNFL. Temporal RNFL and average ganglion cell complex can be a biomarker for both axonal and neuronal loss in eyes with and without neuritis. This loss can precede the demyelination process.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"83 - 90"},"PeriodicalIF":0.2,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42772119","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

Effect of fasting on intraocular pressure in glaucomatous patients 禁食对青光眼患者眼压的影响

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-07-01 DOI: 10.4103/ejos.ejos_10_20

W. Abdelghaffar, M. Abdelshafy, M. Elmohamady

{"title":"Effect of fasting on intraocular pressure in glaucomatous patients","authors":"W. Abdelghaffar, M. Abdelshafy, M. Elmohamady","doi":"10.4103/ejos.ejos_10_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_10_20","url":null,"abstract":"Purpose The aim of this study was to assess the effect of intermittent fasting and dehydration on intraocular pressure (IOP) in patients under glaucoma treatment. Patients and methods The present study was conducted on 36 glaucoma cases and 30 healthy controls of matched age and sex. IOP measurements with Goldmann applanation tonometer were taken 1 week before fasting (at 8.00 a.m.), during Ramadan fasting (first, second, third, and fourth week) (at 8.00 a.m. and 4.00 p.m.), and 1 week after Ramadan during the nonfasting period (at 8.00 a.m.). Results The study was conducted on 36 glaucoma cases; their mean age was 47.3 years. There were 12 (33.3%) men and 24 (66.7%) women and 30 healthy participants, their mean age was 47.7 years. There were 11 (36.7%) men and 19 (63.3%) women. There was gradual decrease in IOP with fasting, in both glaucomatous cases and control groups, with no significant differences in IOP between groups during fasting. Glaucoma cases showed significantly higher percentage change in IOP (either improvement or deterioration) when compared with the control group. Conclusion Our results showed that fasting during Ramadan has a lowering effect on IOP values in healthy controls and glaucomatous patients. Glaucoma cases showed significantly higher percentage change in IOP when compared with the control group.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"77 - 82"},"PeriodicalIF":0.2,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42369347","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 study of macular structural changes in silicone oil-filled eyes 硅油充填眼黄斑结构改变的光学相干断层成像研究

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-07-01 DOI: 10.4103/ejos.ejos_21_20

Amin E Nawar

{"title":"Optical coherence tomography study of macular structural changes in silicone oil-filled eyes","authors":"Amin E Nawar","doi":"10.4103/ejos.ejos_21_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_21_20","url":null,"abstract":"Introduction Silicone oil (SO) has been used in complex cases of retinal detachment with proliferative vitreoretinopathy (PVR), giant retinal tear, and traumatic cases. This study aimed to assess macular structural changes in SO filled eyes after pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment with PVR. Patients and methods This is a prospective interventional study that was conducted on 60 SO-filled eyes after successful PPV for rhegmatogenous retinal detachment with grade C PVR; SO was left in all eyes for a duration of 3 months. Thorough ophthalmic evaluation in Ophthalmology Department, Tanta University, Egypt was performed including best corrected visual acuity (BCVA), fundus examination, and anterior segment examination. Optical coherence tomography was done for all patients at presentation to assess the macular area. Results Epiretinal membrane (ERM) was detected in 14 (23.3%) eyes, cystoid macular edema (CME) in 21 (35%) eyes, photoreceptor disruption in 21 (35%) eyes, macular hole in one (1.7%) eye, and foveal thinning in 18 (30%) eyes. The BCVA was positively correlated with the presence of ERM, CME, and photoreceptor disruption and the results were statistically significant with ERM and photoreceptor nonintegrity with P values of 0.049 and 0.001 respectively. In addition, there is no significant correlation between changes in central retinal thickness and BCVA. Conclusion Visual loss after successful PPV in SO filled eyes can occur due to macular changes like CME, ERM, photoreceptor disruption, foveal thinning, and macular hole.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"118 - 123"},"PeriodicalIF":0.2,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44359240","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

Risk factors for opaque bubble layer in femtosecond-laser-assisted laser in situ keratomileusis (an Egyptian study) 飞秒激光辅助激光原位角膜磨除术中不透明泡层的危险因素(埃及研究)

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-07-01 DOI: 10.4103/ejos.ejos_24_20

Ahmed Abdel-Wanes, A. Salman, A. Said, Basem Riad, M. Karim

{"title":"Risk factors for opaque bubble layer in femtosecond-laser-assisted laser in situ keratomileusis (an Egyptian study)","authors":"Ahmed Abdel-Wanes, A. Salman, A. Said, Basem Riad, M. Karim","doi":"10.4103/ejos.ejos_24_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_24_20","url":null,"abstract":"Aim To determine the risk factors responsible for opaque bubble layer (OBL) formation in femtosecond-laser-assisted in situ keratomileusis (FSL-LASIK). Patients and methods A retrospective, comparative study was carried out from January 2015 to January 2017 in El-Watany Eye Hospital. Two hundred eyes who were eligible for FSL-laser-assisted in situ keratomileusis (FSL was done using FS200, wavelight, Germany SR/1025-1-380) were classified into two groups. Group I: the study group with OBL formation during surgery (100 eye) and group (II): the control group without OBL formation during surgery (100 eye). Preoperative best-corrected visual acuity, spherical equivalent, and dilated fundus examination were done and corneal tomography including keratometric readings: flat keratometric readings (K1), steep keratometric readings (K2), and central corneal thickness (CCT) measurements. Programmed flap parameters were collected. Statistical analysis Statistical analysis was done using IBM SPSS, version 24. Results Among the studied 101 patients, OBL occurs bilaterally in 58 eyes among 29 patients and OBL occurs unilaterally among 42 patients. There was a statistically significant difference between OBL and non-OBL regarding preoperative steep keratometry (K2) (P<0.01) and CCT (P=0.03), where the corneal pachymetry was more than 545 µm in 57 (57%) eyes of OBL group versus 42 (42.0%) eyes in non-OBL eyes. There was no statistically significant difference between both groups regarding canal length offset (P=0.123), corneal flap thickness (P=0.489), corneal flap diameter (P=0.064), and flap hinge angle (P=0.074). Conclusion Increased corneal thickness, corneal canal length offset, and steep keratometry were significant risk factors of OBL formation. Regarding regression analysis, CCT and corneal astigmatism were statistically significant independent predictors of OBL formation.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"91 - 96"},"PeriodicalIF":0.2,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45198609","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

Clinicopathologic evaluation of primary vs secondary enucleated unilateral group D retinoblastoma eyes 原发性与继发性单侧去核D组视网膜母细胞瘤的临床病理评价

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-04-01 DOI: 10.4103/ejos.ejos_2_20

Ahmed Seddeek, A. Shaarawy, N. E. El Shakankiri, Bassma M. El Sabaa, Sameh E. Soliman

{"title":"Clinicopathologic evaluation of primary vs secondary enucleated unilateral group D retinoblastoma eyes","authors":"Ahmed Seddeek, A. Shaarawy, N. E. El Shakankiri, Bassma M. El Sabaa, Sameh E. Soliman","doi":"10.4103/ejos.ejos_2_20","DOIUrl":"https://doi.org/10.4103/ejos.ejos_2_20","url":null,"abstract":"Background The risk of tumor spread is the main concern while deciding primary treatment in advanced unilateral retinoblastoma, which presents later with an intact normal eye. Enucleation was recommended as a radical treatment but with newer treatment options such as systemic and intra-arterial chemotherapy. Ocular salvage could be tried in group D eyes with smaller tumors and visual potential. Aim The aim was to assess the histopathologic metastatic risk in primary vs secondary enucleated (trial salvage) unilateral group D eyes. Design Retrospective, noncomparative, single-institution observational case series. Patients and methods All primary and secondary enucleated unilateral group D eyes (June 2012 to December 2018) managed at the pediatric ocular oncology unit, Ophthalmology Department, University of Alexandria. Clinical, radiological, histopathologic, and treatment data were collected. Clinicopathologic correlation was performed to identify the frequency of high-risk histopathologic features (HRHF). Statistical analysis All analyses were performed using Microsoft Excel 2013 software and SPSS software version 17.0. Results Twenty-six eyes were included. Sixteen were primary enucleated and none showed HRHF while 10 were secondary enucleated after failed trial salvage. Timely enucleated secondary cases (6/10) showed no HRHF while delayed secondary enucleation (2/4) was significantly associated with HRHF (P=0.02). All cases are alive with no metastasis after a median follow-up of 5 years. Conclusion Primary and timely secondary enucleation for unilateral group D retinoblastoma eyes are comparable in low metastatic risk and effectivity of tumor control. Controlled discussed trial ocular salvage is safe conditioned by strict timely termination, if necessary.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"33 - 38"},"PeriodicalIF":0.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47458925","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

Internal limiting membrane peeling effect on visual outcomes after diabetic vitrectomy 内界膜剥离对糖尿病玻璃体切除术后视力的影响

IF 0.2

Journal of the Egyptian Ophthalmological Society Pub Date : 2020-04-01 DOI: 10.4103/ejos.ejos_75_19

A. Shaarawy, S. Elbaha, Ehab Ghoneim, M. Elmassry

{"title":"Internal limiting membrane peeling effect on visual outcomes after diabetic vitrectomy","authors":"A. Shaarawy, S. Elbaha, Ehab Ghoneim, M. Elmassry","doi":"10.4103/ejos.ejos_75_19","DOIUrl":"https://doi.org/10.4103/ejos.ejos_75_19","url":null,"abstract":"Aim and Objectives To determine whether Internal Limiting Membrane (ILM) peeling has an effect on visual outcomes after vitrectomy for diabetic tractional retinal detachment. Settings and Design A prospective randomized interventional case series. Patients and Methods Pars Plana Vitrectomy (23-Gauge) was performed on 34 cases with diabetic epi-macular traction affecting the vision due to advanced proliferative diabetic retinopathy. The usual steps of vitrectomy were performed. The ILM was randomly chosen to be peeled in 16 cases (group I), or left not peeled in 18 cases (group II). Eventually, either air, Sulphur hexafluoride (SF6) gas or silicone oil tamponade was used. Final visual acuity results were tabulated six months after surgery, and compared between the two groups. Results The mean pre-operative visual acuity (VA) was 0.06 (decimals) and 0.03 in groups I and II respectively. The mean post-operative VA was significantly better: 0.26 and 0.27 in groups 1 and 2 respectively (P=0.001). There were no statistically significant differences between VA gains in both groups (P=0.721). Air tamponade was used in 18.8% and 33.3%, SF6 in 37.5% and 33.3%, and silicone oil in 43.8% and 33.3% in groups I and II respectively. Conclusions ILM peeling had no effect on the final visual outcome after vitrectomy for diabetic tractional retinal detachments.","PeriodicalId":31572,"journal":{"name":"Journal of the Egyptian Ophthalmological Society","volume":"113 1","pages":"69 - 76"},"PeriodicalIF":0.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45514400","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