Recurrent tubercular episcleritis
Muhannad A Alnahdi, Abdulelah A Alasiri, Tariq M AldebasiMiddle East African Journal of Ophthalmology 2021 28(2):140-142 Ocular tuberculosis (TB) is one of the extrapulmonary manifestations of mycobacterium TB. Episcleritis is a rare entity that may affect patients in endemic areas of TB. In this paper, we report a case of presumed recurrent episcleritis attributed to TB. TB should be kept as a possible cause of recurrent simple episcleritis upon encountering patients with endemic backgrounds to prevent the complication sequalae and halt recurrence. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Muhannad A Alnahdi Abdulelah A Alasiri Tariq M Aldebasi Source Type: research

Successful pars plana vitrectomy with zonulo-hyaloidectomy performed 4 years after the onset of chronic low-grade aqueous misdirection
In conclusion, PPV with irido-zonulo-hyaloidectomy may result in a complete resolution of a chronic low-grade form of aqueous misdirection. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Waleed K Alsarhani Abdullah I Almater Marwan A Abouammoh Faisal A Almobarak Source Type: research

Ocular complications resulting from the use of traditional herbal medicine in central Saudi Arabia: A review
Huda Al-Ghadeer, Mohammed Al-AmryMiddle East African Journal of Ophthalmology 2021 28(2):131-136 The present paper reviewed the ocular complications resulting from the use of traditional eye medicine in Central Saudi Arabia. We performed a literature search of the PubMed database using the keywords “traditional medicine,” “herbal medicine,” “ocular injuries,” and “visual impairments,” covering all years available for peer-reviewed full-text articles, letters, and review chapters of books. An additional search was performed in Google Scholar. All published materials were in E...
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Huda Al-Ghadeer Mohammed Al-Amry Source Type: research

Knowledge, attitude, and practice around diabetic eye disease among diabetic patients in Jazan Region, Saudi Arabia
CONCLUSION: KAP relating to eye disease and eye care among Saudi patients with DM were less than desired. Rigorous efforts are required to raise awareness of eye complications among diabetic patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Hatim Najmi Wael Otaif Muath Najmi Mohammed Basehi Mohannad Tobaigy Wasan Alsalim Mariam Awaji Abdulmalik Najmi Source Type: research

Multi-purpose disinfecting solutions only partially inhibit the development of ocular microbes biofilms in contact lens storage cases
CONCLUSION: MPDS promoted a partial inhibition of microbial biofilm formation but only one MPDS proved to be more effective in vitro and in vivo. This study, however, could not distinguish the effect of possible errors in the good hygiene practices of the users. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Fabiano B M. de Ara & #250;jo Vinicius C Morais Bianca T M. de Oliveira Ka & #237;que Y G. de Lima Victor T Gomes Ian P G. do Amaral Ulrich Vasconcelos Source Type: research

A prospective evaluation of the effect of mitomycin-c on corneal endothelium after photorefractive keratectomy for myopia correction
CONCLUSION: In our study, MMC had no significant effect on corneal endothelial cell counts or MCA. While there were statistically reduced CV and percentage of hexagonal cells, these did not appear to be clinically significant. MMC is safe to use routinely to prevent haze formation in PRK. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Sashwanthi Mohan Pratik Gogri Somasheila I Murthy Sunita Chaurasia Ashik Mohamed Pankaj Dongre Source Type: research

Strabismus surgery outcomes and their determinants in patients with chronic sixth nerve palsy
CONCLUSION: While the surgical procedure does not impact outcomes, the severity of preoperative horizontal deviation might impact surgical success and the need for reoperation. Patients with severe CSNP should be counseled appropriately about the chances of surgical success and the potential need for further interventions. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Ruba S Alghofaili Gorka Sesma Rajiv Khandekar Source Type: research

Bromfenac 0.09 & #37; for the treatment of macular edema secondary to noninfectious uveitis
CONCLUSION: Bromfenac may be a useful addition to the treatment of UME. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Joanna S Saade Rachid Istambouli Marwan AbdulAal Rafic Antonios Rola N Hamam Source Type: research

Limbal versus fornix incision for strabismus surgery: Preferences from a consultant to a trainee level in Saudi Arabia
CONCLUSION: Despite the many advantages of the fornix incision, it remains uncommon in our region. Each technique of strabismus surgery has its advantages and disadvantages. Programs should teach all methods to trainees. One should add all styles to his armamentarium and choose the appropriate one for each patient. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Shatha Alfreihi Hebatallah Ammar Source Type: research

Burden and presentation of age-related macular degeneration among Nigerians
CONCLUSION: AMD contributes to the burden of visual impairment and blindness in the elderly Nigerian. In Nigeria, AMD occurs more in females and most common between the ages of 60 and 79. Dry AMD is four times more common than wet AMD. About 24% of eyes have severe visual impairment or blindness, while about a third each have a moderate visual impairment and normal vision. Increasing awareness of AMD among the at-risk population will be beneficial in achieving early diagnosis and treatment. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Ogugua N Okonkwo Affiong Ibanga Olukorede Adenuga Dennis Nkanga Wilson Ovienra Chineze T Agweye Toyin Akanbi Idris Oyekunle Martha-Mary Udoh Source Type: research

Validation of artificial intelligence algorithm in the detection and staging of diabetic retinopathy through fundus photography: An automated tool for detection and grading of diabetic retinopathy
CONCLUSION: AI has shown excellent sensitivity and specificity in RDR detection, at par with the performance of individual ophthalmologists and is an invaluable tool for DR screening. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Bhargavi Pawar Suneetha N Lobo Mary Joseph Sangeetha Jegannathan Hariprasad Jayraj Source Type: research

Prevalence of diabetic retinopathy and risk factors among diabetic patients at university of gondar tertiary eye care and training center, North-West Ethiopia
CONCLUSION: The prevalence of DR among our study patients was very high. Longer duration of diabetes, higher systolic blood pressure, baseline age <60 years, use of insulin alone, and use of combination of insulin with OHA were independently associated with DR. Health education, early screening, and treatment are recommended. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Tesfahun Ejigu Asamere Tsegaw Source Type: research

Scleral buckle versus pars plana vitrectomy in the management of primary chronic rhegmatogenous retinal detachment: A comparison of anatomical and visual outcomes
CONCLUSION: Scleral buckling surgery showed a better single surgery anatomic success rate as compared to PPV in the management of chronic primary rhegmatogenous retinal detachment. The functional outcome of the two procedures was comparable. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Maryam Bunajem Khabir Ahmad Nazih Al Zaidi Bedoor Al Bloushi Yahya Al Zahrani Source Type: research

Pemphigus vulgaris-associated anterior scleritis: A case study
We present a case report of anterior scleritis as a manifestation of PV and its response to rituximab therapy. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Salim Alkeraye Hanan Alsalman Albanderi Alhamzah Sulaiman M Alsulaiman Source Type: research

Bilateral congenital ptosis associated with optic disc melanocytoma
We report a rare clinical association of optic disc melanocytoma (ODM) occurring with bilateral congenital ptosis that has not been previously reported. A 28-year-old male patient presented with bilateral congenital ptosis. On examination, his vision was 20/20 in each eye, and dilated fundus examination indicated a pigmented lesion over the left inferior temporal aspect of the optic disc that was consistent with an optic nerve melanocytoma. B-scan ultrasonography indicated a calcified elevated optic nerve head. Bilateral frontalis sling procedures were performed for congenital ptosis with satisfactory results at 1 year pos...
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Abdulrahman H Badawi Huda Al-Ghadeer Source Type: research

Surgical management of hemorrhagic retinal detachment secondary to peripheral exudative hemorrhagic chorioretinopathy
Valmore A Semidey, Abdulaziz A Al Taisan, Patrik Schatz, Ibrahim Taskintuna, Marco MuraMiddle East African Journal of Ophthalmology 2021 28(1):57-59 The purpose of the study is to report a case of peripheral exudative hemorrhagic chorioretinopathy (PEHCR), managed surgically with favorable visual outcome. A 66-year-old female presented with painless visual loss due to dense vitreous and subretinal hemorrhage extending from the far periphery to the macula. Pars plana vitrectomy (PPV) with subretinal tissue plasminogen activator (TPA) injection was performed resulting in good anatomical and visual outcome. PEHCR can present...
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Valmore A Semidey Abdulaziz A Al Taisan Patrik Schatz Ibrahim Taskintuna Marco Mura Source Type: research

Intraoperative floppy iris syndrome induced by tamsulosin: The risk and preventive strategies
Mansour Tobaiqy, Waseem Aalam, David Banji, Ekram N. Abd Al HaleemMiddle East African Journal of Ophthalmology 2021 28(1):51-56 Tamsulosin is an antagonist of a subtype-specific alpha-1A- and alpha-1D-adrenoceptor (AR) that is expressed in the prostate gland, urethra, and bladder. Several reports have shown a possible relationship between ophthalmologic adverse effects and the use of alpha-1-receptor medicines, including tamsulosin. This descriptive review evaluates the intraoperative floppy iris syndrome (IFIS) associated with tamsulosin. A search of the Medline and PubMed databases was conducted to identify control tria...
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Mansour Tobaiqy Waseem Aalam David Banji Ekram N. Abd Al Haleem Source Type: research

A case & #8211;cohort study of exfoliation risk factors and literature review
This study shows a novel potential correlation between eye rubbing and XFS in a Lebanese cohort. Chronic eye rubbing induces or may exacerbate preexistent zonular damage in subjects with XFS, hence the need to better manage concurrent ocular surface disorder in these patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Ahmad M Mansour Anastasios G. P Konstas Hana A Mansour Abdul R Charbaji Khalil M El Jawhari Source Type: research

Glaucoma diagnoses and legal blindness from glaucoma among bedouin patients of central Saudi Arabia: A hospital-based study
CONCLUSION: The present findings show a high prevalence rate of legal blindness among glaucoma patients, with IOP reduction, age, and glaucoma diagnoses being the most important predictors among the study population. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Yahya Al-Najmi Omar Kirat Maram E. A Abdalla Elsayed Mohammed Albeedh Dawood Al-Rashed Abdulkareem Al-Mohammed Source Type: research

Ocular disorders among preschool children in Southwest Nigeria
CONCLUSION: Screening is useful in early detection and treatment of ocular disorders in preschool children. Uncorrected refractive error which was identified as the major ocular disorder in these children is treatable. Periodic preschool vision screening would reduce the burden of uncorrected refractive error and other ocular disorders which can interfere with the learning skills of young children entering school. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Olubusayo O Adejumo Bolutife A Olusanya Benedictus G Ajayi Source Type: research

Outcomes of combination therapy using aflibercept and dexamethasone intravitreal implant versus dexamethasone monotherapy for macular edema secondary to retinal vein occlusion
CONCLUSION: Aflibercept with dexamethasone implants achieved better visual outcomes compared to dexamethasone monotherapy with no significant differences in intravitreal retreatment rates at the 1st year in eyes with ME secondary to RVO. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Walid Harb Georgio Chidiac Georges Harb Source Type: research

Safety and efficacy of epithelial island crosslinking in keratoconus with thinnest pachymetry less than 400 & #181;
CONCLUSION: EI-CXL halted keratoconus progression over a 1-year period. This was associated with statistically significant endothelial loss, but less than seen with conventional epi-off CXL in thinner corneas. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Hisham A Omar Mohamed-Sameh H El-Agha Mohamed A Hassaballah Noha M Khalil Source Type: research

Effect of oral propranolol on periocular infantile capillary hemangioma: Outcomes based on extent of involvement
CONCLUSION: Oral propranolol is effective in the treatment of periocular CHI. Segmental and preseptal lesions respond better to the treatment compared to focal and postseptal lesions. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Kavya M Bejjanki Kahkashan Akhtar Arushi P Gupta Swathi Kaliki Source Type: research

Endophthalmitis post pars plana vitrectomy surgery: incidence, organisms & #39; profile, and management outcome in a tertiary eye hospital in Saudi Arabia
CONCLUSION: The incidence of endophthalmitis post PPV is low. Despite prompt diagnosis and standard management, visual prognosis seems to be poor. The infective agents for endophthalmitis were commensals from the ocular surface. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Bedoor AlBloushi Marco Mura Rajiv Khandekar Saleh AlMesfer Abdulmalik AlYahya Khaled Alabduljabbar Shaimaa AlRefaie Valmore A Semidey Source Type: research

Early therapeutic lamellar keratoplasty for acanthamoeba keratitis followed by implantable Collamer lens for visual rehabilitation
Saeed Al-Motowa, Sarah AlMutawa, Trad Al-KadiMiddle East African Journal of Ophthalmology 2020 27(4):244-246 We are reporting the case of a 25-year-old female who developed acanthamoeba keratitis after wearing contact lenses for high myopia. She was diagnosed as acanthamoeba and started the treatment of antiacanthamoeba for 3 consecutive weeks, followed by bare Descemet's therapeutic lamellar keratoplasty (LKP) with the maintenance of antiacanthamoeba treatment to control the infection. In the late postoperative period, visual rehabilitation was obtained by insertion of implantable Collamer lens (ICL) with her final v...
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Saeed Al-Motowa Sarah AlMutawa Trad Al-Kadi Source Type: research

Overfiltering Bleb en Route to Annular Ciliochoroidal Effusion
We report a case of ciliochoroidal effusion mimicking aqueous misdirection after combined glaucoma and cataract surgery. A 75-year-old male with pseudoexfoliation, chronic angle-closure glaucoma, and advanced optic disc damage developed ciliochoroidal effusion after a combined trabeculectomy and phacoemulsification with intraocular lens implantation. The patient presented with overfiltering bleb, hypotony, and a uniformly shallow anterior chamber that mimicked aqueous misdirection in the clinical picture. Reformation of anterior chamber followed by revision of the bleb was performed. Ultrasound biomicroscopy confirmed the ...
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Hanan Jamjoom Mohamed Osman Essam A Osman Source Type: research

Superficial Temporal Muscle Fascia Grafting: Successful Transplant of Surgical-induced Necrotizing Scleritis
Hsouna M Zgolli, Sonya Mabrouk, Olfa fekih, Ines Malek, Leila NacefMiddle East African Journal of Ophthalmology 2020 27(4):238-240 To report the case of a surgical-induced necrotizing scleritis (SINS) following vitreoretinal surgery for rhegmatogenous retinal detachment, successfully managed by superficial muscle temporal fascia grafting. An 18-year-old teenager, with a history of a 23G vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment of the left eye, presented with intense left ocular pain, decreased visual acuity to counting fingers and eye redness. Split lamp examination showed: Conjunctival...
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Hsouna M Zgolli Sonya Mabrouk Olfa fekih Ines Malek Leila Nacef Source Type: research

Linezolid-Induced Toxic Optic Neuropathy
Meshaal A Aljebreen, Abdulaziz K Alotaibi, Malek AlrobaianMiddle East African Journal of Ophthalmology 2020 27(4):235-237 To report a case of linezolid-induced toxic optic neuropathy. Clinical examination and imaging are presented over a 4-month interval from initial presentation to subsequent follow-up of 4 months after discontinuation of linezolid. The patient was found to have optic neuropathy as demonstrated by clinical presentation and examination. Upon discontinuation of linezolid, the patient's visual acuity, visual fields, and color vision significantly improved. Linezolid has previously been reported to cause...
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Meshaal A Aljebreen Abdulaziz K Alotaibi Malek Alrobaian Source Type: research

Nodular Posterior Scleritis Masquerading as a Subretinal Mass
Naseer Ally, Aubrey MakgotloeMiddle East African Journal of Ophthalmology 2020 27(4):231-234 This is the case report of a 50-year-old female with no systemic comorbidities who presented to the eye clinic with a 1-month history of right-sided eye pain and visual loss. Examination revealed no signs of inflammation in the right eye, with no proptosis or conjunctival injection. A relative afferent pupillary defect was present with no inflammatory cells in the vitreous. On fundoscopy, there was a swollen disc, a large superior creamy white subretinal mass associated with a shallow overlying retinal detachment. B-scan ultrasono...
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Naseer Ally Aubrey Makgotloe Source Type: research

Familial Retinal Arterial Macroaneurysms with Peripheral Retinal Ischemia: A Characterization on Ultra-Widefield Fluorescein Angiography
Mohammed D Alotaibi, Waleed K Alsarhani, Bader S Al-Qahtani, Abdulrahman F AlBloushi, Ahmed M Abu El-AsrarMiddle East African Journal of Ophthalmology 2020 27(4):228-230 Retinal arterial macroaneurysm with supravalvular pulmonic stenosis (RAMSVPS), also known as familial retinal arterial macroaneurysm syndrome, is an autosomal recessive disorder associated with many life-threatening complications. The disease is characterized by progressive multiple retinal arterial macroaneurysms, retinal arterial beading, and recurrent vitreous hemorrhage. Here, we describe the first case of RAMSVPS associated with peripheral ischemia e...
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Mohammed D Alotaibi Waleed K Alsarhani Bader S Al-Qahtani Abdulrahman F AlBloushi Ahmed M Abu El-Asrar Source Type: research

Iridoschisis: Spectrum of Presentation
CONCLUSION: The iridoschisis can be an incidental finding, and gonioscopy should be performed in all the cases, as occludable or synechiael angle closure may be present in these cases. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Julie Pegu Kanika Jain Suneeta Dubey Source Type: research

Saudi Children & #39;s Perception of Strabismus: A Hospital-Based Study
CONCLUSIONS: Our findings suggest that children with apparent strabismus are perceived negatively and might be subjected to social alienation at a young age. Therefore, there is a need for strategies to address negative social bias toward children with strabismus and to enhance their peer acceptance in our society. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Lina H Raffa Reham Aljehani Hamdan Alguydi Mohammed M Aljuhani Source Type: research

Prevalence of Refractive Errors and its Associated Risk Factors among Medical Students of Jazan University, Saudi Arabia: A Cross-sectional Study
CONCLUSION: RE among medical students is a problem. Thus, it needs to be assessed carefully before students choose a specialty that may need very good near and far vision for postgraduate study. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Ismail I Abuallut Aeshah A Alhulaibi Atheer A Alyamani Norah M Almalki Alwaleed A Alrajhi Ali H Alharbi Mohamed S Mahfouz Source Type: research

Corneal Cross-linking as an Adjunct for The Management of Refractory Fungal Keratitis
CONCLUSION: Although UV-A/Riboflavin CXL is not a definite treatment for all of the fungal keratitis, it seems promising in the management of some refractory cases. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Shahram Bamdad Mohammad R Khalili Amir Khosravi Adel Attarzade Hossein Movahedan Mahmood Nejabat Source Type: research

Ocular and Periocular Tumors in India: An EyeSmart Electronic Medical Record Analysis of 9633 Cases from a Referral Center
CONCLUSIONS: The present study results indicate the incidence and distribution of ocular and periocular tumors in a large cohort in India. Retinoblastoma is the most common tumor encountered in a referral-based comprehensive ophthalmic oncology practice in India. The use of EMRs enables to capture the structured information and big data analysis of the same. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 19, 2021 Category: Opthalmology Authors: Swathi Kaliki Anthony V Das Source Type: research

Bullous central serous chorioretinopathy associated with retinal pigment epithelial tear
We present the case of a young male Indian patient with unilateral bullous RD and a tentative diagnosis of rhegmatogenous RD. He underwent RD surgery, however a large RPE tear was discovered intraoperatively. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Naresh B Kannan M Manjunatha Jayant Kumar Olukorede Adenuga Kim Ramasamy Source Type: research

Acute syphilitic posterior placoid chorioretinitis in a Saudi patient
Ibrahim Shajry, Adel Akeely, Sulaiman AlSulaimanMiddle East African Journal of Ophthalmology 2020 27(3):191-194 A 37-year-old otherwise healthy male presented with paracentral scotoma in his right eye for 1 day with a history of having unprotected sex with multiple partners. The patient was diagnosed to have acute syphilitic posterior placoid chorioretinitis with multimodal imaging including spectral-domain optical coherence tomography and fundus fluorescein angiography. His condition improved after 2 weeks course of intravenous benzyl penicillin 1.2 g every 4 h in collaboration with infectious disease physician. (Source:...
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Ibrahim Shajry Adel Akeely Sulaiman AlSulaiman Source Type: research

Intravitreal triamcinolone acetonide in Von Hippel & #8211;Lindau patient with novel mutation
Maryam Bunajem, Moustafa Magliyah, Yahya AlzahraniMiddle East African Journal of Ophthalmology 2020 27(3):188-190 von Hippel–Lindau (VHL) is a multisystemic inherited disease which most commonly affects the retina and central nervous system. The hallmark retinal manifestation of VHL in the eye is retinal capillary hemangioblastoma (RCH). Significant visual morbidity can result from exudative retinal detachments (ERDs) or tractional retinal detachments. Here, we present a 21-year-old male with long-standing poor vision in the right eye. On examination, he was found to have a massive ERD in the right eye with multiple...
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Maryam Bunajem Moustafa Magliyah Yahya Alzahrani Source Type: research

Vogt & #8211;Koyanagi & #8211;Harada Disease and systemic lupus erythematosus occurring during adalimumab therapy for ulcerative colitis
We report the case of a 36-year-old male patient known to have ulcerative colitis on adalimumab treatment for 2 years who presented with initial-onset acute uveitis associated with Vogt–Koyanagi–Harada disease. Uveitis was treated successfully with systemic corticosteroids combined with mycophenolate mofetil. The patient had complete resolution of posterior segment inflammation and exudative retinal detachment. One year after the initial presentation, the patient was diagnosed to have systemic lupus erythematosus and adalimumab was discontinued. This case suggests that adalimumab could induce severe autoimmune ...
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Abdulrahman F AlBloushi Omar S Al-Hadlaq Faisal A AlRashed Ahmed M Abu El-Asrar Source Type: research

Cutaneous cell-mediated delayed hypersensitivity to intravitreal bevacizumab
Anthony Fam, Paul T FingerMiddle East African Journal of Ophthalmology 2020 27(3):182-184 The literature contains few reports describing autoimmune reactions to intravitreal bevacizumab and no Type-IV delayed hypersensitivity reactions. This was unexpected, as administration of intravenous bevacizumab has frequently caused dermatologic side-effects. This difference was likely attributable in part to the minimum 300-times difference between intravitreal versus intravenous dosing. Here, we present a case of a 52-year-old male who was treated with plaque brachytherapy for a subfoveal choroidal melanoma. The patient was treat...
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Anthony Fam Paul T Finger Source Type: research

The effect of a screen protector on blue light intensity emitted from different hand-held devices
CONCLUSIONS: The screen protector decreased the intensity at 450 nm for every setting other than those at 0% brightness. Decreasing brightness and applying NS mode were more effective in reducing blue light. More research is needed to determine the benefits of decreasing blue light exposure from electronic devices. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Andrew K Smith Jordan R Conger Bobak Hedayati Jeff J Kim Sahar Amoozadeh Mitul Mehta Source Type: research

Comparison of outcomes of vision and eye screening of children of four orphanages and school children of Riyadh
CONCLUSION: Orphan children had less rate of myopia compared to school children. However, unattended ocular pathologies were detected during the screening campaign. The coverage of refractive services was low in these underprivileged children compared to school children. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Sara Nawaysir Abdulaziz M Al Saeedan Suha AlMusa Arwa Albalawi Rajiv Khandekar Source Type: research

Evaluation of knowledge, attitude, and practices toward the outbreak pandemic (COVID-19) Virus Disease among ophthalmologists: A cross-sectional study
CONCLUSION: KAP among ophthalmologists in the Kingdom of Saudi Arabia toward COVID-19 are optimal. However, health education campaigns are needed to reinforce the current KAP and improve the level of understanding of the risks and prevention measures that, in turn, improve the confidence of ophthalmologists to provide the right care to their patients and protect themselves as well. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Hani B ALBalawi Naif M Alali Source Type: research

Improved function of orbicularis oculi by dynamic transfer of contralateral orbicularis oculi muscle in patients with facial palsy
CONCLUSION: Muscle flap transfer technique using contralateral OOM for complete facial palsy can be considered as a helpful alternative in patients who are still symptomatic despite conventional treatment modalities. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Mansooreh Jamshidian-Tehrani Abolfazl Kasaee Hadi Ghadimi Shahbaz Nekoozadeh Samira Yadegari M Hossein Nowroozzadeh Source Type: research

Prevalence of keratoconus in refractive surgery cases in Western India
CONCLUSION: The prevalence of KCN in refractive surgery cases was 1.61% which is higher than those found in the western population and lower than those found in the Middle East (Saudi Arabia and Iran). Furthermore, topographic examination performed during the routine screening of patients for refractive surgery can be a useful tool to diagnose new cases of KCN in asymptomatic patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Neha Shilpy Zalak Shah Shwetambari Singh Dipali Purohit Source Type: research

A foldable nonpenetrating keratoprosthesis: Medium to long-term clinical results in patients with corneal blindness due to noninflammatory anterior Cornea Disease
CONCLUSIONS: Medium and long-term outcomes of the KeraKlear indicate that this device is a viable alternative to corneal transplantation as a primary procedure in patients with non-inflammatory causes of corneal blindness, especially when corneal tissue is not available. The KeraKlear does not penetrate into the anterior chamber, and therefore, is less susceptible to the most serious complications of PK including endophthalmitis, expulsive hemorrhage, and glaucoma. The KeraKlear also has a comparable or improved adverse event rate compared to PK. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Jose M Vargas Eric Shiuey Source Type: research

Surgical outcomes of microcatheter-assisted trabeculotomy as a secondary procedure in patients with primary congenital glaucoma
CONCLUSION: Ab externo circumferential trabeculotomy using an illuminated microcatheter may be safe and effective as a secondary surgical option for children with PCG after unsuccessful glaucoma surgery. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - October 30, 2020 Category: Opthalmology Authors: Ahmed Al Habash Wael Otaif Deepak P Edward Ibrahim Al Jadaan Source Type: research

Pneumocephalus after orbital decompression surgery for thyroid eye disease
We reported a 49-year-old man who presented with CSF leakage after transcaruncular medial wall decompression for proptosis due to thyroid eye disease. He underwent an endoscopic endonasal approach to surgical repair of the defect with nasoseptal flap. Rhinorrhea was stopped immediately after endoscopic repair. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - July 19, 2020 Category: Opthalmology Authors: Hossein Ghahvehchian Seyyed M Sadrhosseini Masoud A Fard Source Type: research

Optical coherence tomography angiography and multifocal electroretinogram findings in paracentral acute middle maculopathy
Ourania Fydanaki, Tryfonas Rotsos, Osama Giasin, Dimitrios Papakonstantinou, Konstantinos AndreanosMiddle East African Journal of Ophthalmology 2020 27(2):139-141 Paracentral acute middle maculopathy (PAMM) is an optical coherence tomography (OCT) finding seen in patients with retinal capillary ischemia. In this case report, we present a case of PAMM after a transient central retinal artery occlusion and the multifocal electroretinogram (mfERG) and other multimodal imaging findings. Clinical examination, OCT angiography, OCT en face, fluorescein angiography, and visual fields were performed at the baseline and follow-up e...
Source: Middle East African Journal of Ophthalmology - July 19, 2020 Category: Opthalmology Authors: Ourania Fydanaki Tryfonas Rotsos Osama Giasin Dimitrios Papakonstantinou Konstantinos Andreanos Source Type: research

Multimodal imaging of nodular posterior scleritis: Case report and review of the literature
Waleed K Alsarhani, Ahmed M Abu El-AsrarMiddle East African Journal of Ophthalmology 2020 27(2):134-138 Nodular posterior scleritis represents a small percentage of all cases of posterior scleritis. Because of the scarcity of nodular posterior scleritis, it may be confused or even misdiagnosed as an intraocular tumor or posterior uveitis. Here, we are reporting a case of nodular posterior scleritis in a 25-year-old medically free male. Furthermore, we reviewed previously reported cases of nodular posterior scleritis. Our patient presented with a choroidal mass of about one disc diameter in size. In addition, the patient h...
Source: Middle East African Journal of Ophthalmology - July 19, 2020 Category: Opthalmology Authors: Waleed K Alsarhani Ahmed M Abu El-Asrar Source Type: research