Toxic keratopathy induced by self-application of seawater
Huda AlGhadeer, Thamer Bukhari, Mohammed AlAmryMiddle East African Journal of Ophthalmology 2022 29(1):63-65 To report a case of toxic keratopathy secondary to the self-application of seawater eye drops. A 60-year-old male who presented with unexplained unilateral decrease in vision and corneal thinning. Best-corrected visual acuity was 20/400 OD, slit-lamp examination indicated diffuse corneal edema with central thinning, intact sensation, and no vascularization. Laboratory analysis of the eye drops in conjunction with clinical symptoms and findings was consistent with toxic keratopathy. Toxic keratopathy can masquerade ...
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Huda AlGhadeer Thamer Bukhari Mohammed AlAmry Source Type: research

Intermediate uveitis in retinitis pigmentosa associated with a novel homozygous splice site mutation in PRPF8
Abdulrahman H Badawi, Moustafa S Magliyah, Patrik Schatz, Abdulaziz Al-ShehriMiddle East African Journal of Ophthalmology 2022 29(1):59-65 The manifestation of intermediate uveitis (IU) in patients with retinitis pigmentosa (RP) is uncommon and poses diagnostic and management challenges. In this case, we describe the clinical features and management outcomes in an RP patient with a novel homozygous splice site mutation in PRPF8. A 21-year-old male presented with unilateral decrease of vision in the right eye for 1 week. Retinal dystrophy features were present in the left eye. After 2 weeks of topical steroid therapy, near...
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Abdulrahman H Badawi Moustafa S Magliyah Patrik Schatz Abdulaziz Al-Shehri Source Type: research

Branch retinal artery occlusion following cocaine inhalation: Case report and review of the literature
In conclusion, cocaine should be considered in the differential diagnosis of retinal arterial occlusion in young healthy patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Waleed K Alsarhani Abdullah I Almater Ahmed M Abu El-Asrar Source Type: research

Tubercular episcleritis: A review of literature
Tariq M Aldebasi, Abdulelah A Alasiri, Muhannad A Alnahdi, Abdulrahman AlfarhanMiddle East African Journal of Ophthalmology 2022 29(1):51-55 Episcleritis is rarely reported to be associated with tuberculosis (TB). In this review, we highlight this underreported entity and elaborate on the natural history of the reported cases in the literature. Eighteen articles were found to describe numerous cases throughout the past century. Forty patients diagnosed with tuberculous episcleritis were found in the literature. The majority of the patients presented with a latent form of TB and fewer cases were linked with active/pulmonar...
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Tariq M Aldebasi Abdulelah A Alasiri Muhannad A Alnahdi Abdulrahman Alfarhan Source Type: research

Multimodal imaging, tele-education, and telemedicine in retinopathy of prematurity
Nada H Almadhi, Eliot R Dow, RV Paul Chan, Sulaiman M AlsulaimanMiddle East African Journal of Ophthalmology 2022 29(1):38-50 Retinopathy of prematurity (ROP) is a disease that affects retinal vasculature in premature infants and remains one of the leading causes of blindness in childhood worldwide. ROP screening can encounter some difficulties such as the lack of specialists and services in rural areas. The evolution of technology has helped address these issues and led to the emergence of state-of-the-art multimodal digital imaging devices such fundus cameras with its variable properties, optical coherence tomography (O...
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Nada H Almadhi Eliot R Dow RV Paul Chan Sulaiman M Alsulaiman Source Type: research

Fate of abstracts presented at the saudi ophthalmology society conferences 2015 & #8211;2018
CONCLUSION: Basic science studies, rare topic-related abstracts, and first author affiliation with an eye center were all associated with a higher publication rate. Orally presented and noncase report abstracts increased the chance of publication in higher impact factor journals. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Abdulaziz K Alsarhani Abdullah I Almater Mansour A Alobrah Rahaf M Al Malawi Waleed K Alsarhani Source Type: research

Perception of medical professionalism among ophthalmology residents in Saudi Arabia: A national survey study
CONCLUSION: The characteristics of different attributes of professionalism varied significantly among the residents. The findings of the present study highlights that the conceptualization and perception of professionalism is changing and there is a need to focus on the resident curriculum to instill the values of professionalism. Targeted training is needed on the concepts of professionalism to develop behaviors consistent with medical professionalism and to evaluate the levels of professionalism among residents. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Fahad A Alghulaydhawi Reem M Hersi Sami Al-shahwan Source Type: research

Visual impairment among adult diabetic patients and associated factors at debre brihan referral hospital, Central Ethiopia, 2017
CONCLUSION: A high proportion of diabetic patients had visual impairment. Independent variables older age, physical inactivity, presence of visual symptoms, lower body mass index, and diabetic retinopathy had a positive statistically significant association with visual impairment. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Ketemaw Z Demilew Nebiyat F Adimassu Destaye S Alemu Source Type: research

Clinicopathological study of meibomian carcinoma of eyelids & #8211; An experience of two years in a tertiary care center
CONCLUSION: Early diagnosis of meibomian carcinoma is important to reduce mortality from the aggressive tumor. The knowledge of clinicopathological aspects of the tumors that were biopsied in the department of pathology in the past 2 years will help in diagnosis and management of such tumors in future. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Senjuti Dasgupta Parul Jain Nirmal K Bhattacharyya Rojina Khatoon Source Type: research

The quality of life of medically versus surgically treated primary open-angle glaucoma patients at a Nigerian hospital
CONCLUSION: The study demonstrated that although participants that had trabeculectomy had a lower mean intraocular pressure, their overall mean QoL was reduced compared to the medically treated participants. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Femi C Oduneye Kareem O Musa Sefinat A Agboola Oluwatobi O Idowu Adeola O Onakoya Source Type: research

External versus endoscopic dacryocystorhinostomy for primary acquired nasolacrimal duct obstruction
CONCLUSION: Both EX-DXR and endoscopic DCR surgeries have high success rates and low incidence of failure. The choice of DCR technique should be based on the experience of the surgeon and patient's lacrimal and nasal anatomy and preferences. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 23, 2022 Category: Opthalmology Authors: Mohammad T Rajabi Kianoosh Shahraki Atefeh Nozare Zahra Moravej Sepideh Tavakolizadeh Reza E Salim Farideh Hosseinzadeh Shabahang Mohammadi Azadeh Farahi Kourosh Shahraki Source Type: research

& #8220;Separate the Wheat from the Chaff & #8221; & #8211; Descemet & #39;s stripping endothelial keratoplasty graft failure due to accidental implantation of full-thickness precut tissue
We present an interesting case of failed Descemet's stripping endothelial keratoplasty (DSEK) graft, due to accidental implantation of a full-thickness precut tissue. A repeat DSEK was planned, and during the surgery along with the DSEK graft, an extra thick corneal tissue was also retrieved. Careful evaluation of both the explanted tissues revealed that the primary surgeon failed to separate a precut DSEK graft and implanted the entire full-thickness tissue. After the repeat DSEK, there was improvement in corneal edema and visual acuity. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2022 Category: Opthalmology Authors: Arjun Srirampur Tarannum Mansoori Pasyanthi Balijepalli Source Type: research

Abduction deficit mimicking sixth nerve palsy due to metastasis in systemic malignancy: Rare case report
Sucheta Parija, Saswati SenMiddle East African Journal of Ophthalmology 2021 28(4):263-266 Lateral rectus palsy presenting as abduction deficit resulting in diplopia is attributed to neurogenic causes. Metastasis as a cause of sixth cranial palsy is an extremely rare entity but cannot be overlooked. Cases of metastasis to lateral rectus secondary to lung and breast carcinoma have been reported. Primary adrenocortical carcinoma (ACC) metastasizing to lateral rectus muscle is extremely rare. Here, we report a case of ACC arising from the left adrenal gland that presented with left-sided abduction deficit in a 58-year-old ma...
Source: Middle East African Journal of Ophthalmology - April 30, 2022 Category: Opthalmology Authors: Sucheta Parija Saswati Sen Source Type: research

A novel missense variant C.2571 (P.Ala857 & #61;) of the DHX38 gene in a Saudi family causes an autosomal recessive retinitis pigmentosa
We present two cases of a novel missense variant mutation in the DHX38 gene, which is associated with autosomal recessive retinitis pigmentosa (RP) in two Saudi sisters who presented with poor visual acuity since childhood. On initial examination, the best-corrected visual acuity was 20/300 in both eyes for the two sisters. Fundus examination revealed widespread retinal pigmentary changes, linear peripheral hyperpigmentation clumps, bone spicules, and bilateral optic nerve drusen with bilateral macular hyperpigmentation. Spectral-domain optical coherence tomography scans reveal losses of the outer retinal layer and the pre...
Source: Middle East African Journal of Ophthalmology - April 30, 2022 Category: Opthalmology Authors: Saud Al-Johani Abdulelah Alabdullah Sawsan R. Nowilaty Source Type: research

Electrophysiological evaluation of fleck retina and temporal macular thinning in X-Linked alport & #39;s syndrome
We report a 39-year-old with Alport's syndrome. The patient presented with anterior lenticonus, cataract, and a corrected distance visual acuity of 20/25 and 20/60 in the right and left eyes, respectively. Fundus examination revealed generalized retinal flecks sparing the fovea in both eyes. Optical coherence topography showed temporal macular thinning. Normal fundus autofluorescence was observed in both eyes. Full-field electroretinography (ERG) demonstrated normal photopic and scotopic responses, while multifocal ERG showed no reduction of amplitudes generated from the temporal thinned macula, compared to the ...
Source: Middle East African Journal of Ophthalmology - April 30, 2022 Category: Opthalmology Authors: Adel Al Akeely Patrik Schatz Amro Alhazimi Source Type: research