Unilateral malignant glaucoma postbilateral implantable collamer lens: Effect of miotics
Wassef A Chanbour, Carole G Cherfan, Elias F Jarade, Johnny M KhouryMiddle East African Journal of Ophthalmology 2019 26(3):181-183 An implantable collamer lens® (ICL) V4c model (STAAR Surgical, Monrovia, CA, USA) was placed in the eye of a 31-year-old male patient with high myopia followed by the development of malignant glaucoma. After failing medical treatment for 5 days, a noncomplicated pars plana vitrectomy and anterior hyaloidectomy succeeded in breaking the aqueous misdirection. Sixteen months later, intraoperative miotics were purposefully withheld from the ICL surgery in the fellow eye and malignant glaucom...
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Wassef A Chanbour Carole G Cherfan Elias F Jarade Johnny M Khoury Source Type: research

Multicolor imaging characteristics of Best & #39;s vitelliform macular dystrophy
Kumar Saurabh, Rupak Roy, Nicey Roy ThomasMiddle East African Journal of Ophthalmology 2019 26(3):178-180 A 40-year-old woman presented with vitellieruptive stage of Best's vitelliform macular dystrophy (BVMD) in the right eye and pseudohypopyon stage in the left eye. She underwent comprehensive ophthalmic examination and fundus imaging using multicolor (MC) imaging technology of Spectralis (Heidelberg Engineering, Heidelberg, Germany) spectral-domain-optical coherence tomography system. Composite MC imaging revealed larger area of retinal pigment epithelium atrophy in vitellierruptive stage of the disease in the righ...
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Kumar Saurabh Rupak Roy Nicey Roy Thomas Source Type: research

Delayed orbital emphysema mimicking orbital cellulitis: An uncommon complication of dental surgery
Jessica R Chang, Fatemeh Rajaii, Timothy J McCulleyMiddle East African Journal of Ophthalmology 2019 26(3):175-177 A 79-year-old man presented to the ophthalmology clinic with acute-onset left orbital and periorbital swelling, 6 days following surgery to revise a zygomatic implant to anchor his dentures. On evaluation, there was left eye proptosis with ipsilateral facial crepitus. Emphysema was confirmed on computed tomography. With visual function and motility remaining intact, he was observed without intervention. Within 2 weeks, his evaluation returned to baseline. Periorbital emphysema is a rare complication of dental...
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Jessica R Chang Fatemeh Rajaii Timothy J McCulley Source Type: research

Carunclar mass as the presenting sign of primary orbital liposarcoma
This study aims to report a case of primary orbital liposarcoma which presented as caruncle mass. A 45-year-old woman presented to our hospital to evaluate the bumpiness of the caruncle in her left eye. A yellowish nodule , which was firmly attached to the sclera , was seen in the caruncle area and seemed to extend into the orbit. Incisional biopsy revealed myxoid liposarcoma She denied further evaluation and came back with enlarged mass after one year .She underwent lid-sparing exentration and was free of recurrence for 5 years. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Reza Nabie Monireh Halimi Erfan Bahramani Banafsheh Kharrazi Ghadim Source Type: research

Use of fibrin glue in the management of Descemet membrane perforation during deep anterior lamellar keratoplasty
CONCLUSION: Fibrin glue is an effective method to seal DM microperforations and macroperforations during DALK, which reduces the rate of conversion to penetrating keratoplasty (PK), preserving the advantage of DALK over PK. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Saad S Alharbi Ahmad Alameer Source Type: research

Efficacy and safety of a novel blunt cannula trans-sub-Tenon & #39;s retrobulbar block for vitreoretinal surgery
CONCLUSION: Intentionally extending a STB into the retrobulbar space, via a TSTRB fenestration utilizes a familiar skill set. TSTRB produced the best levels of reduced kinesia during surgery and increased duration of postoperative analgesia. The technique uses a small-volume anesthesia. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Tafadzwa Young-Zvasara Johanna Winder Sidath Wijetilleka Laurie Wheeler Roger Mcpherson Source Type: research

Visual outcome of preterm infants screened in a tertiary care hospital
CONCLUSIONS: Ophthalmological morbidities in premature infants such as refractive errors and strabismus are high in addition to complications like ROP. The incidence of these conditions is more in infants with ROP when compared to non-ROP group. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Anuja Sathar Shanavas Abbas Zinia T Nujum Jasmin L Benson Girijadevi P Sreedevi Sobha K Saraswathyamma Source Type: research

To evaluate choroidal and retinal thicknesses in singleton versus twin pregnancies using optical coherence tomography
CONCLUSION: Our study is the first one which evaluates choroidal and retinal thicknesses in twin pregnancies. We found that there was an increase in CT in the 3rd trimester of pregnancies and it was prominent in twin pregnancies. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Sait Alim Asker Zeki Ozsoy Source Type: research

Glaucoma patch graft surgery utilizing corneas augmented with collagen cross-linking
CONCLUSIONS: UV-riboflavin cross-linking of the corneal tissue patch graft material appears to be a safe modification when used in GDDS and warrants ongoing study. This method of patch graft can replace other costy methods used with GDD. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Donald U Stone Earl Randy Craven Sameer I Ahmad Ali AlBeshri Ohoud A Owaidhah Source Type: research

One-year results of stab incision glaucoma surgery and radiofrequency-assisted stab incision in management of open-angle glaucoma
CONCLUSION: SIGS with SC MMC is an effective and safe procedure in IOP lowering, while radiofrequency-assisted stab incision had high incidence of subconjunctival scarring and ostium closure. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Marwa Metwally Salama Rehab Mahmoud Abdel-Hamid Mohamed Karam El-Basty Omar Mohamed El-Zawahry Source Type: research

Periocular lobular capillary hemangioma in adults: A clinicopathological study
CONCLUSION: Lobular capillary hemangiomas are common benign vascular tumors of periocular region in adults. Clinicohistopathological features and clinical presentation of these lesions are distinctive. Excisional biopsy was curative with recurrence noted rarely. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Kavya Madhuri Bejjanki Dilip Kumar Mishra Swathi Kaliki Source Type: research

Prevalence and determinants of color vision defects among preparatory university students at Makkah, Saudi Arabia
CONCLUSION: Eighteen in thousand health sciences students suffered from CVD. Ten percent of them had Tritan CVD. Duran CVD seems to be a male sex-related and/or a familial condition. Most of the CVD students seem to have adopted to this defect and were not aware of suffering from it. Screening for CVD is therefore debatable. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Osama Abdulqadir Khairoalsindi Bayan Mutlaq Almasoudi Ashjan Yousef Bamahfouz Abdullah Atiah Alghamdi Muhammad Irfanullah Siddiqui Source Type: research

Impact of visual impairment and blindness on quality of life of patients in Owerri, Imo State, Nigeria
CONCLUSION: The leading causes of visual impairment and blindness in this study are avoidable and treatable. Health education, appropriate intervention, and support groups should be encouraged. This may serve to reduce the burden of visual impairment and improve the QOL of patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Ifeoma Ejiakor Eberechukwu Achigbu Onyinye Onyia Omolabake Edema U Nkwogu Florence Source Type: research

Has spectral-domain optical coherence tomography retinal nerve fiber layer assessment become the method of choice for glaucoma evaluation in clinical practice ?
CONCLUSION: Diagnostic capability of SD-OCT parameters for detection of structural changes in the ONH and retinal nerve fiber layer differed in three groups significantly. Hence, using SD-OCT has become an imperative and quick way of timely diagnosis of glaucoma in private practice. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 30, 2019 Category: Opthalmology Authors: Vivekanand Undrakonda Sarita Gonsalves Shailaja S Bhat Source Type: research

Treatment of persistent chemosis after upper lid blepharoplasty by hand-held fine-tip cautery: Report of a case
Abbas Bagheri, Mohammadali Javadi, Kourosh ShahrakiMiddle East African Journal of Ophthalmology 2019 26(2):120-122 Persistent chemosis is an uncommon complication of blepharoplasty, and its treatment is challenging. Herein, the authors report a case of persistent chemosis after a cosmetic upper lid blepharoplasty and present a simple, noninvasive, inexpensive, and successful method of treatment that uses hand-held cautery. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Abbas Bagheri Mohammadali Javadi Kourosh Shahraki Source Type: research

Case report of a 4-year-old child with complicated Vogt-Koyanagi-Harada at a tertiary eye hospital
We report a 4-year-old Saudi boy who developed severe ocular complications by 5 years of age. He presented to King Khalid Eye Specialist Hospital at the age of 4 years and was previously operated on elsewhere for cataract with intraocular lens implantation in his right eye at the age of 3 years. He consecutively had iris capture and membrane formation around the intraocular lens. Examination revealed band keratopathy, posterior synechiae, and fundus depigmentation in both eyes with cataract formation in his left eye. At the age of 5.5 years, he developed subretinal neovascular membrane formation in the left eye. To the bes...
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Dhabiah Saeed AlQahtani Mohammed Al Shamrani Source Type: research

Suprasellar cysticercosis cyst with optic nerve compression masquerading as an arachnoid cyst
Aaron Musara, Nyarai Soko, Sharai ShamuMiddle East African Journal of Ophthalmology 2019 26(2):114-116 Cysticercosis is a parasitic infection caused by the larvae of the cestode Taenia solium. Ocular parasitosis in humans is well recognized; however, cysticercosis of the optic nerve is rare. Here, we report a case of an adult male who presented with right-sided headache and a gradual loss of vision in the right eye. Optical coherence tomography indicated severe loss of ganglion cells in the right eye. Magnetic resonance imaging showed a predominantly suprasellar cystic lesion thought to represent an arachnoid cyst. We per...
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Aaron Musara Nyarai Soko Sharai Shamu Source Type: research

Postpartum endogenous Candida endophthalmitis
We report a case of a 25-year-old female patient referred with a history of decreased vision in her right eye 1 month after uncomplicated vaginal delivery. She presented with multifocal chorioretinal infiltrates. The patient showed persistent inflammation in her right eye then after. Systemic workup was unremarkable apart from a history of vaginal discharge during peripartum period. Vaginal swap confirmed the presence of Candida albicans. Culture of the vitreous sample confirmed the growth of C. albicans. The patient was managed with intravitreal amphotericin B in addition to systemic antifungal treatment followed by pars ...
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Abdulrahman F AlBloushi Abdullah N Almousa Norah F Alkheraiji Ahmed M Abu El-Asrar Source Type: research

Indications for pediatric ocular prosthesis fitting at a referral center in the Middle East
Danya Al-Dahan, Arif O KhanMiddle East African Journal of Ophthalmology 2019 26(2):107-109 Trauma is the major reason for globe loss in adults; however, there are less data regarding the causes for globe loss in children. We reviewed the underlying diagnoses of children who underwent ocular prosthesis fitting over a 1-year period at a referral eye hospital in the Middle East and found retinoblastoma, trauma, and congenital microphthalmia or anophthalmia to be the most common diagnoses, respectively. Enucleation and evisceration were the most common procedures and were exclusively performed for retinoblastoma and trauma, r...
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Danya Al-Dahan Arif O Khan Source Type: research

Impact of a 10-Year eye care program in sokoto, Nigeria: Changing pattern of prevalence and causes of blindness and visual impairment
CONCLUSION: The blindness prevalence is high, and the major causes are avoidable in the health zone. The findings suggest that investments in the program over the last 10 years might have led to almost a halving in the prevalence of blindness in th e population. However, the small sample size of persons 50+ years from Wurno zone in the 2005 survey necessitate caution when comparing the 2005 and the 2016 surveys. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Nasiru Muhammad Mohammed D Adamu Caleb Mpyet Catey Bounce Nuhu M Maishanu Aliyu M Jabo Muhammad M Rabiu Covadonga Bascaran Sunday Isiyaku Allen Foster Source Type: research

Safety and efficacy of corneal cross-linking in pediatric patients with keratoconus and vernal keratoconjunctivitis
CONCLUSIONS: Cross-linking appears to be as safe and effective in pediatric patients with vernal keratoconjunctivits as in those without, with similar outcomes, adverse events, and progression of keratoconus after treatment. The proportion of patients exhibiting progression appears to be higher in pediatric patients than adults, and there is an association between male sex and diagnosis of VKC. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Malek Alrobaian Maram Elsayed Abdulaziz Khalid Alotaibi Mosa AlHarbi William May Donald U Stone Source Type: research

Awareness of ocular manifestations, complications, and treatment of sickle cell disease in the eastern province of Saudi Arabia: A cross-sectional study
CONCLUSIONS: The result of this study indicates the need for raising the knowledge regarding the disease, its ocular complications, screening methods, and management. Health educations campaigns would be an effective tool in increasing SCD awareness. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Arwa Mohammed Alshehri Kaberi Biswas Feroze Moharib Khaled Amir Source Type: research

Role of a community-based program for identification and referral of pediatric cataract patients in Kinshasa, Democratic Republic Of The Congo
CONCLUSION: Using church-based volunteers and ophthalmic nurses during community screening proved efficient in the identification and referral of pediatric cataract. Keeping regular identification activities in the community and maintaining high-quality and accessible pediatric cataract surgery services can help to clear up the backlog of cataract blind children. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Janvier Ngoy Kilangalanga Thomas Stahnke Astrid Moanda Emile Makwanga Adrian Hopkins Rudolf Friedrich Guthoff Source Type: research

Establishing a pediatric ophthalmology service in malawi: Developments in childhood cataract surgery
CONCLUSIONS: A Pediatric Ophthalmology Service has been established in Malawi delivering safe, effective surgery on a country-wide scale for childhood cataract. Over the period studied, the age at presentation reduced, and there was an improvement in the geographical distribution of patients, likely due to an improvement in referral systems throughout Malawi. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Aaron Jamison Jane R Mackinnon Timothy E Lavy Chatonda Manda Gerald Msukwa Source Type: research

Clinical profile and treatment outcomes of amblyopia across age groups
CONCLUSIONS: Strabismus was the main cause of amblyopia at <3 years of age; anisometropia was more prevalent in older children (3–15 years). The fact that more than a quarter of our amblyopic patients were detected late (after the age of 8 years) underscores the need for expanded vision screening measures in young children. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Christiane Al-Haddad Karine Ismail Kheir Wajiha Jurdi Mona Keaik Source Type: research

KAMRA inlay implantation for presbyopia compensation: A retrospective evaluation of patient satisfaction and subjective vision 12-month postoperative
CONCLUSION: The implant of a small-aperture corneal inlay resulted in a substantial improvement in patients' distant, intermediate, and near subjective vision, better in normal light than in dim light, and most patients became spectacles independent. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Walid G Harb Nabil G Chamoun Georges W Harb Source Type: research

Evaluation of Contrast sensitivity after four different treatment modalities using optec-functional vision analyzer in primary open-angle glaucoma
CONCLUSION: Our study showed that CS values at low and high spatial frequencies after applying timolol and brimonidine eye drops are temporarily reduced in patients with POAG. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Parvin Azizzadeh Masoud Safarzadeh Source Type: research

Assessment of patient pain experience during intravitreal ranibizumab and aflibercept injection
CONCLUSION: VAS pain scores in aflibercept group were found to be significantly higher than the scores in the ranibizumab group. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - August 26, 2019 Category: Opthalmology Authors: Burak Bilgin & #350;emsettin Bilak Source Type: research

Authors & #39; Reply
Justin D Pennington, R Joel Welch, Sara E Lally, Jerry A Shields, Ralph C Eagle, Carol L ShieldsMiddle East African Journal of Ophthalmology 2019 26(1):53-53 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Justin D Pennington R Joel Welch Sara E Lally Jerry A Shields Ralph C Eagle Carol L Shields Source Type: research

Botryoid rhabdomyosarcoma of the conjunctiva in a young boy
Mahmood Dhahir Al-MendalawiMiddle East African Journal of Ophthalmology 2019 26(1):52-52 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Mahmood Dhahir Al-Mendalawi Source Type: research

Combined parafoveal telangiectasia, multifocal central serous chorioretinopathy, and choroidal hemangioma
CK Nagesha, Pratyusha GanneMiddle East African Journal of Ophthalmology 2019 26(1):49-51 The exact pathogenesis of parafoveal telangiectasia (PFT) is unknown, but various associations have been reported in literature such as diabetes and hypertension. Coexisting pathologies like diabetic retinopathy with PFT are not uncommon. We encountered a unique combination of PFT with multifocal central serous chorioretinopathy and choroidal hemangioma in a patient with diabetes mellitus. Multimodal imaging confirmed the findings and focal treatment to central serous chorioretinopathy leaks led to resolution of the subretinal fluid. ...
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: CK Nagesha Pratyusha Ganne Source Type: research

Iris crystals: A rare clinical finding in chronic anterior uveitis
In conclusion, AS-OCT and confocal microscopy can be used as additional diagnostic tools to analyze iris crystals in CAU. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Padmamalini Mahendradas Sujay Chauhan Ankush Kawali Somshekar Nagappa Rohit Shetty Source Type: research

Inverted flap technique for large macular hole secondary to chronic uveitis
Parveen Sen, Haard Shah, Amala GeorgeMiddle East African Journal of Ophthalmology 2019 26(1):43-45 Macular hole is a defect in the neurosensory retina at the center of the fovea, seen in 8.3% of the postuveitic cases. In such cases, macular holes tend to be large and are associated with structural damage in the outer retinal layers. Here, we report a case of bilateral chronic intermediate uveitis treated with sub-Tenon steroids that developed a full-thickness macular hole in the right eye. We treated it surgically with inverted flap technique of internal limiting membrane peeling. Postoperatively, the patient showed T...
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Parveen Sen Haard Shah Amala George Source Type: research

Corneal toxicity after self-application of Calotropis procera (Ushaar) Latex: Case report and analysis of the active components
We report corneal toxicity following self-application of latex from C. procera in a 74-year-old man. He reported painless decreased vision in the affected eye with diffuse corneal edema, and specular microscopy revealed a reduced endothelial cell count. After he was treated with topical corticosteroids, his visual acuity improved from hand motion to 20/80. The composition of the active compounds in the latex was analyzed. When topically administered, the latex may cause severe ocular injuries and a loss of endothelial cells over a period of time. Public education, early recognition of such injuries, and timely intervention...
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Huda Al Ghadeer Ahmad Al Gethami Hamad Al Sulaiman Thamer Bukhari Source Type: research

Marcus gunn jaw-winking syndrome associated with morning glory disc anomaly
Abdulaziz A Alshamrani, Fahad A Alghulaydhawi, Mohammed Al ShamraniMiddle East African Journal of Ophthalmology 2019 26(1):37-39 Marcus Gunn jaw-winking syndrome (MGJWS) is a rare form of congenital blepharoptosis and one of the congenital cranial dysinnervation disorders (CCDD). In addition, morning glory disc anomaly (MGDA) is a congenital optic disc anomaly of unknown etiology. The present report is the first to describe an association between MGJWS and MGDA in an otherwise healthy 7-year-old boy. He also had counting finger vision, anisometropia, esotropia, and monocular elevation deficiency in the same eye. In the li...
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Abdulaziz A Alshamrani Fahad A Alghulaydhawi Mohammed Al Shamrani Source Type: research

Fibrin glue-assisted intraocular lens fixation in weill & #8211;Marchesani syndrome
CONCLUSIONS: Glued IOL implantation is an effective method to visually rehabilitate and control glaucoma in patients with Weill Marchesani Syndrome. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Charudutt Kalamkar Nishant V Radke Amrita Mukherjee Snehal N Radke Source Type: research

Prevalence and determinants of dry eye disease among 40 years and older population of Riyadh (Except Capital), Saudi Arabia
CONCLUSION: The prevalence of DED among Saudi is high, but severe DED is found to be less. Association with female gender, glaucoma, and topical glaucoma medications was reported. Association with diabetes, hypertension, and age group variation was not significant. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Ziaul Haq Yasir Deepti Chauhan Rajiv Khandekar Ches Souru Sejo Varghese Source Type: research

Ocular surface microbial flora in patients with chronic limbal stem cell deficiency undergoing cultivated oral mucosal epithelial transplantation
CONCLUSION: Ocular surface in LSCD patients yielded pathogenic organisms on culture. Poor ocular surface with absent tear film could be the contributing factors. It is important to perform the conjunctival swab culture before COMET surgery. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Srilathaa Gunasekaran Rebika Dhiman Murugesan Vanathi Sujatha Mohanty Gita Satpathy Radhika Tandon Source Type: research

Improved refractive outcomes of small-incision extracapsular cataract surgery after implementation of a biometry training course
CONCLUSIONS: A structured biometry training course may improve the accuracy of preoperative IOL calculations to achieve the postoperative refractive target. Ophthalmology training programs should include structured biometry teaching in their curricula. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Jay J Meyer Hans R Vellara Riyaz Bhikoo Lucilla Ah-Ching Sefo Salome Lolokabaira Neil L Murray Charles N J McGhee Source Type: research

The outcome of corneal collagen cross-linking in patients with advanced progressive keratoconus: A 2-year follow-up study
CONCLUSION: Standard CXL treatment was safe and stabilized both the visual acuity and tomographic parameters at the 2-year follow-up in eyes with advanced progressive keratoconus. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Reza Soltani Moghadam Mitra Akbari Yousef Alizadeh Abdolreza Medghalchi Reza Dalvandi Source Type: research

Retinopathy of prematurity among syrian refugees: Incidence and severity
CONCLUSION: The higher incidence of severe ROP in the premature newborns of Syrian refugees could play an important role in identifying ongoing health problems of refugees. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Pehmen Yasin Ozcan Source Type: research

Assessment of macular pigment optical density using fundus reflectometry in diabetic patients
CONCLUSIONS: The mean pigment density assessed by fundus reflectometry was 0.12 in each of the three groups studied. Higher HbA1c levels in diabetic patients correlated with decreased MPOD and Max OD. Better glycemic control may influence macular health in diabetic patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Mary Varghese Joel Antony Source Type: research

A note from the Editor
Hassan A Al-DhibiMiddle East African Journal of Ophthalmology 2019 26(1):1-1 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 24, 2019 Category: Opthalmology Authors: Hassan A Al-Dhibi Source Type: research

Punctal plug as a treatment option for dry eye associated with congenital supernumary puncta
This study aims to describe a case of double lower lacrimal punctum-canaliculi in a dry eye patient treated with a punctal plug. A 60-year-old healthy female presented with complaints of tearing, itchy eyes, and foreign body sensation in the right eye for many years. There was no history of trauma or inflammation. Two patent independent supernumerary puncta and canaliculi were present on the right lower eyelid. The Schirmer Test II (with anesthesia) was zero, the tear breakup time was 2 s, and superficial punctate erosions were present in the right eye. A long-term nonabsorbable punctal plug was inserted into one of the lo...
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Alicia Galindo-Ferreiro Laila AlGhafri Patricia Akaishi Alberto Galvez-Ruiz Julio Galindo-Alonso Silvana Schellini Augusto Cruz Source Type: research

Inverted internal limiting membrane technique maintains macular hole closure in retinal detachment following macular hole repair
Ogugua N Okonkwo, Michael E Gyasi, Adekunle O Hassan, Olufemi OderinloMiddle East African Journal of Ophthalmology 2018 25(3):167-169 Recent advances in macular hole surgery have significantly improved the rates of anatomical success. One important advance is the dye-assisted peeling of the internal limiting membrane (ILM) around the hole. In large holes (<400 μ), sometimes, ILM peeling alone is not enough to achieve closure, and this may be improved by inverting part of the peeled membrane and using it to cover the macular hole or inverting and tucking the ILM flap into the hole. In this case report, a patient w...
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Ogugua N Okonkwo Michael E Gyasi Adekunle O Hassan Olufemi Oderinlo Source Type: research

Subretinal hypopyon in presumed tubercular uveitis: A report of two cases
Rohan Chawla, Koushik Tripathy, Seema Meena, Aswini Kumar BeheraMiddle East African Journal of Ophthalmology 2018 25(3):163-166 Subretinal hypopyon is an uncommon entity which has been described in ocular infections and inflammations including endophthalmitis, acute retinal necrosis, and sympathetic ophthalmia. The authors report subretinal hypopyon in two cases of presumed tubercular uveitis which responded well to antitubercular therapy (ATT). The first case was a 47-year-old male with bilateral peripapillary chorioretinitis with a subretinal hypopyon. Tuberculosis was confirmed on biopsy of a cervical lymph node which ...
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Rohan Chawla Koushik Tripathy Seema Meena Aswini Kumar Behera Source Type: research

Retinal detachment after cyclophotocoagulation in a child with knobloch syndrome
We report a case of glaucoma in KS, which represents the fourth reported case and the first description of the retinal events after the glaucoma procedure. Retinal detachment followed standard cyclophotocoagulation procedure for glaucoma in a 2-month-old boy. Ophthalmologists should be aware of the possibility of retinal detachment from any ocular intervention in patients with KS. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Ali S Al-Beshri Igor Kozak Earl Randy Craven Source Type: research

Unilateral congenital nasolacrimal duct obstruction, is it an amblyogenic factor ?
CONCLUSION: Axial length and risk factors of amblyopia such as anisometropia, hyperopia, and strabismus were not associated with UCNLDO. UCNLDO is likely an isolated defect. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Fatimah AlHammad Elham Al Tamimi Sanaa Yassin Khadija AlBadri Saleh AlJarudi Mohammed AlShawaf Rajiv Khandekar Source Type: research

Predictors of ocular surface squamous neoplasia and conjunctival squamous cell carcinoma among ugandan patients: A hospital-based study
CONCLUSION: HIV infection remained a risk factor for OSSN and particularly, SCC, but less so than in the past. Lesions' rough surface, six or more feeder vessels, and interpalpebral location increased OSSN risk. Only a rough tumor surface increased risk for SCC. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Harrison-Williams C M Lloyd Simon Arunga Amos Twinamasiko Meier A Frederick John Onyango Source Type: research

Perceptions and career expectation in ophthalmology among saudi undergraduate medical students
CONCLUSION: Students who aspire for a career in ophthalmology showed to have an early involvement in related academic activities and less concern about instrumental and intellectual challenges, as compared to their counterparts. The formal ophthalmology rotation is the key step to recruit future ophthalmologists by correcting misconceptions and enhancing interest about the specialty. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Firas Mohamed Madani Reem Alasiri Sara Howldar Faisal Zagzoog Nizar Alhibshi Source Type: research