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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 25, 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 25, 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 25, 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 25, 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 25, 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 23, 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 23, 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 23, 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 23, 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 s...
Source: Middle East African Journal of Ophthalmology - April 23, 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 23, 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 23, 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 23, 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 23, 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 23, 2019 Category: Opthalmology Authors: Srilathaa Gunasekaran Rebika Dhiman Murugesan Vanathi Sujatha Mohanty Gita Satpathy Radhika Tandon Source Type: research