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 23, 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 23, 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 23, 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 23, 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 23, 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 repor...
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

Transition to ophthalmology residency program and the role of basic science course
CONCLUSION: The knowledge exposure from the BSC was helpful to facilitate the transition to ophthalmology residency program, especially for the ones who prepared well before. Improvement in surgical skills training should be aimed to further facilitate transition to ophthalmology residency program. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Moustafa Sameer Magliyah Saad Hamdan AlEnezi Abdullah M AlFawaz Source Type: research

Estimation of morphological characteristics in asymmetrical myopic posterior staphyloma using optical coherence tomography
CONCLUSION: We estimated the axis of the smaller base curvature by noting the distortion pattern in the different radial axis. The recognition of pathologic axial myopia is important since there is a risk of permanent vision loss from vision to threatening sequelae. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Georgios Bontzos Miltiadis Tsilimbaris Efrosini Papadaki Thomas G Maris Michael Mazonakis Efstathios T Detorakis Source Type: research

Knowledge and attitude toward eye donation among adults, Northwest Ethiopia: A community-based, cross-sectional study
CONCLUSIONS: Although the overall level of knowledge about eye donation was poor, the proportion of favorable attitude toward eye donation was fair. Since it was associated with educational level and awareness, it is strategic to follow multidisciplinary approaches to facilitate multi-stakeholder partnerships and to motivate the people to donate their eyes. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - January 4, 2019 Category: Opthalmology Authors: Mohammed Seid Hussen Gizachew Tilahun Belete Source Type: research