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Erratum: Comparison of olive tipped and conventional steven & #39;s cannula for sub-tenon ophthalmic anesthesia
Middle East African Journal of Ophthalmology 2017 24(1):64-64 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Source Type: research

New surgical technique for management of recurrent macular hole
We present a new surgical technique which involves induction of serous macular detachment around the MH, parafoveal retinal massage to bring its edges closer, gas tamponade, and face down positioning. The recurrent MHs had closed in all four consecutive patients with a parallel gain in visual acuity following this technique. All patients had Type 1 closure of the MH indicating its closure without any defect of the neurosensory retina. The MHs remained closed during the follow-up without any late reopening. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Osman Abdelzaher Mohammed Anant Pai Source Type: research

Retinal vascular occlusion secondary to retrobulbar injection: Case report and literature review
We report a case series of two such patients who presented with poor vision following retrobulbar injection. Fundus showed pale retina with cherry red spot suggestive of central retinal artery occlusion in case 1 and pale disc with sclerosed vessels and multiple superficial hemorrhages suggestive of a combined occlusion of retinal artery and vein in case 2. Optical coherence tomography (OCT) showed thickened inner retinal layers with intact outer retinal layers in case 1 and thinning in case 2. We conclude that retrobulbar injections can rarely be associated with dreadful vision-threatening complications like in our patien...
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Dhaivat Vasavada Prabu Baskaran Seema Ramakrishnan Source Type: research

Cannula-associated ocular injuries during cataract surgery: A preventable intraoperative complication ?
We report two cases of cannula-associated ocular injury during stromal hydration of the main corneal incision despite the use of Luer-lock syringes. Case 1 suffered from an initially occult intraocular injury which led to a delayed presentation of vitreous prolapsing into the anterior chamber, presumed posterior capsular rupture, vitreous hemorrhage, and multiple retinal tears, which required a three-port pars plana vitrectomy and cryotherapy. Case 2 sustained an iris laceration, anterior capsular tear, and postoperative raised intraocular pressure with no late sequelae. The former case highlights the need for close monito...
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Darren Shu Jeng Ting Chrisjan Dees Christine Ellerton Source Type: research

Disseminated rhinosporidiosis with conjunctival involvement in an immunocompromised patient
We report a rare case of conjunctival rhinosporidiosis in an immunocompromised patient (human immunodeficiency virus) with disseminated cutaneous rhinosporidiosis. A 44-year-old male presented with a swelling in the right upper eyelid for 6 months. Excision biopsy of the ocular lesion showed multiple thick-walled, variable-sized sporangia containing endospores within the subepithelium suggestive of rhinosporidiosis. A multidrug regimen of systemic cycloserine, ketoconazole, and dapsone was administered to treat disseminated rhinosporidiosis, in addition to antiretroviral therapy. There was good response with reduction in t...
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Deepa John Satheesh S. T. Selvin Aparna Irodi Pushpa Jacob Source Type: research

Age-related changes in the foveal bulge in healthy eyes
Conclusion: Foveal bulge was more commonly seen in younger individuals and its height decreased with age. Age matching across groups should be undertaken in studies using foveal bulge as prognostic tool. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Kumar Saurabh Rupak Roy Preeti Sharma Dhileesh P Chandrasekharan Kaustubh Deshmukh Chinmayi Vyas Source Type: research

Toxic anterior segment syndrome outbreak after cataract surgery triggered by viscoelastic substance
Conclusion: As far as we know, this is the largest report of TASS outbreak in the shortest period from the same clinic caused by VES. Suboptimal products of surgical materials can be the cause of TASS. Close monitoring of each surgical step and elimination of causative agent can prevent the outbreaks of TASS. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: AyseG ü l Ko ç ak Altintas Meryem Ya & #351;ar Cirito & #287;lu & #214;zlem Beyazy & #305;ld & #305;Z & #199;i & #287;dem & #220;lk & #252; Can Sibel Polat Source Type: research

Update on the epidemiology and antibiotic resistance of ocular infections
Conclusion: The etiology of ocular pathogens is patient, source, and geography specific. The true incidence and/or prevalence are unknown. Fluoroquinolone monotherapy as standard therapy for common ocular infections needs to be reassessed. Ophthalmologists must become proactive and join the crusade to develop practical and prudent strategies for the administration of topical antibiotics. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Darlene Miller Source Type: research

Risks of cefuroxime prophylaxis for postcataract endophthalmitis
Conclusion: Cefuroxime can be administered safely to penicillin-allergic patients, and steps should be taken to reduce the risk of compounding or dilutional errors to avoid negating the benefits of this intervention. Recommended practice patterns for endophthalmitis prophylaxis should consider the risks and benefits of ICC. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Khaled A Al-Abduljabbar Donald U Stone Source Type: research

Collagen cross-linking for microbial keratitis
Prashant Garg, Sujata Das, Aravind RoyMiddle East African Journal of Ophthalmology 2017 24(1):18-23Collagen cross-linking is gaining popularity not only for arresting the progression of keratoconus but also other indications including management of corneal infections. In this review article, we analyzed the published literature to understand the level of evidence for its use in corneal ulcer. Photoactivated riboflavin and ultraviolet A light are known to possess antimicrobial properties. The treatment also induces formation of inter- and intra-fibrillar bonds, thereby making the corneal collagen resistant to the action of ...
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Prashant Garg Sujata Das Aravind Roy Source Type: research

Adjunctive therapies for bacterial keratitis
The objective of this systematic review is to review published clinical studies which discuss the adjunctive treatment of bacterial keratitis to guide clinical decision-making. We reviewed the role of a variety of medications and surgeries which can help in managing bacterial keratitis complications, which include as thinning, perforation, and impaired wound healing. We have included appropriate animal and laboratory studies, case reports and case series, and randomized clinical trials regarding each therapy. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Turki Abdulaziz Bin Dakhil Donald U Stone David C Gritz Source Type: research

Infectious uveitis: An enigma
Parthopratim Dutta Majumder, Avirupa Ghosh, Jyotirmay BiswasMiddle East African Journal of Ophthalmology 2017 24(1):2-10Infectious uveitis accounts for majority of the cases of uveitis in developing countries. It also encompasses an array of various microorganisms and their clinical presentations. Some of these infectious uveitic entities are familiar, while others are newly emerging in the global ophthalmic world. Many of these entities are also a major cause of morbidity and mortality, and appropriate, timely management is required to save not the eye, but life of the patient. This review highlights the ocular manifestat...
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Parthopratim Dutta Majumder Avirupa Ghosh Jyotirmay Biswas Source Type: research

Ocular infection update
Donald U StoneMiddle East African Journal of Ophthalmology 2017 24(1):1-1 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 27, 2017 Category: Opthalmology Authors: Donald U Stone Source Type: research

Erratum: Cataract surgery audit at a private hospital in Saudi Arabia
Middle East African Journal of Ophthalmology 2016 23(4):333-333 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Source Type: research

Erratum: Oestrus ovis as a cause of red eye in aljabal algharbi, Libya
Middle East African Journal of Ophthalmology 2016 23(4):332-332 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Source Type: research