Streptococcus agalactiae endophthalmitis in boston keratoprosthesis in a patient with steven-johnson syndrome
Humoud M Al-Otaibi, Mohammed Talea, Omar Kirat, Donald U Stone, William N May, Igor KozakMiddle East African Journal of Ophthalmology 2016 23(4):329-331A 25-year-old Syrian male with a previous episode of Stevens-Johnson syndrome with bilateral corneal cicatrization previously underwent surgery for Type 1 Boston Keratoprosthesis (K-Pro). Sixteen months after the K-Pro surgery, the patient presented with decreased vision to hand motion and microbial keratitis of the graft around the K-Pro with purulent discharge. Corneal scrapings were nonrevealing. B-scan in 3 days showed increased debris in the vitreous cavity and thicken...
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Humoud M Al-Otaibi Mohammed Talea Omar Kirat Donald U Stone William N May Igor Kozak Source Type: research

In vivo confocal microscopic architecture of corneal nerves in a case of multiple endocrine neoplasia type 2b
Chintan Malhotra, Arun Kumar Jain, Bikram Thapa, Sabin SahuMiddle East African Journal of Ophthalmology 2016 23(4):326-328A detailed ocular examination and in vivo confocal microscopy (IVCM) using the Heidelberg retinal tomograph 3 with Rostock cornea module were performed in a patient with multiple endocrine neoplasia (MEN) 2b syndrome. Ocular findings included ptosis secondary to thickening of the lid margins, subconjunctival and perilimbal neuromas, and prominent corneal nerves extending up to the pupillary area. IVCM demonstrated structural alterations of both the main nerve trunks and the smaller branches. The main ne...
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Chintan Malhotra Arun Kumar Jain Bikram Thapa Sabin Sahu Source Type: research

Serous retinal detachment in dome-shaped macula with 7 years follow-up
We describe a patient with persistent SFD in DSM documented by serial spectral domain optical coherence tomography for 7 years with stable vision. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Adel G Alakeely Saba Alrashaed Source Type: research

Risk of breaking haptic of trifocal IOL and its management
Tariq AlasbaliMiddle East African Journal of Ophthalmology 2016 23(4):321-322Fracture of an intraocular lens (IOL) haptic is a rare complication of cataract surgery. A broken haptic can cause serious damage in the anterior and posterior segments. To the best of our knowledge, a broken haptic in a high-quality, commercially available trifocal IOL has not been documented in the literature. Prompt and proactive action at 1 day postoperatively aided in addressing the complication and restoring the vision. We suggest that the ophthalmologist performed a thorough evaluation on the 1 st postoperative day and take immediate action...
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Tariq Alasbali Source Type: research

Phacoantigenic reaction masquerading as postoperative endophthalmitis in a silicone oil-filled eye
Bindu Rajesh, Rameez Hussain, Mahesh Gopalakrishnan, Anantharaman GiridharMiddle East African Journal of Ophthalmology 2016 23(4):318-320A 72-year-old phakic male with immature cataract underwent vitrectomy with silicone oil injection in his left eye for rhegmatogenous retinal detachment. The surgery was uneventful except for lens touch during vitrectomy. Two weeks postoperatively, he presented with circumcorneal congestion, hypopyon, and absent fundal glow suggestive of postoperative endophthalmitis. The patient was managed conservatively as he refused further intervention. Five weeks later, ocular inflammation subsided f...
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Bindu Rajesh Rameez Hussain Mahesh Gopalakrishnan Anantharaman Giridhar Source Type: research

Surgical treatment of corneal ectasia with motowa's trephine and selective suturing technique
We present a unique surgical technique to stabilize the cornea, minimize astigmatism, improve vision and corneal status, and avoid penetrating keratoplasty. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Saeed Al-Motowa Mosa Al-Harby Source Type: research

Lower eyelid retraction repair with resorbable polydioxanone implants
Conclusions: Several options for spacer materials are available. Absorbable polydioxanone implants seem to be an effective middle lamellar spacer that is a good alternative for repairing middle lamella related lower eyelid retraction and lower eyelid support. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Adel H Alsuhaibani Yasser H Al-Faky Source Type: research

Comparison of olive tipped and conventional steven's cannula for sub-tenon ophthalmic anesthesia
Conclusion: An OT cannula is equally effective as the conventional Steven's cannula for delivering STB anesthesia before cataract surgery. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Saeed Al-Motowa Nauman Ahmad Rajiv Khandekar Abdul Zahoor Source Type: research

The evaluation of reading performance with minnesota low vision reading charts in patients with age-related macular degeneration
Conclusion: MNREAD reading charts can be used to evaluate reading performance in patients with AMD with low vision. The outcomes of the present study indicate that optical correction is adequate for near VA requirements in this patient population. However, optical correction was inadequate for improving reading performance. Appropriate rehabilitation programs can be used to increase reading speed. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Deniz Altinbay Fatih Mehmet Adibelli Ibrahim Taskin Adil Tekin Source Type: research

Bottle characteristics of topical international glaucoma medications versus local brands in Saudi Arabia
Conclusions: This is the first study to compare bottle characteristics of local Saudi Arabia brands with international brands. The bottle characteristics and patient feedback were similar between the local and international topical glaucoma medications. However, there were differences between the local and international brands in drug volume, bottle squeezability. Hence, patient compliance and drop dosage may differ based on the origin of manufacture. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Nasser Al-Jumaian Rizwan Malik Rajiv Khandekar Abdullah Al-Humaidan Rana Al-Madany Reham Al-Qahtani Ahmed Altowairqi Abdulwahab Al-Theeb Babar Zaman Leyla Al-Djasim E Randy Craven Deepak P Edward Source Type: research

Causes of phakic implantable collamer lens explantation/exchange at king Khaled eye specialist hospital
Conclusion: Incorrect ICL size was the most common cause of ICL explantation. More accurate sizing methods for ICL are required to reduce the explantation/exchange rate. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Nasser A AlSabaani Ashley Behrens Sabah Jastanieah Salem Al Malki Mohanna Al Jindan Saeed Al Motowa Source Type: research

Comparison of anterior segment measurements with optical low-coherence reflectometry and partial-coherence interferometry optical biometers
Conclusions: Measurements with LTCI correlated well with those with the OLCR. These two devices showed good agreement for the measurement of all parameters. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Ertugrul Can Mustafa Duran Tugba Ç etinkaya Nursen Arit ü rk Source Type: research

Characteristics of keratoconic patients attending a specialist contact lens clinic in Kenya
Conclusion: This is the first study of KC conducted in Kenya. KC presented at a very early age and tended to be severe. Ophthalmologists were the main source of referral. The main presenting symptom was reduced vision. Optical correction was the most common management and the percentage of patients referred for surgery concurred with other studies. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - November 15, 2016 Category: Opthalmology Authors: Zahra Aly Rashid Michel Millodot Katharine S. E. Evans Source Type: research

Multiple ocular and systemic disorders in association with bilateral Duane's retraction syndrome
Mohammad Ali Zare, Mohammad Reza Akbari, Mohammad Yaser Kiarudi, Hadi Zare MehrjardiMiddle East African Journal of Ophthalmology 2016 23(3):256-258Duane's retraction syndrome (DRS) is characterized by limitations in horizontal eye movements, globe retraction, and palpebral fissure narrowing on attempted adduction. This disorder is caused by a disturbance in innervation originating in the brain stem and represents <1% of all cases of strabismus. It is postulated that this syndrome is due to an insult during the early weeks (8-10 weeks) of pregnancy and is 10-20 times more frequently associated with other sy...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Mohammad Ali Zare Mohammad Reza Akbari Mohammad Yaser Kiarudi Hadi Zare Mehrjardi Source Type: research

Unilateral glaucoma associated with conjunctival Angioma and choroidal thickening without facial Angioma
We report a case of a suspected Sturge-Weber syndrome variant diagnosed at the age of 58 with the help of enhanced depth imaging spectral-domain ocular coherence tomography (EDI-SDOCT). A 58-year-old female with unilateral glaucoma was suspected to have choroidal vascular lesion, conjunctival angioma, and no facial port-wine stain who presented to the clinic with bleb dysesthesia many years after trabeculectomy. EDI-SDOCT was performed and revealed markedly increased choroidal thickness in the affected eye. EDI-SDOCT may be helpful in diagnosing Sturge-Weber variants without facial involvement and may aid in the investigat...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Osamah J SaeediLuke Y ChangKarun S AroraHenry D JampelHarry A Quigley Source Type: research