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Reversible corneal toxicity of retained intracameral Perfluoro-n-octane
Saad S Alharbi, Mohammed S AsiriMiddle East African Journal of Ophthalmology 2016 23(3):277-279A 58-year-old female presented with intracameral retained perfluoro-n-octane (PFO) following previous retinal reattachment surgery. After 4 years of follow-up without related sequelae, the patient complained of a gradual decrease in vision secondary to corneal edema with whitish corneal precipitate inferiorly corresponding to the area of retained PFO. Three weeks after anterior chamber washout, corneal edema resolved and the patient obtained 20/40 visual acuity. Even though PFO considered to have a relatively good safety profile,...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Saad S AlharbiMohammed S Asiri Source Type: research

Corneal epitheliopathy after trauma by fake snow powder in a 7-year-old child
We report a case of a child with corneal epitheliopathy due to a chemical burn injury after ocular surface contact with fake snow. The case was managed with epithelial debridement and a bandage contact lenses and topical antibiotics with complete resolution. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Mohammad A Al-AmryHuda A Al-Ghadeer Source Type: research

Traumatic ghost cell glaucoma with successful resolution of corneal blood staining following pars Plana vitrectomy
Amal Alamri, Hind Alkatan, Ibrahim AljadaanMiddle East African Journal of Ophthalmology 2016 23(3):271-273Ghost cell glaucoma (GCG) was first described in 1976. It is a type of a secondary open angle glaucoma, which occurs following long-standing vitreous hemorrhage. The ghost cells are rigid and less pliable than fresh red blood cells; therefore, they may cause direct obstruction of the trabecular meshwork and secondary increase in the intraocular pressure (IOP). This case report presents the diagnosis and management of a rare case of traumatic GCG after vitreous hemorrhage in a phakic child. Pars plana vitrectomy was don...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Amal AlamriHind AlkatanIbrahim Aljadaan Source Type: research

A surprise in the lacrimal sac
Nilay Yuksel, Emine Akcay, Aydan Kilicarslan, Umut Ozen, Faruk OzturkMiddle East African Journal of Ophthalmology 2016 23(3):268-270To present a case with recurrent dacryocystitis as an unusual complication of medial orbital wall fracture repair with cartilage tissue graft. A 20-year-old male had facial trauma and underwent surgery to reconstruct right medial orbital wall fracture. During follow-up, he presented with continuous epiphora, mucopurulent discharge from the right eye. A thorough history taking indicated that medial orbital fracture was reconstructed with postauricular cartilage. We planned a standard external d...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Nilay YukselEmine AkcayAydan KilicarslanUmut OzenFaruk Ozturk Source Type: research

Achieving controlled intraocular pressure and restoration of vision following proactive treatment of total choroidal detachment due to endocyclophotocoagulation
Tariq Al-AsbaliMiddle East African Journal of Ophthalmology 2016 23(3):265-267Ocular hypotony due to choroidal detachment (CD) following endocyclophotocoagulation (ECP) is transient. If hypotony lasts for more than 1 week, it could affect vision. This is a case of refractory glaucoma following cataract surgery that was managed by ECP. We drained subchoroidal fluid as CD did not resolve after 1 week. After 5 months, the intraocular pressure was restored to 16 mmHg with one topical glaucoma medication, uncorrected vision improved to 20/300, and with aphakic soft contact lens, it was 20/50. Ophthalmologists facing such compli...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Tariq Al-Asbali Source Type: research

Bilateral atypical granular corneal dystrophy associated with unilateral keratoconus in a male child
Kavita Lohiya Dangra, Manoranjan Das, Sundersan Periasamy, N Venkatesh PrajnaMiddle East African Journal of Ophthalmology 2016 23(3):262-264A 14-year-old male presented with decreased vision. Slit lamp examination indicated multiple anterior corneal stromal opacities with clear intervening spaces accompanied with superficial subepithelial lines arranged in a quasi-whorl-like fashion bilateral with greater prominence in the right eye. Corneal steepening associated with thinning was noted only in the right eye. Genetic analysis confirmed a mutation suggestive of granular corneal dystrophy. Here, we describe a rare case of an...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Kavita Lohiya DangraManoranjan DasSundersan PeriasamyN Venkatesh Prajna Source Type: research

Removal of retained descemets membrane using femtosecond laser
We present a unique method of retrocorneal membrane removal with a femtosecond laser (FSL). A 22-year-old male who had undergone penetrating keratoplasty had a retained retrocorneal membrane and a double anterior chamber postoperatively. The membrane was dissected completely with the FSL and the free-floating membrane was removed. Histopathological evaluation confirmed the diagnosis of retained Descemets membrane (DM). There was improvement in uncorrected visual acuity from 20/300 to 20/50. Central corneal endothelial cell count was 810 cells/mm 2 preoperatively and 778 cells/mm 2 postoperatively. Inadvertent retention of ...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: William MaySultan AlrashidiYassine J Daoud 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 ZareMohammad Reza AkbariMohammad Yaser KiarudiHadi Zare Mehrjardi Source Type: research

Bilateral central retinal vein occlusion as presenting feature of chronic Myeloid Leukemia
Subina Narang, Panchmi Gupta, Anuj Sharma, Sunandan Sood, Anshu Palta, Shilpa GoyalMiddle East African Journal of Ophthalmology 2016 23(3):253-255Central retinal vein occlusion (CRVO) is a common pathology of the retinal vasculature. Patients with CRVO usually present with a drop in visual acuity. The condition bears no specific therapy; treatment is aimed at the management of potentially blinding complications, of which there are many. With majority of cases being unilateral, bilateral CRVO is usually associated with an underlying systemic illness such as a hyperviscosity syndrome. Here, we present a case of a patient, wh...
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Subina NarangPanchmi GuptaAnuj SharmaSunandan SoodAnshu PaltaShilpa Goyal Source Type: research

Ocular pulse amplitude and retinal vessel caliber changes after intravitreal dexamethasone implant
Conclusion: The intravitreal injection of DI does not significantly affect RAC, RVC, or OPA, which indicates that the treatment does not alter overall retinal-choroidal vasculature or hemodynamics. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Ihsan YilmazIrfan PerenteCem KesimBasak SaracogluAhmet Taylan YaziciMuhittin Taskapili Source Type: research

Argon laser photoablation for treating benign pigmented conjunctival nevi
Conclusions: Argon laser ablation was a safe and effective treatment for the treatment of selective benign pigmented conjunctival nevi in Arab patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Abdulrahman M AlsharifSaeed M Al-GehedanTariq AlasbaliHisham S AlkurayaNancy M LotfyRajiv Khandekar Source Type: research

Lack of correlation between diabetic macular edema and thickness of the peripapillary retinal nerve fibre layer
Conclusion: Peripapillary RNFL thickness measurements were not significantly influenced by DME. Hence, OCT parameters could be used to monitor/early detect glaucomatous eyes even in the presence of DME. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Hisham S AlkurayaSaeed M Al-GehedanAbdulrahman M AlsharifTariq AlasbaliNancy M LotfyRajiv Khandekar Source Type: research

Demographic and clinical features of pediatric uveitis at a tertiary referral center in Iran
Conclusions: Uveitis in the majority of children had an insidious onset and was chronic. Over half the patients had a specific diagnosis. Idiopathic cases were more common in the intermediate uveitis group. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - July 11, 2016 Category: Opthalmology Authors: Mansour RahimiMarjan OustadAfsaneh Ashrafi Source Type: research

Comment on 'Outcomes of asymmetric primary inferior oblique muscle overaction managed by bilateral myectomy and tucking of proximal muscle end: A cohort study'
Preeti Patil ChhablaniMiddle East African Journal of Ophthalmology 2016 23(2):235-235 (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 4, 2016 Category: Opthalmology Authors: Preeti Patil Chhablani Source Type: research

Extraskeletal myxoid chondrosarcoma of the orbit
We report a second case of orbital EMC in a 34-year-old healthy male. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 4, 2016 Category: Opthalmology Authors: Abdullah M Al-OsailyFaisal N Al-DosariMostaf A ElewaSohail A Butt Source Type: research