Situational restriction of elevation in adduction relieved by faden on the medial rectus
We describe a patient with situational restriction of elevation in adduction in his left eye. Clinical examination pointed to instability of the left medial rectus pulley. This was corrected by Faden on the medial rectus. The importance of this relatively new concept in identifying and treating orbital pulley instability is discussed. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 4, 2016 Category: Opthalmology Authors: R MuralidharP VijayalakshmiK SujathaShashikanth ShettyK MalaySteve Rosenberg Source Type: research

Long-term resolution of blinding polypoidal choroidal vasculopathy with recurrent bilateral central involvement by low-dose oral eplerenone treatment
Alexander Arthur Bialasiewicz, Mahmoud Abdelhamid, Radha Shenoy, Manish BarmanMiddle East African Journal of Ophthalmology 2016 23(2):225-228A 55-year-old male presented with serous retinal detachment over 3 months in his right eye. His left eye was blind due to retinal pigment epithelium detachment since 1997 with atrophy of the neurosensory retina. Fluorescein angiography had previously shown bilateral polypoidal choroidal vasculopathy (PCV). Optical coherence tomography (OCT) confirmed PCV with central involvement. The patient underwent intravitreal injections of 6x Lucentis, 4x Avastin and one injection of aflibercept....
Source: Middle East African Journal of Ophthalmology - April 4, 2016 Category: Opthalmology Authors: Alexander Arthur BialasiewiczMahmoud AbdelhamidRadha ShenoyManish Barman Source Type: research

Anti-vascular endothelial growth factor treatment for proliferative macular telangiectasia type 2
Zeynep Alkin, Ihsan Yilmaz, Abdullah Ozkaya, Ahmet Taylan YaziciMiddle East African Journal of Ophthalmology 2016 23(2):222-224Idiopathic macular telangiectasia type 2 (IMT 2), is the most common type of a heterogeneous group of disorders, characterized by telangiectatic alterations of the juxtafoveolar capillary network. Vision loss is due to retinal atrophy and subretinal neovascularization (SRN). Here, we report the outcomes of intravitreal anti-vascular endothelial growth factor injections, bevacizumab or ranibizumab, in four cases with proliferative IMT 2. Baseline best corrected visual acuity (VA) ranged from 20/50 t...
Source: Middle East African Journal of Ophthalmology - April 4, 2016 Category: Opthalmology Authors: Zeynep AlkinIhsan YilmazAbdullah OzkayaAhmet Taylan Yazici Source Type: research

Purtscher-like retinopathy as a rare presentation of cryoglobulinemia
We report the case of a 55-year-old male who presented a severe visual loss during course of a hepatitis C infection. Ophthalmic examination indicated peripapillary cotton wool spots and superficial retinal whitening in the macula. Cryoglobulinemia complicating hepatitis C was discovered in this patient. Purtscher-like retinopathy as a rare presentation of cryoglobulinemia should be considered in patients with a history of hepatitis infection. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 4, 2016 Category: Opthalmology Authors: Ahmed ChebilRym MammouriMohamed Ben AbdallahLeila El Matri Source Type: research

Posterior iris fixated intraocular lens for pediatric traumatic cataract
Conclusion: Posterior IFIOL implantation resulted in an improved visual outcome, low incidence of postoperative complications, and is a good alternative to other IOL, in the cases of pediatric traumatic cataract without adequate capsular support. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 4, 2016 Category: Opthalmology Authors: V KavithaPreethi BalasubramanianMallikarjun M Heralgi Source Type: research