Limbal versus fornix incision for strabismus surgery: Preferences from a consultant to a trainee level in Saudi Arabia
CONCLUSION: Despite the many advantages of the fornix incision, it remains uncommon in our region. Each technique of strabismus surgery has its advantages and disadvantages. Programs should teach all methods to trainees. One should add all styles to his armamentarium and choose the appropriate one for each patient. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Shatha Alfreihi Hebatallah Ammar Source Type: research

Burden and presentation of age-related macular degeneration among Nigerians
CONCLUSION: AMD contributes to the burden of visual impairment and blindness in the elderly Nigerian. In Nigeria, AMD occurs more in females and most common between the ages of 60 and 79. Dry AMD is four times more common than wet AMD. About 24% of eyes have severe visual impairment or blindness, while about a third each have a moderate visual impairment and normal vision. Increasing awareness of AMD among the at-risk population will be beneficial in achieving early diagnosis and treatment. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Ogugua N Okonkwo Affiong Ibanga Olukorede Adenuga Dennis Nkanga Wilson Ovienra Chineze T Agweye Toyin Akanbi Idris Oyekunle Martha-Mary Udoh Source Type: research

Validation of artificial intelligence algorithm in the detection and staging of diabetic retinopathy through fundus photography: An automated tool for detection and grading of diabetic retinopathy
CONCLUSION: AI has shown excellent sensitivity and specificity in RDR detection, at par with the performance of individual ophthalmologists and is an invaluable tool for DR screening. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Bhargavi Pawar Suneetha N Lobo Mary Joseph Sangeetha Jegannathan Hariprasad Jayraj Source Type: research

Prevalence of diabetic retinopathy and risk factors among diabetic patients at university of gondar tertiary eye care and training center, North-West Ethiopia
CONCLUSION: The prevalence of DR among our study patients was very high. Longer duration of diabetes, higher systolic blood pressure, baseline age <60 years, use of insulin alone, and use of combination of insulin with OHA were independently associated with DR. Health education, early screening, and treatment are recommended. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Tesfahun Ejigu Asamere Tsegaw Source Type: research

Scleral buckle versus pars plana vitrectomy in the management of primary chronic rhegmatogenous retinal detachment: A comparison of anatomical and visual outcomes
CONCLUSION: Scleral buckling surgery showed a better single surgery anatomic success rate as compared to PPV in the management of chronic primary rhegmatogenous retinal detachment. The functional outcome of the two procedures was comparable. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - September 25, 2021 Category: Opthalmology Authors: Maryam Bunajem Khabir Ahmad Nazih Al Zaidi Bedoor Al Bloushi Yahya Al Zahrani Source Type: research

Pemphigus vulgaris-associated anterior scleritis: A case study
We present a case report of anterior scleritis as a manifestation of PV and its response to rituximab therapy. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Salim Alkeraye Hanan Alsalman Albanderi Alhamzah Sulaiman M Alsulaiman Source Type: research

Bilateral congenital ptosis associated with optic disc melanocytoma
We report a rare clinical association of optic disc melanocytoma (ODM) occurring with bilateral congenital ptosis that has not been previously reported. A 28-year-old male patient presented with bilateral congenital ptosis. On examination, his vision was 20/20 in each eye, and dilated fundus examination indicated a pigmented lesion over the left inferior temporal aspect of the optic disc that was consistent with an optic nerve melanocytoma. B-scan ultrasonography indicated a calcified elevated optic nerve head. Bilateral frontalis sling procedures were performed for congenital ptosis with satisfactory results at 1 year pos...
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Abdulrahman H Badawi Huda Al-Ghadeer Source Type: research

Surgical management of hemorrhagic retinal detachment secondary to peripheral exudative hemorrhagic chorioretinopathy
Valmore A Semidey, Abdulaziz A Al Taisan, Patrik Schatz, Ibrahim Taskintuna, Marco MuraMiddle East African Journal of Ophthalmology 2021 28(1):57-59 The purpose of the study is to report a case of peripheral exudative hemorrhagic chorioretinopathy (PEHCR), managed surgically with favorable visual outcome. A 66-year-old female presented with painless visual loss due to dense vitreous and subretinal hemorrhage extending from the far periphery to the macula. Pars plana vitrectomy (PPV) with subretinal tissue plasminogen activator (TPA) injection was performed resulting in good anatomical and visual outcome. PEHCR can present...
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Valmore A Semidey Abdulaziz A Al Taisan Patrik Schatz Ibrahim Taskintuna Marco Mura Source Type: research

Intraoperative floppy iris syndrome induced by tamsulosin: The risk and preventive strategies
Mansour Tobaiqy, Waseem Aalam, David Banji, Ekram N. Abd Al HaleemMiddle East African Journal of Ophthalmology 2021 28(1):51-56 Tamsulosin is an antagonist of a subtype-specific alpha-1A- and alpha-1D-adrenoceptor (AR) that is expressed in the prostate gland, urethra, and bladder. Several reports have shown a possible relationship between ophthalmologic adverse effects and the use of alpha-1-receptor medicines, including tamsulosin. This descriptive review evaluates the intraoperative floppy iris syndrome (IFIS) associated with tamsulosin. A search of the Medline and PubMed databases was conducted to identify control tria...
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Mansour Tobaiqy Waseem Aalam David Banji Ekram N. Abd Al Haleem Source Type: research

A case & #8211;cohort study of exfoliation risk factors and literature review
This study shows a novel potential correlation between eye rubbing and XFS in a Lebanese cohort. Chronic eye rubbing induces or may exacerbate preexistent zonular damage in subjects with XFS, hence the need to better manage concurrent ocular surface disorder in these patients. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Ahmad M Mansour Anastasios G. P Konstas Hana A Mansour Abdul R Charbaji Khalil M El Jawhari Source Type: research

Glaucoma diagnoses and legal blindness from glaucoma among bedouin patients of central Saudi Arabia: A hospital-based study
CONCLUSION: The present findings show a high prevalence rate of legal blindness among glaucoma patients, with IOP reduction, age, and glaucoma diagnoses being the most important predictors among the study population. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Yahya Al-Najmi Omar Kirat Maram E. A Abdalla Elsayed Mohammed Albeedh Dawood Al-Rashed Abdulkareem Al-Mohammed Source Type: research

Ocular disorders among preschool children in Southwest Nigeria
CONCLUSION: Screening is useful in early detection and treatment of ocular disorders in preschool children. Uncorrected refractive error which was identified as the major ocular disorder in these children is treatable. Periodic preschool vision screening would reduce the burden of uncorrected refractive error and other ocular disorders which can interfere with the learning skills of young children entering school. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Olubusayo O Adejumo Bolutife A Olusanya Benedictus G Ajayi Source Type: research

Outcomes of combination therapy using aflibercept and dexamethasone intravitreal implant versus dexamethasone monotherapy for macular edema secondary to retinal vein occlusion
CONCLUSION: Aflibercept with dexamethasone implants achieved better visual outcomes compared to dexamethasone monotherapy with no significant differences in intravitreal retreatment rates at the 1st year in eyes with ME secondary to RVO. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Walid Harb Georgio Chidiac Georges Harb Source Type: research

Safety and efficacy of epithelial island crosslinking in keratoconus with thinnest pachymetry less than 400 & #181;
CONCLUSION: EI-CXL halted keratoconus progression over a 1-year period. This was associated with statistically significant endothelial loss, but less than seen with conventional epi-off CXL in thinner corneas. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Hisham A Omar Mohamed-Sameh H El-Agha Mohamed A Hassaballah Noha M Khalil Source Type: research

Effect of oral propranolol on periocular infantile capillary hemangioma: Outcomes based on extent of involvement
CONCLUSION: Oral propranolol is effective in the treatment of periocular CHI. Segmental and preseptal lesions respond better to the treatment compared to focal and postseptal lesions. (Source: Middle East African Journal of Ophthalmology)
Source: Middle East African Journal of Ophthalmology - April 30, 2021 Category: Opthalmology Authors: Kavya M Bejjanki Kahkashan Akhtar Arushi P Gupta Swathi Kaliki Source Type: research