Multiquadrant versus single quadrant cortical cleaving hydrodissection during phacoemulsification of age related cataract
ConclusionsA single quadrant hydrodissection is sufficient for the efficient removal of nucleus and cortex. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - October 9, 2019 Category: Opthalmology Source Type: research

This study compares the changes in central corneal thickness and post op visual outcome between phacoemulsification and manual small incision cataract surgery in Indian eyes with pseudoexfoliation syndrome with grade II and III nuclear cataracts: a single surgeon series
ConclusionIn moderately hard nuclear cataracts with PXF, phacoemulsification provides better unaided visual outcome with lesser endothelial dysfunction than MSICS in immediate and late post op. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - September 22, 2019 Category: Opthalmology Source Type: research

Whole genome genotyping mapped regions on chromosome 2 and 18 in a family segregating Waardenburg syndrome type II
ConclusionsIn summary, we identified novel chromosomal regions associated with Waardenburg syndrome type II in a Saudi family. Deep sequencing of a complete candidate regions are required to identify the gene underlying Waardenburg syndrome in this family. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - September 19, 2019 Category: Opthalmology Source Type: research

Unusual Ocular Pathologies
Publication date: Available online 5 September 2019Source: Saudi Journal of OphthalmologyAuthor(s): Tatyana Milman, Carol L. Shields (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - September 17, 2019 Category: Opthalmology Source Type: research

Challenges in the Diagnosis of Microbial Keratitis: A detailed review with update and general guidelines
Publication date: Available online 11 September 2019Source: Saudi Journal of OphthalmologyAuthor(s): Hind M. Alkatan, Rakan S. Al-EssaAbstractThe incidence of microbial keratitis (MK) is variable worldwide with an estimated 1.5 to 2 million cases of corneal ulcers in developing countries. The complications of MK can be severe and vision threatening. Therefore, proper diagnosis of the causative organism is essential for early successful treatment. Accurate sampling of microbiological specimens in MK is an important step in identifying the infective organism. Corneal scrapping, tear samples and corneal biopsy are examples of...
Source: Saudi Journal of Ophthalmology - September 13, 2019 Category: Opthalmology Source Type: research

The AFIP History of Ocular Leprosy
ConclusionsIn summary, this paper represents a series of ocular leprosy cases from the AFIP which shows the severity of ocular involvement, the predilection of anterior segment involvement and a large number of histopathologic indeterminate cases. The current immigrant and refugee crisis warrants revisting this ancient disease in the differential diagnosis. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - September 11, 2019 Category: Opthalmology Source Type: research

Search for histopathological characteristics of Inflammatory Juvenile Conjunctival Nevus in conjunctival nevi related to age: analysis of 33 cases
ConclusionWe found some histopathological differences in conjunctival nevi related to young age, some of them coincident with the ones described in IJCN, which histopathologically could lead to a misleading diagnosis. However, we did not find significant differences related to age in many of the described histopathological findings described in IJCN. Larger series with a greater number of cases would be of interest to characterize more precisely this lesion. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - September 11, 2019 Category: Opthalmology Source Type: research

Editorial: Unusual Ocular Pathologies
Publication date: Available online 5 September 2019Source: Saudi Journal of OphthalmologyAuthor(s): Tatyana Milman, Carol L. Shields (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - September 6, 2019 Category: Opthalmology Source Type: research

Changing indications for enucleation and selected unusual pathologies
ConclusionWith the reducing number of eyes removed for end-stage disease and trauma, the majority of enucleations performed are now for malignancy. However, eyes are still removed for other indications. A selection of rarer pathologies is presented. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 29, 2019 Category: Opthalmology Source Type: research

Distribution Patterns of Torpedo Maculopathy: Further Evidence of a Congenital Retinal Nerve Fiber Layer-Driven Etiology
Publication date: Available online 27 August 2019Source: Saudi Journal of OphthalmologyAuthor(s): Parker J Williams, Sherveen Salek, Robert A Prinzi, Chris Bergstrom, G Baker HubbardAbstractWith fewer than 100 peer-reviewed cases reported in the world to date, the underlying etiology of torpedo maculopathy has remained elusive. In this literature review, we provide new evidence to better support, reject and unify claims regarding cause, diagnosis, and proper clinical management of this disease. We reviewed 44 case reports and case series, which included 77 patients (after exclusions). We additionally introduced 3 new cases...
Source: Saudi Journal of Ophthalmology - August 29, 2019 Category: Opthalmology Source Type: research

Retinoblastoma in Older Patients: A Retrospective Comparative Analysis of 100 Consecutive Patients Based on Age
Publication date: Available online 27 August 2019Source: Saudi Journal of OphthalmologyAuthor(s): Babak Masoomian, Lauren A. Dalvin, Michael D. Yu, Christina Stathopoulos, Carol L. ShieldsAbstractPurposeTo describe comparative clinical features, treatment, and outcomes of retinoblastoma in patients initially diagnosed at age 4 or older.MethodsRetrospective case series.ResultsThere were 101 eyes in 100 consecutive patients age ≥4 years diagnosed with retinoblastoma. Mean patient age at diagnosis was 6.6 years (median 5.3, range 4.0 to 41.0 years). Tumors were predominantly classified (International Classification of Reti...
Source: Saudi Journal of Ophthalmology - August 29, 2019 Category: Opthalmology Source Type: research

The Impact of Surgical Training on the Practice of Recently Graduated Ophthalmologists at Riyadh’s Ophthalmology Residency Program
ConclusionThis self-reported survey showed that the lack of adequate surgical exposure during residency training was the main reason of incompetency. This resulted in reduction of ophthalmologists’ future practice of surgical procedures outside the scope of their sub-specialty. This emphasizes that physicians mainly practice what they surgically acquire during their fellowship training. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 29, 2019 Category: Opthalmology Source Type: research

Circumscribed choroidal hemangioma: Clinical features and outcomes by age category in 458 cases
Publication date: Available online 16 July 2019Source: Saudi Journal of OphthalmologyAuthor(s): Lauren A. Dalvin, Li-Anne S. Lim, Michael Chang, Sanika Udyaver, Mehdi Mazloumi, Pornpattana Vichitvejpaisal, Grace L. Su, Eleni Florakis, Arman Mashayekhi, Jerry A. Shields, Carol L. ShieldsAbstractPurposeTo investigate features and outcomes of circumscribed choroidal hemangioma by patient age.MethodsRetrospective review of circumscribed choroidal hemangioma from 3/29/1967–6/4/2018 based on age at presentation (≤20 vs.>20–50 vs.>50 years).ResultsThere were 458 circumscribed choroidal hemangiomas diagnosed...
Source: Saudi Journal of Ophthalmology - August 18, 2019 Category: Opthalmology Source Type: research

The Clinical Characteristics of Duane Retraction Syndrome in Al-Medina Region
ConclusionThis cross-sectional observational study is the first one that evaluates DRS in Al-Medina region. Associated abnormal eye movement more common when the right eye is affected. Parents' consanguinity may play a role in the occurrence of DRS as it is not considered as a rare disease in our region. Therefore, more studies are needed to establish the relationship between the occurrence of DRS and parents' consanguinity in our region. Also, further studies are needed to establish the relationship between abnormal eye movement and the involvement of the right eye. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 10, 2019 Category: Opthalmology Source Type: research

Long-term Outcomes of Surgically Removed Migrated Polyalkylimide (Bio-Alcamid) Filler to the Periorbital Area
ConclusionsFiller migration is one of the potential complications associated with Bio-Alcamid soft tissue injection. It is important for all physicians to assess nodules/masses/swelling in the facial area to be aware that soft tissue fillers may migrate to a location away from their intended site of injection years after the injection. Patients undergoing surgical excision tend to have favorable overall long-term outcomes in terms of aesthetics and incidence of recurrence. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 26, 2019 Category: Opthalmology Source Type: research

Uveal metastasis in 1111 patients: Interval to metastasis and overall survival based on timing of primary cancer diagnosis
Publication date: Available online 25 July 2019Source: Saudi Journal of OphthalmologyAuthor(s): R. Joel Welch, Kunal Malik, Eileen L. Mayro, Jennifer H. Newman, Stephanie E. Honig, Su Mae Ang, Evan B. Selzer, Luis A. Acaba-Berrocal, Mark P. McGarrey, Alexander E. Graf, Sean P. Considine, Jerry A. Shields, Carol L. ShieldsAbstractPurposeTo evaluate interval between primary cancer diagnosis and uveal metastasis and assess survival outcomes based on whether the primary cancer was diagnosed before or after uveal metastasis.MethodsIn this retrospective analysis, all patients with uveal metastasis evaluated on the Ocular Oncolog...
Source: Saudi Journal of Ophthalmology - July 26, 2019 Category: Opthalmology Source Type: research

Tubular apocrine adenoma of the eyelid – a case report and literature review
We present a 63-year-old male with tubular apocrine adenoma of the left upper eyelid, which recurred following initial incomplete excision. Although the lesion showed focal morphologic similarity to the apocrine variant of pleomorphic adenoma (chondroid syringoma), the diagnosis of tubular apocrine adenoma was supported by fluorescence in situ hybridization studies, which demonstrated absence of PLAG1 and HMGA2 gene rearrangements seen in pleomorphic adenoma. This case illustrates the clinical, microscopic and immunohistochemical features of tubular apocrine adenoma. The recent advances in our understanding of the molecula...
Source: Saudi Journal of Ophthalmology - July 26, 2019 Category: Opthalmology Source Type: research

Biometry characteristics in congenital cataract patients before surgery in a tertiary eye care centre in Nepal
Publication date: Available online 17 July 2019Source: Saudi Journal of OphthalmologyAuthor(s): Sabin Sahu, Paras PanjiyarAbstractPurposeTo evaluate the anterior segment biometry characteristics in congenital cataract patients before undergoing surgery in a tertiary eye care centre.MethodsWe retrospectively reviewed the charts of congenital cataract patients aged less than 15 years who had undergone the congenital cataract surgery from Jan-Dec, 2015. 451 eyes of 351 patients were reviewed. The eyes were examined using an autorefract-keratometer, applanation A-scan and parameters like keratometry, axial length, corneal asti...
Source: Saudi Journal of Ophthalmology - July 19, 2019 Category: Opthalmology Source Type: research

Acute subconjunctival pigmentation with an underlying ciliary body mass: an unusual case presentation
Publication date: Available online 17 July 2019Source: Saudi Journal of OphthalmologyAuthor(s): Hind M. Alkatan, Amany A. Fathaddin, Ammar Al Mahmmod, Hala A. Helmi, Khalid EmaraAbstractIntraocular melanocytoma is a rare slowly growing benign tumor that may occur anywhere along the uveal tract including the ciliary body but is more commonly found near the optic disc. It is a darkly pigmented and may exhibit fast growth and possibly malignant transformation. Ciliary body melanocytoma is rare and often misdiagnosed as a melanoma. We are reporting a case of CB melanocytoma in a 74-year old lady with unusual initial presentati...
Source: Saudi Journal of Ophthalmology - July 19, 2019 Category: Opthalmology Source Type: research

Histiocytic Sarcoma of the Eyelid
Publication date: Available online 16 July 2019Source: Saudi Journal of OphthalmologyAuthor(s): Daisy Jiayi Liu, Jacob Rullo, Vladimir Kratky, James FarmerAbstractHistiocytic Sarcoma is a rare malignant hematopoietic neoplasm that can present in extranodal sites including lymph nodes, skin, gastrointestinal tract, and the central nervous system. Only 10% of cases manifest as skin lesions and very few are reported in the head and neck. The authors report a case of histiocytic sarcoma of the eyelid in a 72-year-old male that was clinically diagnosed as a chalazion. Initial excision was not sent for routine histopathological ...
Source: Saudi Journal of Ophthalmology - July 17, 2019 Category: Opthalmology Source Type: research

Retinoblastoma regression following intra-arterial chemotherapy to the contralateral eye
We report a case of retinoblastoma regression in the untreated eye following IAC to the contralateral eye. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 17, 2019 Category: Opthalmology Source Type: research

Circumscribed Choroidal Hemangioma. Clinical Features and Outcomes by Age Category in 458 Cases
Publication date: Available online 16 July 2019Source: Saudi Journal of OphthalmologyAuthor(s): Lauren A. Dalvin, Li-Anne S. Lim, Michael Chang, Sanika Udyaver, Mehdi Mazloumi, Pornpattana Vichitvejpaisal, Grace L. Su, Eleni Florakis, Arman Mashayekhi, Jerry A. Shields, Carol L. ShieldsAbstractPurposeTo investigate features and outcomes of circumscribed choroidal hemangioma by patient age.MethodsRetrospective review of circumscribed choroidal hemangioma from 3/29/1967-6/4/2018 based on age at presentation (≤20 vs.>20-50 vs.>50 years).ResultsThere were 458 circumscribed choroidal hemangiomas diagnosed at mean age (...
Source: Saudi Journal of Ophthalmology - July 17, 2019 Category: Opthalmology Source Type: research

Editorial Board
Publication date: April–June 2019Source: Saudi Journal of Ophthalmology, Volume 33, Issue 2Author(s): (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 3, 2019 Category: Opthalmology Source Type: research

Lacrimal sac rhinosporidiosis: case report and review of literature with a new grading system to optimize treatment
We present a grading system based on our own experience in a case of extensive rhinospodiosis of lacrimal sac and review of 31 studies published in the literature.A 24-year-old male from Nepal presented with the complaints of watering from his right eye of 13 years duration, swelling in the right medial canthal area with an extension to the inferior part of the orbit for 12 years and nasal blockage for 1.5 years. The patient had a history of previous intervention in which biopsy was taken from the nose and sent for histopathology that confirmed rhinosporidiosis. An extended intranasal endoscopic dacryocystectomy was ...
Source: Saudi Journal of Ophthalmology - June 26, 2019 Category: Opthalmology Source Type: research

Accommodative insufficiency in a patient with Prader–Willi syndrome and SNRPN gene mutation
Publication date: Available online 31 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Piotr KanclerzAbstractAccommodative insufficiency (AI) is common in children, however, has not been described in Prader–Willi syndrome (PWS). This case report presents severe AI in a child with PWS and a rare mutation on chromosome 15 (methylation at locus SNRPN).A 15-year-old boy with PWS presented with the complaint about needing to remove distance glasses while reading. The visual acuity in his right eye was 20/20 with −2.0 D, and in his left eye 20/20 with −2.75/−0.25/173°. The defocus curve manife...
Source: Saudi Journal of Ophthalmology - June 25, 2019 Category: Opthalmology Source Type: research

Transcatheter Arterial Embolization of an Orbital Lymphoma
Publication date: Available online 31 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Bipasha Mukherjee, Akruti Desai, Swatee HalbeAbstractA 69-year-old male patient presented with painless protrusion of his left eye for 6 months. A large, anterior orbital vascular mass was seen in the superior conjunctival fornix. Neuroimaging and Doppler studies revealed a highly vascular circumscribed, enhancing mass lesion in the superior orbit. Carotid angiogram showed a feeder vessel which was embolized followed by complete excision of the lesion. Further investigations confirmed primary extra-marginal zone B-cell non-Hodgki...
Source: Saudi Journal of Ophthalmology - June 1, 2019 Category: Opthalmology Source Type: research

Isolated peripunctal sebaceous gland carcinoma in a young adult; an unusual presentation
Publication date: Available online 31 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Tarjani Vivek Dave, Adit Gupta, Swathi Kaliki, Dilip MishraAbstractSebaceous gland carcinoma (SGC) of the eyelid is one of the leading peri-ocular eyelid malignancies in Asian-Indians. It usually affects elderly women and has a high rate of local recurrence, regional and distant metastasis. This is partly attributable to a delay in clinical diagnosis since it mimics more benign conditions of the eyelid like chalazia. To the best of our knowledge, this is the first case report of a peri-punctal SGC. Atypical location and the young...
Source: Saudi Journal of Ophthalmology - May 31, 2019 Category: Opthalmology Source Type: research

Smoldering multiple myeloma revealed by superior ophthalmic vein thrombosis
We report an unusual case of superior ophthalmic vein thrombosis, as the first manifestation of multiple myeloma. As far as we know, this is the first case described in the literature. Here we describe a patient presented with a painful, visual blur and a right-sided proptosis due to superior ophthalmic vein thrombosis. Appropriate medical workup was conducted, and smoldering multiple myeloma was diagnosed as the underlying cause. We further discuss the possible involved mechanisms. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 31, 2019 Category: Opthalmology Source Type: research

Case report: Accommodative insufficiency in a patient with Prader–Willi syndrome and SNRPN gene mutation
Publication date: Available online 31 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Piotr KanclerzAbstractAccommodative insufficiency (AI) is common in children, however, has not been described in Prader–Willi syndrome (PWS). This case report presents severe AI in a child with PWS and a rare mutation on chromosome 15 (methylation at locus SNRPN).A 15 year-old-boy with PWS presented with the complaint about needing to remove distance glasses while reading. The visual acuity in his right eye was 20/20 with -2.0 D, and in his left eye 20/20 with -2.75/-0.25/173°. The defocus curve manifested with severe A...
Source: Saudi Journal of Ophthalmology - May 31, 2019 Category: Opthalmology Source Type: research

Lacrimal Sac Rhinosporidiosis; Case report and review of literature with a new grading system to optimize treatment
We present a grading system based on our own experience in a case of extensive rhinospodiosis of lacrimal sac and review of 31 studies published in the literature.A 24-year-old male from Nepal presented with the complaints of watering from his right eye of 13 years duration, swelling in the right medial canthal area with an extension to the inferior part of the orbit for 12 years and nasal blockage for 1.5 years. The patient had a history of previous intervention in which biopsy was taken from the nose and sent for histopathology that confirmed rhinosporidiosis. An extended intranasal endoscopic dacryocystectomy was done a...
Source: Saudi Journal of Ophthalmology - May 29, 2019 Category: Opthalmology Source Type: research

Association of PON2 and PON3 Polymorphism with risk of developing Cataract
Publication date: Available online 22 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Amena Baig, Ata-ur-Rehman, Shamshad ZarinaAbstractPurposeParaoxonases (PON) are calcium bound enzymes offering protection against oxidative stress by working as endogenous free-radical scavenging molecules. Oxidative stress has been implicated in pathophysiology of many diseases including cataract. Lens opacity is an age related disorder which is a principal cause of blindness in Pakistani population. Relationship of PON2 and PON3 polymorphism with genetic predisposition for incidence of cataract has not been investigated till da...
Source: Saudi Journal of Ophthalmology - May 22, 2019 Category: Opthalmology Source Type: research

Therapeutic effects of topical 0.03% Tacrolimus ointment in children with refractory vernal keratoconjunctivitis in Middle East
ConclusionThe use of 0.03% Tacrolimus ointment is safe and effective in children refractory to conventional treatment of vernal keratoconjunctivitis even in high temperature climate as Middle East. Due to the effectiveness of the treatment, the dosage used may be proposed for conventional use. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 22, 2019 Category: Opthalmology Source Type: research

“Therapeutic effects of topical 0.03% Tacrolimus ointment in children with refractory vernal keratoconjunctivitis in Middle East”
Conclusionthe use of 0.03% Tacrolimus ointment is safe and effective in children refractory to conventional treatment of vernal keratoconjunctivitis even in high temperature climate as Middle East . Due to the effectiveness of the treatment, the dosage used may be proposed for conventional use. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 19, 2019 Category: Opthalmology Source Type: research

Diabetic retinopathy (DR) among 40 years and older Saudi population with diabetes in Riyadh governorate, Saudi Arabia – A population based survey
Publication date: Available online 4 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Ziaul H. Yasir, Al-Dhibi Hassan, Khandekar Rajiv (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 10, 2019 Category: Opthalmology Source Type: research

Central retinal vein occlusion associated with the use of tranexamic acid
Publication date: Available online 10 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Ali Mohammed Al Shaharani, Turki Abdullah Al GhamdiAbstractHere we report a case of central retinal vein occlusion that developed after using tranexamic acid. A 46-year-old female not known to have any previous illness came to the ophthalmology clinic complaining of sudden blurring of the vision in her left eye for almost 1 month, for which it is advised that tranexamic acid should be discontinued. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 10, 2019 Category: Opthalmology Source Type: research

Favourable Outcome in Retinal Macrovessel-Related Choroidal Neovascularization
This report describes a case of venous CRM associated with visual impairment secondary to choroidal neovasular membrane(CNV). Treatment with intravitreal injection of aflibercept resulted in a favourable visual as well as anatomical outcome. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 10, 2019 Category: Opthalmology Source Type: research

The prevalence and determinants of glaucoma among 40 years and older Saudi residents in the Riyadh Governorate (except the Capital) – A community based survey
ConclusionThe prevalence of glaucoma was high. Identified determinants should be noted and accordingly a public health approach for early detection and adequate management is recommended. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 10, 2019 Category: Opthalmology Source Type: research

The distribution of near point of convergence in an Iranian rural population: A population-based cross-sectional study
Publication date: Available online 4 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Hassan Hashemi, Reza Pakzad, Abbasali Yekta, Amir Asharlous, Mohammadreza Aghamirsalim, Hadi Ostadimoghaddam, Mehrnaz Valadkhan, Mehdi KhabazkhoobAbstractObjectiveTo determine the distribution of near point of convergence (NPC) according to age, sex, and refractive error in a rural population above 1 year of age in 2015.MethodsIn this population-based cross-sectional study, multistage cluster sampling was applied to randomly select two underserved areas from the north and southwest of Iran and all individuals above 1 year livi...
Source: Saudi Journal of Ophthalmology - May 8, 2019 Category: Opthalmology Source Type: research

The Prevalence and determinants of Glaucoma among 40 years and older Saudi Residents in the Riyadh Governorate (except the Capital) – A community based survey
ConclusionThe prevalence of glaucoma was high. Identified determinants should be noted and accordingly a public health approach for early detection and adequate management is recommended. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 5, 2019 Category: Opthalmology Source Type: research

Rosai-Dorfman Disease: Isolated Epibulbar Mass in Patient with Vernal Keratoconjunctivitis
Publication date: Available online 4 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Saad S. Alharbi, Deepak EdwardAbstractA 29-year-old male known case of vernal keratoconjunctivitis (VKC) presented with 5-month history of a rapidly growing mass on the temporal aspect of the right cornea. The 9X9 mm epibulbar lesion was excised and histologically showed features of extranodal Rosai Dorfman disease (RDD) with emperipolesis of eosinophils. The lesion did not recur following excision. The association of RDD with VKC has not been previously reported; however, the causal relationship remains unclear. (Source: Saudi Jo...
Source: Saudi Journal of Ophthalmology - May 5, 2019 Category: Opthalmology Source Type: research

Idiopathic Inferior Rectus Myositis: A Rare Cause of Diplopia and a Therapeutic Success
Publication date: Available online 4 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Hussein Algahtani, Bader Shirah, Raghad Algahtani, Faisal AlhothaliAbstractOrbital myositis is a rare inflammatory condition of a single or multiple extraocular muscles. It usually presents with unilateral or sequential bilateral sub-acute eye swelling, orbital pain, restricted eye movement, and redness of the eyelid. The swelling of extraocular muscles may lead to limited range of motion that produces blurred vision or diplopia. In this article, we report a male patient with idiopathic inferior rectus myositis presenting with dip...
Source: Saudi Journal of Ophthalmology - May 5, 2019 Category: Opthalmology Source Type: research

Diabetic retinopathy (DR) among 40 years and older Saudi population with diabetes in Riyadh governorate, Saudi Arabia - A population based survey
Publication date: Available online 4 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Ziaul H. Yasir, Al-Dhibi Hassan, Khandekar Rajiv (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 5, 2019 Category: Opthalmology Source Type: research

The Distribution of Near Point of Convergence in a Rural Population: A Population-Based Cross-Sectional Study
Publication date: Available online 4 May 2019Source: Saudi Journal of OphthalmologyAuthor(s): Hassan Hashemi, Reza Pakzad, Abbasali Yekta, Amir Asharlous, Mohammadreza Aghamirsalim, Hadi Ostadimoghaddam, Mehrnaz Valadkhan, Mehdi KhabazkhoobAbstractObjectiveTo determine the distribution of near point of convergence (NPC) according to age, sex, and refractive error in a rural population above 1 year of age in 2015.MethodsIn this population-based cross-sectional study, multistage cluster sampling was applied to randomly select two underserved areas from the north and southwest of Iran and all individuals above 1 year living i...
Source: Saudi Journal of Ophthalmology - May 5, 2019 Category: Opthalmology Source Type: research

Retained intracameral cotton fibers following phaco-vitrectomy
This report describes a 76-year-old female who presented with cotton fibers retained in the anterior chamber following a combined phaco-vitrectomy. These fibers did not cause any complications in her postoperative course. This observation has not been previously reported in association with a combined anterior segment-posterior segment surgery. Retained cotton fibers are typically inert and do not require intervention. However, this iatrogenic postoperative complication should be avoided if possible, and several approaches for how to do so are discussed. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - May 5, 2019 Category: Opthalmology Source Type: research

Editorial Board
Publication date: January–March 2019Source: Saudi Journal of Ophthalmology, Volume 33, Issue 1Author(s): (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - March 17, 2019 Category: Opthalmology Source Type: research

Scleral Avulsion after Ahmed Valve M4 Removal
We report a case of intraoperative scleral avulsion that occurred during explantation of an Ahmed M4 valve. A 79-year-old female with open angle glaucoma with a history of glaucoma drainage device (GDD) implantation presented for routine follow-up. The ophthalmic examination indicated a focal implant exposure. The patient was scheduled for explanation of tube and plate and placement of alternate GDD. During implant removal, a horse-shoe shaped scleral avulsion was noted with softening of the globe and uveal and vitreous prolapse. The case was converted to an open globe repair and further glaucoma intervention was deferred....
Source: Saudi Journal of Ophthalmology - March 8, 2019 Category: Opthalmology Source Type: research

Inverted papilloma presenting as unilateral proptosis: A case report with review of literature
We report a case of extensive inverted papilloma of frontal sinus which primarily presented with proptosis, an uncommon presentation. Ophthalmologic symptoms are rare manifestations of paranasal sinus inverted papilloma without malignant transformation and signify extensive disease with possible intracranial extension. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - March 6, 2019 Category: Opthalmology Source Type: research

Attitude, Beliefs and Awareness towards Corneal Donation in Saudi Arabia
This study explores the underlying knowledge of, attitude regarding, and practice of corneal donation in Saudi Arabia, which will possibly help in designing healthcare policies and creating a national eye bank.MethodsThis observational cross-sectional study used a self-administered questionnaire and was administered to the residents of Saudi Arabia from August to December 2017. We surveyed 1292 random subjects who agreed to fill out the self-administered questionnaire. The sample included Saudi and non-Saudi residents across adult age groups from medical and non-medical professions.ResultsOf the 1292 respondents, only 4.3%...
Source: Saudi Journal of Ophthalmology - February 27, 2019 Category: Opthalmology Source Type: research

Successful Treatment of Corneal Opacification with Associated Thickened Epithelium by Simple Peeling: Acquired Corneal Subepithelial Hypertrophy (ACSH)
ConclusionsMeticulous SL examination aided by corneal imaging may accurately diagnose and determine the depth of corneal opacification as a cause for reduced vision. Histopathologically, the removed tissue is similar to PHSCD, but cases differ in their clinical profile. Peeling the thickened epithelial/subepithelial tissue is curative in most patients, improves visual and clinical outcome and avoids unnecessary corneal grafting. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - February 16, 2019 Category: Opthalmology Source Type: research

Corneal Opacification Treated by Simple Peeling of Thickened Opacified Epithelium: Acquired Corneal Subepithelial Hypertrophy (ACSH)
ConclusionsMeticulous SL examination aided by corneal imaging may accurately diagnose and determine the depth of corneal opacification as a cause for reduced vision. Histopathologically, the removed tissue is similar to PHSCD, but cases differ in their clinical profile. Peeling the thickened epithelial/subepithelial tissue is curative in most patients, improves visual and clinical outcome and avoids unnecessary corneal grafting. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - February 14, 2019 Category: Opthalmology Source Type: research