Stargardt’s disease presenting with bilateral central ring scotoma
We report bilateral ring scotoma as the presentation of adult onset Stargardt’s disease. Central ring scotoma has a precise localizing value, to a lesion involving macula. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 23, 2018 Category: Opthalmology Source Type: research

Practical Guidelines for Screening and Treatment of Retinopathy of Prematurity in Saudi Arabia
Publication date: Available online 21 August 2018Source: Saudi Journal of OphthalmologyAuthor(s): Saleh A. Al Amro, Fahad Al Aql, Saad Al Hajar, Hasan Al Dhibi, Abdulrahman Al Nemri, Ahmed Mousa, Jawwad AhmadAbstractRetinopathy of Prematurity (ROP) is one of the leading causes of bilateral blindness in childhood. Early detection and effective treatment can prevent blindness. Efficient and timely screening examination of the retina by an experienced ophthalmologist who deals with preterm neonates with ROP is the mainstay in the management of this disease. All neonatologists and pediatricians who care for these at-risk prete...
Source: Saudi Journal of Ophthalmology - August 21, 2018 Category: Opthalmology Source Type: research

Traumatic corneal flap avulsion and loss 13 years after LASIK
We report a case of a 54-year-old man that presented a traumatic total flap avulsion and loss 13 years after LASIK. According to our knowledge, this is the longest time reported in such a case in the literature. Medical treatment yielded an acceptable visual result. This case reinforces the concept that there could be a lifelong potential risk of traumatic corneal flap loss after LASIK. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 17, 2018 Category: Opthalmology Source Type: research

Traumatic corneal flap avulsion and loss 13 years after LASIK
We report a case of a 54-year-old man that presented a traumatic total flap avulsion and loss 13 years after LASIK. According to our knowledge, this is the longest time reported in such a case in the literature. Medical treatment yielded an acceptable visual result. This case reinforces the concept that there could be a lifelong potential risk of traumatic corneal flap loss after LASIK. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 15, 2018 Category: Opthalmology Source Type: research

Submacular Hemorrhage Secondary to Age-Related Macular Degeneration Managed with Vitrectomy, Subretinal Injection of Tissue Plasminogen Activator, Hemorrhage Displacement with Liquid Perfluorocarbon, Gas Tamponade, and Face-down Positioning
ConclusionVitrectomy, subretinal tPA injection, hemorrhage displacement with liquid perfluorocarbon, gas tamponade and face-down positioning was associated with improved visual outcomes in patients with hemorrhagic neovascular AMD. The duration and area of the SMH seemed to be related to the success of displacement. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 15, 2018 Category: Opthalmology Source Type: research

Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess
We present a rare case of infected pyogenic conjunctival granuloma mimicking a conjunctival abscess as complication of strabismus surgery in a Saudi girl with exotropia. Despite administration of local antibiotics following strabismus surgery, a patient presented with localised redness and discharge after three weeks. The patient was afebrile with no signs of pre-septal or orbital cellulitis. After culture (Staphylococcus aureus) sensitivity testing the patient was prescribed oral Amoxicillin and Clavulanate and reviewed under general anaesthesia. A 55 mm2 conjunctival pyogenic granuloma was noted. A punch biopsy specime...
Source: Saudi Journal of Ophthalmology - August 11, 2018 Category: Opthalmology Source Type: research

Ocular toxoplasmosis related macular traction: A case report and review of the literature
Publication date: Available online 26 July 2018Source: Saudi Journal of OphthalmologyAuthor(s): Moustafa Sameer A. Magliyah, Wajeeha Ibrahim Al-KharsAbstractThis is a case of toxoplasmosis retinochoroiditis which has resulted in the formation of vitreomacular traction upon resolution which is rarely associated with ocular toxoplasmosis. A 39-year-old male came with an active toxoplasmosis retinochoroiditis. Best-corrected visual acuity, full ophthalmic slitlamp examination, colour fundus photography, spectral domain optical coherence tomography (SD-OCT), and fluorescein angiography were performed. Presumed ocular toxoplasm...
Source: Saudi Journal of Ophthalmology - August 10, 2018 Category: Opthalmology Source Type: research

An unusual journey of a periocular date palm thorn
We describe the management of such a rare case along with review of literature. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 9, 2018 Category: Opthalmology Source Type: research

Outcomes of Esotropia Surgery in Saudi Arabia: An Audit from a Single Center
ConclusionsExcellent outcome of esotropia surgery in this study is comparable to outcomes reported internationally using the goal determined metrics. Quality improvement processes like the Pareto chart are simple to use and helpful for determining the risk factors associated with poor surgical outcomes after esotropia correction from different etiology. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - August 5, 2018 Category: Opthalmology Source Type: research

An unusual journey of a periocular date palm thorn: A case report
Publication date: Available online 29 July 2018Source: Saudi Journal of OphthalmologyAuthor(s): Chandana Chakraborti, Shreya GayenAbstractAn 8-year – old boy presented with a left lower lid swelling of one month duration. His parents gave a history of date palm thorn injury on left side of forehead 3 months back which was removed partially by a local doctor. On examination, there was a left infraorbital swelling with diffuse oedema of the left sided cheek and temporal fossa. A scar mark (entry wound) was detected over the left eyebrow. Three-D configuration of contrast enhanced computed tomography (CECT) of the orbit s...
Source: Saudi Journal of Ophthalmology - July 31, 2018 Category: Opthalmology Source Type: research

Paracentral acute middle maculopathy as a cause of unexplained visual loss in central retinal vein occlusion
Publication date: Available online 29 July 2018Source: Saudi Journal of OphthalmologyAuthor(s): Giuseppe Casalino, Michele Coppola, Oliva Earley, Fabio Contieri-Lambiase, Francesco Bandello, Usha ChakravarthyAbstractA 79 year-old man presented with unilateral unexplained sudden onset visual loss in the setting of central retinal vein occlusion (CRVO). Non ischemic CRVO in the right eye (RE) was confirmed on fluorescein angiography. Spectral domain optical coherence tomography (SD-OCT) showed absence of macular edema and hyperreflective band-like lesions in the middle retinal layers of the RE suggesting a diagnosis of parac...
Source: Saudi Journal of Ophthalmology - July 29, 2018 Category: Opthalmology Source Type: research

An unusual journey of a periocular date palm thorn : a case report
Publication date: Available online 29 July 2018Source: Saudi Journal of OphthalmologyAuthor(s): Chandana Chakraborti, Shreya GayenAbstractAn 8-year – old boy presented with a left lower lid swelling of one month duration. His parents gave a history of date palm thorn injury on left side of forehead 3 months back which was removed partially by a local doctor. On examination, there was a left infraorbital swelling with diffuse oedema of the left sided cheek and temporal fossa.A scar mark(entry wound) was detected over the left eyebrow.Three-D configuration of contrast enhanced computed tomography(CECT) of the orbit showed ...
Source: Saudi Journal of Ophthalmology - July 29, 2018 Category: Opthalmology Source Type: research

Small cell neuroendocrine carcinoma of the orbit presenting as an orbital abscess in a young female
Publication date: Available online 27 July 2018Source: Saudi Journal of OphthalmologyAuthor(s): Ruchi Mittal, Hrishikesh Kaza, Sunil Agarwal, Suryasnata Rath, Swarnalatha GowrishankarAbstractSmall cell neuroendocrine carcinoma (SNEC) of the sino-nasal tract is a rare tumor with aggressive behavior. Invasion of the orbit, brain and base of skull is reported in advanced cases, however clinical presentation of SNEC, primarily as an orbital mass is distinctly rare. A 25 year old female, presented to a local ophthalmologist with sudden protrusion of eyeball and was diagnosed as an orbital abscess which was incised and drained. ...
Source: Saudi Journal of Ophthalmology - July 27, 2018 Category: Opthalmology Source Type: research

Ocular Toxoplasmosis Related Macular Traction. A Case Report and Review of the Literature
Publication date: Available online 26 July 2018Source: Saudi Journal of OphthalmologyAuthor(s): Moustafa Sameer A Magliyah, Wajeeha Ibrahim Al-KharsAbstractThis is a case of toxoplasmosis retinochoroiditis which has resulted in the formation of vitreomacular traction upon resolution which is rarely associated with ocular toxoplasmosis. A 39-year-old male came with an active toxoplasmosis retinochoroiditis. Best-corrected visual acuity, full ophthalmic slitlamp examination, colour fundus photography, spectral domain optical coherence tomography (SD-OCT), and fluorescein angiography were performed. Presumed ocular toxoplasmo...
Source: Saudi Journal of Ophthalmology - July 26, 2018 Category: Opthalmology Source Type: research

Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess – A case report
We present a rare case of infected pyogenic conjunctival granuloma mimicking a conjunctival abscess as complication of strabismus surgery in a Saudi girl with exotropia. Despite administration of local antibiotics following strabismus surgery, a patient presented with localised redness and discharge after three weeks. The patient was afebrile with no signs of pre-septal or orbital cellulitis. After culture (Staphylococcus aureus) sensitivity testing the patient was prescribed oral Amoxicillin and Clavulanate and reviewed under general anaesthesia. A 55 mm2 conjunctival pyogenic granuloma was noted. A punch biopsy specime...
Source: Saudi Journal of Ophthalmology - July 26, 2018 Category: Opthalmology Source Type: research