Review of the treatment of Graves’ ophthalmopathy: The role of the new radiation techniques
Publication date: April–June 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 2Author(s): Iñigo San Miguel, Meritxell Arenas, Ruth Carmona, Joaquin Rutllan, Francisco Medina-Rivero, Pedro LaraAbstractGraves ophthalmopathy (GO) is an autoimmune disorder and the most frequent extrathyroidal manifestation of Graves’ disease. GO is an inflammatory process leading to an increased volume of the extraocular muscles and orbital connective and adipose tissues associated with multiple histopathological changes. Despite recent progress in the understanding of its pathogenesis, GO often remains a major diagn...
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Favorable outcome after choroidal drainage for postoperative kissing suprachoroidal hemorrhage following trabeculectomy in a high myopic vitrectomised eye
Publication date: April–June 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 2Author(s): Nazimul Hussain, Anjli Hussain, Niaz Ahmad KhanAbstractA 39-year-old lady with past history of vitreoretinal surgery for retinal detachment and cataract surgery with Intraocular lens implantation was diagnosed as uncontrolled glaucoma. She had high myopia. She underwent Trabeculectomy and following which she presented with massive suprachoroidal hemorrhage in the first postoperative day with severe loss of vision. This case depicts the risk of suprachoroidal hemorrhage in a high myopic vitrectomised eye following glaucom...
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Clinical presentation of multiple cerebral emboli and central retinal artery occlusion (CRAO) as signs of cardiac myxoma
We present a patient whose history of cerebral emboli and central retinal artery occlusion (CRAO) led to a diagnosis of cardiac myxoma.Neuroimaging studies showed multiple infarcts in the region of the left middle and anterior cerebral arteries. Ophthalmic examination showed gross retinal pallor compatible with left central retinal artery occlusion (CRAO).The etiology of stroke was investigated by performing trans-thoracic echocardiography, which showed a mass in the left atrium compatible with cardiac myxoma. Complete removal of the cardiac tumor was performed by open-heart surgery.Fortunately, after a period of rehabilit...
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Conjunctival melanoma in a child: A clinicopathological report
We report a case of a 16 years old Asian Indian boy who presented with a large brownish lesion measuring 20 × 12 mm on the temporal conjunctive in his right eye. Anterior segment optical coherence topography revealed cystic spaces without scleral involvement. The patient underwent conjunctival excisional biopsy using “no touch” technique with double freeze-thaw cryotherapy to underside of the adjacent conjunctival margins. Excision involved 4 mm of the surrounding apparently normal conjunctiva. Absolute alcohol epitheliectomy was done at the limbus and surrounding 2 mm of cornea to devita...
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Herpetic ocular manifestations in a patient with GATA2 deficiency
We present the clinical case of a 26-year-old male with dendritic ulcers in his cornea, marrow aplasia and idiopathic chronic lymphedema. He was diagnosed with GATA2 deficiency. GATA2 gene is critical for the genesis and function of hematopoietic stem cells. Its deficiency can cause myelodysplastic syndromes, congenital lymphedema and severe viral infections. Our patient presented these three manifestations, added to a deletion in 20q12 that confirmed the suspicion of GATA2 mutation. A bone marrow transplant was suggested as definitive treatment. The corneal herpetic epithelial lesion was analogous to a regular hepetic ker...
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Fungal keratitis caused by a rare ocular pathogen, Gjaerumia minor: A case report
We report the first case of fungal keratitis caused by G. minor in Saudi Arabia. Fungal Keratitis should be considered in cases where clinical response to the conventional antibacterial antibiotic treatment is not optimal. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Unilateral macular chorioretinitis in subacute sclerosing panencephalitis studied by spectral domain optical coherence tomography
Publication date: April–June 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 2Author(s): Anisha Seth, Vishaal Bhambhwani, Basudeb Ghosh (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Uveitis and internuclear ophthalmoplegia as ocular manifestations of sarcoidosis
Publication date: April–June 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 2Author(s): Daniele Cirone, Luca Cimino, Giovanni SpinucciAbstractSarcoidosis is a multisystemic granulomatous chronic disease of unknown etiology with a wide range of clinical presentations. Diagnosis of sarcoidosis in patients with ocular manifestations can be challenging.We first describe a case of sarcoidosis presented with pulmonary involvement and both uveitis and internuclear ophthalmoplegia as ocular manifestations.A 55-year-old caucasian woman with non-productive cough and weakness presented with bilateral granulomatous ant...
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Editorial Board
Publication date: April–June 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 2Author(s): (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Knowledge and practice regarding contact lens among Saudi urban contact lens users
ConclusionsThe knowledge and practice among CL users was less than desired. Those using contact lens for cosmetic purpose and procuring them without prescription need special focus for health promotion so that their CL related practice improve and eye complications are reduced. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Comparison between corneal cross-linking, topical antibiotic and combined therapy in experimental bacterial keratitis model
ConclusionsThe clinical and microbiological efficacy of the CXL treatment is evaluated in our study. In accordance with the conclusion reached an effective reduction in the density and severity of (infection), occurred as a result of CXL treatment, CXL treatment combined with topical antibiotic treatment and topical antibiotic treatment of Pseudomonas Aeruginosa (PA) and Metisilin Rezistant Staphylococcus Aureus (MRSA) keratitis infections. From these results, it is shown that topical antibiotics and CXL potentiate each other’s effects in the treatment of resistant bacterial keratitis. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Management of traumatic corneal abrasion by a sample of practicing ophthalmologists in Saudi Arabia
ConclusionsPresent study demonstrates that practicing ophthalmologists are reporting that traumatic CED mostly affects young people and fingernail trauma is the major cause. There is lack of clear institutional guidelines and consensus on the management of traumatic corneal abrasions. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Comparison of conjunctival autograft and conjunctival transposition flap techniques in primary pterygium surgery
ConclusionBoth conjunctival transpositional flap and conjunctival autograft techniques have same results in terms of pterygium recurrence and surgery complications in the treatment of primary pterygium. Surgery time in conjunctival transpositional flap technique is significantly shorter. Conjunctival transpositional flap technique may be a good alternative method for primary pterygıum surgery. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Prevalence of keratoconus among patients seeking laser vision correction in Taif area of Saudi Arabia
ConclusionHigh prevalence of keratoconus was found among patients seeking LVC. Possible factors contributing to the high prevalence were recognized to be highly selective population (patients seeking LVC for myopia/hyperopia/astigmatism), ethnicity (high prevalence of consanguinity) and geographical location (high altitude) of the study subjects. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
Severe retinal degeneration at an early age in Usher syndrome type 1B associated with homozygous splice site mutations in MYO7A gene
ConclusionsThis mutation manifested with advanced retinal degeneration at a young age. This may have implications regarding future gene therapy in Usher syndrome cases with this genotype. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 5, 2018 Category: Opthalmology Source Type: research
