ORIGINAL_ARTICLE
Refractory Glaucomas. Types and Management
Certain types of glaucomas do not respond to conventional trabeculectomy; they are named refractory glaucomas. They are notorious and often recurrent. Examples include: childhood, neovascular, uveitic, traumatic, glaucomas with wide conjunctival scars, post-vitrectomy, post-keratoprosthesis, post-keratoplasty, ciliary block, recurrent and glaucoma in aphakic and pseudophakic eyes. Some of those glaucomas require specific medical management like uveitic glaucoma. However, surgical intervention is ultimately needed in most of cases. Different surgical strategies include: antimetabolites-assisted trabeculectomy, drainage implants, cyclodestructive surgeries and other approaches. This review article will discuss the current management strategies for refractory glaucomas and the application of those treatment modalities to the specific glaucoma types.
https://jors.journals.ekb.eg/article_3597_e5298dd1229efb37276eac0202e489d1.pdf
2017-07-01
1
14
10.21608/jors.2017.3597
Glaucoma
Refractory
valves
cyclodestructive procedures, trabeculectom
Ahmed
Abdelrahman
1
Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt Tel.:
AUTHOR
ORIGINAL_ARTICLE
Corneal Collagen Crosslinking with Riboflavin and Ultraviolet - A Irradiation in the Management of Progressive Ectatic Corneal Disorders. Review Article
Corneal crosslinking (CXL) has been proposed as a new modality to stop progression of keratoconus or secondary corneal ectasia, aiming to prevent progressive visual loss and to delay or avoid corneal transplantation. The possibility of strengthening corneal tissue by means of a photochemical reaction of corneal collagen by the combined action of riboflavin and ultravioletA irradiation (UVA), radically modified the conservative management of progressive corneal ectasia. This is a review of the state of the art of CXL. The paper describes basic principles, advantages and limitations of different CXL techniques and possible future evolution of the procedure.
https://jors.journals.ekb.eg/article_3598_29bd05ad43271a325c7091e8ef4ad506.pdf
2017-07-01
15
30
10.21608/jors.2017.3598
Keratoconus, ectasia, collagen cross-linking, epithelium-off collagen corneal crosslinking
epithelium-on, transepithelial cross-linking
Mostafa
Salah Eldine
1
Refractive Unit, Department of Ophthalmology, Research Institute of Ophthalmology, Egypt
AUTHOR
ORIGINAL_ARTICLE
Must Know Cornea for Cataract Surgeons A Practical Guide
https://jors.journals.ekb.eg/article_3599_7fad27c5fd06337a89c012427aa31e0f.pdf
2017-07-01
31
38
10.21608/jors.2017.3599
Ahmed
Gomaa
1
Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt &Tulsen Eye Institute, University of Nebraska Medical Center, Nebraska, USA
AUTHOR
Javed
Farooqui
2
Department of Oculoplastic, Orbital and Reconstructive Surgery, McMaster University, Hamilton, Canada
AUTHOR
ORIGINAL_ARTICLE
Patching in Corneal Abrasions in Children
Introduction: Traumatic corneal abrasion is one of the most common eye conditions presenting in the ophthalmic emergency rooms. Traditionally, traumatic corneal abrasions were managed by using pressure patching and antibiotic ointment or drops with or without mydriatic eye drops. However, there are no evidences that their use is of much benefit. Materials and methods: To conduct this review, a search strategy was developed that included all associated terminology and the potential synonyms, scientific search engines were targeted including PubMed, Cochrane Database and google scholar. Discussion: Most of the studies reviewed favored not to apply pressure patch for cases of traumatic corneal abrasion, most of the studies were conducted on adults, only two studies were performed on children, both also favored not to patch. Conclusion: Although there is no agreement on the best way of managing traumatic corneal abrasions in general and in children specifically. Author’s recommendation in not to patch corneal abrasions in kids. Further studies upon pediatric population are still needed
https://jors.journals.ekb.eg/article_3600_5498431099501fc3dd900ef4db215926.pdf
2017-07-01
39
43
10.21608/jors.2017.3600
Corneal abrasion – patching – corneal epithelial defect
Ayman
Elghonemy
1
Magrabi Eye Hospital, Cairo, Egypt &Memorial Institute of Ophthalmic Research, Giza, Egypt
AUTHOR
ORIGINAL_ARTICLE
Ophthalmic Anesthesia: Practice-Based Perspectives
Anesthesia in ophthalmic surgery has a unique set of challenges since it applies to patients in the extremes of age; either those who are extremely young or old. Each age group that is subjected to ophthalmic surgery has its own unique set of problems and necessities. This paper reviews the preoperative preparations of the patient, the selection of the proper technique, the most suitable technique for different patients, and the complications that can take place and how to safeguard against them. Contents of this paper are based on my personal point of view based on years of experience in the field, and backed by international literature on the topic
https://jors.journals.ekb.eg/article_3601_cae66bb470dee36fc5bf7c35259a0d52.pdf
2017-07-01
44
50
10.21608/jors.2017.3601
Ophthalmic Anesthesia
geriatric patients
infants
Samy
El-Sayeh
1
Department of Anesthesia, Research Institute of Ophthalmology, Egypt
AUTHOR