ORIGINAL_ARTICLE
BILATERAL ACUTE TRANSILLUMINATION OF THE IRIS
Aim: To elaborate on the recently described clinical entity of Bilateral Acute Iris Transillumination (BAIT) with case descriptions and review of existing literature. Methods: Clinical records of three patients with BAIT were reviewed and the data analyzed and compared with that already reported in literature. Results: All 3 patients (100%) had bilateral acute onset of symptoms which included congestion, photophobia and blurring of vision, 2 of the 3 patients (66.66%) had antecedent respiratory illness and one (33.33%) of them was treated with oral moxifloxacin for the respiratory symptoms. All patients had corneal endothelial pigment dusting, pigments in the anterior chamber, diffuse iris transillumination, atonic, distorted and mid-dilated pupils. Raised Intraocular pressure (IOP) was noted in all three patients and they were all managed with topical steroids and antiglaucoma medications. Conclusions: BAIT is an ocular condition that may present following a respiratory illness and is often misdiagnosed and managed as acute iridocyclitis with the patientundergoing a battery of investigations and treatment with a variety of drugs including systemic immunosuppression. Increased awareness of this condition will help reduce the misdiagnosis and mismanagement of this condition.
https://jors.journals.ekb.eg/article_5045_c3fc5c28366009071e9632614d6be96c.pdf
2017-12-01
1
6
10.21608/jors.2017.5045
Iris
Transillumination
Atonic
Pupils
Pigments
Kavitha
Avadhani
1
Department of Ophthalmology, NMC Speciality Hospital, Abu Dhabi, UAE
AUTHOR
Jay
Kalliath
drjaykalliath@gmail.com
2
Department of Ophthalmology, NMC Speciality Hospital, Abu Dhabi, UAE
LEAD_AUTHOR
ORIGINAL_ARTICLE
DEVELOPMENTAL GLAUCOMA
Primary congenital glaucoma is an early onset developmental glaucoma (EODG) with unique features in its pathophysiology, clinical presentation and management. Intraocular pressure (IOP) measuring is tricky in both technique and interpretation of its values. Optic disc cupping plays a more central part in follow-up of EODG than in follow-up of adult glaucoma. Management of EODG is essentially surgical. Angle surgeries; trabeculotomy and goniotomy, have the highest success rates in literature. Both of these time-honored techniques have new developments to enhance their outcomes. Other conventional techniques that are successful in adults like trabeculectomy, non-penetrating surgery andvalve surgery show poorer results in infants.
https://jors.journals.ekb.eg/article_5046_f5a5a237f61c88c734c8e7b1449c2833.pdf
2017-12-01
7
27
10.21608/jors.2017.5046
Ahmed
Khalil
drkhalil@eyecairo.net
1
Research Institute of Ophthalmology
LEAD_AUTHOR
ORIGINAL_ARTICLE
RETINAL PIGMENT EPITHELIAL DETACHMENT: THREE CASE REPORTS
Pigment epithelial detachment (PED) is a common entity in age-related macular degeneration and central serous chorioretinopathy. Nevertheless, it can manifest rarely without an obvious causative factor. The authors report 3 cases of PED that were atypical in terms of pattern and age presentation. The second case is associated with sickle cell disease, which has not been reported in literature as far and that could add to our knowledge of this disease entity. Methods:The three cases underwent ophthalmological examination, optical coherence tomography, fundus autoflourescence, fundus fluorescein angiography, full-field electroretinogram and visual evoked potential. Full medical evaluation was done. Results: Bilateral ocular fundus examination showed multiple, rounded lesions scattered all over the fundus in three cases and peripheral retinal pigment epithelial pigmentary changes in the periphery in two cases. Medical evaluation showed one case of sickle cell disease. Conclusion: The number of reports on atypical pigment epithelial detachment and their correlation is limited. In addition its occurrence with sickle cell disease in the second case is a novel correlation which has to be reported and followed-up.
https://jors.journals.ekb.eg/article_5047_7491b9b0c4857d48134b94ce622ee97e.pdf
2017-12-01
28
38
10.21608/jors.2017.5047
Ayman
Shouman
shoumanaaes@yahoo.co.uk
1
Ophthalmology Department, Research Institute of Ophthalmology, Giza, Egypt
LEAD_AUTHOR
Mahmoud
Rabie
2
Ophthalmology Department, Research Institute of Ophthalmology, Giza, Egypt
AUTHOR
Rabab
Elhussiny
3
Research Institute of Ophthalmology, Giza, Egypt, E-mail: shoumanaaes@yahoo.co.uk
AUTHOR
ORIGINAL_ARTICLE
IMMUNOBLOTTING TECHNIQUE VERSUS SKIN PRICK TEST FOR DETECTION OF ALLERGEN SPECIFIC IMMUNOGLOBULIN E IN ALLERGIC CONJUNCTIVITIS
Introduction: Skin prick test (SPT) is the most sensitive and reliable method of detecting the causative allergens and considered the gold standard method for allergy testing, it is also simple, quick and cheap. However it has an invasive nature requires multiple skin pricks, painful for children and difficult if skin diseases coexist. SPT can be affected by antihistaminics and corticosteroids. Hence, an immunoblotting technique as an alternative test for IgE determination has been developed, which is lesser invasive. Aim: To evaluate the immunoblot test by comparing it to SPT in diagnosis of allergic conjunctivitis. Patients and Methods: Immunoblot test was done for 32 patients clinically diagnosed as allergic conjunctivitis, either alone or associated with allergic rhinitis and / or bronchial asthma and who gave positive SPTwith one or more of 11 natural allergenic extracts. Results: Overall diagnostic performance of immunoblot test in comparison to SPT for detection of all studied aeroallergens showed 27.5% sensitivity, 98.0% specificity, 97.0% positive predictive value, 33.2% negative predictive value and 46.2% diagnostic accuracy. Conclusion: Since immunoblotting technique has low sensitivity and high specificity, hence it can be used as confirmatory test secondary to SPT fordiagnosis of causative allergens.
https://jors.journals.ekb.eg/article_5048_3a896e6708d94763a655e4d36bcc48c4.pdf
2017-12-05
39
50
10.21608/jors.2017.5048
Maha
Haggag
mghaggag@gmail.com
1
Allergy Lab, Microbiology and Immunology Unit, Microbiology and Parasitology Department, Research Institute of Ophthalmology, Giza, Egypt
LEAD_AUTHOR
Abeer
Aboelazm
2
Microbiology and Immunology Department, Faculty of Medicine Benha University, Benha, Egypt
AUTHOR
Ahmed
Al-Gazzar
3
Microbiology and Immunology Department, Faculty of Medicine Benha University, Benha, Egypt
AUTHOR
Mahmoud
Mahmoud
4
Microbiology and Immunology Department, Faculty of Medicine Benha University, Benha, Egypt
AUTHOR
Manar
Hassan
5
Allergy Lab, Microbiology and Immunology Unit, Microbiology and Parasitology Department, Research Institute of Ophthalmology, Giza, Egypt
AUTHOR
ORIGINAL_ARTICLE
A STUDY OF MICROBIAL AIR QUALITY BEFORE AND AFTER HYDROGEN PEROXIDE FUMIGATION OF OPHTHALMIC OPERATIVE THEATRE IN THE RESEARCH INSTITUTE OF OPHTHALMOLOGY IN EGYPT
This study aimed to assess air quality in operating rooms (OR) , expressed as colony forming units (CFU)/m3, during ophthalmic surgeries; exploring the effect of hydrogen peroxide vapor HPV fogging of OR and number of attending personnel on air contamination in the vicinity of the operated eye. Data collection by active air samplingand observations was performed during 452 ophthalmic procedures. The results showed median total viable count (TVC) at rest was 27.5 CFU/m3 range (0-275) and 30 CFU/m3 range (0-170) pre HPV and post HPV samplings respectively. The median TVC in operational was 60 CFU/m3 (range = 0-500) pre-HPV and 75 CFU/m3 (range = 20-270) post HPV. Results showed a non-significant correlation between the total CFU/m3 per operation and prior application of HPV (P = 0.077, n = 452). However, air samples exceeding the maximum CFU/m3 acceptable levels pre- and post-fogging was decreased from 42% to 40.3% (P= 0.8) at rest and from 15.5% to 12.8% (P= 0.6) at operation. A significant weak positive correlation was also found between TVC in CFU/m3 and the number of persons attending the operation (r = 0.159, P = 0.006, n =296). Conclusion: Air fumigation with HPV disinfectant and traffic flow has a positive impact on the OR environment.
https://jors.journals.ekb.eg/article_5049_2bdfe7226a1360531fc0ae9424d2bdfd.pdf
2017-12-01
51
61
10.21608/jors.2017.5049
Air sampler
Non-touch surface disinfection
Hydrogen peroxide vapor
Amal
Abo Elnour
amalaboelnour@gmail.com
1
1 Infection Control Unit, Research Institute of Ophthalmology RIO, Giza, Egypt 2 Microbiology and Immunology Unit, RIO, Giza, Egypt.
AUTHOR
Maha
Haggag
mghaggag@gmail.com
2
Allergy Lab, Microbiology and Immunology Unit, Microbiology and Parasitology Department, Research Institute of Ophthalmology, Giza, Egypt
AUTHOR
Tahani
Kassim
3
Infection Control Unit, Research Institute of Ophthalmology RIO, Giza, Egypt Microbiology and Immunology Unit, RIO, Giza, Egypt.
AUTHOR
Sahar
Negm
4
Microbiology and Immunology Unit, RIO, Giza, Egypt.
AUTHOR