Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
1
2017
07
01
Refractory Glaucomas. Types and Management
1
14
EN
Ahmed
Abdelrahman
Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt Tel.:
10.21608/jors.2017.3597
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.
Glaucoma,Refractory,valves,cyclodestructive procedures, trabeculectom
https://jors.journals.ekb.eg/article_3597.html
https://jors.journals.ekb.eg/article_3597_e5298dd1229efb37276eac0202e489d1.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
1
2017
07
01
Corneal Collagen Crosslinking with Riboflavin and Ultraviolet - A Irradiation in the Management of Progressive Ectatic Corneal Disorders. Review Article
15
30
EN
Mostafa
Salah Eldine
Refractive Unit, Department of Ophthalmology, Research Institute of Ophthalmology, Egypt
10.21608/jors.2017.3598
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.
Keratoconus, ectasia, collagen cross-linking, epithelium-off collagen corneal crosslinking,epithelium-on, transepithelial cross-linking
https://jors.journals.ekb.eg/article_3598.html
https://jors.journals.ekb.eg/article_3598_29bd05ad43271a325c7091e8ef4ad506.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
1
2017
07
01
Must Know Cornea for Cataract Surgeons A Practical Guide
31
38
EN
Ahmed
Gomaa
Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt &Tulsen Eye Institute, University of Nebraska Medical Center, Nebraska, USA
Javed
Farooqui
Department of Oculoplastic, Orbital and Reconstructive Surgery, McMaster University, Hamilton, Canada
10.21608/jors.2017.3599
https://jors.journals.ekb.eg/article_3599.html
https://jors.journals.ekb.eg/article_3599_7fad27c5fd06337a89c012427aa31e0f.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
1
2017
07
01
Patching in Corneal Abrasions in Children
39
43
EN
Ayman
Elghonemy
Magrabi Eye Hospital, Cairo, Egypt &Memorial Institute of Ophthalmic Research, Giza, Egypt
10.21608/jors.2017.3600
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
Corneal abrasion – patching – corneal epithelial defect
https://jors.journals.ekb.eg/article_3600.html
https://jors.journals.ekb.eg/article_3600_5498431099501fc3dd900ef4db215926.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
1
2017
07
01
Ophthalmic Anesthesia: Practice-Based Perspectives
44
50
EN
Samy
El-Sayeh
Department of Anesthesia, Research Institute of Ophthalmology, Egypt
10.21608/jors.2017.3601
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
Ophthalmic Anesthesia,geriatric patients,infants
https://jors.journals.ekb.eg/article_3601.html
https://jors.journals.ekb.eg/article_3601_cae66bb470dee36fc5bf7c35259a0d52.pdf