Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
2
2017
12
01
BILATERAL ACUTE TRANSILLUMINATION OF THE IRIS
1
6
EN
Kavitha
Avadhani
Department of Ophthalmology, NMC Speciality Hospital, Abu Dhabi, UAE
Jay
Kalliath
Department of Ophthalmology, NMC Speciality Hospital, Abu Dhabi, UAE
drjaykalliath@gmail.com
10.21608/jors.2017.5045
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 patient<br />undergoing 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.
Iris,Transillumination,Atonic,Pupils,Pigments
https://jors.journals.ekb.eg/article_5045.html
https://jors.journals.ekb.eg/article_5045_c3fc5c28366009071e9632614d6be96c.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
2
2017
12
01
DEVELOPMENTAL GLAUCOMA
7
27
EN
Ahmed
Khalil
Research Institute of Ophthalmology
drkhalil@eyecairo.net
10.21608/jors.2017.5046
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 and<br />valve surgery show poorer results in infants.
https://jors.journals.ekb.eg/article_5046.html
https://jors.journals.ekb.eg/article_5046_f5a5a237f61c88c734c8e7b1449c2833.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
2
2017
12
01
RETINAL PIGMENT EPITHELIAL DETACHMENT: THREE CASE REPORTS
28
38
EN
Ayman
Shouman
Ophthalmology Department, Research Institute of Ophthalmology, Giza, Egypt
shoumanaaes@yahoo.co.uk
Mahmoud
Rabie
Ophthalmology Department, Research Institute of Ophthalmology, Giza, Egypt
Rabab
Elhussiny
Research Institute of Ophthalmology, Giza, Egypt, E-mail: shoumanaaes@yahoo.co.uk
10.21608/jors.2017.5047
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:<br />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.html
https://jors.journals.ekb.eg/article_5047_7491b9b0c4857d48134b94ce622ee97e.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
2
2017
12
05
IMMUNOBLOTTING TECHNIQUE VERSUS SKIN PRICK TEST FOR DETECTION OF ALLERGEN SPECIFIC IMMUNOGLOBULIN E IN ALLERGIC CONJUNCTIVITIS
39
50
EN
Maha
G
Haggag
Allergy Lab, Microbiology and Immunology Unit, Microbiology and Parasitology
Department, Research Institute of Ophthalmology, Giza, Egypt
mghaggag@gmail.com
Abeer
A
Aboelazm
Microbiology and Immunology Department, Faculty of Medicine Benha University, Benha,
Egypt
Ahmed
M
Al-Gazzar
Microbiology and Immunology Department, Faculty of Medicine Benha University, Benha,
Egypt
Mahmoud
A
Mahmoud
Microbiology and Immunology Department, Faculty of Medicine Benha University, Benha,
Egypt
Manar
E
Hassan
Allergy Lab, Microbiology and Immunology Unit, Microbiology and Parasitology
Department, Research Institute of Ophthalmology, Giza, Egypt
10.21608/jors.2017.5048
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 SPT<br />with 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 for<br />diagnosis of causative allergens.
https://jors.journals.ekb.eg/article_5048.html
https://jors.journals.ekb.eg/article_5048_3a896e6708d94763a655e4d36bcc48c4.pdf
Research Institute of Ophthalmology
Journal of Ophthalmology and Related Sciences
2090-9047
2536-9466
1
2
2017
12
01
A STUDY OF MICROBIAL AIR QUALITY BEFORE AND AFTER HYDROGEN PEROXIDE FUMIGATION OF OPHTHALMIC OPERATIVE THEATRE IN THE RESEARCH INSTITUTE OF OPHTHALMOLOGY IN EGYPT
51
61
EN
Amal
Abo Elnour
1 Infection Control Unit, Research Institute of Ophthalmology RIO, Giza, Egypt
2 Microbiology and Immunology Unit, RIO, Giza, Egypt.
amalaboelnour@gmail.com
Maha
G
Haggag
Allergy Lab, Microbiology and Immunology Unit, Microbiology and Parasitology
Department, Research Institute of Ophthalmology, Giza, Egypt
mghaggag@gmail.com
Tahani
Kassim
Infection Control Unit, Research Institute of Ophthalmology RIO, Giza, Egypt
Microbiology and Immunology Unit, RIO, Giza, Egypt.
Sahar
Negm
Microbiology and Immunology Unit, RIO, Giza, Egypt.
10.21608/jors.2017.5049
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 sampling<br />and 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 =<br />296). Conclusion: Air fumigation with HPV disinfectant and traffic flow has a positive impact on the OR environment.
Air sampler,Non-touch surface disinfection,Hydrogen peroxide vapor
https://jors.journals.ekb.eg/article_5049.html
https://jors.journals.ekb.eg/article_5049_2bdfe7226a1360531fc0ae9424d2bdfd.pdf