|Year : 2010 | Volume
| Issue : 2 | Page : 103
|Date of Web Publication||9-Jun-2010|
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
. Selected Abstracts. Oman J Ophthalmol 2010;3:103
Ophthalmic Epidemiol 2010;17:25-33.
Delayed presentation of cataracts in children: Are they worth operating upon?
P. Gogate, R. Khandekar, M. Shrishrimal, K. Dole, S. Taras, S. Kulkarni, S. Ranade, M. Deshpande
HV Desai Eye Hospital, Pune, India, E-mail: [email protected]
Purpose: Childhood cataract is an important cause of avoidable blindness in children. The study aimed to investigate the outcome of surgery in cataracts with delayed presentation which had been operated upon as new pediatric ophthalmology centers were set up in India. Materials and Methods: This was a retrospective interventional case series from a community eye care center in Western India. Demographic, surgical, pre-operative and post-operative details were obtained from the patients records and entered into Microsoft excel and statistical analysis conducted using SPSS-11 software (SPSS, Chicago, IL). Vision was tested 6 weeks after surgery. The predictors of good vision (> or =6/18) were identified by regression analysis. If the interval between detection of cataract in children and their presentation for surgery was more than 18 months for developmental and 6 months for congenital the cataract was defined having a delayed presentation. Results: Five hundred and twenty nine eyes of 437 children aged 2 months to 16 years were operated upon in 2004-2006. Preoperative vision was <3/60 in 405 (76.6%) eyes with cataract. Of these 529, 242 eyes were with delayed presentation of cataract (83 congenital and 149 other). 102 had up to 5 years, 91 had 6-10 years and 49 had >11 yrs delay in presentation. At 6 weeks following surgery, vision was > or = 6/18 in 36/93 (38.7%) of eyes with delayed presenting cataracts, as compared to 94/244 (38.5%) > or =6/18 in those without. Conclusion: Surgery for cataracts with delayed presentation helps to regain functional vision, which can be used for navigation and low vision aids.
J Refract Surg 2010;26:88-98.
LASIK for myopia and astigmatism using the SCHWIND AMARIS excimer laser: An international multicenter trial.
Arbelaez MC, Aslanides IM, Barraquer C, Carones F, Feuermannova A, Neuhann T, Rozsival P.
Muscat Eye Laser Center, Muscat, Oman
Purpose: To assess the efficacy, predictability, and safety of LASIK for the surgical correction of low to moderate myopia with astigmatism using the SCHWIND AMARIS excimer laser. Materials and Methods: Six international study sites enrolled 358 eyes with a manifest refraction spherical equivalent (MRSE) from -0.50 to -7.38 diopters (D) (mean sphere: -3.13 1.58 D) with up to -5.00 D of astigmatism (mean: -0.69 0.67 D). All eyes underwent treatment with the nonwavefront-guided aspheric algorithm of the SCHWIND AMARIS excimer laser. All eyes were targeted for emmetropia. Refractive outcomes and corneal higher order aberrations were analyzed pre- and postoperatively. Visual quality was assessed using photopic and mesopic contrast sensitivity. Six-month postoperative outcomes are reported. Results : At 6 months postoperative, the MRSE for all eyes was -0.21 0.20 D, and 96% (343/358) of eyes had MRSE within 0.50 D. Uncorrected visual acuity was 20/20 or better in 98% (351/358) of eyes, and no eyes lost 2 or more lines of best spectacle-corrected visual acuity. The total corneal higher order aberrations root-mean-square increased by 0.09 microm, spherical aberration increased by 0.08 microm, and coma increased by 0.04 microm postoperatively. Photopic and mesopic contrast sensitivity did not change 6 months postoperatively. Conclusions: Treatment of myopia with astigmatism using the SCHWIND AMARIS excimer laser is safe, efficacious, predictable, and maintains visual quality.
SQU Med J 2010;10:111-3.
Oculocutaneous albinism associated with Axenfeld's Anomaly: Three case reports
B. R. Keshav, Mahmood J. Mohammed, Nasir Mahmood
Department of Ophthalmology, Sur Hospital, Oman
Oculocutaneous albinism and anterior mesodermal dysgenesis are well-known heritable conditions, but their occurrence in association has only been rarely reported. We present cases of three siblings of a family with identical presentation suggesting that this association may be more than just a coincidence. This association is worth noting, as this could be one of the causes of ocular morbidity and poor vision in oculocutaneous albinism.
Middle East Afr J Ophthalmol 2010;17:180-2.
Management of bilateral congenital lacrimal punctal and canalicular atresia and congenital fistula of the lacrimal sac
Shreya Shah, Mehul Shah, Rajiv Khandekar
Drashti Netralaya, Dahod, Gujarat, India
An 8-year-old girl presented with complaints of bilateral epiphora since birth. The patient had congenital punctal and canalicular atresia combined with congenital fistula. She was treated successfully with surgery. A review of the literature indicated very few reports of surgical treatment of such cases.
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