Obstetrics and Gynecology Commons^™

Specular Microscopic Evaluation Of Corneal Endothelium After Intravitreal Injection Of Ranibizumab For Treatment Of Diabetic Macular Edema, Ahmed Mahmoud Ahmed Elarabi, Mohamed Zakaria Eid, Hatem Mahmoud Samy Abdelkawy

Al-Azhar International Medical Journal

Background: The eye disorder known as diabetes-related macular edema (DME) is frequent and dangerous. DME is one of the easiest conditions to treat even though it can cause vision impairment. Photocoagulation, intravitreal medicines, in addition to surgical excision are some of the therapy options that are currently available. Aim of the work: to evaluate how intravitreal Ranibizumab injections affected corneal endothelial changes over the course of 3 months in patients diagnosed with DME. Patients and Methodology: A case-control study at Giza Memorial Institute of Ophthalmic Research from May 2022 till Nov 2022. compared patients with DM who have good glycemic …

Assessment Of Changes In The Anterior Segment By Anterior Segment Optical Coherence Tomography And Intraocular Pressure After Phacoemulsification In Glaucomatous And Non-Glaucomatous Patients, Mahmoud Abd El-Haleem Soliman Rabee, Hassan Metwally Bayoumy, Osama Ramadan Mahmoud

Al-Azhar International Medical Journal

Background: Phacoemulsification is widely recognized as the prevailing ocular surgical procedure conducted on a global scale. Multiple studies have provided evidence of a decrease in intraocular pressure (IOP) following phacoemulsification. The assessment of anatomical features in the anterior chamber has emerged as a key area of interest in determining the extent of IOP reduction following cataract surgery. Anterior Segment Optical Coherence Tomography(AS-OCT) has recently emerged as an objective and noninvasive method to assess the anterior chamber anatomy. Aim of the work: The aim of the work is to study the effect of phacoemulsification on the anterior chamber and IOP in …

Phacoemulsification In Cases Of Zonular Weakness Using In Situ Nuclear Disassembly Without Nuclear Rotation, Mohammed Abdel Moneim Mahdy, Hossam Zeyada, Youssef Hassan Mohammed Ibrahim Mansour

Al-Azhar International Medical Journal

Background: Due to zonular dehiscence or weakness, cataract surgery may result in late intraocular lens subluxation or dislocation, vitreous loss, dropped nuclei fragments, or all of these complications. Aim of the work: The objective of this study is to evaluate the occurrence and intensity of intraoperative problems in pseudoexfoliation (PEX) cases when employing in situ nuclear disassembly without nuclear rotation. Patients and methods: On 100 eyes of 100 cases with zonular weakness, this prospective, interventional, comparative study was carried out. Fifty patients undergoing phacoemulsification with in situ nuclear disassembly and the other 50 patients undergoing conventional chopping technique whom were …

Assessment Of Choroidal Neovascular Membrane By Optical Coherence Tomography Angiography, Mohamed Ahmed Ahmed Elmalah, Mohamed Abd Elmoamen Mohamed Saad Eldeen, Shady Kassem Hussien Kassem

Al-Azhar International Medical Journal

Background: As an alternative to invasive Fundus fluorescein angiography) FFA), Optical coherence tomography angiography (OCT-A) can be used to scan chorio-retinal vasculature. Aim: Research OCT-A for sings of choroidal neovascularization (CNV) and its unique structure. In order to detect any current CNV activity, OCT-A can be used. Determine the sensitivity of OCT-A for detecting CNV activity and compare it with FFA and spectral-domain optical coherence tomography (SD- OCT). Patients and Methods: Thirty eyes with various sources of CNV diagnosis were enrolled in this prospective study to compare OCT-A, SD- OCT and FFA. Study was conducted at Al-Azhar University Hospitals and …

Evaluation Of Neuroretinal Changes In Type Ii Diabetes Mellitus Without Diabetic Retinopathy Using Optical Coherence Tomography, Abd El-Magid Mohamed Tag El-Din, Anas M. Ibrahim, Ahmed Mohamed Hassan

Al-Azhar International Medical Journal

Background: Microaneurysm proliferation is the hallmark of the early stages of DR. it is the mild form of NPDR. with increased severity , the progression to PDR occurred which is characterized by the formation of new blood vessels on the retina and posterior surface of the vitreous, and it develops from moderate or severe NPDR by a process of increased vascular permeability & occlusion. Aim of the study: to assess neurodegeneration in individuals with type II diabetes mellitus (DM2) who do not have diabetic retinopathy. Patients and methods: full ophthalmic examination and Spectralis OCT was performed on 50 eyes of …

Assessment Of Retinal Ganglion Cell Complex Thickness In Diabetic Patients Before And After Intravitreal Injection Of Anti-Vegf Agents By Oct, Mahmoud Abdalhaleem Rabie, Ahmed Mohammed Sobhy, Ahmed Mustafa Mahmoud Mohammed

Al-Azhar International Medical Journal

Purpose: Compare retinal ganglion cell complex thickness in diabetic macular edoema studied cases before and after receiving an intravitreal injection of ranibizumab by spectral domain optical coherence tomography scans. Methods : prospective interventional study on 30 eyes with diabetic macular edema were imaged by spectral domain optical coherence tomography (SD-OCT) before receiving Ranibizumab intravitreal injection and one month after injection . Thickness changes in retinal ganglion cell complex after one month follow up period were quantitatively analyzed and correlated. Results: There was a statistical significant decrease in average retinal ganglion cell complex thickness in addition to the superior & inferior …

Comparative Study Between Subthreshold (Micropulse) Laser Direct Application To The Edematous Macula Versus Direct Application To The Peripheral Healthy Retina In The Treatment Of Diabetic Macular Edema., Eslam Mahmoud Abdou Alharif, Hamed Nasr El-Din Taha, Mohamed Abdulbadie Rashed

Al-Azhar International Medical Journal

Background: Subthreshold (micropulse) laser is an effective modality in the treatment of diabetic macular edema that avoids possible complications of conventional laser photocoagulation and anti-vascular endothelial growth factor. Regardless of where the laser is applied, the retinal pigment epithelium is crucial for repair of both outer and inner blood retinal barriers.

Aim: To evaluate both anatomical and functional outcomes of direct application of subthreshold (micropulse) laser to the edematous macula versus to the peripheral healthy retina.

Patient and methods: This prospective interventional comparative randomized study was carried out on 30 eyes with diabetic macular edema divided into two groups. Group …

Efficacy Of Micropulse (Subthreshold) Argon Laser Trabeculoplasty In Primary Open Angle Glaucoma, Mohamed Fayez Saady, Sayed Abbas Sayed, Anas Malek Ibrahim

Al-Azhar International Medical Journal

Background: Primary open-angle glaucoma (POAG) is an adult-onset, slowly progressing optic neuropathy characterized by the atrophy of the optic nerve and the death of retinal ganglion cells and their axons over time, The introduction of micro pulse laser trabeculoplasty (MLT) has allowed for the safe and effective treatment of several retinal maculopathies. This is achieved using a duty cycle algorithm that provides subthreshold therapy to ocular tissues without scar formation. Objective: Evaluation of subthreshold (MLT) efficacy in primary open angle glaucoma management. Methods: We conduct a randomized prospective case series study of primary open angle glaucoma cases. Including 40 eyes …

Early Versus Late Silicone Oil Removal After Pars Plana Vitrectomy For Primary Rhegmatogenous Retinal Detachment, Mohammed Abdel-Ghaffar El-Haw, Hisham Fawzy Khalil, Mahmoud Mohammed Ahmed, Sayed Mustafa El-Sayed

Al-Azhar International Medical Journal

Purpose: To evaluat the outcomes of 2-month silicone oil removal after vitrectomy for primary hematogenous retinal detachment with a 6-month delay in silicone oil removal in terms of complications and recurrence rates of re-detachment. Methods: This is a prospective interventional study comprised (50) eyes suffering from recent hematogenous retinal detachment. Participants in this research were divided into two groups, A and B, with equal sample number for each (25 eyes). Removal of silicon oil was done after 2 months and 6 months for both groups (A) and (B) respectively. Postoperative follow-up was done for both groups. Results: Oil emulsification, anterior …

Effect Of Corneal Collagen Cross Linking On Crystalline Lens Clarity Graded By Pentacam Nucleus Staging Software, Amr Ehab Fahmy, Ahmed Hassan Barrada, Mahmoud Mohammed Ahmed

Al-Azhar International Medical Journal

Background: discuss the effect of ultraviolet rays (UVR) emitted during corneal collagen crosslinking (CXL) on cataract development in keratoconic patient in Cairo, Egypt.

Methods: We performed a study that describes the effect of CXL on human lens clarity, one hundred eyes were investigated by oculus pentacam in the Egyptian armed forces hospital at kobri el kobba in collaboration with Al-Azhar university hospitals diagnosed from January 2021.

Results: Our study reported that CXL has a highly significant effect in developing lens opacities specially the older age and small anterior chamber (AC) depth and reported also its affection on visual acuity (VA). …

Supermaximal Monocular Recession-Resection Versus Large Bilateral Lateral Rectus Recession In Large Angle Exotropia, Wafaa Ahmed Madbouly, Hanan Saied Mohamed Hegazy, Fatma Fakhry Abdel Khalek Ragab

Al-Azhar International Medical Journal

Background: Strabismus surgery aims to improve the ocular alignment of the visual axis & the cosmetic appearance of studied cases with strabismus. The most common functional benefits are the restoration of binocular vision, with the elimination of diplopia & compensatory head posture.In cases of large-angle exotropia, many surgical methods have been performed, bilateral lateral rectus recession, medial rectus resection with lateral rectus recession are most frequently used. Aim: To evaluate outcome of supermaximal monocular recession-resection versus large bilateral lateral rectus recession in large angle exotropia. Patient & Methods: This was a prospective, interventional, nonrandomized study. This study was done at …

Pentacam Topography And Macular Optical Coherence Tomography Findings In Eyes Presenting With Refractive And Axial Myopia, Adel Abd Elaziz Hassouna, Hassan Metwally Bayoumi, Ammar Ibrahim Mohammed Nassar

Al-Azhar International Medical Journal

Background: Myopia is circular refractive error in which parallel light rays enter eye and shift point of conjugate focus anteriorly in front of retina. High myopia is usually with (>−6.00 SD) or axial length (AL) more than 26 mm. Aim and objectives: Goal of research is to identify the results in eyes presenting with refractive and axial myopia using macular optical coherence tomography & pentacam. Subjects & techniques: research is prospective research that will be carried out on 60 eyes with high myopia more than or equal -6SD. Ages ranging from 20 to 70 years old. They will be …

Phacoemulsification With Goniotomy Using Kahook Dual Blade Versus Phacoemulsification With Subscleral Trabeculectomy In Management Of Primary Open Angle Glaucoma, Mahmoud Hazem Abd El Maksoud El Deeb, Mahmoud Hamed Allam, Abd Elkader Sayed Abd Elkader

Al-Azhar International Medical Journal

BACKGROUNDː Glaucoma surgeries result in substantial intaocular pressure (IOP) reductions but associated with significant risks. Recently, new surgical techniques needed to achieve more IOP reduction with satisfactory safety profile.

Aim of work: Compare phacoemulsification and goniotomy with the Kahook Dual Blade versus phacoemulsification with subscleral trabeculectomy showing their impact on glaucoma surgery.

Methodology: This prospective, randomized, comparative study included 40 patients above age of 40 of both genders diagnosed as primary open angle glaucoma. The patients were assigned into two equal groups: using the Kahook Dual Blade and traditional sub scleral trabeculectomy. Evaluation of visual acuity and measurement of IOP …

Tear Film Changes After Autologous Serum In Managment Of Dry Eye Using Ocular Surface Analyser, Mohamed Khedr Mohamed, Mostafa Elsayed Elewa, Mohamed Hussein Mohamed Alashmawi

Al-Azhar International Medical Journal

Background; The aetiology of dry eye disease includes abnormalities in the neurosensory system, ocular surface inflammation, tear film instability, as well as hyperosmolarity (DED), a multifactorial ocular surface condition with absent tear film homeostasis and uncomfortable eyes, Aim and objectives; to detect changes in the tear film in patients of sever dry eye disease (DED) after Autologous serum (AS) using ocular surface analyzer (OSA), Subjects and methods; In this interventional trial, autologous serum eye drops were administered to 10 patient eyes. who presented to the AL-Azhar University's department of ophthalmology with a moderate to severe dry eye disease. Tear .The …

The Effect Of Micropulse Laser In Treatment Of Diabetic Macular Edema, Aliaa Ahmed Fatouh Ahmed, Zeinab Sayed Hasan, Sayed Abbas Sayed, Mona El Sayed Aly

Al-Azhar International Medical Journal

Background: In the industrialized world, diabetic macular edoema (DME) is the leading cause of blindness in those under the age of 50. Diabetic retinopathy may begin to manifest in patients with type I (insulin-dependent) DM within 3 – 5 years after disease initiation. Nearly all diabetics will develop retinopathy by the age of twenty.

Aim of the Work: Is to evaluate the effect of subthershold micro pulse laser (SMPL) in treatment of DME with central macular thickness less than 400 m.

Patients and Methods: A Prospective, interventional comparative study was done at the Ophthalmology department and clinic of EL Zahraa …

Assessment Of Retinal And Choroidal Circulation In Post Covid-19 Patients, Hassan Mohammad Hegazy, Ahmad Elsayed Hodeeb, Mohammad Abdelghany Mohammad Aboseada

Al-Azhar International Medical Journal

Background: Numerous ocular signs have been documented as a result of COVID-19 infections, in addition to severe systemic disease. These manifestations included choroidal and retinal changes. This study aimed to investigate the rate of retinal and choroidal circulation in post COVID-19 patients.

Aim of the work: To assess retinal and choroidal circulation in post COVID-19 patients.

Patient and methods: In an observational cross-sectional study, 40 eyes of 20 post-COVID-19 patients attending ophthalmology outpatient clinics of Al-Azhar University hospitals were recruited in the period from mid-June 2022 for 6 months. The following data were collected: Detailed medical history, Complete ophthalmological examination …

Role Of Epithelial Mapping In Differentiation Between Early Keratoconus And High Regular Astigmatism Using Anterior Segment Optical Coherence Tomography, Mustafa Muhammed Badawi, Ahmed Salah Abdel Rehim, Abdel Ghany Ali El Gabbar

Al-Azhar International Medical Journal

Background: Epithelial thickness mappig can be used adjunctive tool for sensitivity and specificity improvement in early detection of keratoconus screening using Anterior Segment Optical Coherence Tomography. Aim: to detect the role of epithelial thickness mapping in early detection and differentiation between early keratoconus and high regular astigmatism. Patients and Methods: A cross-sectional observational study included 25 eyes of early keratoconus cases and 25 eyes of high regular astigmatism controls conducted at Magrabi Eye Hospital –Tanta between October 2021 and August 2022. Results: our findings revealed that the mean central epithelial thickness was significantly thinner in early keratoconus eyes (49.84 ± …

Effect Of Corneal Collagen Cross Linking For Keratoconus On The Ocular Higher Order Aberrations Corneal Collagen Cross Linking Effect, Mohamed Abd El-Hamid Abo El-Enin, Abd El-Maged Mohamed Tag El-Din, Ahmed Shaker Abu-Elkhier Zordok

Al-Azhar International Medical Journal

Background: Keratoconus (KC) is a non-inflammatory progressive central or paracentral thinning of the cornea that leads to poor vision, irregular astigmatism, development of myopia, and rising higher-order aberrations (HOAs). Aim and objectives: The purpose of this research is to determine the efficacy of corneal collagen cross linking in addressing higher order aberrations in keratoconic eyes. Subjects and methods: This study was a prospective interventional study. Fifty eyes diagnosed with keratoconus had originally scheduled corneal collagen Cross linking. Results: The Root Mean Squar RMS of higher order aberrations decreased from 1.62 ± 0.86 to 1.48 ± 0.75, Coma decreased from 0.73 …

Central Corneal Thickness And Corneal Hysteresis Together With Corrected Intraocular Pressure In Normal Population, Ghada Mohammed Rasheed Abdelaziz, Sawsan Abdelsabour Shalaby, Hossam Abdelmonem Ziada

Al-Azhar International Medical Journal

Background: Cornea is the transparent window on the front of the eye with a dome shape. The cornea forms the anterior part of the eye outer coat. This coat's primary function is to protect the intra ocular components. The cornea serves as a structural barrier and guards the eye against infections. It offers the eye's anterior refractive surface with the tear film. Two-thirds of the eye's refractive power contributed by the cornea

Objective: The study aims to report and correlate central corneal thickness (CCT) by Pentacam, .corneal hysteresis (CH), corneal resistance factor. (CRF), corneal compensated intraocular pressure. (IOP cc), and …

Effect Of Phacoemulsification On Corneal Endothelium In Type 2 Diabetic Patients Versus Normal Patients Phacoemulsification On Corneal Endothelium, Ali Ahmad Ali Khalifa, Ehab Abdel Salam Azab El Sheikh, Naef El Sayed Abdel Aziz Ali

Al-Azhar International Medical Journal

examination was performed for determination of endothelial cell density.

Results: One month after surgery, a comparison between the two study groups revealed statistically insignificant differences in either group's central corneal thickness (CCT), coefficient of variation (CV%), or corneal endothelial cell density (ECD). However, their hexagonality (Hex) showed significant difference (p = 0.021) in comparison between group (1 & 2). There is a significant decrease in ECD in both groups after one month of phaco surgery with highly significant decrease in diabetic than non-diabetic groups (p

Conclusion: From this study, phacoemulsification decreases the corneal endothelial cell count and type 2 DM …

Comparison Of Macular Thickness Changes After Neodymium: Yttrium–Aluminum–Garnet Laser Capsulotomy In Diabetic And Non-Diabetic Patients, Sayed Abbas Sayed, Hatem Mahmoud Samy Abedelkawy, Mostafa Saad Sayed Kamel

Al-Azhar International Medical Journal

Background: Commonly delayed complications after cataract surgery include posterior capsule opacification (PCO) following cataract removal. The PCO is typically treated with Neodymium: Yttrium–Aluminum-Capsulotomy using a Garnet Nd:YAG Laser. It is an effective, non-invasive simple, fast, and relatively safe outpatient surgery for managing intact posterior capsule opacification following surgery. Objectives: to compare thickness variations in the central macula (CMT) after ND: YAG laser posterior capsulotomy in diabetic with non-diabetic patients. Patients and methods: A prospective interventional comparative research was perfomed in ophthalmology department of Al-Azhar university hospitals during the period from September 2021 to July 2022. The investigation included 40 posterior …

Comparison Between Conventional Ultrasound Biometry And Optical Biometry In Preoperative Intraocular Lens Power Calculation In Cataractous Emmetropic Patients, Abd El Moez Haddad Ahmed, Abd El Ghany Ibrahim Abd El Ghany, Hesham Abd El Gawad Mostafa

Al-Azhar International Medical Journal

Background: The most common type of ophthalmic surgery performed nowadays is cataract removal followed by the insertion of an intraocular lens (IOL).Aim: The purpose of this study was to compare the accuracy of predicting refractive outcomes between conventional ultrasonic and IOL master in emmetropic eyes with varying axial lengths (22-24 mm).Subject and Methods: This prospective case study lasted for a total of six months, the period from May 2022 to November 2022 in ophthalmology department of memorial institute of ophthalmology Hospital and sayed galal Hospital, Al-Azhar University scheduled for patients underwent biometry by both IOL Master and ultrasound biometry. All …

Assessment Of Contrast Sensitivity And Wavefront Analysis After Aspheric And Spherical Intraocular Lens Implantation., Mohamed Hassan Ali Mohamed, Mohamed Amin El Masry, Hassan Metwally Baiuomy

Al-Azhar International Medical Journal

Purpose: to evaluate the changes in contrast sensitivity and wavefront high-order aberrations of eyes implanted with aspheric intraocular lenses in comparison with those with standard spherical intraocular lenses.

Methods: The 40 patients' eyes were included in this comparative prospective investigation. There were two sets of participants in this study, A and B, each with an equal number of eyes. (20). Group (A): underwent standard phacoemulsification with the implantation of an AcrySof IOL (SA60AT), a single-piece, spherical monofocal IOL Alcon Laboratories, Inc. The AcrySof IQ IOL (SN60WF), an aspheric monofocal IOL, was implanted in Group B using standard phacoemulsification techniques; Alcon …

Deep Sclerectomy Versus Trabeculectomy Assisted With Mitomycin C In Management Of Primary Open Angle Glaucoma., Ramadan Mohamed Abdel Rahman Mostafa, Hisham Fawzy Khalil, Ahmed Gomaa El Mahdy

Al-Azhar International Medical Journal

Background: Glaucoma is the sneak thief of vision and one of the leading causes of blindness if untreated, neural damage caused by glaucoma is irreversible. Objective: To compare subscleral trabeculectomy (SST) with non-penetrating deep sclerectomy (NPDS) by examining intraocular pressure (IOP), complications, surgical success rate, and preoperative and postoperative best-corrected visual acuity (BCVA). Patients and Methods: Two groups of equal size each included 25 eyes of 25 patiants. Group 1 included patients who had NPDS and Group 2 included patients who had SST with Mitomycin C (MMC) 0.2mg/ml for 2 min . Patients were deemed to have achieved complete success …

Role Of Ophthalmic Brightness Scan (B-Scan) Ultrasonography In Diabetic Retinopathy With Opaque Media, Ayman Shawky Abd El-Haleim El-Sanhoury, Ahmed Mahmoud Amin, Adel Abd El-Aziz Hassouna

Al-Azhar International Medical Journal

Background: Ophthalmic B-scan ultrasonography is beneficial investigation in diabetic retinopathy with vitreous hemorrhage & other media opacities, where retina cannot be visualized directly on ophthalmic test. B-scan ultrasonography can demonstrate if retinal detachment is present & can find other posterior segment pathology like vitreous hemorrhage & posterior vitreous detachment.

Objective: To investigate the role of ophthalmic brightness scan (B-scan) ultrasonography in diabetic retinopathy with opaque media.

Patients & techniques: total of one hundred eyes of 100 studied cases with diabetic retinopathy at different grades with any media opacity precluding adequate indirect ophthalmoscopy were recruited between October 2020 and January 2022 …

Cystatin C As A Marker Of Hemodialysis Adequacy In Adults, Safwat Farrag Ahmed, Alsayed Mohamed Rashed, Mohammad Assayed Abo-Ghabsha, Ahmed Kamal Hassanin Mansour

Al-Azhar International Medical Journal

Background; Cystatin C (CyC) level in plasma is an emerging measure for evaluating kidney function. However, its usefulness in determining how well hemodialysis is working for individuals with end-stage renal disease has not yet been proven, Aim and objectives: Aim of the study was to evaluate cystatin C as a marker of adequacy of hemodialysis (HD) in adults. Subjects and methods: This study started between first of May 2022 and first of August 2022 and was conducted on 90 patients; 45 of them at Al-Hussain university hospital in Cairo and 45 of them at Arab Organization for Industrialization hospital in …

Foldable Intra Ocular Lens Hydroimplantation Versus Viscoimplantation During Phacoemulsification: Comparative Study, Mahmoud Ali Kotb Koritenah, Mohamed Abdel-Monem Mahdy, Mostafa Osman Hussein

Al-Azhar International Medical Journal

Background: Viscosurgical devices created a revolution in progress of cataract surgery but with great advancement in cataract surgery and their corneal incisions, anterior chamber and bag stability can be achieved with other methods otherwise viscosurgecal devices and the best method is hydroimplantation. Hydroimplantation can achieve the same effect like viscoimplantation with achieving approximate safety on ocular structures especially corneal endothelium and posterior capsule.

Purpose: To compare implantation of a singl-piece, foldable intraocular lens (IOL) using hydroimplantation to that of a standard implantation using an ophthalmic viscoelastic device ( OVD) in terms of safety, frequency of complications during implantation, influence of …

Effect Of Intravitreal Injection Of Ranibizumab (Lucentis) On Corneal Biomechanics, Adel Mohamed Abdul Wahab Khalil, Mona Elsayed Aly Hassan, Eman Mohamed Hassan Elkarnshawy

Al-Azhar International Medical Journal

Background: Corneal biomechanics has become an interesting material for the research and progress in modern ophthalmology due to its many uses .In the glaucoma field, biomechanically corrected IOP was measured .Also,in pre-operative assessment in refractive surgery ,KC and CXL.

Corvis ST is a dynamic Scheimpflug technology measures in details the cornea's biomechanical reaction to an air pulse. Intravitreal anti VEGF treatment causes decrease of VEGF levels and shift of CTGF /VEGF balance in favor of CTGF which is present in various tissues as cornea and sclera causing angiofibrotic switch.

Aim of the work : To assess effect of intravitreal injection …

Vitrectomy With Internal Limiting Membrane Peeling In The Management Of Primary Rhegmatogenous Retinal Detachment, Ahmed Abd El Fattah Abd El Hamid El Far, Sayed Abbas Sayed Mahfuz, Hasan Mohamed Hegazy, Abd El-Ghany Ibrahim Abd El-Ghany

Al-Azhar International Medical Journal

Aim of the work: To assess the role of internal limiting membrane (ILM) peeling with vitrectomy for primary rhegmatogenous retinal detachment and detection of associated macular changes

Method: 50 patients with a primary rhegmatogenous retinal detachment that match the inclusion criteria were studied. Patients were subgrouped into two groups; the first group underwent ppv without ILM peeling and the second group underwent ILM peeling with vitrectomy. The main outcomes recorded were best-corrected visual acuity (BCVA) and the occurrence of ERM on SD-OCT.

Results: There were 25 eyes in each group. The patients in the second group did not develop ERM …

Trabeculectomy With Mitomycin-C Versus Modified Adjustable Sutures Trabeculectomy With Mitomycin-C In Primary Open Angle Glaucoma: Comparative Study, Barakat Mohammed Mahmoud Barakat, Al-Araby Abd Al-Ghany Nassar, Mohammed Abdel-Monem Mahdy, Mustafa Mahmoud Mustafa

Al-Azhar International Medical Journal

Trabeculectomy with Mitomycin-C versus modified adjustable sutures trabeculectomy with Mitomycin-C in primary open angle glaucoma: Comparative study

Abstract

Background: Trabeculectomy is the most common glaucoma surgery worldwide. Overflow may lead to serious complications, fine control of IOP by adjustable sutures technique decreased complications and increased success rates.

Methods: A comparative, prospective, interventional clinical study in which 50 eyes of 50 patients with primary open angle glaucoma were included, and randomly assigned to Trabeculectomy with Mitomycin-C and modified adjustable sutures trabeculectomy with Mitomycin-C. It was conducted at Al-Hussein University Hospital, Cairo, between January 2017 and December 2021. Patients were followed up …