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Characteristics Of Posterior Corneal Astigmatism In Different Stages Of Keratoconus, Abd E. E. Sarhan, Gehad A. F. Sakr, Marwa A. Zaky Dec 2020

Characteristics Of Posterior Corneal Astigmatism In Different Stages Of Keratoconus, Abd E. E. Sarhan, Gehad A. F. Sakr, Marwa A. Zaky

Menoufia Medical Journal

Objective The aim was to evaluate the magnitudes and axis orientation of anterior corneal astigmatism (ACA) and posterior corneal astigmatism (PCA) and the correlation between ACA and PCA in the different stages of keratoconus (KC). Background PCA is an essential factor to be considered for accurate measurement of intraocular lens (IOL) power used in the treatment of cataract with KC. Patients and methods A retrospective case series study was conducted between August 2017 and July 2018 on a sample of 94 eyes with KC. Participants were divided into four subgroups according to Amsler–Krumeich classification. Pentacam was used to measure the …


Optical Coherence Tomography In Dry Eye After Laser In-Situ Keratomileusis With Omega-3 Supplementation, Amany M. E. Mohamed, Marwa A. Zaky, Mostafa K. Nassar Dec 2020

Optical Coherence Tomography In Dry Eye After Laser In-Situ Keratomileusis With Omega-3 Supplementation, Amany M. E. Mohamed, Marwa A. Zaky, Mostafa K. Nassar

Menoufia Medical Journal

Background Dry eye is the most common complication after laser in-situ keratomileusis (LASIK). Anterior segment optical coherence tomography (AS-OCT) is a noninvasive and quick clinical tool for the evaluation of a tear film. Oral omega-3 supplementation has been shown to improve nerve regeneration after injury to the cornea. Aim The aim of this work was to evaluate tear menisci parameters by AS-OCT in diagnosis of dry eye after LASIK procedure and evaluation of the role of oral omega-3 supplementation in the management of dry eye after LASIK. Patients and methods A prospective randomized study was performed on 50 participants who …


Complicated Facial Filler Management By Facelift, Fouad M. Ghareeb, Mohamed A. El-Nahas Dec 2020

Complicated Facial Filler Management By Facelift, Fouad M. Ghareeb, Mohamed A. El-Nahas

Menoufia Medical Journal

Objective The aim was to study and evaluate the role of facelift technique in the management of complications of permanent facial filler. Background Facial filler complications vary from skin discoloration in the form of hyperemia, hyperpigmentation, or nodule, which may be due to accumulated filler or granulomatous reaction. Complicated patients show symptoms of abnormal skin texture and facial deformities. Treatment of these conditions in the form of drainage, excision, or intralesional laser is usually unsatisfactory. Patients and methods The idea of this method is to expose and radically resect all nodules with draining any fluid filler which is present in …


Levosimendan Vs Intra-Aortic Balloon Pump In Low Ejection Fraction Coronary Artery Bypass Grafting Patients, Ahmed L. Dokhan, Ahmed H. Onsi, Amr M. Allama, Mohamed G. Hagag Dec 2020

Levosimendan Vs Intra-Aortic Balloon Pump In Low Ejection Fraction Coronary Artery Bypass Grafting Patients, Ahmed L. Dokhan, Ahmed H. Onsi, Amr M. Allama, Mohamed G. Hagag

Menoufia Medical Journal

Background Coronary artery bypass grafting (CABG) surgery in poor left ventricular function patients is still risky with much postoperative comorbidity that mandates trials to find the best management protocol to cure those patients safely. The authors aimed at evaluating the postoperative outcome of preoperative prophylactic use of levosimendan vs intra-aortic balloon pump (IABP) in those patients. Patients and methods In all, 90 patients presented with coronary insufficiency with an ejection fraction of less than 35% and underwent CABG. They were divided into three groups: group A (30 patients) who did not receive preoperative prophylactic support with neither IABP nor levosimendan; …


Nepafenac And Bromfenac Versus A Placebo In Minimizing The Incidence Of Pseudophakic Cystoid Macular Edema After Phacoemulsification, Hanan A. E Ahmed Madi, Hoda M. K. Elsobky, Mohammed S. A. Aziz Dec 2020

Nepafenac And Bromfenac Versus A Placebo In Minimizing The Incidence Of Pseudophakic Cystoid Macular Edema After Phacoemulsification, Hanan A. E Ahmed Madi, Hoda M. K. Elsobky, Mohammed S. A. Aziz

Menoufia Medical Journal

Objectives This study aims to evaluate the effect of two types of topical NSAIDs, nepafenac and bromfenac, in comparison with a placebo on macular edema after phacoemulsification. Background Cystoid macular edema (CME) is the commonest cause of visual decline after phacoemulsification. Design A prospective comparative randomized Open-label clinical trial was performed. Patients and methods A total of 75 patients with senile cataract were included in the present study. Of them, 19 patients were assigned to receive nepafenac 0.3% eye drops, 19 received bromfenac 0.09% eye drops, and 37 received a placebo. The primary outcome measure included the change in the …


Treat-And-Extend Vs Pro Re Nata Regimens Of Aflibercept In Diabetic Macular Edema, Abd E. Elsebaey, Asmaa M. A. Ibrahim, Eman A. Elshaarawy Dec 2020

Treat-And-Extend Vs Pro Re Nata Regimens Of Aflibercept In Diabetic Macular Edema, Abd E. Elsebaey, Asmaa M. A. Ibrahim, Eman A. Elshaarawy

Menoufia Medical Journal

Objective The aim of the present study was to compare between two regimens of intravitreal injection of aflibercept in diabetic macular edema (DME): treat-and-extend (T and E) vs pro re nata (PRN). Background T and E and PRN (as needed) regimens of intravitreal antivascular endothelial growth factor treatment have been found to reduce the injection burden on patients and improve the cost-effectiveness of the treatment of macular edema. Patients and methods This prospective randomized comparative study was conducted on patients with DME, who were randomly divided into two groups. Eyes in group I were treated with T and E regimen …


Evaluation Of Corneal Haze After Transepithelial Photorefractive Keratectomy, Amin F. Ellakwa, Islam F. F. Mohamad, Nermeen M. Badawy Dec 2020

Evaluation Of Corneal Haze After Transepithelial Photorefractive Keratectomy, Amin F. Ellakwa, Islam F. F. Mohamad, Nermeen M. Badawy

Menoufia Medical Journal

Background Transepithelial photorefractive keratectomy (t-PRK) has been associated with diminished wound healing response, hence less refractive regression and haze, compared with other techniques of epithelial removal in PRK. Objectives To evaluate the corneal haze after t-PRK. Patients and methods This prospective highly selectional observational study involved 100 eyes of patients with simple myopia and mixed myopia with astigmatism who underwent t-PRK to correct their vision. Both males and females were included who were age and sex matched. Results The results showed improvement of visual haze along the follow-up period. Comparison of visual haze between follow-up period 1 week after t-PRK …


Bilateral Lateral Rectus Recession Versus Three-Muscle Surgery In Management Of Exotropia, Ghada Z. Rajab, Hany A. Khairy, Tarek M. O. Abd El Hares Dec 2020

Bilateral Lateral Rectus Recession Versus Three-Muscle Surgery In Management Of Exotropia, Ghada Z. Rajab, Hany A. Khairy, Tarek M. O. Abd El Hares

Menoufia Medical Journal

Objectives To compare the efficacy of bilateral lateral rectus recession (BLR) surgery versus BLR plus one medial rectus resection surgery in the management of exotropia (XT). Background The exact nature of this surgery remains debatable, with some surgeons preferring the BLR procedure and others the unilateral recession resection procedure. Patients and methods A total of 40 patients with XT were classified into two equal groups according to the type of surgical technique used: group 1 included 20 patients who underwent BLR surgery, and group 2 included 20 patients who underwent BLR plus one medial rectus resection surgery in the management …


Evaluation Of Corneal Endothelial Changes After Posterior Capsule Rupture During Phacoemulsification Using Specular Microscope, Hebatallh M. T. Nada, Hoda El Sobky, Marwa Zaky Dec 2020

Evaluation Of Corneal Endothelial Changes After Posterior Capsule Rupture During Phacoemulsification Using Specular Microscope, Hebatallh M. T. Nada, Hoda El Sobky, Marwa Zaky

Menoufia Medical Journal

Background Phacoemulsification cataract surgery is now the technique of choice for routine cataract extraction. However, posterior capsule rupture (PCR) during phacoemulsification cataract surgery remains an important complication because it may lead to poor visual outcome. Objective The aim of this study was to evaluate the effect of PCR during cataract extraction by phacoemulsification on the corneal endothelium using a specular microscope. Patients and methods A total of 50 patients with age range between 45 and 65 years were enrolled in this study during a period of 1 year. Anterior chamber depth measurement was done. Preoperatively, anterior chamber depth (mm) …


A Comparative Randomized Study To Evaluate The Effect Of Azithromycin 1.5% Eyedrops Versus Moxifloxacin 0.5% Eyedrops On Bacterial Conjunctivitis, Hesham M. F El Maraz, Sameh S. Mandour, Soha S. F Abd-El Maksoud Dec 2020

A Comparative Randomized Study To Evaluate The Effect Of Azithromycin 1.5% Eyedrops Versus Moxifloxacin 0.5% Eyedrops On Bacterial Conjunctivitis, Hesham M. F El Maraz, Sameh S. Mandour, Soha S. F Abd-El Maksoud

Menoufia Medical Journal

Objective To evaluate the effect of azithromycin 1.5% eyedrops versus moxifloxacin 0.5% eyedrops on bacterial conjunctivitis. Background Purulent bacterial conjunctivitis affects all ages, with high frequency in newborns and children. This study evaluates the effect of azithromycin 1.5% eyedrops with moxifloxacin 0.5% eyedrops in treatment of bacterial conjunctivitis. Patients and methods A prospective comparative randomized controlled clinical trial was conducted that included 100 participants with purulent bacterial conjunctivitis at Menoufia outpatient clinic. Patients received either azithromycin 1.5% eyedrops twice daily for 7 days or moxifloxacin 0.5% eyedrops three times per day for 7 days. The primary variable was clinical cure …


Systemic Anticoagulant In Management Of Central Retinal Vein Occlusion, Asmaa M. Ibrahim, Aya E. El-Absawy, Hesham M. Elmazar, Mohamed A. Abd El-Hafez Dec 2020

Systemic Anticoagulant In Management Of Central Retinal Vein Occlusion, Asmaa M. Ibrahim, Aya E. El-Absawy, Hesham M. Elmazar, Mohamed A. Abd El-Hafez

Menoufia Medical Journal

Background Central retinal vein occlusion (CRVO) is one of the commonest retinal vascular diseases. Objective The aim was to compare between intravitreal injection of antivascular endothelial growth factors and combined intravitreal injection of antivasular endothelial growth factors with systemic anticoagulant drugs in treatment of CRVO. Patients and methods This study included 30 patients with CRVO who were divided into two groups. The first group was treated by intravitreal injection? of anti-Vascular endothelial growth factor (VEGF) (Ranibizumab) using three injections, 1 month apart. The second group was treated the same protocol of injection of the first group and systemic anticoagulant drugs, …


Role Of Ca-125 And Ultrasound In Early Prediction Of Outcome Of Threatened Miscarriage, Ayman A. Shabana, Haitham A. Hamza, Hamed E. Ellakwa, Marwa M. Omar, Mohamed E. Anter Dec 2020

Role Of Ca-125 And Ultrasound In Early Prediction Of Outcome Of Threatened Miscarriage, Ayman A. Shabana, Haitham A. Hamza, Hamed E. Ellakwa, Marwa M. Omar, Mohamed E. Anter

Menoufia Medical Journal

Objective The aim was to study the role of serum cancer antigen 125 (CA-125) and ultrasound in early prediction of outcome of threatened miscarriage. Background Threatened abortion is a clinically descriptive term applied to women who are less than 24 weeks of gestation having vaginal spotting or bleeding, closed cervical, and possibly mild uterine cramps. Patients and methods A prospective case–control study was conducted on 80 pregnant women at 6–12 weeks attending the Department of Obstetrics and Gynecology of El-Menoufia University Hospital Mit-Ghamer General Hospital during the period from January 2017 to February 2018. A total of 40 women had …


Intradermal Sterile Water Injection Versus Intramuscular Pethidine Injection For Pain Relief In First Stage Of Labor, Ahmed N. Abd Elhamid, Dina A. A Abd Alsalam, Haitham A. Aboali, Tarek M. Sayyed Dec 2020

Intradermal Sterile Water Injection Versus Intramuscular Pethidine Injection For Pain Relief In First Stage Of Labor, Ahmed N. Abd Elhamid, Dina A. A Abd Alsalam, Haitham A. Aboali, Tarek M. Sayyed

Menoufia Medical Journal

Objectives To compare the effectiveness and safety of intradermal sterile water injection versus pethidine to decrease labor pain. Background In this study, we tried to clarify the possible role of sterile water injection as alternative to pethidine for relieving labor pain. Patients and methods A randomized controlled clinical trial was carried out on 78 parturient women in active phase of first stage of labor. Patients were randomly assigned to either one of two groups: group A (intradermal sterile water injection group) received four intradermal injections of 0.5-ml sterile water in the lumbosacral region, and group B (pethidine group) received 1 …


Different Treatment Modalities In Traumatic Splenic Injuries, Ahmed S. El Gammal, Ahmed M. Abo Ghida, Ahmed M. Nabil Dec 2020

Different Treatment Modalities In Traumatic Splenic Injuries, Ahmed S. El Gammal, Ahmed M. Abo Ghida, Ahmed M. Nabil

Menoufia Medical Journal

Objective To evaluate surgical and nonoperative splenic conservation modalities in traumatic splenic injuries. Background Splenic injury is common, affecting up to 32% of patients with blunt abdominal trauma. Nonoperative management (NOM) of hemodynamically stable patients with blunt splenic injury has become the standard of care in pediatric and adult populations. Successful outcome following NOM is reported as up to 97% of patients regardless of the grade of splenic injury. Patients and methods This was a prospective study including 150 patients) 88 patients and the other one contained 62 patients (at Menoufia University Hospital, General Surgery Department, and Itay El Baroud …


Role Of Interleukin-6, Interleukin-8, And Β-2 Microglobulin In Assessment Of Severity Of Pancreatitis, Ahmed S. El-Gamal, Ahmed M. Maarek, Nahla F. Osman, Yahia M. Alkhateap Dec 2020

Role Of Interleukin-6, Interleukin-8, And Β-2 Microglobulin In Assessment Of Severity Of Pancreatitis, Ahmed S. El-Gamal, Ahmed M. Maarek, Nahla F. Osman, Yahia M. Alkhateap

Menoufia Medical Journal

Objective The aim was to evaluate the role of interleukin-6 (IL-6), IL-8, and β-2 microglobulin (B2M) in assessment of severity of pancreatitis. Background Acute pancreatitis is a potentially lethal disease, especially in its severe form, which accounts for ~20% of cases in patients hospitalized with acute pancreatitis. Patients and methods This prospective comparative study was conducted on 80 patients with acute pancreatitis who were divided into two groups: mild/moderate acute pancreatitis (MAP) group and severe acute pancreatitis (SAP group). All patients were subjected to full history taking; clinical examination; and laboratory investigation, which included complete blood count, renal function tests, …


Use Of Local Anesthetic Cream To The Skin During Extracorporeal Shock Wave Lithotripsy, Abd-Elalim M. Eldoray, Atef A. Badawy, Emad Abd-Elhady Abu-Zekry, Mohamed A. Elshazly Dec 2020

Use Of Local Anesthetic Cream To The Skin During Extracorporeal Shock Wave Lithotripsy, Abd-Elalim M. Eldoray, Atef A. Badawy, Emad Abd-Elhady Abu-Zekry, Mohamed A. Elshazly

Menoufia Medical Journal

Objectives To assess the efficacy of local anesthetic cream compared with nalufin for pain control during extracorporeal shock wave lithotripsy (SWL). Background Local anesthetic is a method of pain control for various procedures. Patients and methods This is a prospective randomized study of patients diagnosed with renal or ureteric stones and should receive SWL as treatment. A total of 80 patients were divided into two groups, with 40 patients each: eutectic mixture of local anesthetics (EMLA) group (group A) received EMLA cream and received nalufin intravenous injection on demand if pain was intolerable, and nalufin group (group B) received nalufin …


Holmium Laser Vs Cold Knife – Direct Vision Internal Urethrotomy In Management Of Bulbar Urethral Stricture, Ayman F. Adli, Fatma A. Elserafy, Mohamed S. Elgharbawy, Mohamed M. Abdallaha Dec 2020

Holmium Laser Vs Cold Knife – Direct Vision Internal Urethrotomy In Management Of Bulbar Urethral Stricture, Ayman F. Adli, Fatma A. Elserafy, Mohamed S. Elgharbawy, Mohamed M. Abdallaha

Menoufia Medical Journal

Objectives The aim was to compare the safety and efficacy of using Holmium: YAG laser vs the cold knife in the treatment of short-segment bulbar urethral stricture. Background Male urethral stricture is a common condition in urological practice. Cold knife urethrotomy is the most appealing therapeutic method among urologists, as it is an easy and minimally invasive endoscopic procedure. Patients and methods This is a randomized prospective study that was done on 60 patients divided into two groups: group A included 30 patients subjected to cold knife urethrotomy (direct VIU), and group B included 30 patients subjected to HO: YAG …


Correlation Between Nasopharyngeal Bacteria In The Eustachian Tube Area And That In Middle Ear Effusion, Ayman A. Abdel-Fattah, Mohamed A. Fathallah, Yaser A. Khalil Dec 2020

Correlation Between Nasopharyngeal Bacteria In The Eustachian Tube Area And That In Middle Ear Effusion, Ayman A. Abdel-Fattah, Mohamed A. Fathallah, Yaser A. Khalil

Menoufia Medical Journal

Background Otitis media with effusion is a pathological condition characterized by the accumulation of nonpurulent fluid within the middle ear cleft with an intact tympanic membrane. Materials and Methods This study included 40 patients with otitis media with effusion. After obtaining consent from all patients, they were subjected to detailed history, full clinical examination, especially ear examination, audiological assessment, radiological assessment, swab from nasopharynx at the Eustachian tube areas for bacteriological examination, and samples from middle ear fluid in both ears for bacteriological examination. Results There was a highly significant relation between right ear sample and nasopharyngeal swap in the …


Comparative Study Of Posterior Cervical Laminectomy Vs Facet Fixation Without Laminectomy For The Treatment Of Cervical Spondylotic Myelopathy, Adel Hanafy, Ahmed F. Elmahdy, Ahmed Azab, Ahmed Gabry, Esam-Eldin Gaber, Hany Elkholy Dec 2020

Comparative Study Of Posterior Cervical Laminectomy Vs Facet Fixation Without Laminectomy For The Treatment Of Cervical Spondylotic Myelopathy, Adel Hanafy, Ahmed F. Elmahdy, Ahmed Azab, Ahmed Gabry, Esam-Eldin Gaber, Hany Elkholy

Menoufia Medical Journal

Objective The aim was to compare facet fixation operation as the sole management of cervical spondylotic myelopathy (CSM) vs posterior cervical laminectomy without facet fixation. Background CSM is a chronic spinal cord dysfunction in the cervical region due to cervical spondylosis, which is an age-related degenerative disorder of the cervical spine components. It is caused by a combination of static and dynamic degenerative factors in the adult population of more than 50 years. Surgical decompression of the spinal canal is the primary treatment of choice, which can be done directly by eliminating the static factors as in posterior cervical laminectomy …


Endovascular Management Of Ruptured Cerebral Arteriovenous Malformations In Pediatric Patients, Esam E. G. Saleh, Hosam Eldin A. Habib, Magdy A. E. A. El-Mahalawy, Mohamed S.M. Elsanafiry, Mohamed A. Eltabl Dec 2020

Endovascular Management Of Ruptured Cerebral Arteriovenous Malformations In Pediatric Patients, Esam E. G. Saleh, Hosam Eldin A. Habib, Magdy A. E. A. El-Mahalawy, Mohamed S.M. Elsanafiry, Mohamed A. Eltabl

Menoufia Medical Journal

Objective To evaluate the efficacy, safety, and outcome of endovascular therapy (EVT) of ruptured cerebral arteriovenous malformation (c-AVM) in pediatric patients. Background Children with c-AVM have a higher annual risk of hemorrhage than adults (2–4 vs. 1–3% per year). Hemorrhage is fatal in ~25% of these children. Complete obliteration is most commonly achieved by multimodal therapy, which includes microsurgery, EVT, and stereotactic radiosurgery or a combination of two or more of these techniques. Patients and methods A prospective study included 18 patients (eight male and 10 female), with a mean age of 10.7 years (4–17 years). All had supratentorial c-AVMs, …


Anxiety, Depression, And Commitment To Infection Control Measures Among Egyptians During Covid-19 Pandemic, Safa H. Alkalasha, Zeinab A. Kasemy Dec 2020

Anxiety, Depression, And Commitment To Infection Control Measures Among Egyptians During Covid-19 Pandemic, Safa H. Alkalasha, Zeinab A. Kasemy

Menoufia Medical Journal

Objective The aim was to evaluate anxiety and depression among Egyptians during coronavirus disease 2019 (COVID-19) pandemic, its associated factors, and public commitment to infection control measures. Background COVID-19 pandemic may be stressful for people. Fear and anxiety regarding a new disease can be overwhelming. Participants and methods A prospective study was conducted on 1080 Egyptians using four questionnaires: first, sociodemographic data and hearing about COVID-19; second, generalized anxiety disorders questionnaire; third, patient health questionnaire; and fourth, commitment to infection control measures during this epidemic. These questionnaires were applied twice, with 2 months apart, from March to May 2020. Results …


Immunological Perspectives To Understand The Difference Between Children And Adults In Covid-19, Mohamed A. Sakr Dec 2020

Immunological Perspectives To Understand The Difference Between Children And Adults In Covid-19, Mohamed A. Sakr

Menoufia Medical Journal

Objective The aim was to review and summarize potential explanation for the difference between children and adults in susceptibility to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which could help in suggestion of targets for future therapies. Materials and methods Systematic online search was applied using PubMed, Medscape, Science Direct, and WHO EMF databases with no date restrictions. English-language reports of the possible causes in the difference of immune response to SARS-CoV-2 infection in children from adults were included. Articles not reporting on the immune response to SARS-CoV-2 infection in children and adults were not included. Data were extracted on …


Efficacy Of Intravitreal Injection Of Aflibercept In The Treatment Of Neovascular Age-Related Macular Degeneration, Ahmed I. Basiony, Basant M. M. Doma, Hoda M. K El Sobky Dec 2020

Efficacy Of Intravitreal Injection Of Aflibercept In The Treatment Of Neovascular Age-Related Macular Degeneration, Ahmed I. Basiony, Basant M. M. Doma, Hoda M. K El Sobky

Menoufia Medical Journal

Objectives To evaluate the visual and anatomical outcomes following intravitreal injection of aflibercept in patients with neovascular age-related macular degeneration (AMD). Background Neovascular AMD is considered a principal cause of visual impairment worldwide. It is associated with choroidal neovascularization, which causes exudation that affects vision. Early clinical trials showed that intravitreal injection of anti-vascular endothelial growth factor agents is associated with significant improvement of visual outcomes in the majority of eyes. Aflibercept is an anti-vascular endothelial growth factor agent that recently gained approval for treating neovascular AMD. Patients and methods This prospective study conducted at Menoufia University Hospitals, included 60 …


Choroidal Thickness Prognostic Indicator For Visual Improvement In Central Retinal Vein Occlusion, Hoda M. K. Ei-Sobky, Marwa A. Zaky, Mohamed F. Elhamadan Dec 2020

Choroidal Thickness Prognostic Indicator For Visual Improvement In Central Retinal Vein Occlusion, Hoda M. K. Ei-Sobky, Marwa A. Zaky, Mohamed F. Elhamadan

Menoufia Medical Journal

Objective The aim was to study the relationship between baseline choroidal thickness and functional improvement in central retinal vein occlusion (CRVO) patients receiving antivascular endothelial growth factor (VEGF) therapy. Background CRVO is one of the most common vascular diseases of the retina that seriously affect visual acuity. Design Prospective study. Patients and methods Forty eyes of 40 patients with CRVO were included. All patients received anti-VEGF treatment (Ranibizumab) three injections 1 month apart. Enhanced depth imaging optical coherence tomography was used to evaluate choroidal thickness and macular thickness at baseline and after treatment. Also, best-corrected visual acuity was documented before …


Ultrasound Biomicroscopy Role In Assessing Subscleral Trabeculectomy Operation, Asmaa M. Ibrahim, Hatem G. Marey, Mahmoud E. Abd Elkhaleq Dec 2020

Ultrasound Biomicroscopy Role In Assessing Subscleral Trabeculectomy Operation, Asmaa M. Ibrahim, Hatem G. Marey, Mahmoud E. Abd Elkhaleq

Menoufia Medical Journal

Objective This study aimed to evaluate the role of ultrasound biomicroscopy (UBM) in assessing uneventful trabeculectomy parameters. Background The recent development of the UBM device has made it possible to observe the detailed structure of the anterior segment of the eye with a noninvasive procedure. Patients and methods In this prospective cohort study, an analysis of UBM scanning of 30 glaucomatous eyes of 30 patients, any age, both sexes, after 1 month from uneventful subscleral trabeculectomy operation was done. Results There was a negative significant correlation between bleb size (r = 0.905, P < 0.001) and intraocular pressure (IOP). There was an insignificant correlation at anterior chamber depth and IOP (P = 0.193). There was a …


Assessment Of Epithelial Changes By Anterior Segment Optical Coherent Topography After Photorefractive Keratectomy, Abdel R. El-Sebaey, Amina F. Radwan, Asmaa M. Ibrahim Dec 2020

Assessment Of Epithelial Changes By Anterior Segment Optical Coherent Topography After Photorefractive Keratectomy, Abdel R. El-Sebaey, Amina F. Radwan, Asmaa M. Ibrahim

Menoufia Medical Journal

Objective The aim of the study was to evaluate corneal epithelial changes after photorefractive keratectomy (PRK) by anterior segment optical coherence tomography (AS-OCT) and correlate these with ablation depth (AD) and refractive outcome. Background Evaluation of corneal epithelial changes profile after PRK is essential for understanding postoperative wound healing and clinical outcomes. Patients and methods This a prospective nonrandomized clinical study in 100 eyes of 50 patients treated with PRK for myopia, astigmatism, or compound myopic astigmatism. Epithelial thickness maps were obtained by AS-OCT preoperatively and at 2 and 3 months postoperatively. Correlation between epithelial changes and the amount of …


Riboflavin And Fluorescein Stain Before Argon Laser In The Treatment Of Resistant Corneal Ulcer, Abdel Rahman E. Sarahan, Fareed M. Wagdy, Ghada M. Atta, Mohamed S. Abdel Aziz Dec 2020

Riboflavin And Fluorescein Stain Before Argon Laser In The Treatment Of Resistant Corneal Ulcer, Abdel Rahman E. Sarahan, Fareed M. Wagdy, Ghada M. Atta, Mohamed S. Abdel Aziz

Menoufia Medical Journal

Objective To evaluate the effectiveness and safety of argon laser in resistant corneal ulcers with the aid of fluorescein stain or riboflavin. Background The use of argon laser irradiation of refractory keratitis has proved beneficial in the treatment of these particular corneal ulcers as an adjunctive treatment. Patients and methods In all, 40 cases were divided into two groups. The first group included 20 patients stained with fluorescein sodium 0.25% before argon laser and the second group included 20 patients stained with riboflavin 0.1% before argon laser. Before laser treatment, a drop of benoxinate hydrochloride 0.4% and a single drop …


Transepithelial Photorefractive Keratectomy For Myopic Astigmatism In Comparison With Conventional Photorefractive Keratectomy, Amin F. Ellakwa, Heba S. Shetaih, Mohamed S. Abd El-Aziz Dec 2020

Transepithelial Photorefractive Keratectomy For Myopic Astigmatism In Comparison With Conventional Photorefractive Keratectomy, Amin F. Ellakwa, Heba S. Shetaih, Mohamed S. Abd El-Aziz

Menoufia Medical Journal

Objectives To compare the outcomes of transepithelial photorefractive keratectomy (Trans-PRK) with those of conventional photorefractive keratectomy (PRK) with respect to the postoperative pain, healing time, visual acuity recovery, and haze. Background PRK was the first of a kind of corrective eye surgery to use a laser rather than a blade to remove corneal tissue. Trans-PRK, where both the epithelium and stroma are removed in a single step, is a relatively new procedure of laser refractive error correction. Patients and methods A prospective comparative nonrandomized study was conducted, where patients with low to moderate myopia with or without astigmatism were assigned …


Evaluation Of The Diagnostic Value Of Visual Electrophysiological Examination In Childhood Nystagmus, Asmaa M. Ibrahim, Azza A. Shehab, Hesham M. El Mazar, Hoda M. El Sobky, Noha K. Gaber Dec 2020

Evaluation Of The Diagnostic Value Of Visual Electrophysiological Examination In Childhood Nystagmus, Asmaa M. Ibrahim, Azza A. Shehab, Hesham M. El Mazar, Hoda M. El Sobky, Noha K. Gaber

Menoufia Medical Journal

Objectives To evaluate the use of electroretinography (ERG) and recording of visual-evoked potentials (VEP) as diagnostic tools in children with early-onset nystagmus to clarify the need to include them as a basic step in the evaluation of cases of early-onset nystagmus, especially with normal ocular examination. Background Nystagmus in children can be caused by many causes, starting from idiopathic motor nystagmus compatible with relatively good vision, ending with ocular abnormalities that impair vision or other neurologic abnormalities that may be life threatening. Knowledge of the exact diagnosis is essential in the rehabilitation of a visually impaired child. Patients and methods …


Eccentric Viewing Training For Low-Vision Rehabilitation In Patients With Central Scotoma, Abdelrahman E. Sarhan, Adel G. Zaky, Boshra El Bayoumi, Esraa S. Elghoubashy, Marwa A. Zaky Dec 2020

Eccentric Viewing Training For Low-Vision Rehabilitation In Patients With Central Scotoma, Abdelrahman E. Sarhan, Adel G. Zaky, Boshra El Bayoumi, Esraa S. Elghoubashy, Marwa A. Zaky

Menoufia Medical Journal

Objective The aim was to evaluate the value of subjective eccentric viewing (EV) training in vision rehabilitation in patients with central scotoma. Background EV, also known as eccentric fixation, involves identifying a functioning area of the retina that has reasonable sensitivity, and is as close to the fovea as possible, and to learn to use it effectively, which is known as preferred retinal locus. Materials and Methods The direction of EV was monitored in 33 low-vision patients with bilateral central scotomas, the preferred retinal locus was identified, and the preserved visual field was found. The patients were divided randomly into …