Convulsion is frightening when it occurs and some caregivers even think that the child is dying. Efforts are usually made to stop the convulsion at all cost. Many of the interventions carried out are useless, and some are harmful. We report this unusual intervention of applying a substance, “Miss Paris Perfume” to the eyes of a two year old girl which resulted into corneal opacity and subsequent blindness.
We are reporting this case to call attention to this unusual but preventable cause of blindness. Health education on the correct immediate management of convulsion at home should be carried out continuously.
Aim: To compare cumulative dissipated energy (CED), intraoperative and postoperative complications in eyes underwent conventional phacoemulsification and 25-Gauge phacovitrectomy surgery.
Study Design: Retrospective, comparative case series in ophthalmology clinic of Ulucanlar Eye Education and Research Hospital.
Methodology: A total of 140 eyes underwent conventional phacoemulsification and 25-Gauge phacovitrectomy surgeries were evaluated. CDE intraoperative, early and late postoperative surgical outcomes were compared.
Results: No one had any intraoperative complication in either group. But the mean CDE was statistically significantly higher in combine group (15.07±8.04) than that in phaco group (11.60±7.98). Even these difference postoperative clinical outcomes were not statistically significant in each group.
Conclusion: The single session combined phacovitrectomy surgery is safe and effective technique in cases that presents with both cataract and retinal disease.
Aim: To correlate the occurrence of corneal sensory loss with peripheral neuropathy in Type 2 diabetics.
Study Design: A hospital-based case control study.
Place and Duration: A study conducted on type 2 diabetics attending the endocrinology clinic of University of Port Harcourt Teaching Hospital (UPTH), Rivers State, Nigeria between October 28th 2013 and February 28th 2014.
Methodology: Participants were selected using consecutive allocation of type 2 diabetics as they presented to the Endocrinology Clinic of University of Port Harcourt Teaching Hospital. Diabetes-free controls were recruited simultaneously. Data of each participant was documented on standard proforma and subsequently had ocular examinations. Central corneal sensitivity was assessed using a Cochet-Bonnet Aesthesiometer, peripheral neuropathy was assessed using the Biothesiometer.
Results: A total of 120 diabetics and 120 age and sex-matched controls constituted the study population. Their mean age was 55.6 ±10.5 years with an age range of 30 to 82 years (diabetics: 56.6 ±10.9 years and healthy control: 54.5 ±10.1 years). Corneal sensitivity in the right eye of diabetics was: 52.4±6.7 mm and 55.5±4.9mm in controls while that in the left eye was 51.1±9.0 mm in diabetics and 54.0±5.2 mm in control. The mean value pressure applied to the central cornea in diabetics was 0.54±0.16 gm/mm2 and 0.47±0.09 gm/mm2 in controls. The average vibration perception threshold in diabetics was 21.3±7.4 and 16.6±3.8 in control. Corneal sensitivity in diabetics with symptoms of neuropathy was 51.8±6.7 and 56.3 ±5.8 in diabetics without symptoms (p-value 0.014). The corneal sensitivity in diabetics with peripheral neuropathy-biothesiometer readings > 25 mV- was 46.5± 7.2 and 54.2 ±5.4 in diabetics without peripheral neuropathy-biothesiometer readings of <25mV (p-value <0.001).
Conclusion: Corneal sensitivity was significantly lower in diabetics with peripheral neuropathy when compared to diabetics without peripheral neuropathy.
Aim: Prospective study on the Amsler Grid pattern of patients with various acquired macular disorders during the period of 3 months between Jan 2016 to March 2016.
Materials and Methods: Fifty seven eyes patients who attended the Retina clinic at tertiary eye hospital between Jan to March 2016 after satisfying the inclusion criteria. All patients underwent routine eye examination including visual acuity, slit lamp examination, 90D and indirect ophthalmoscopy and amsler grid.
Results: The mean age was 46.8 years. The maximum number of patients were in the 50-60 years group; 37 males and 13 females. Twenty two patients had central serous retinopathy, 24 patients had clinically significant macular oedema, 6 patients had age related macular degeneration, 4 patients had cystoid macular oedema and 1 had macular hole. The most common complaints of the patients during presentation were scotoma i.e. 24 patients presented with central scotoma, 4 patients presented with metamorphopsia, 14 patients presented with micropsia, 4 patients presented with macropsia and 12 patients presented with distortion of whole chart.
Summary: The amsler’s grid proved to be a useful tool to identify some of the macular diseases with subjective symptoms and a relatively normal visual acuity. An early diagnosis means early treatment, so it may help to limit or at least slow the vision loss. It is also a useful tool to follow up patients concurrently with treatment to see the subjective improvement in the visual disturbance.
Purpose: To study and quantify refractive surgery trends in a single refractive surgery practice.
Methods: A retrospective case series. Medical records were reviewed for all patients completing refractive surgery at Yemen Magrabi Hospital from January 01, 2008 to December 31, 2008. Patients had one of the following procedures: laser in-situ keratomileusis (LASIK), photorefractive keratectomy (PRK), phakic intraocular lens implants or refractive lens exchange (RLE). Corneal excimer procedures were done using the NIDEK EC-5000 and phakic intraocular lens used were Implantable Collamer Lens (ICL).
Results: Refractive surgery procedures were performed on 1021 patients (1933 eyes). Mean patient age was 26.81±6.16 years (range: 10 to 62 years). Female accounted for 55.7% (n=569) and males for 44.3% (n=452). Of the 1933 treated eyes, 60.1% (n=1162 eyes) had LASIK, 26.6% (n=515) of eyes had PRK, 10.9% (n=210) had ICL and 2.4% (n=46) had RLE.
Conclusion: LASIK was the predominant refractive surgical procedure offered in our practice, followed by PRK, ICL and finally RLE. Patients who request refractive surgery have a variety of problems and warrant comprehensive attention to selection criteria on the part of the surgeon.