Middle East African journal of ophthalmology
-
Middle East Afr J Ophthalmol · Jul 2013
Case ReportsOculocardiac reflex in a medial orbital wall fracture without clinically evident entrapment.
In this report, we describe a patient with a medial wall orbital fracture, who presented with vasovagal-like symptoms secondary to an oculocardiac reflex. This case is unusual because the patient had no other clinical evidence of muscle entrapment. A 15-year-old male presented with daily 5-10 min episodes of dizziness, light headedness, and nausea consistent with a vasovagal reaction. ⋯ The patient underwent fracture repair with immediate resolution of all symptoms. Symptoms related to a vasovagal response may occur with orbital fractures despite normal extra ocular motility. Presumably this relates to tension or pulling on an extra ocular muscle, which is not to a degree that alteration in function is appreciable clinically.
-
Middle East Afr J Ophthalmol · Oct 2012
Comparative StudyThe short to medium-term risks of intracameral phenylephrine.
To compare outcomes and complications of patients undergoing phacoemulsification with and without the administration of intracameral phenylephrine. ⋯ This retrospective study suggests that intracameral phenylephrine normalizes the intraoperative risk of small pupil cataract surgery and is not associated with an increased risk of systemic or postoperative ophthalmic complications.
-
Middle East Afr J Ophthalmol · Oct 2012
Case ReportsLong-term management of orbital and systemic reactive lymphoid hyperplasia with rituximab.
Rituximab, a monoclonal antibody to the B cell marker CD20, is becoming increasingly popular in the treatment of various orbital disorders. In this university-based interventional case series, we describe two patients with bilateral orbital and extra-orbital reactive lymphoid hyperplasia (RLH) treated with rituximab. ⋯ Both again responded to additional courses of rituximab. Although recalcitrant disease may persist after treatment, rituxmab may play a role in the management of RLH with widespread involvement.
-
Middle East Afr J Ophthalmol · Jul 2012
Randomized Controlled Trial Comparative StudyComparison of levobupivacaine 0.5% or bupivacaine 0.5% both in a mixture with lidocaine 2% for superficial extraconal blockade.
To evaluate the quality and efficacy of Peribulbar blockade for superficial extraconal anesthesia with levobupivacaine 0.5% versus bupivacaine 0.5%, both combined with lidocaine 2% for patients undergoing phacoemulsification. ⋯ Superficial extra-conal block with a mixture of levobupivicaine 0.5% and lidocaine 2% or bupivicaine 0.5% and lidocaine 2% provides similar block quality and efficacy.
-
Middle East Afr J Ophthalmol · Jul 2012
Comparative StudyScreening for diabetic retinopathy: the first telemedicine approach in a primary care setting in Bahrain.
To develop an integrated diabetic retinopathy screening program that uses telemedicine. ⋯ Telemedicine-based screening program is a feasible and efficient means of detecting diabetic retinopathy and providing treatment.