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Register a new userComparison of Astigmatism Following Phacoemulsification Cataract Surgery with Superior Corneal Incision and Steepest Axis Corneal Incision
مقارنة اللابؤرية التالية لجراحة الساد باستحلاب العدسة (الفاكو) بالشق القرني العلوي والشق القرني على المحور الأكثر تحدبا" (خبرة مشفى الأسد الجامعي في اللاذقية بين عامي 2012-2013)
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الهدف: تحديد وجود اختلاف في اللابؤرية القرنية, القدرة البصرية غير المصححة وبأفضل تصحيح بعد الجراحة بين نمطين اثنين من الشقوق القرنية الصافية المجراة في جراحة الساد باستحلاب العدسة (الفاكو): الشق القرني العلوي والشق القرني على المحور الأكثر تحدبا". - شملت هذه الدراسة 40 مريض لديهم ساد ، مع لابؤرية قرنية خفيفة إلى متوسطة ( (2.00 D – 0.50 , لاستخراج العدسة بطريقة الفاكو مع زرع عدسة بيت خلفي مطوية عبر شق قرني بقياس 3,2mm ، و قد تم اختيارهم عشوائيا" ضمن مجموعة شق قرني صافي علوي20)عين) (Superior Clear Corneal Incision) SCCIو مجموعة شق قرني صافي على المحور الأكثر تحدبا" (20عين) " (on the steepest axis clear corneal incision)OCCI. تضمنت قياسات النتائج الرئيسية بعد الجراحة: اللابؤرية القرنية بمقياس انحناء القرنية (Keratometry ) ، القدرة البصرية غير المصححة (Uncorrected visual acuity) UCVA والقدرة البصرية بأفضل تصحيحBest corrected visual acuity) ) BCVA. تم أخذ هذه القياسات باليوم الأول ، بعد أسبوع ، أسبوعين ، شهر، شهرين، 3 أشهر و 6 أشهر. - كان متوسط اللابؤرية القرنية قبل الجراحة (1.25 D± 0.44)في مجموعة الشق القرني العلويSCCI و (1.24 D± 0.44) في مجموعة الشق القرني على المحور الأكثر تحدبا" OCCI . بينما أصبح بعد 6 أشهر من الجراحة (1.53 D± 0.39) في مجموعة SCCI و (1.03 D± 0.45) في مجموعة OCCI مع وجود فارق هام إحصائيا" بينهما (p<0.001). تبين وجود فارق هام إحصائيا في UCVA,و لم يتبين وجود فارق هام إحصائيا" في BCVA بين المجموعتين. الخلاصة: مقارنة بالشق القرني العلوي فإن الشق القرني على المحور الأكثر تحدبا" قد يصحح جزءا" من اللابؤرية القرنية.
The purpose of this paper is to determine whether there is a difference in the postoperative corneal astigmatism and uncorrected visual acuity UCVA as well as best corrected visual acuity BCVA between 2 types of clear corneal incisions used in phacoemulsification: the superior and on the steepest clear corneal incision. This study included 40 patients with cataract and mild to moderate corneal astigmatism (0.50 D - 2.00 D) who underwent phacoemulsification with foldable posterior chamber lens (with 3.2mm corneal incision). Patients were randomly divided into two groups: superior clear corneal incision group SCCI (20 eyes) and on the steepest clear corneal incision group OCCI (20 eyes). Measurements included corneal astigmatism by Keratometry, UCVA and BCVA. These Measurements were taken on first day,1 week, 2 weeks,1, 2,3 and 6 months. The mean preoperative corneal astigmatism was (1.24 D ± 0.44),(1.25 D ± 0.44) in superior corneal incision group, and on the steepest corneal incision group, respectively. After 6 months postoperatively, the mean corneal astigmatism was (1.53 D ± 0.49) in SCCI group, (1.03 D± 0.39) in OCCI group, with statistically significant difference (p<0.001).There was statistically significant difference in UCVA. But there was no statistically significant difference in BCVA. The paper concludes that compared with SCCI, the OCCI could correct some corneal astigmatism
References used
SIMSEK,S; YASAR,T; DEMIROK,A; CINAL,A; YILMAZ,O.F.Effect of superior and temporal clear corneal incisions on astigmatism after sutureless phacoemulsification. Journal of Cataract & refractive surgery. Turkey, Vol. 24, N°.4, April 1998, 515- 518
OlSON, R. J; CRANDALL, A. S. Prospective Randomized Comparison of Phacoemulsification Cataract Surgery With a 3.2-mm vs a 5.5-mm Sutureless Incision . American Journal of Ophthalmology. USA, Volume.125, Issue .5, May 1998, Pages 612–620
OZYOL , E; et al . Analyses of surgically induced astigmatism and axis deviation in microcoaxial phacoemulsification. Int Ophthalmol.Turkey, Vol.31, N°.3, Oct 2013, 225-227
OZYOL, E ; OZYOL, P,et al . The relation between superior phacoemulsification incision and steep axis on astigmatic outcomes. Int Ophthalmol. Turkey, Vol .32, N°.6 , Dec 2012, 565-570
BORASIO , E ; MEHTA , J .S; MAURINO ,V. Torque and flattening effects of clear corneal temporal and on-axis incisions for phacoemulsification . Journal of cataract & Refractive surgery .United Kingdom, Vol . 32, N °.12 , Dec 2006, 2030-2088
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The study was performed on (50) eyes of (50) patients who attended the Ophthalmology Department at Al-Assad Hospital University in Lattakia, from Nov 2012 to Nov 2013. Our study included 32 (64%) males and 18 (36%) females who had senile cataract wit
h mean age about (59.88±7.24 years). The aim was to study anterior corneal surface changes after phacoemulsification and the role of these changes in the refractive error after surgery. The patients were followed by regular periods during three months after surgery. In each visit, we recorded Best Correct Visual Acuity (BCVA), vertical, horizontal keratometry reading (K-reading) and sphere and astigmatic refraction errorby (Grand Seiko GRK-1 Auto Kerato-Refractometer) in a private data sheet for each patient. Results showed improving in BCVA from (0.27±0.1) before surgery to (0.92±0.16) three months after surgery. There was no significantstatistical value in steepening of horizontal meridian (0.12)D (P=0.13),but significant flattening in vertical meridian (0.21)D (P=0.0001), with no significant flattening in mean keratometric reading (0.05)D (P=0.215) three months after surgery. The mean of spherical refraction error after three months of surgery was (0.24±0.93)D. The refractive astigmatism after surgery was about
(-1.08±0.74)D, and the keratometric astigmatism about (1.18±0.63)D, there was no significant difference between them(P=0.61).The Surgically Induced Astigmatism ( SIA) was about (0.47±0.38)D. There was no significant statistical value according to the keratometric astigmatism before and after surgery(P=0.785). So, we can say that the anterior corneal surface changes after phacoemulsification are responsible for (20.83%) of the spherical refractive error after surgery. The corneal astigmatism after surgery is interpreting the refractive astigmatism in about (76%) of patients and SIA is responsible for about (67%) of surgery induced refractive astigmatism.
The study included 1,800 patients who were admitted in the following departments (surgery, internal and gynecology department) at AL- ASSAD University Hospital in Lattakia in 2011-2012 from the age of 40 years and above. The study, which was based on
a built-in statistical form of risk factors for breast cancer, showed that the percentage of the infected was 9,8%. All risk factors including ageing ,obesity, lack or absence of birth, late age at first childbirth, early puberty, late menopause, hormonal treatment, injuring a first degree relative, staying in cities and the size of bras increase the risk of breast cancer and the impact is worth respectively: 0,115-0,387-0,178-0,157-0,143-0,217-0,15-0,030-0,092-0,244-0,212.
Purpose: to assess the efficiency of topical anesthesia in
phacoemulsification with IOL implantation.
Department of Ophthalmology, Muasaa Hospital. The research was carried on 56 eyes of 48 patients.
Background : Molluscum contagiosum is one of the commonest cutaneos viral infections in
children . Although there is no specific treatment for this infection many therapeutic modalities
have been used with different success rates , including curett
age, trichloroacetic acid , and
cryotherapy .
All treatment modalities are associated with substantial pain, tissue destruction, and
frequent recurrence.
There are other modalities that can be applied by parents and less side effects , such as using
tretinoin and KOH .
In our study , we compare between KOH which dissolves keratin and penetrate deeply the
skin , and tretinoin which damages the viral protein – lipid membrane
Objective : To compare the efficacy and side effects of KOH 15% solution with tretinoin
0.05% cream for treatment of molluscum contagiosum .
Material and methods : Total 52 patients with molluscum contagiosum were enrolled in this
study, from 2013 to 2014 , from Dermatology Department of Al Assad University outpatients,
Lattakia .We have designed a questionnaire include personal factors In addition to the tables to
compare all of KOH (15%) solution and teritnoian (0.05%) cream in terms of effectiveness in the
treatment and side effects.
Results : Mail : female ratio was (1.48 : 1) , age onset was higher at first decade (67.3%).
The most common involved site was the trunk ( 42.3 %) .
Both of the study treatment regimens have advantage over other treatment options as they
are locally applicable , less traumatic and painful .
Because of these characteristics , they can be easily applicable for the treatment of
Molluscum Contagiosum .
During the treatment period , using KOH (15%) showed cure rate ( 75%) after two weeks of
treatment , while using tretinoin (0.05%) showed cure rate (20.8%) after two weeks, and most of
the patients need four weeks and even more
Conclusion : The result of both KOH and tretinoin showed good response , well tolerated by
children but between the two , KOH showed fast recovery and most lesions were resolved before 4
week . The side effects could be minimized if applied as stated above . On the other hand , tretinoin
showed delayed response and even some of lesion extended beyond 4 week but the side effect were
less , and hence can be used in recurrent cases.
Introduction 7 Visceral Leishmaniasis( VL )is characterized by a spectrum of
clinical features, with high cure rates in early diagnosis.
Objective: the objective is to describe the clinical and epidemiological features and
laboratory variables of
children with visceral leishmaniasis ,And to define the importance
of a positive direct investigation of the parasite in Bone marrow in the diagnosis of disease
.
Patients and Methods : It was a case series study of )52( cases of Visceral
Leishmaniasis which were hospitalized between June-20 31and June-2014 in Al -Assad
University Hospital ,Latakia
Results 52 7 7 children were included in this study .Majority of the patients (92%)
presented with fever ,common findings in physical examination were(100%) Pallor and
(97%) splenomegaly
The direct investigation of parasite in Bone marrow was positive in )%55( of cases .
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