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Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 8)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
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APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
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Archives of Pharmacy Practice     Open Access   (Followers: 6)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 12, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 5, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access   (Followers: 2)
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 8)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 2)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 8, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 7, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
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Journal Cover Egyptian Journal of Cataract and Refractive Surgery
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  This is an Open Access Journal Open Access journal
   ISSN (Print) 1687-6997
   Published by Medknow Publishers Homepage  [354 journals]
  • Comparison of visual outcomes and higher order aberrations of
           wavefront-optimized and wavefront-guided myopic laser in-situ
           keratomileusis

    • Authors: Asmaa Hassan, Tamer Massoud, Gamal Nouby, Ahmed Fathlla
      Pages: 1 - 10
      Abstract: Asmaa Hassan, Tamer Massoud, Gamal Nouby, Ahmed Fathlla
      The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):1-10
      To compare the visual and refractive outcomes of wavefront-optimized (WFO) ablations (wavelight allegretto) and wavefront-guided (WFG) ablations (VISX Custom Vue). Overall, two consecutive groups of eyes were treated for myopia and myopic astigmatism with laser in-situ keratomileusis. One group was treated with WFO ablation and the other group was treated with WFG ablation. Preoperative and 1, 3 and 6 months postoperative refractive evaluation (efficacy, safety, predictability, accuracy, stability, and refractive astigmatism), higher order aberrations (HOAs), and contrast sensitivity were analyzed. The WFO group comprised 20 eyes of 11 patients and the WFG group comprised 34 eyes of 17 patients. Postoperatively, the mean refractive spherical equivalent was −0.21±0.30 D in WFO group and −0.23D±0.57 D in WFG group. The mean values for postoperative uncorrected distance visual acuity were 0.93±0.15 and 0.96±0.16 in WFO and WFG groups, respectively. Safety index was 1.11 in WFO group and 1.17 in WFG group. Six months postoperatively, in WFO group, the induced HOA root mean square (RMS) was 0.25±0.21 μm (P=0.007), induced coma RMS was 0.07±0.23 μm (P=0.84), and induced spherical aberration RMS was 0.03±0.12 μm (P=0.467), whereas induced trefoil RMS was −0.09±0.23 μm (P=0.003). In WFG group, induced HOA RMS was 0.9±0.11 μm (P=0.002), induced coma RMS was 0.01±0.30 μm (P=0.065), and induced spherical aberration RMS was 0.09±0.17 μm (P=0.214), whereas induced trefoil RMS was 0.04±0.15 μm (P=0.005). Contrast sensitivity testing showed a statistically significant improvement in both groups at low spatial frequencies test. Both WFG and WFO showed comparable accuracy, efficacy, and safety with nearly equal induction of all HOA.
      Citation: The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):1-10
      PubDate: Fri,17 Nov 2017
      DOI: 10.4103/JCRS.JCRS_6_17
      Issue No: Vol. 23, No. 1 (2017)
       
  • Patient satisfaction after femtosecond-assisted intracorneal ring segment
           implantation in the treatment of keratoconus

    • Authors: Alaa Ghaith, Mohamed Sobhy, Mohsen Abou Shousha, Amr El Kamshoushi
      Pages: 11 - 16
      Abstract: Alaa Ghaith, Mohamed Sobhy, Mohsen Abou Shousha, Amr El Kamshoushi
      The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):11-16
      Purpose The aim of this article is to evaluate patient satisfaction after femtosecond-assisted intracorneal ring segment (ICRS) implantation in the treatment of keratoconus.Patients and methods The study was carried out in two private eye centers and Department of Ophthalmology at Alexandria University. This study is a retrospective type. The study included 30 keratoconus patients with moderate to severe keratoconus and clear central cornea. All patients underwent KeraRings ICRS implantation. All patients answered a specially designed questionnaire to evaluate their visual function and satisfaction within a period of 6 months to 1 year postoperatively. The correlations between questionnaire scores and the clinical parameters were studied.Results The clarity of vision in general was good for 50% of the cases, acceptable for 26.7%, and bad for 16.7%. Regarding night vision, 40% of the patients complained of bad night vision; while for 46.7% of the patients it was acceptable. Additionally, the analysis revealed that regarding ‘reading’ 73.4% of patients were satisfied. Sixty percent of the patients were satisfied with their far vision, postoperatively. Ninety-three percent and 90% of the patients complained of glare and haloes, respectively; 12 patients complained of fluctuation of vision. Significant correlations were those of SEQ (spherical equivalent of manifest refraction) and Kmax at the sixth month with general satisfaction with P value less than 0.001 and 0.013, respectively. Conclusively 70% of the patients were satisfied after ICRS implantation.Conclusion Most patients (70%) are generally satisfied after ICRS implantation for the treatment of keratoconus. However, night vision disturbance, glare and haloes are the main complaints for a large number of them (about 90%).
      Citation: The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):11-16
      PubDate: Fri,17 Nov 2017
      DOI: 10.4103/JCRS.JCRS_7_17
      Issue No: Vol. 23, No. 1 (2017)
       
  • Corneal parameters among normal Egyptians with Pentacam Scheimpflug camera

    • Authors: Mona A Kader, Ayman Fawzy
      Pages: 17 - 22
      Abstract: Mona A Kader, Ayman Fawzy
      The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):17-22
      Purpose The aim of the study was to evaluate the corneal parameters [anterior and posterior elevation, keratometry values in the steep (K1) and flat (K2) meridians, central corneal thickness, and thinnest location] among normal Egyptians of different age with Pentacam Scheimpflug camera and to detect repeatability of Pentacam.Patients and methods A total of 2000 randomly chosen participants representing normal Egyptian population presenting to the outpatient clinic of the Ophthalmic Center were included in the study. They were aged from 20 to 60 years and included both sexes. They were divided into four groups. All patients were examined by Pentacam Tomey TMS-5 (topographic modeling system). The technique was repeated three times for each eye on the same day and three times the next day by two different observers.Results There were statistically significant differences in anterior elevation, posterior elevation, central corneal thickness, thinnest location, and K2 between the four groups (P=0.02, <0.001, 0.001, 0.002, and 0.004, respectively). However, there was no statistically significant difference in K1 between the four groups (P=0.092). Coefficient of variation for K1 and K2 was 0.17 and 0.19, respectively.Conclusion There were increases in the values of posterior elevation, K1, and K2 with the aging process. Excellent intraobserver and interobserver repeatability for K1, K2, and pachymetry maps and poor intraobserver and interobserver repeatability for astigmatism axis were observed.
      Citation: The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):17-22
      PubDate: Fri,17 Nov 2017
      DOI: 10.4103/JCRS.JCRS_8_17
      Issue No: Vol. 23, No. 1 (2017)
       
  • Evaluation of two scheimpflug camera-based devices in the analysis of
           keratoconus

    • Authors: Alaa A Gaith, Amr A El kheir, Mohamed W Elkateb, Sally F Elseheimy
      Pages: 23 - 28
      Abstract: Alaa A Gaith, Amr A El kheir, Mohamed W Elkateb, Sally F Elseheimy
      The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):23-28
      Purpose This study aimed to evaluate the measurements of the anterior segment of the eye by two Scheimpflug camera-based systems: the Pentacam HR imaging system and the Sirius imaging system in keratoconus patients.Patients and methods Keratoconus patients were recruited prospectively. Measurements with the Oculus Pentacam and with the CSO Sirius were performed according to the manufacturer’s instructions. For every eye, the following parameters were analyzed statistically. The anterior ketatometric reading of the flattest meridian K1, anterior K2, anterior mean K, anterior Kmax, pachymetry at the thinnest location, the highest anterior corneal elevation in the 3-mm pupillary area, the highest posterior corneal elevation in the 3-mm pupillary area, and the best-fit sphere for the anterior corneal surface and posterior corneal surface at the same diameter of analysis. Agreement between Sirius and Pentacam was assessed by calculating 95% limits of agreement and plotting Bland–Altman graphs.Results Fifty eyes from individuals (26 men, 24 women) aged 20–38 years were evaluated. The mean K1 difference between the measurements of both machines was −0.54±1.02 D. The mean K2 difference between the measurements of both machines was −1.40±1.53 D. The mean Kmax difference between the measurements of both machines was −0.60±2.38 D. The mean avgerage K difference between the measurements of both machines was −0.89±1.06 D. The mean thinnest location pachymetry difference between the measurements of both machines was 9.20±14.14 μm. The mean highest anterior elevation difference between the measurements of both machines was 6.86±11.43. The mean highest posterior elevation difference between the measurements of both machines was 20.52±21.32. The mean anterior best-fit sphere difference between the measurements of both machines was 0.14±0.13. The mean posterior best-fit sphere difference between the measurements of both machines was 0.16±0.16. The difference was statistically significant.Conclusion All the measurements between both Pentacam and Schwind Sirius showed a significant positive correlation, except for the highest anterior and posterior elevation measurements. Schwind Sirius produces keratometry measurements higher than Pentacam in keratoconus patients. However, corneal thickness, the radius of the best-fit sphere, and the highest anterior and posterior elevation measurements by Pentacam were higher than Schwind Sirius measurements. The differences between the measurements of Sirius and Pentacam were statistically significant. Therefore, it is recommended that the measurements of these devices not be used interchangeably.
      Citation: The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):23-28
      PubDate: Fri,17 Nov 2017
      DOI: 10.4103/JCRS.JCRS_9_17
      Issue No: Vol. 23, No. 1 (2017)
       
  • Trends of glaucoma surgery at a tertiary referral glaucoma clinic in
           Alexandria University Hospital

    • Authors: Hesham Swelam, Nader H Bayoumy
      Pages: 29 - 33
      Abstract: Hesham Swelam, Nader H Bayoumy
      The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):29-33
      Context Glaucoma surgery aims to prevent visual loss from this blinding condition.Aim The aim of this research was to study the trends of glaucoma surgery in adults in a tertiary referral glaucoma centre in Alexandria University Hospital.Setting and design This is a retrospective study conducted in a tertiary referral glaucoma centre.Patients and methods Records of patients were retrospectively reviewed to study those undergoing surgery over a 10-year period from January 2007 to January 2017. The primary outcome measure was the intraocular pressure (IOP) − early postoperatively and at the last postoperative visit.Statistical method used The statistical methods were mean, SD, analysis of variance and post-hoc analysis.Results Sixty eyes of 51 patients underwent glaucoma surgery for uncontrolled IOP. Trabeculectomy was the most common procedure used, followed by synthetic Ahmed’s valve. Mean preoperative IOP ranged from 17 to 66 mmHg with a mean of 36.7±11.19 mmHg. Early postoperative pressure ranged from 0 to 40 mmHg with a mean of 13.6±8.77 mmHg. Last visit postoperative pressure ranged from 0 to 46 mmHg with a mean of 15.2±9.35 mmHg. Pressure decreased significantly both early and late postoperatively from the preoperative levels. There was no significant change of IOP between the early and last postoperative visits.Conclusion A marked decrease in mean IOP was achieved both early and late postoperatively. The issue of poor registry keeping together with incomplete data recording was outstanding and needs to be addressed by the governing bodies to allow more robust analysis and comparison of outcomes.
      Citation: The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):29-33
      PubDate: Fri,17 Nov 2017
      DOI: 10.4103/JCRS.JCRS_5_17
      Issue No: Vol. 23, No. 1 (2017)
       
  • Early versus late postoperative ocular alignment following bilateral
           lateral rectus recession in children with intermittent exotropia

    • Authors: Sara Elhomosany, Tamer Massoud, Amgad Dwidar, Ahmed Elmassry
      Pages: 34 - 38
      Abstract: Sara Elhomosany, Tamer Massoud, Amgad Dwidar, Ahmed Elmassry
      The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):34-38
      Purpose The aim of this study was to determine the relationship between early and late postoperative motor outcomes in pediatric patients operated for intermittent exotropia.Patients and methods A prospective interventional study was performed on 50 consecutive pediatric patients with intermittent exotropia. All patients were treated with bilateral lateral rectus recession. Distance alignment was analyzed in all patients before and after surgery at week 1 and 6 months postoperatively. Successful results were defined as ocular alignment with exodeviation (tropia/phoria) equal to or less than 10Δ, or esodeviation (tropia/phoria) equal to or less than 5Δ.Results A total of 50 patients, 30 (60%) female and 20 (40%) male, were included in this study with a mean age of 5.27±2.92 (0.8–10) years. Mean preoperative angle of deviation was 33.8±5.63Δ (20–45Δ). Bilateral lateral rectus recession was performed in all patients. Regarding the late outcomes analyzed at 6 months postoperatively, it is reported that 33 (66%) patients had favorable outcomes, 12 (24%) patients were undercorrected, and five (10%) cases were overcorrected. A good late outcome had initial alignment of 4.52±7.43 PD of esotropia, whereas patients with late postoperative undercorrection had an average initial postoperative alignment of −2.36±4.18 PD. The differences in average initial alignments were statistically significant between each of the groups (P<0.01). However, the average initial postoperative alignment in the overcorrected group was 7±9.9, which was statistically nonsignificant (P=0.655).Conclusion Initial postoperative overcorrection (0–9Δ) esotropia is desirable in the treatment of patients with intermittent exotropia; however, longer duration of follow-up is required to emphasize this relationship.
      Citation: The Egyptian Journal of Cataract and Refractive Surgery 2017 23(1):34-38
      PubDate: Fri,17 Nov 2017
      DOI: 10.4103/JCRS.JCRS_10_17
      Issue No: Vol. 23, No. 1 (2017)
       
 
 
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