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Uveitis

Ahmed Sallam, USA, Mahmoud Soliman, Egypt Structure: Case presentations + surgical videos Topics: – Infective uveitis that need recognition: viral, toxoplasma, syphilis, TB, – Masquerade syndrome – Retinal vasculitis – Postoperative uveitis including retained lens matter – Postsurgery endophthalmitis treatment – Endogenous endophthalmitis treatment – Role of surgery in the management of...

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Vitrectomy in Uveitis; An Under-stated Indication

Mahmoud Soliman, Egypt The vitreous in uveitis is commonly involved in the inflammatory process leading to vitreous opacities of different degrees and visual affection. The vitreous may also act as reservoir of inflammatory cytokines increasing the antigenic load and thus decreasing the response to treatment in uveitis. Pathologic vitreous detachment in inflammation may end up in post inflammatory retinal detachment with proliferative...

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Longterm Results of Surgery on Eyes with Siderosis Bulbi

ABSTRACT Presenting a series of 6 eyes presenting with severe Siderosis Bulbi due to undiagnosed retained metallic intraocular foreign bodies. All eyes had all the clinical features of siderosis both in the anterior and posterior segments with widespread retinal pigment epithelium atrophy and vitritis. The vision at presentation was very poor ranging from hand motion to perception of light. Phacoemulsification combined with pars plana...

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Subretinal tPA and Pneumatic Displacement for Large Submacular Hematomas

ABSTRACT This is a series of 5 case with presenting with sudden drop in vision due to a large submacular blood collection. One eye was idiopathic, two due to blunt trauma and two related to age-related macular degeneration. Parsplana vitrectomy with posterior hyaloid was performed. This was followed by sub retinal injection of 75ug of tPA under the macula. Followed by sub retinal injection of few air bubbles. The eye was then filled with...

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Cystoid Macular Edema and Visual Outcome After Pars Plana vitrectomy with Simultaneous Versus Sequential Phacoemulsification Cataract Surgery for Epiretinal Membrane

ABSTRACT Purpose: To audit the frequency of cystoid macular edema (CME) and the level of vision after pars plana vitrectomy (PPV), for idiopathic epiretinal membrane (ERM), and phacoemulsification surgery performed simultaneously or sequentially. Methods: Retrospective extraction and analysis of nationally standardized cataract surgery pathway dataset extracted from 8 hospitals in the UK that used the same electronic medical record (EMR)...

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What Lies Beneath ??

What Lies Beneath ?? EDITED FILM ABSTRACT This video presents a case of Perforating eye injury presenting with vitreous haemorrhage and an intraocular foreign bod following a blast injury. The video shows the localisation of a very large sub retinal wire is identified superiorly with intact retinal on top. The extent and size of the IOFB is only revealed after performing a large superior retinectomy. Bimanual extraction of the huge wire...

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Surprise, Surprise. It is Sub ILM

Surprise, Surprise. It is Sub ILM EDITED FILM ABSTRACT 16 Year old boy presented with sudden loss vision in the right eye one month earlier. He denied any history of trauma. The vision was perception of light. The anterior segment was quiet. The vitreous was turbid with yellowish discolouration. An initial diagnosis of posterior uveitis with severe retinitis. Pars plana vitrectomy was performed and after removal of the turbid vitreous a...

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Subretinal tPA+ Subretinal Pneumatic Displacement of Large Submacular Hematomas

Subretinal tPA+ Subretinal Pneumatic Displacement of Large Submacular Hematomas EDITED FILM ABSTRACT Large submacular haemorrhage poses a serious threat to vision. The aetiology of sub macular haemorrhage is diverse. The presentation reports on five cases with large sub macular haematomas seriously affecting vision. Two eyes were post traumatic, one idiopathic and two secondary to AMD. Parsplana vitrectomy was performed followed by sub...

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Bilateral Simultaneous Retinal Detachment following Bilateral Simultaneous Phakic IOL Implants

Bilateral Simultaneous Retinal Detachment following Bilateral Simultaneous Phakic IOL Implants EDITED FILM ABSTRACT Aim: To report on a peculiar incident of bilateral simultaneous retinal detachments with giant retinal tears two weeks following bilateral simultaneous ICL implantation. Patients: A female patient aged 18 years presented with loss of vision one day apart two weeks following bilateral phakic IOl implantation to correct high...

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Intravitreal Decorin as an Adjuvant Therapy to Prevent Proliferative Vitreoretinopathy in Perforating Injuries: A Pilot Study

Intravitreal Decorin as an Adjuvant Therapy to Prevent Proliferative Vitreoretinopathy in Perforating Injuries: A Pilot Study ABSTRACT Purpose: To determine the safety, tolerability, and efficacy of human recombinant decorin protein, a transforming growth factor ß (TGFß) inhibitor in preventing proliferative vitreoretinopathy (PVR) in patients with perforating globe injuries. Methods: This is a prospective, single-center,...

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Post Vitrectomy Macular Folds. The Final Outcome

Post Vitrectomy Macular Folds. The Final Outcome ABSTRACT Aim: To present the characteristics of 3 eyes complicated by macular folds following parsplana vitrectomy for retinal detachment. Patients: All three patients presented with upper bullous retinal detachments to which pars plana vitrectomy with gas injection was performed. Perfluorocarbon heavy liquid (PFCL) was used to flatten the retina and PFCL/air exchange was performed at the...

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Longstanding Siderosis Bulbi; Any Hope for Vision ?

Longstanding Siderosis Bulbi; Any Hope for Vision ? RETINA PHOTO Longstanding Siderosis Bulbi; Any Hope for Vision ? by Mahmoud Soliman, Egypt ABSTRACT Aim: To report on the visual outcome following pars plans vitrectomy and intraocular foreign body removal in eyes with longstanding siderosis bulbi. Patients: Five patients presenting with longstanding Siderosis Bulbi due to retained metallic foreign bodies are included. All had advanced...

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Nerve Fiber Layer Lose Following Laser Photocoagulation in Diabetic Patients Using Optical Coherence Tomography

Mahmoud Soliman, (Cairo, Egypt) PURPOSE: Evaluation of the Nerve Fiber Layer (NFL) thickness lose following full scatter laser photocoagulation in diabetic patients using Optical Coherence Tomography (OCT) with its correlation to the number of laser shots. METHODS: Twenty eyes of 14 patients legible for full scatter laser photocoagulation were included in this study with an average age of 53 years (range 31-65). Male to female ratio was...

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Combined Photodynamic Therapy and Intravitreal Triamcinolone Injection for the Treatment of Subfoveal Choroidal Neovascularization

Noha Khater, (Cairo, Egypt), Hoda, MH Mostafa, MD (Cairo, Egypt), Mahmoud Soliman (Cairo, Egypt), Tamer Macky, MD (Cairo, Egypt) PURPOSE: To evaluate the outcomes of combined intravitreal triamcinolone (IVTA) and photodynamic therapy (PDT) in the treatment of subfoveal choroidal neovascularization (CNV) caused by age related macular degeneration (AMD) and myopia. METHODS: Fifteen eyes from 15 patients with subfoveal CNV caused by AMD (n=10)...

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Ultrasound Biomicroscopy of the Sclerotomy Sites Following Pars Plana Vitrectomy for Diabetic Eye Disease

Tamer Macky, MD (Cairo, Egypt), Pakinam H Fouad, MD (Cairo, Egypt), Mahmoud M. Soliman, MD (Cairo, Egypt), Nahla Sobhy, MSc (Cairo, Egypt) PURPOSE: This study was aimed at assessing changes at the sclerotomy site using the ultrasound biomicroscopy (UBM) in eyes that underwent pars plana vitrectomy for complications of proliferative diabetic retinopathy. METHODS: Twenty one eyes of 15 patients with vitreous hemorrhage and /or tractional...

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Unusual Aetiologies of Full Thickness Macular Holes

Mahmoud Soliman, (Cairo, Egypt) PURPOSE: To describe the development and behaviour of full thickness macular holes in patients with Best Vitelliform Macular Dystrophy (BVMD) and Behcets disease. METHODS: The study includes six male and one female patients with an average age of 35 (range; 30-40). Three cases of Best Vitelliform Macular Dystrophy, clinically and electrophysiologically confirmed diagnosis, and four cases of Behcets disease...

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Visual Field Changes in Diabetic Patients: Frequency Doubling Perimetry versus Standard Automated Perimetry

Mahmoud M. Soliman, MD, Noha Khater, MD, FRCSEd, MRCOphth., Tamer A. Macky, MD, FRCSEd, Naglaa H. Ali, M.Sc Purpose: To compare visual field changes obtained by Frequency Doubling Perimetry (FDP) to those obtained by Standard Automated Perimetry (SAP) in diabetic patients. Setting: Department of Ophthalmology, Cairo University Hospitals, Cairo, Egypt. Methods: Twenty diabetic patients with no clinically visible diabetic retinal changes had...

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Bilateral Endogenous Candida Endophthalmitis Following Intravenous Catheterization in Diabetic Patients

Mahmoud M. Soliman, MD, Tamer A. Macky, MD, FRCSEd, Noha Khater, MD, FRCSEd, MRCOphth. Purpose: To report the clinical findings and treatment possibilities of diabetic patients with bilateral Endogenous Candida Endophthalmitis. Setting: Department of Ophthalmology, Cairo University Hospitals, Cairo, Egypt. Methods: Three diabetic patients presented to us with subacute bilateral diminution of vision. Their mean age was 63 years (ranging from...

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The Patency of Superior Ciliary Sulcus in Aphakic Silicon-Filled Eyes: an Ultrasound Biomicroscopy Study

Tamer A. Macky, MD, FRCSEd, Noha Khater, MD, FRCSEd, MRCOphth., Mahmoud M. Soliman, MD, Mohammed Nasr, M.Sc. Purpose: To assess the patency of the superior ciliary sulcus in aphakic silicon-filled eyes by Ultrasound Biomicroscopy (UBM). Setting: Department of Ophthalmology, Cairo University Hospitals, Cairo, Egypt. Patients and methods: Ten aphakic silicone-filled eyes of ten patients were evaluated using UBM. The UBM examination of the...

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Intravitreal Triamcinolone Acetonide for Diabetic Macular Edema Part II: Initial Intervention

Mahmoud M. Soliman, MD, Tamer A. Macky, MD, FRCSED, Nermeen A. Fawzi, M.Sc., Noha Khater, MD, FRCSED, MRCOphth. Purpose: To evaluate the clinical outcome and safety of intravitreal injection of triamcinolone acetonide (TA) as an initial therapy for diffuse diabetic macular edema. Setting: Department of Ophthalmology, Cairo University Hospitals, Cairo, Egypt. Methods: Ten eyes of eight patients with diffuse clinically significant macular...

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Intravitreal Triamcinolone Acetonide for Diabetic Macular Edema: Part I: Refractory Cases: Two Years Experience

Mahmoud M. Soliman, MD, Tamer A. Macky, MD, FRCSED, Nermeen A. Fawzi, M.Sc., Noha Khater, MD, FRCSED, MRCOphth. Purpose: To report our two-years experience with the safety and efficacy of intravitreal triamcinolone acetonide (TA) in treating diffuse diabetic macular edema refractory to laser. Setting: Department of Ophthalmology, Cairo University Hospitals, Cairo, Egypt. Methods: Fourteen eyes of 10 patients with clinically significant...

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Intravitreal Triamcinolone Acetonide During Phacoemulsification for Patients with Diabetic Macular Edema and Dense Cataracts

Noha Khater, MD, FRCSED, MRCOphth., Mahmoud M. Soliman, MD, Nermeen A. Fawzi, M. Sc., Tamer A. Macky, MD, FRCSED Purpose: To evaluate the efficacy of intravitreal triamcinolone acetonide (TA) during phacoemulsification in preventing deterioration of macular edema in diabetic patients with clinically significant cataract. Setting: Department of Ophthalmology, Cairo University Hospitals, Cairo, Egypt Methods: Twenty four eyes of eighteen...

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Mitomycin-C in the Management of PVR, a Randomized Clinical Study

Mahmoud M. Soliman, MD* and Khalid G. Ali, MD Cairo, Egypt Purpose: To assess the efficacy and safety of intraoperative application of a single dose of Mitomycin-C in the prevention of reproliferation and redetachment after vitreous surgeries for retinal detachment cases complicated by proliferative vitreoretinopathy (PVR). Methods: In a prospective randomized study, 35 patients with complex forms of retinal detachment and advanced stages...

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