Past Issues - Vol. 1, No. 2, July - December 2005

Al-Shifa Journal of Ophthalmology

Editorial: Amblyopia

Tayyab Afghani, MS

Globe fixation to manage large angle esotropia after 6th nerve palsy 60

Shehla Rubab, MBBS, MCPS, FCPS (Pak),
Fellowship in Ped Ophthalmology (Toronto, Canada), FIACLE(Australia)

Correction of large angle esotropia is a challenging job. The globe can be fixed to the orbital wall with a non absorbable suture material.
This results in restoration of binocular single vision and well aligned eyes in primary position but with loss of horizontal gaze in involved eye.

Sub-tenon’s vs. peribulbar anesthesia 64

Sultan Asif Kiani, FCPS; Ashok Kumar Pinjani, MCPS

Sub-Tenon’s anesthesia has definite advantage over peribulbar anesthesia in terms of pain and anxiety experienced by the patient, as well as preoperative akinesia and surgical comfort.

Prevalence of amblyopia in school population 74

Tayyab Afghani, M.B;B.S. MCPS, MS, DCEH (London) FIACLE(Australia)

Prevalence of amblyopia in school children was found to be 0.43% in a large study of school children. 35% of children had some sort of ocular symptoms. 6% of children had significant visual problems to warrant  further management.

Prevalence and causes of amblyopia in children in a hospital-setting 83

Farah Akhtar DOMS, FCPS

The prevalence of amblyopia was found to be 4.9 %. Causes of amblyopia were strabismus in 25%, combined strabismus and anisometropia in 14.0%, ametropia in 4.4%, form deprivation in 38.2% and  anisometropia in 18.4 %

Al-Shifa Endophthalmitis Study: Protocol of treatment and prognosis 88

Nadeem Ishaq MCPS, FCPS

Fifty seven patients presenting with post-operative endophthalmitis
were given intravitreal vancomycin 1.0 mg with 0.05cc of kenacort,
intracameral vancomycin 0.45mg in .04cc along with 25 mg sub-conjunctival vancomycin in addition to topical half hourly tobramycin, dexamethasone combination with ciprofloxacin. Visual results were excellent with over half of study patients achieving 20/60 vision. These data suggest that current treatment approaches can yield excellent visual results in postoperative endophthalmitis.

Prevalence of different types of glaucoma in a tertiary eye care hospital 95

M. Nawaz Malik MCPS, FCPS

Out of total of 5,906 patients examined, Primary Open Angle Glaucoma was diagnosed in 42%, Primary Angle Closure Glaucoma in 17%, while Aphakic Glaucoma affected 13% of patients. Secondary glaucoma was diagnosed in 4.5% patients, Pseudoexfoliation Syndrome was the cause of glaucoma in 5.8% patients. 3% patients were cases of Normotensive Glaucoma while
Congenital Glaucoma was found in 2.9% patients.

Steroid induced glaucoma: A case report 100

Mustafa Abdul Hameed Ismail, MBBS, MCPS, FCPS,
Sabeen Chaudhry MBBS

Of all the various routes of steroid administration, topical steroid therapy most commonly causes elevation of IOP by decreasing the outflow facility of aqueous. This case report highlights the risk of glaucoma in a child following unsupervised use of the steroids.