Past Issues - Vol. 7 , No. 2, July - December 2011

Al-Shifa Journal of Ophthalmology

Editorial: Penetrating ocular trauma: Initial steps and the timing of surgical

Saemah Nuzhat Zafar FRCS FCPS MCPS Clinical Fellow in Pediatric Ophthalmology

Sling materials for management of congenital ptosis – A Major Review

Iman Moustafa Abdel Halim FRCS, Tayyab Afghani MS

Multiple surgical procedures are available for ptosis correction including, frontalis sling, levator advancement, Whitnall sling, frontalis muscle flap, and Mullerectomy. In cases with severe levator muscle dysfunction, the choice of surgery is a sling procedure. Materials used for sling procedure are widely variable and divided into non synthetic and synthetic. This review article focuses on the advantages and disadvantages of each of these materials.

Outcome of laser photocoagulation in chronic and recurrent Central Serous Chorioretinopathy

Naveed Ahmad Qureshi FCPS DOMS Clinical In this study 9 eyes of 9 patients with recurrent and chronic non resolving Central Serous Chorioretinopathy (CSCR) were treated with focal laser photocoagulation. Best corrected visual acuity (BCVA) and Optical coherence tomography (OCT) findings were assessed at 1 week, 1 month and three months after treatment. At the end of three months follow up CSCR in 7 (77.77%) eyes was completely resolved while the status of 2 (22.22%) eyes remained same.

Prevalence of secondary complications and visual outcome in penetrating ocular injuries

Tahira Ayub Malik MBBS,Tayyab Afghani MS,Abdullah Naeem Syed FCP


This study consisted of a retrospective analysis of the data of 93 patients presenting with penetrating ocular injuries at Al-Shifa Trust Eye Hospital Rawalpindi from 1st January 2009 to 30th June 2011. Overall incidence of post op complications was 55.91% (cataract 42.3%, phthisis 34.61%, RD 26.92 %, VH 21.15 %, endophthalmitis 11.5%, secondary glaucoma and APD 3.84%). Best corrected final visual acuity better than 6/12 was found in only 19.35 % of patients.

Role of intravitreal bevacizumab (Avastin) in the treatment of clinically significant macular edema

Furqan Ahmed Khan FCPS, Mahmood Ali FCPS MCPS, Sarah Zafar FCPS MCPS

 A total 107 patients who received a single intravitreal injection of bevacizumab (Avastin) for the treatment of clinically significant macular edema were included in this study. Best corrected visual acuity recorded at 2 weeks, 1 month, and 2 months showed improvement (for each, p-value < 0.05) as compared to base line BCVA. Similarly the mean central retinal thickness significantly decreased at 2 weeks, 1 month, and 2 months (for each, p-value < 0.05) as compared to baseline thickness.

Hemifacial spasm in an infant

Saemah Nuzhat Zafar FRCS FCPS MCPS Clinical Fellow in Pediatric Ophthalmology, Mariya Nazish Memon FCPS

Hemifacial spasm in infants is a rare condition. An 8 months old female patient was noticed to have contraction of the right side of the face. Her anterior segment and fundus examination were within normal limits. No neurological signs were present apart from the hemifacial spasm that occured multiple times daily. She has been advised follow up, to monitor the disease and assess need for any imaging studies.