ABSTRACT
Objective: to report a rare case of newborn male presented with right anophthalmia and left unilateral complete cleft lip and palate
ABSTRACT
Spontaneous biliary duct perforation is a rare yet important entity presenting in infants. The usual presentation is jaundice and failure to thrive occurring in a previously healthy infant. The diagnosis is usually the function of hepatobiliary imaging. In this case report Tc[99m]-DISIDA hepatobiliary imaging was an accurate tool to diagnose this surgically correctable disease
ABSTRACT
This study aimed to evaluate the effect of early aggressive introduction of intravenous fat emulsion [IVFE] on the occurrence of retinopathy of prematurely [ROP]. A retrospective study conducted at Prince Hashem Ben Al- Hussein Military Hospital A 100 premature infants of = 34 weeks gestational age [G.A] and /or of < 1500 grams, all who needed oxygen support for respiratory distress syndrome and who not received and who received either early aggressive or late non-aggressive intravenous fat emulsion and all who underwent an eye examination for retinopathy of prematurity. Of total 100 [49 Males: 51 Females] premature infants studied 17 [17%] found to have ROP of them [7 males and 10 females] and 11 [64.7%] found to have unilateral involvement and 6 [35.3%] had bilateral involvement. Stage 3 and more found to associate with bilateral eye disease in 80% of patients. 7% have had stage [1], 5% stage [2], 4% stage [3], 1% stage [4] and none had stage [5]. Of the 32 premature infants who received early aggressive IVFE [15 Males and 17 Females] 4 [12.5%] diagnosed to have ROP of them [2 males and 2 females], with 3 unilateral ROP and 1 with bilateral ROP. 9.4% with stage [1], 3.1% with stage [3] and none of them had stage 2,4 or 5. Of the 33 preterm infants who received late non aggressive IVFE [16 Males and 17 Females] 5[15%] documented to have ROP, of them [2 males and 3 females]. Unilateral involvement found in 4[80%] where bilateral involvement in 1[20%] of them. In this group 6% had stage [1], 2% stage [2], 3% stage [3] and no single preterm infant had stage 4 or 5. Of the 35 premature infants who did not receive IVFE at all [18 Males and 17 females] 8[22,8%] developed ROP of them 3 males and 5 females. 4[50%] had unilateral ROP and 4[50%]had bilateral diseased eyes. 5.7% developed stage [1] ROP, 8.5% stage [2], 5.7% stage [3], 2.8% stage[4] and none had stage 5. Premature infants = 1200 grams or/ and =32 weeks of gestation at birth have had the highest incidence [35.9% and 25.5% respectively] and more severe form of the disease. The occurrence of retinopathy of prematurity is more common in females than males [M: F = 14.3%:19.6%] and unilateral involvement much more than bilateral involvement [64.7%:35.3%]. Early aggressive introduction of intravenous fat emulsion associated with better retinal development in preterm infants and thus decrease the incidence of retinopathy of prematurity
Subject(s)
Humans , Female , Male , Retinopathy of Prematurity/epidemiology , Retinopathy of Prematurity/prevention & control , Fat Emulsions, Intravenous , Incidence , Infant, Premature , Retrospective StudiesABSTRACT
This study aimed to estimate the prevalence of refractive errors especially myopia in school children and to study risk factors for myopia. During the period between February 2003 and February 2004, 1320 school children aged 8- 17 years attending pediatric and internal medicine clinic in Royal Medical Services for non ophthalmologic complaints were evaluated. A questionnaire was given to each child or his parents including information about parent's education and occupation, if there is a sibling wearing spectacles, ethnic group and the duration spent for near work. Visual acuity was assessed using Snellen's E-chart and any patient with visual acuity of less than 6/12 or with eye abnormality was referred to ophthalmology clinic for detailed eye examination. Eye examination included Snellen's visual acuity testing, anterior segment examination via slit lamp, posterior segment examination after mydriasis via indirect ophthalmoscope and cycloplegic refraction. The results revealed that 77 children [5.8%] had significant refractive errors. Myopia was the leading refractive error [4.8%]. Young age, female sex, educated parents, family history for sibling wearing spectacles and prolonged near work were all risk factors for developing myopia. The study concluded that the prevalence of refractive errors especially myopia is considered to be high in school children in Jordan; therefore an eye screening program is indicated in this region