comparative study between anterior lamellar repositioning and anterior lamellar repositioning with blepharoplasty in management of upper eyelid entropion trichiasis

Background: Entropion is the inward turning of the lid margin that brings both lashes and external keratinized skin into contact with the globe

Aim of the study: It was to compare the surgical outcome and aesthetic appearance between anterior lamellar repositioning only and anterior lamellar repositioning with blepharoplasty in management of upper eye lid entropion trichiasis

Patients and Methods: This was prospective interventional study includes 20 lids of 13 patients with upper eyelid cicatricial entropion selected from the ophthalmology outpatient clinic of "Ain Shams University" Hospitals. Patients were randomly divided in 2 groups: group A: Ten lids had an anterior lamellar reposition technique [ALR] with grey line split [GLS] technique. Group B: Ten lids had an anterior lamellar reposition with GLS technique and blepharoplasty. All surgeries were performed by one surgeon [third author] in Ain Shams University hospital

Results: Our study showed that after 3 month follow up, success rate of first group was 70 %, patient satisfaction was 60% and final aesthetic outcome was 30% excellent, 30% fair and 40% poor results. The second group success rate was 100%, patient satisfaction was 100% and final aesthetic outcome was 100% excellent results

Conclusion: Combining the procedure of ALR with GLS technique with blepharoplasty in surgical correction of upper eye lid cicatricial entropion has excellent both functional and aesthetic outcome and a higher success rate with minimal complication than anterior lamellar reposition only

comparison of isoflurane and halothane in anesthesia for cataract surgery

Isoflurane 0.75% was compared with halothane 0.5% as the volatile supplement in a normocapnic technique for intra-ocular surgery. Both agents gave satisfactory conditions for operation with a comparable reduction in intra-ocular pressure during the procedure. Systolic arterial pressure, however was significantly lower in the isoflurane group at the end of surgery and after tracheal extubation than in the halothane group. Isoflurane provides a useful alternative to halothane in anaesthesia for intra-ocular surgery

Conjunctival bacteriology before and after dacryocystorhinostomy [DCR]

39 cases of chronic dacryocystitis with positive regurge test were submitted to DCR. The conjunctival bacteriology was examined before the operation, second day postoperatively, one week and four weeks after the operation. The results of our study were mentioned and compared with those published in the literature. We conclude that conjunctival sterilily, or presence of non pathogenic flora appeared only in 12 out of 39 cases [31%] 24 hours postoperatively, reached nearly its maximum percentage [82%] 32 cases out of 39 at the end of first post operative week. The percentage increased to 87% [34 cases] at the end of the fourth postoperative week

Retinal vascular occlusions [fluorescein angiography study]

Fluorescein angiography can be used very effectively to study a variety of vascular disorders of the eye. Sixty cases with different clinical types of retinal vascular occlusions were investigated by fluorescein fundus angiography, in addition to full ophthalmic examination, in order to evaluate the role of fluorescein angiography in the management and recovery of these cases