ABSTRACT
To evaluate the effect of oral propranolol in the treatment of infantile peri-orbital and/ or orbital capillary hemangioma. We conducted a prospective study at Prince Rashid Bin Al Hassan military hospital between 5[th] of August 2012 and 29[th] of January 2013. Eleven patients with peri-orbital and/or orbital capillary hemangiomas were included in this study. All patients underwent complete ophthalmic examination. Capillary hemangiomas were assessed, reporting their size, location, extension, and effect on the surrounding structures. Follow up duration ranged from two to six months. The age of patients with peri-orbital and/ or orbital capillary hemangiomas ranged from three to 17 months with a mean of 7 +/- 4.92 months. Male: female ratio was 1: 1.75. The upper eyelid was involved in seven [64%] cases, all of them had ptosis, three [43%] had dystopia, one [14%] had imbrication, and one [14%] had squint. The lower eyelid was involved in two [18%] cases; one of them was associated with lower lip capillary hemangioma. Orbital involvement was seen in eight [73%] cases, six [75%] of them were associated with upper eyelid involvement and two [25%] with lower eyelid involvement. Concurrent extra-ocular localization of hemangiomas was present in five [45%] cases [one in lip, one in tongue, 2 in forehead, and one in cheek]. Duration of treatment ranged between one and 30 weeks with an average of 14.2 +/- 11.4 SD weeks. The dose of propranolol ranged between 1- 2 mg/kg with an average of 1.2 mg/kg and only one patient with upper eyelid and forehead extension needed 4 mg/kg. The color blanched in all patients after one week. The capillary hemangioma decreased in size after one week of treatment in two [18%] patients, and in all of them after one month. Complete regression of the hemangioma was seen in two [18%] cases one after two months and the other after 4 months of treatment. Five [45%] cases had astigmatism before the start of treatment [mean +/- SD, 0.9 +/- 0.379 D] diopters and improved to mean +/- SD, 0.56 +/- 0.586 D. Oral propranol can be used as a modality for therapy of infantile capillary hemangioma
ABSTRACT
Objectives: This study was conducted to analyze the histologically-proven peri-ocular tumors and tumor-like lesions at Prince Rashid Bin Al-Hassan military hospital in the North of Jordan
Methods: This was a hospital based, non-comparative, retrospective review, conducted at Prince Rashid Bin Al-Hassan Military Hospital in the North of Jordan over a period of 4 years between January 2008 and January 2012. Medical records of patients who underwent excisional biopsy of a tumor or tumor-like lesion, or incisional biopsy when complete resection was impossible and proven by histopathology during that period, were reviewed and included in the study. Descriptive statistics like mean, average, frequency, and percentages were used
Results: A total of 105 patients were enrolled in this study. The affected cases were 55.2% male and 44.8% female with a male to female ratio of 1.2: 1. The median age of the patients was 27 years with a range of 10 months to 94 years. The 10-20 years age group was most frequently affected. Histopathological examination revealed that 87 [82.9%] cases were benign, six [5.7%] premalignant, and 12 [11.4%] malignant. The eyelids were the most common site for the lesions and accounted for more than half of the cases. The most frequent benign lesion was nevus and the most common malignant tumor was basal cell carcinoma. The commonest indication for tumor excision was cosmetic followed by suspicion of malignancy
Conclusion: Peri-ocular tumors appear to be frequent although the true prevalence in the North of Jordan is not detected. Males were more frequently affected. The frequency of malignant and pre-malignant tumors was significant [11.4% and 5.7% respectively], for this reason any suspicious lesion should be biopsied particularly after the fifth decade of life
ABSTRACT
To investigate the type and degree of hearing loss in a group of patients with ocular pseudoexfoliation. Two groups of patients were included prospectively in the present study. The study group consisted of 60 patients of both genders, aged between 55 and 80 years [mean age 67.8 years] who were identified to have pseudoexfoliation in one or both eyes on routine ophthalmic clinical examination at Princess Haya Bent Al-Hussein Military Hospital in Aqaba. The control group consisted of 30 healthy individuals matched for age and gender [mean age 56.9 years]. All participants underwent full ophthalmological and audiological assessments. Normal hearing threshold levels ranging between 10-25 decibels were found in 12 [20%] patients. Moderate sensori-neural hearing loss ranging between 50-70 decibels was found in 15 [25%] patients, high frequency sensori-neural hearing loss in the frequency range above Skilohertz was found in 10 [16.7%] patients, and severe sensori-neural hearing loss ranging between 70-95 decibels hearing level was found in 23 [38.3%] patients. There is evidence of significant association between ocular pseudoexfoliation and sensori-neural hearing loss