Repositioning of pedicle conjunctival flap performed for refractory corneal ulcer

A 50-year-old male was referred with a previous history of conjunctival flap [CF] for a nonhealing fungal corneal ulcer with extreme corneal thinning in the right eye. The peritomy for the CF extended from 6:30 to 9-30 clock h on the cornea. The CF was disengaged, peritomy area deepithelialized, and CF was repositioned. He later underwent penetrating keratoplasty and achieved 20/40 best corrected visual acuity. The authors present a new concept for surgically repositioning CF s to the original site immediately after healing of the corneal ulcer

Alopecia following oral acyclovir for the treatment of Herpes simplex keratitis

The authors report acyclovir-induced alopecia in a patient treated for herpetic keratouveitis. A 32-years-old female was diagnosed with herpetic keratouveitis. She was placed on prednisolone acetate [l%] suspension four times a day, atropine sulfate [1%] thrice a day and oral acyclovir 400 mg twice-daily Three weeks following oral acylovir, keratouveitis improved, but she developed alopecia without any drug eruptions. Oral acyclovir was discontinued. Three months later, alopecia completely resolved. Alopecia may be considered a possible complication following oral acyclovir

Successful surgical treatment of a septuagenarian with anomalous right coronary artery from the pulmonary artery with an eleven year follow-up. Case report and review of literature

An anomalous origin of the right coronary artery from the pulmonary artery [ARCAPA] is a very rare coronary artery anomaly with only 98 cases reported in literature till date. We report the oldest surgically treated patient and the fourth ever septuagenarian with this anomaly diagnosed ante-mortem with an eleven year follow up. The literature on this anomaly was reviewed and discussed to highlight the clinical implications

Effect of preoperative aspirin on blood lossand blood transfusion in patients undergoingcoronary artery bypass grafting: Impactof discontinuation prior to surgery

The aim of our study is to evaluate the impact of recent aspirin use before CABG on the post operative bleeding, blood transfusion and re-exploration. Retrospectively collected data from 67 patients who were operated in Sultan Qaboos University Hospital from 2008-2009 was included in this study. Patients were divided into two groups, [1] Aspirin stopped >7 days before surgery [34 patient] and [2] Aspirin received within 7 days before surgery [33 patients]. Platelet transfusion and length of hospital stay was more in patients where Aspirin stopped < 7 days [P value 0.03 and 0.002 respectively]. There was trend of increase in intraoperative bleeding and PRBC transfusion in the group who received Aspirin within seven days. Postoperative blood loss was higher in aspirin users than non aspirin users but not statistically significant. There was no difference between two groups regarding re-exploration or operative mortality. Patients who take aspirin within 7 days before surgery have more tendency to have post-operative bleeding and receiving blood products. They also have longer length of stay in the hospital. Our recommendation is to stop aspirin more than 7 days before surgery

Correspondence Re: MRI Findings of Primary CNS Lymphoma in 26 Immunocompetent Patients

No abstract available.