Esotropia and binocular vision in young age group

Bimedial rectus resecion more than the traditional 5.mm [6 mm] proved to be an effective surgical procedure for cases of congenital esotropia. It gives good post- operative alignment especially when the angle of deviation was less than 45 D. The success rate in our series was 60%. The remaining 40% developed post-operative residual angle which ranged from 10- 12 D [pre- operative angle of deviation was more than 50 D]. It can be considered as a success because the residual angle was corrected by hyperopic glasses. Early interference for cases of congenital esotropia helps to improve binocular vision and minimizes the development of amblyopia, the older the child the less will be the improvement in binocular vision. Cases of accommodative esotropia with large AC/A ratio and poor response to hyperopic correction for 6 months are better to be operated upon early by 2 or 3 muscle surgeries according to the pre- operative angle of deviation

Results of primary medical, surgical and laser treatment for cases of chronic simple glaucoma

In this work we compared the preliminary findings in three groups of patients, suffering from chronic simple glaucoma. They were treated by either Laser, medical, or surgical treatment as a primary therapeutic pressure. They were followed up for a period of one year. It was suggested that there was a good place for ALT as an effective line of treatment in the group of patients where there was a good control by medical treatment and where the lOP did not exceed 28 mmHg. On the other hand, in advanced cases, where the lOP was more than 30 mmHg trabeculectomy as a primary line of treatment would do well in this condition

Anterior retinal cryopexy for partial vitreous hemorrhage after PRP

Thirty eyes with partial vitreous haemorrhage after PRP done for proliferative diabetic retinopathy-were chosen from those patients attending the laser unit at AL-Zahraa University Hospital. Anterior peripheral retinal cryopexy was done for all the cases. Our result showed 50% complete clearing of vitreous haemorrhage, 30% partial clearing with improvement of V.A. 20% of cases showed persistence and same visual acuity. This non invasive technique proved of value to treat such cases where the medial opacities prevent repeated PRP