RÉSUMÉ
The aim of this study was to report the incidence of retinopathy of prematurity [ROP] and the contribution of various risk factors to ROP in the south-western region of Iran. This cross-sectional case-control series reviewed all low birth weight [LBW,=2000 g] neonates and/or neonates less than 32 weeks gestational age who had been hospitalized in the Neonatal Intensive Care Unit from 2006 to 2010. The cohort was divided into infants without ROP [nonROP group] and infants with ROP [ROP group]. Infants were first examined by a group of pediatric ophthalmologists 6 weeks after delivery, and then were followed every 1-2 weeks until death, discharge or complete retinal avascularization. If an infant developed ROP, further examinations were performed based on the Early Treatment for Retinopathy of Prematurity Study protocol. Demographic data, medical treatment, and ophthalmic disorders were all statistically analyzed. A total of 576 infants met the criteria for evaluation. Of 576 total patients, 183 infants [32%] [88 males, 95 females] had ROP. There were significant differences between groups in gestational age, body weight, and duration of oxygen administration, and sepsis [P<0.05]. Male/female ratio, single and multiple births, and jaundice, phototherapy, and blood transfusion were not significant. The majority of ROP was stage I or II [137, 74.8%]. Stage III or greater developed in 46 infants [25.1%] [Note: The ocular history and ocular outcomes are not risk factors.]. The incidence of ROP in this study is higher than that in other parts of the world. Awareness and knowledge of ROP and its relative risks need to be reinforced in ophthalmologists and other health practitioners
RÉSUMÉ
To compare the hemostatic effect of sulfur hexafluoride 20% [SF6 20%] with lactated Ringer's solution for prevention of early postoperative vitreous hemorrhage following diabetic vitrectomy. In a prospective randomized clinical trial, 50 eyes undergoing diabetic vitrectomy were divided into two groups. At the conclusion of surgery, in one group the vitreous cavity was filled with SF6 20% while in the other group lactated Ringer's solution was retained in the vitreous cavity. The two groups were compared for the rate of early postoperative vitreous hemorrhage. The incidence of vitreous hemorrhage was lower in the SF6 group than the Ringer's group 4 days [20% vs. 68%, P=0.001], 7 days [24% vs. 60%, O=0.01] and 4 weeks [16% vs. 40%, P=0.059] after vitrectomy. In comparison with lactated ringer's solution, SF6 20% had a significant hemostatic effect especially in the early postoperative period after diabetic vitrectomy and reduced the incidence of vitreous hemorrhage
Sujet(s)
Humains , Mâle , Femelle , Complications postopératoires , Solution isotonique , Hexafluorure de soufre , Études prospectives , Vitrectomie , Rétinopathie diabétique , Complications du diabète , Essais contrôlés randomisés comme sujetRÉSUMÉ
To investigate the incidence of fungal mycoflora of conjunctiva in patients attending teaching department of ophthalmology, Imam Khomeini Hospital, Ahvaz, Iran. One hundred and seventy two swabs were collected from the conjunctiva of patients attending to eye ward of the hospital during autumn 2007 to summer 2008. Swabs were cultured on Sabouraud's Dextrose Agar and incubated at ambient temperature for one week. Eleven patients were positive for saprophytic fungi. The most common saprophytic fungus was Cladopsporium [four cases]. Other filamentous fungi were Drechslera [one case], Alternaria [one case], Fusarium [one case] and Epicoccum [one case]. In addition, three isolates of yeasts include Cryptococcus, Candida albicans and Rhodotorula rubra were also isolated from patients. There was a remarkable presence of fungi in the conjunctiva of patients. The environmental conditions, the socioeconomic status and personal poor hygienic conditions, led to the high incidence of conjunctival fungus isolation [6.4%]. The incidence was much higher in males [72.7%] as [27.3%] in females
Sujet(s)
Humains , Adulte d'âge moyen , Sujet âgé de 80 ans ou plus , Mâle , Femelle , Adulte , Sujet âgé , Enfant d'âge préscolaire , Enfant , Adolescent , Champignons/pathogénicité , IncidenceRÉSUMÉ
Helicobacter pylori infection is one of the most common infections worldwide. Central serous chorioretinopathy [CSCR] is a serous macular detachment that usually affects young people. The aetiopathogenesis of the disease is still not completely understood. Recently, an interesting association has been observed between this disease and the H. pylori infection. This study was conducted to investigate a possible association between H. pylori infection and CSCR. A prospective study was performed and we evaluated a total of 54 CSCR patients [48 males and 6 females, median age 35.7 years], and a control group of 59 patients [25 women, 34 males; mean age 42.6 +/- 11 years] who referred to gastroenterology department of Imam Hospital, Ahvaz Jundishapur University of Medical Sciences, were studied. Central serous chorioretinopathy was diagnosed on the basis of findings in ophthalmic examinations and confirmed by fluorescein angiogram. All patients underwent a [13]C-urea breath test [UBT] and serum IgG anti-bodies to H. pylori by enzyme-linked immunosorbent assay technique to detect H. pylori infection. Patients were defined as H. pylori infected if both tests were positive. The mean duration of symptoms before diagnosis was 10.5 +/- 4.5 days. Overall no statistically significant difference was found between left and right eyes, bilaterally was in 5 patients [9.2%]. The incidence of H. pylori infection was 68.5% in CSCR patients and 65% in control subjects [p=0.64]. These results indicate that the prevalence of H. pylori infection is not higher in patients with CSCR than in controls. Further large studies will be required to determine the role of H. pylori infection in patients with CSCR