Age-related outcomes in patients with cardiogenic shock stratified by etiology / 老年心脏病学杂志（英文版）

BACKGROUND@#As a result of improved and novel treatment strategies, the spectrum of patients with cardiovascular disease is consistently changing. Overall, those patients are typically older and characterized by increased burden with comorbidities. Limited data on the prognostic impact of age in cardiogenic shock (CS) is available. Therefore, this study investigates the prognostic impact of age in patients with CS.@*METHODS@#From 2019 to 2021, consecutive patients with CS of any cause were included. The prognostic value of age (i.e., 60-80 years and > 80 years) was investigated for 30-day all-cause mortality. Spearman's correlations, Kaplan-Meier analyses, as well as multivariable Cox proportional regression analyses were performed for statistics. Subsequent risk assessment was performed based on the presence or absence of CS related to acute myocardial infarction (AMI).@*RESULTS@#223 CS patients were included with a median age of 77 years (interquartile range: 69-82 years). No significant difference in 30-day all-cause mortality was observed for both age-groups (54.6% vs. 63.4%, log-rank P = 0.169; HR = 1.273, 95% CI: 0.886-1.831, P = 0.192). In contrast, when analyzing subgroups stratified by CS-etiology, AMI-related CS patients of the group > 80 years showed an increased risk of 30-day all-cause mortality (78.1% vs. 60.0%, log-rank P = 0.032; HR = 1.635, 95% CI: 1.000-2.673, P = 0.050), which was still evident after multivariable adjustment (HR = 2.072, 95% CI: 1.174-3.656, P = 0.012).@*CONCLUSIONS@#Age was not associated with 30-day all-cause mortality in patients with CS of mixed etiology. However, increasing age was shown to be a significant predictor of increased mortality-risk in the subgroup of patients presenting with AMI-CS.

Bag fixation of pimary intra-ocular lenses in children

Cataract is an important cause of visual impairment in childhood. The child's eye differs from that of adult. Therefore the surgical technique should be modified to avoid difficulties encountered in pediatric cataract surgery Sixty five eyes of 56 children were operated upon for cataract extraction and primary posterior chamber IOL. We used the limbal approach primary posterior capsulotomy and anterior vitrectomy and placed the IOL in capsular bag remnants. An anterior chamber maintainer was very valuable to prevent globe collapse, to perform a controlled capsulotomy, to introduce the IOL and to close the Wound. Postoperatively we had a low rate of posterior capsule opacification, low rate of post operative inflammation and high rate of vision improvement

Implantation of soft intraocular lenses through a small incision

Great interest has recently been focused on implantation of soft intraocular lenses through a phaco incision. Such lenses, made of silicones or hydrogels, can be folded and pushed into the eye through a small incision not exceeding 3 or 4 mm. In this article the author will review the types and advantages of soft 10LS and will present his experience with phacoemulsification and implantation of a Mazzocco style silicone implant. This is the first report on the use of soft intraocular lenses in Egypt

Marcus gunn's phenomenon

A review of jaw-winking [Marcus Gunn's phenomenon]; with report of two cases.. One of the cases: was associated with spina bifida and was successfully treated by a levatortenotomy folio wed one month later by Hess' operation