RESUMO
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
RESUMO
To evaluate Ahmed Glaucoma Valve Implantation at King Hussein Medical Center. Indications, outcomes, and complications were investigated. The medical records of all patients who had Ahmed Glaucoma Valve Implant surgery at King Hussein Medical Center during the period between August 2006 and January 2009 were retrospectively reviewed. A total of 50 cases were enrolled in this study. A specially designed medical record abstract form was used to collect the following data: type of glaucoma, visual acuity, intraocular pressure, number of medications, and postoperative complications. Simple descriptive statistics [frequency, mean, percentage] were used to describe the study variables. The mean age of patients was 54.3 +/- 2.1 years [range 1.3 to 79.9 years]. Types of glaucoma included uveitic glaucoma, paediatric glaucoma, aphakic/ pseudophakic glaucoma, neo-vascular glaucoma, traumatic glaucoma and previous failed trabeculectomy. The mean follow-up duration was 16.6 +/- 1.7 months [range 9.8 months to 26.1 months]. The mean intraocular pressure before surgery was 28.6 mm and 14.2 mmHg after surgery. The mean number of eye drops used by patient was 3.8 +/- 0.4 [range 1 to 4] and 1.1 +/- 0.2 [range 0 to 3] before and after surgery respectively. Transient postoperative hypotony with shallow anterior chamber occurred in 8 patients. Encapsulated bleb occurred in 5 patients. Revision of the procedure was performed in 3 cases. Endophthalmitis was not encountered in our series. Results of Ahmed Glaucoma Valve Implantation surgery at King Hussein Medical Center showed that it is safe and effective procedure for treating refractory glaucomas