To find the cure rate of late (second year age) and very (3-5 years initial probing for congenital nasolacrimal duct obstruction (CNLDO) to identify factors contributing failure in older children.In a prospective interventional case series study, 169 eyes 125 consecutive patients (1-5 old) with CNLDO underwent under general anaesthesia. Cure was defined as absence tearing discharge affected eye.138 101 aged 13-60 months (mean 23.4 (SD 10.2)) were included. Of 15 (10.8%) complex CNLDO, 80%...

<h3>Background/aims</h3> To assess the efficacy and safety of oral azithromycin compared with doxycycline in patients meibomian gland dysfunction (MGD) who had failed to respond prior conservative management. <h3>Methods</h3> 110 (&gt;12 years old) MGD were randomly assigned receive either 5-day (500 mg on day 1 then 250 mg/day) or 1-month (200 mg/day). They also continued eyelid warming/cleaning artificial tears. A score comprising five symptoms seven signs (primary outcome) was recorded...

Methanol poisoning can cause an optic neuropathy that is usually severe and irreversible often occurs after ingestion of illicit or homemade alcoholic beverages. In this study, we evaluated the potential neuroprotective effect erythropoietin (EPO) on visual acuity (VA) in patients with methanol neuropathy.In a prospective, noncomparative interventional case series, consecutive beverage were included. All initially received systemic therapy including metabolic stabilization detoxification....

Aim To report the frequency and factors affecting patients’, globe vision survivals in rhino-orbito-cerebral mucormycosis (ROCM). Methods This is a retrospective study of 63 patients (79 eyes) with biopsy-proven ROCM at university hospital 2008–2016. Systemic ophthalmic manifestations, imaging, management final outcomes were recorded. Globe survival was defined as no exenteration visual acuity light perception more. Results Mean age 55.5 (SD 12.9) years gender preference. Diabetes most...

This study explores the geographic distribution and ethnicity of Iranian patients with Thyroid Eye Disease (TED). It also analyzes semiology, temporal relationship between thyroid dysfunction TED, concomitant diseases. An analysis ocular visual motility function in TED at their initial presentation was conducted. Data from Iran Registry (IrTED) extracted analyzed to examine demographics, clinical features, severity, activity TED. The included who presented Rassoul Akram Hospital oculoplastic...

Purpose: To introduce and assess the results of a long-term follow-up one-snip punctoplasty with monocanalicular stent (Mini Monoka) for acquired external punctal stenosis (AEPS) without associated internal canalicular stenosis. Design: Prospective non-comparative interventional case series. Methods: Thirty-five eligible patients (53 eyes) AEPS underwent horizontal Mini Monoka tube insertion by or under supervision consultant Oculoplastic surgeon from June 1999 to May 2002. Diagnostic...

Mohsen Bahmani Kashkouli MD*a, Alireza Sadeghipour MDb, Reza Kaghazkanani MDc, Azar Bayat Farzad Pakdel MDd & Gholam Hosseyn Aghai MDea Professor, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iranb Associate Department Pathology, Iranc Plastic Fellow, Irand Assistant Irane Researcher,

Epiphora is a common complaint of patients who present to an Ophthalmology Clinic. In many cases, epiphora due obstruction in the lacrimal drainage system. However, subgroup symptomatic with has patent Such cases are usually termed 'functional obstruction' and / or 'stenosis system'. Various etiologies diagnostic therapeutic approaches have been described literature, which implies lack standardized approach. This article will review evolving end, propose paradigm approaching this group patients.

To assess the success rate of external dacryocystorhinostomy (Ext-DCR) and factors affecting it in a university hospital.In retrospective interventional non-comparative case series, records 276 Ext-DCRs 274 patients 9-year period were reviewed. 'Complete success' was defined as patent system on irrigation (objective) absence symptoms (subjective). Patent with minimal postoperative considered partial success. The chi-square Fisher's exact tests 95% confidence interval (CI) used to analyze...

A bilateral simultaneous cataract surgery (BSCS) was performed on a 67-year-old man. The surgeon had not changed the surgical settings in between two procedures for eyes. patient developed fulminant endophthalmitis day following BSCS. Intravitreal culture grew Pseudomonas aeruginosa . source of infection found. Immediate vitrectomy and intravitreal, subconjunctival, topical systemic antibiotic did save Patient ended up with visual loss.

Purpose. The aim of this study was to present normative values exophthalmometry in Iranian children, teenagers, and adults find the effect age, gender, height, weight, laterality (right vs. left eye) on normal protrusion. Methods. In a population-based epidemiological study, ocular protrusion (mm) were measured 1063 randomly selected (stratified sampling method) subjects using Hertel exophthalmometer. Weight height all subjects. Results. There 462 (43.5%) females 601 (56.5%) males. age...

In Brief Purpose: To compare the success rate of monocanalicular versus bicanalicular silicone intubation incomplete nasolacrimal duct obstruction (nasolacrimal stenosis) in adults. Methods: a retrospective, nonrandomized comparative case series, 48 eyes 44 adult patients with stenosis underwent endoscopic probing and either (BCI; n = 22 eyes) or (MCI; 26 under general anesthesia. "Complete success" was defined as complete disappearance symptoms, "partial improvement some residual "failure"...

To evaluate pupil dilation by an intracameral injection of nonpreserved lidocaine 1% during phacoemulsification cataract extraction and compare the results with those using conventional topical mydriatics.Department Ophthalmology, Rassoul Akram Hospital, Iran University Medical Sciences, Tehran, Iran.A prospective comparative case series study was conducted. The included 57 patients who were given mydriatics (30 eyes) or (27 to dilate for intraocular lens implantation. group received 3 drops...

To evaluate the effect of topical antiglaucoma medications on lacrimal drainage system.In a prospective controlled blind observational case series, 627 eyes 384 patients (219 males, 165 females) were screened. Data recording (demographics and history taking), allocation in (on medications) control (no glaucoma) groups, examinations (eye examination dye disappearance test) performed by senior ophthalmology resident. Exclusion criteria epiphora prior to onset treatment with medication (only...

Aims: The aim of this study was to compare demographics, clinical manifestations, associated systemic and ocular factors, severity activity patients with unilateral thyroid eye disease (U-TED) versus bilateral (B-TED). Materials Methods: In a cross-sectional study, all Graves' hyperthyroidism primary hypothyroidism seen in an endocrinology clinic were included from September 2003 July 2006. Demographics, complete examination, score (NOSPECS, total score), recorded compared the B-TED U-TED...