RESEARCH PROJECTS
Superior rectus overaction/contracture syndrome: prevalence, characteristics and etiology This project is on-going with second-year residents' examinations
of cases of Hyperopia, seen the last 5 years, not due to DVD or cyclovertical
muscle palsiens, but to contracted as well as overacting superior rectus
muscle. We are studying its prevalence, clinical manifestation, etiology
and management results. E. Khawam, N. Ghazi, H. Salti.
Correction of the inadequate inferior fornix in the anophthalmic socket This study reported a modification of the technique described
by Neuhaus and Hawes for the reformation of the inferior fornix in the
anophthalmic socket, at the same time avoiding the risk of lower lid sagging
or entropion. R. Ma’luf.
The bacterial flora of the ocular fornix in patients with lacrimal silicone tubes This study was conducted to assess any change of the bacterial
flora of the ocular fornix during the period when the silicone tube is
in place. These tubes are usually inserted during a regular Dacryocystorhinostomy.
If at all present, should the change in the bacterial flora present any
increased risk in case any intraocular surgery is to be done? R. Ma’luf,.
G. Dbaibo, G. Araj, B. Noureddin. (Supported by LNCSR.)
Involutional entropion in a child with Cutis Laxa This paper aimed at reporting the histopathological changes
in the skin and tarsal plate of a patient with Cutis Laxa. In addition
we report the new finding of involutional entropion in this child with
Cutis Laxa. R. Ma’luf, N. Ghazi, A. Tawil.
Bone erosion caused by orbital cavernous hemangioma This paper reports the unusual finding of bone erosion in
a benign orbital tumor: cavernous hemangioma. R. Ma’luf, N. Khoury,
U. Hadi.
Additivity of brominidine to maximal medical therapy in the treatment of glaucoma A prospective study to assess the addidivity of Brominidine
to maximal medical treatment. Methods: 25 patients with bilateral poorly
controlled glaucoma on maximal medical treatment, had Brominidine 0.2%
drops added to one eye, while the fellow eye served as control. Results:
There was a significant drop in intraocular pressure (IOP), in the study
eye from a mean of 32.52 mmHg to that of 23.68, 22.40 and 22.52 mmHg, at
1,3 and 6 months of follow up, (p < 0.001). There was no change in the
IOP status of the control eyes, (p > 0.5). 2 patients discontinued Brominidine
because of side effects. Conclusion: Brominidine can help in controlling
the IOP in eyes on maximal medical treatment. B.N. Noureddin, A. Khouri,
Z. Bashshur.
The role of rescula in decreasing intraocular pressure: a comparative prospective study with betaxolol Fourteen patients were newly diagnosed to have primary open
angle glaucoma. Mean IOP > 21 mmHg (Diurnal curve). The patients’ mean
initial IOP were 27.6 ± 4.29 mmHg (range
23 to 38 mmHg). They received ( Rescula) eye drops bid. The IOP was measured
at 2 weeks and at 3 months. The IOP was significantly lowered to a mean
of 21.8 ± 5.60 mmHg (range 16 to 39 mmHg
), (P< 0.001) two weeks after initiating therapy in 25 eyes. The same
was true for the 2 months of therapy IOP that was significantly reduced
to a mean of 21.10 ± 4.22 mmHg (range
16 to 37 mmHg), (P < 0.001). These fourteen patients were matched with
fourteen other patients with the same diagnosis, and who were on Betoptic
0.5 % bid, and their IOPs were measured at 2 weeks and 3 months. A comparison
between the outcome of the 2 therapies is presented.B.N.
Noureddin,
H.I. Salti. (Supported by CIBA Vision.)
Bhandari, A., Crabb. D., Poinoosawmy, D., Fietzke, F., Hitchings R.A., Noureddin, B. N., Effect of surgery on visual field progression in normal tension glaucoma. Ophthalmology, 104 (7), 1131 - 1137, 1997. Farah, N., Farah, S., Khoury, A., Wound neovascularization after glaucoma triple surgery. Middle East Journal of Ophthalmology, 6, (2), 119 - 121, 1998. Farah, N., Khoury, A., Farah, S., Sarcoidosis presenting as granulomatous infiltration of the optic nerve head. Middle East Journal of Ophthalmology, 6 (2), 111 - 113, 1998. Khawam, E., Menassa, J., Jaber, A., Farah, S., Diagnosis and treatment of isolated inferior oblique muscle palsy. Binocular Vision and Eye Muscle Surgery Quarterly, 13, 2 - 9, 1998. Khawam, E., Menassa, J., Khoury, A., Samaha, A., Jaber, A., Congenital nystagmus with anomalous chin posture. Middle East Journal of Ophthalmology, 6, 2-8, 1998. Ma’luf, R., Samaha, A., Correction of congenital lid retraction using gold weights. Annals of Ophthalmology, 30 (5), 290-291, 1998. Noureddin, B. N., Shahin, H., Treatment of endophthalmitis. Annals of Ophthalmology, 29 (3), 168 - 173, 1997. Noureddin, B. N., Sharara, N., The outcome of intra-operartive 5-FU in glaucoma surgery. Middle East Journal of Ophthalmology, 4 (2), 169 - 170, 1997. Samaha,
A., Green, R., Traboulsi, E., Ma’luf, R., Tick infestation of the eyelid.
American
Journal of Ophthalmology, 125 (2), 263-4, 1998.
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