Middle East African Journal of Ophthalmology

: 2012  |  Volume : 19  |  Issue : 2  |  Page : 177-

A potpourri of ocular disorders

Deepak P Edward 
 King Khaled Eye Specialist Hospital (KKESH), Riyadh, Saudi Arabia; Wilmer Eye Institute, Johns Hopkins University Scool of Medicine, Baltimore, MD, USA

Correspondence Address:
Deepak P Edward
King Khaled Eye Specialist Hospital (KKESH), Riyadh, Saudi Arabia

How to cite this article:
Edward DP. A potpourri of ocular disorders.Middle East Afr J Ophthalmol 2012;19:177-177

How to cite this URL:
Edward DP. A potpourri of ocular disorders. Middle East Afr J Ophthalmol [serial online] 2012 [cited 2022 Aug 19 ];19:177-177
Available from: http://www.meajo.org/text.asp?2012/19/2/177/95244

Full Text

The second 2012 issue of the Middle East African Journal of Ophthalmology (MEAJO) contains an assortment of manuscripts that address disorders affecting the anterior and posterior segments of the eye.

Two manuscripts focus on anterior segment disorders in children. The first paper raises concerns regarding the high rate of vitamin A deficiency-related night blindness in Sudanese school children. [1] Although the incidence of vitamin A deficiency has been declining worldwide, it remains a public health concern in the developing world. [2] A recent study from India also suggested that schoolchildren are vulnerable to this disorder. [3] A second paper reports on the presence of thick corneas in Iranian children with congenital glaucoma. Although the central corneal thickness in this cohort was significantly thicker than age-matched controls, the average pachymetry below the 600 μ mark in both treated and control groups. [4] This outcome is in contrast to studies of children undergoing cataract surgery where corneal thickness was normal preoperatively [5] and increased postoperatively following cataract surgery. [6]

The current issue also presents a report on the profile of pseudoexfoliation (PEX) in a major tertiary hospital in South India. This study suggests that only a small number of PEX eyes have elevated intraocular pressure or glaucomatous optic neuropathy. This interesting finding must be interpreted within the context of the location where the patients were recruited and the study cohort. [7]

Another report demonstrates the effectiveness of rescuing a failing filtering bleb using slitlamp-based needling along with mitomycin C as an adjuvant. [8] Interestingly, the authors were even able to revive flat blebs and the evidence is similar to a recent article on the same subject. [9]

A paper by Khandekar [10] addresses the alarming issue of diabetes-related eye disease in the Middle East and the increasing rate of visual disability that is expected in the near future. Khandekar [10] advises establishment of an organized public health strategy to work to control eye-related diabetes complications in the region.

In summary, the articles in the current issue address ophthalmic problems that face communities in the Middle East, the surrounding regions and globally.


1Kheir AEM, Dirar TOMO, Elhassan HOM, Elshikh MAH, Ahmed MBM, Abbass MA, et al. Xerophthalmia in a Traditional Quran Boarding School in Sudan. Middle East Afr J Ophthalmol 2012;19:190-3.
2Sherwin JC, Reacher MH, Dean WH, Ngondi J. Epidemiology of vitamin A deficiency and xerophthalmia in at-risk populations. Trans R Soc Trop Med Hyg 2012;106:205-14.
3Sinha A, Jonas JB, Kulkarni M, Nangia V. Vitamin A deficiency in schoolchildren in urban central India: The central India children eye study. Arch Ophthalmol 2011;129:1095-6.
4Amini H, Fakhraie G, Abolmaali S, Amini N, Daneshvar R. Central Corneal Thickness in Iranian Congenital Glaucoma Patients. Middle East Afr J Ophthalmol 2012;19:194-8.
5Muir KW, Duncan L, Enyedi LB, Wallace DK, Freedman SF. Central corneal thickness: Congenital cataracts and aphakia. Am J Ophthalmol 2007;144:502-6.
6Lim Z, Muir KW, Duncan L, Freedman SF. Acquired central corneal thickness increase following removal of childhood cataracts. Am J Ophthalmol 2011;151:434-41.e1.
7Philip SS, John SS, Simha AR, Jasper S, Braganza AD. Ocular Clinical Profile of Patients with Pseudoexfoliation (PEX) Syndrome in a Tertiary Eye Care Centre in South India. Middle East Afr J Ophthalmol 2012;19:231-6.
8Amini H, Esmaili A, Zarei R, Amini N, Daneshvar R. Office-Based Slit-Lamp Needle Revision With Adjunctive Mitomycin-C For Late Failed Or Encapsulated Filtering Blebs. Middle East Afr J Ophthalmol 2012;19:216-21.
9Maestrini HA, Cronemberger S, Matoso HD, Reis JR, Mérula RV, Filho AD, et al. Late needling of flat filtering blebs with adjunctive mitomycin C: Efficacy and safety for the corneal endothelium. Ophthalmology 2011;118:755-62.
10Khandekar R. Screening and Public Health Strategies for Diabetic Retinopathy in the Eastern Mediterranean Region. Middle East Afr J Ophthalmol 2012;19:178-84.