Middle East African Journal of Ophthalmology

: 2014  |  Volume : 21  |  Issue : 4  |  Page : 289--290

Last issue of 2014: Interesting assortment of ocular pathology

Majid Moshirfar 
 Department of Ophthalmology, Francis I. Proctor Foundation, University of California, San Francisco, CA, USA

Correspondence Address:
Majid Moshirfar
Department of Ophthalmology, Francis I. Proctor Foundation, University of California, San Francisco, CA

How to cite this article:
Moshirfar M. Last issue of 2014: Interesting assortment of ocular pathology.Middle East Afr J Ophthalmol 2014;21:289-290

How to cite this URL:
Moshirfar M. Last issue of 2014: Interesting assortment of ocular pathology. Middle East Afr J Ophthalmol [serial online] 2014 [cited 2020 Aug 7 ];21:289-290
Available from: http://www.meajo.org/text.asp?2014/21/4/289/142262

Full Text

The last issue of the Middle East African Journal of Ophthalmology (MEAJO) for the year 2014 contains an assortment of interesting articles by esteemed colleagues. Awareness concerning endemic Helminthic infection of the eye and ocular adnexa has been nicely addressed by Kalogeropoulos et al. [1] in this issue. Authors not only share with us the ocular manifestation of dirofilariasis but more importantly raise our concern and awareness due to climatic changes, increased mosquito proliferation in the warm and moist environment contributing to the rising incidence of dirofilariasis and perhaps other endoparasitic infection both endemic and nonendemic to the regions. Authors provide us not only manifestation of this specific parasitic disorder along with its increased incidence after 2006, but their discussion section emphasizes the importance of distinguishing this inflammation from diffuse unilateral subacute neuroretinitis. It is important that we all realize that global warming and increased mosquito infestation increased the transmission of dirofilara to the human host. After all, mobility of individuals, ease of travelling, climate change may potentially change the distribution pattern of many parasitic infections in the world. It behooves on all clinicians including an ophthalmologists to be quite aware and familiar with such infections and their relevant ocular manifestations.

Despite all the advancement in the arena of modern cataract surgery, Miraftab et al. [2] raise a recurring, but fundamental question concerning intraocular power calculation formulas and their predictability. The improvement and refinement of intraocular power calculation formulas in terms of the third and the fourth generations formulas may have enhanced the refractive outcomes for some demographic but as nicely addressed by authors, it may not uphold the same power of accuracy in another geographical region. The importance of anterior chamber depth and effective lens position can impact the accuracy and predictability of intraocular lens formulas. Miraftab et al. elaborate further in their paper that the population of interest in Iran had a more predictable result with the SRK-II formula in comparison to the third and the fourth generation formulas for achieving emmetropia which indicates that the anterior chamber depth in the Iranian population is different from the European counterpart which may impact the preference of SRK II formula over the other formula in a general sense. This paper is nicely designed. Even though retrospective in nature, it has a reasonable samples size, and the results can be seen to be consistent with some of the other previously published work while contradictory to some of the other published literature.

Another important article in this edition is written by Zyl et al. [3] concerning the prevalence of chronic ocular manifestation of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). This is a very well-designed study because it is prospective and has a relatively large sample size and more importantly authors provide us new information about a subpopulation of HIV-positive individuals by comparing them to the non-HIV positive individuals in terms of prognosis. Their discussion and finding concerning lack of correlation between the amount of CD4 cell counts and the severity of the chronic manifestation of SIS/TENs is informative but intriguing. It would be good to know whether individuals with actual AIDS 0had a different severity scale of SJS/TEN in comparison to only HIV positive non-AIDS patients. What I like about their study design has to do with the implementation of the new classification described by Sotozono, [4] which includes not only corneal complications, but also conjunctiva and eyelid complication, and then authors included tear breakup time and the tear film stability into the assessment of their subjects. Their findings support the known notions that once the eyelids are involved, the severity and the prognosis of the disease are much more pronounced. Authors do emphasize that many patients may not have an acute manifestation of the SJS/TEN, but they can potentially develop clinically a chronic picture of the mentioned disease later despite the lack of immediate presentation. More importantly the acute presentation of the SJS/TENs does not necessarily indicate the severity or provide prognosis concerning the chronic manifestation of the same pathology. We congratulate the authors on a well-designed study with a large population sample.

I have enjoyed reading every issue of MEAJO since its inception. This journal is very unique not only because it presents a broad scope of ocular pathology by representing all subspecialties of ophthalmology, but also its relevance and clinical applicability to certain demographics. It provides readers from all over the world an appreciation for endemic diseases to the region, a new, but different differential diagnosis for clinicians, and sometimes-different surgical and medical approach to patients. We are looking forward to many future submissions of scientific manuscripts in various areas of ophthalmology to this journal.


1Kalogeropoulos CD, Stefaniotou MI, Gorgoli KE, Papadopoulou CV, Pappa CN, Paschidis CA. Ocular dirofilariasis: A case series of 8 patients. Middle East Afr J Ophthalmol 2014;21:312-6.
2Miraftab M, Hashemi H, Fotouhi A, Khabazkhoob M, Rezvan F, Asgari S. Effect of anterior chamber depth on the choice of intraocular lens calculation formula in patients with normal axial length. Middle East Afr J Ophthalmol 2014;21:307-11.
3Zyl LV, Carrara H, Lecuona K. Prevalence of chronic ocular complications in Stevens-Johnson syndrome and toxic epidermal necrolysis. Middle East Afr J Ophthalmol 2014;21:332-5.
4Sotozono C, Ang LP, Koizumi N, et al. New grading system for the evaluation of chronic ocular manifestations in patients with Stevens-Johnson syndrome. Ophthalmology 2007;114:1294-302-12.