Day 1 :
Centre of Medical Education and Clinical Investigation, Argentina
Luciana Elsa Acosta Guemes has completed her Ophthalmology at the University of Buenos Aires (UBA). She is a certified Ophthalmologist in Argentina with a Master’s degree in Ophthalmology. She was trained in Argentina, USA and India and received a Postgraduate Diploma in Glaucoma at University of Buenos Aires. Currently, she is an Assistant Professor and a Cataract and Refractive Surgeon at CEMIC for the
The invention of computer technology has revolutionized and benefited the society but at the same time has caused many symptoms related to its use. Computer Vision Syndrome (CVS) is a widely spreading and epidemic problem among professional and ordinary computer users. Among them, we can find eyestrain, irritation, redness, dryness, headache, neck and back pain, tired eyes, blurred vision and double vision. This group of symptoms is known as Computer Vision Syndrome (CVS). Some of the mechanisms that lead to computer vision syndrome are extraocular or ergonomic mechanism, accommodative spams mechanism and ocular surface abnormalities mechanism. However, the major contributor to computer vision syndrome symptoms appears to be dry eye. The visual effects of the computer display characteristics such as lighting, brightness, resolution, radiation, glare and display quality all are known factors that contribute to computer vision syndrome. Prevention and treatment require a multidirectional approach combining ocular therapy as well as adjustment of the workstation. Among modification in the ergonomics of the working environment, we can find proper lighting, anti-glare filters, ergonomic positioning of computer monitor and regular work breaks, in order to improve visual comfort. Also, patient education and proper eye care are crucial in managing computer vision syndrome. For example, lubricating eye drops and special computer glasses help relieve ocular surface related symptoms. These symptoms are usually temporary and disappear at the end of the working day although some of them may experience continuity of symptoms after work and take a chronic state.
Ebsar Specialized Eye Center, Saudi Arabia
Dr. Said Abdelkader Jamaleddin is a Syrian Ophthalmologist since 1985 currently working in Saudi Arabia; He finished his MD degree from Cairo medical university then a Syrian specialization degree and obtained the Syrian Board in Ophthalmology, also 1st part of FRCS. His clinical experience goes back to nearly 34 years which started in Syria by introducing many technologies, some of them, as the first ophthalmologist who worked on PHACO in Syria (1992) and fluorescein in angiography and laser and IOL in my home city Homs 1992. He worked as the Head of the Ophthalmology department in Homs County Hospital (Alwatany) and worked in many private and state-owned hospitals in Homs, Syria. He also made his fellowship and practice in Kentucky-USA 91/93. He developed a new surgical technique for the strabismus. He is an active member of the Syrian and Saudi Ophthalmology Society published many types of research and papers, the first in1993 was titled: “The first 70 cases of PHACO in Syria and its complications”. He was invited as a speaker in many international conferences some of them in Syria, Egypt, Morocco, Lebanon and Libya and many in KSA, Kuala lumper and Amsterdam and last one in MEACO-Jordan 2019.
Aim: To evaluate and consider alternative surgical technique for huge horizontal strabismus of more than fifty-five Prism Diopter (55>PDs) and to improve that the muscles is spontaneous reattached without suture after surgery.
Methods & Material: A retrospective case series on 40 cases at different hospitals, non-suture myectomy surgery was done in both eyes under local anesthesia for adult. We documented 40 cases, (36) primary strabismus patients (Exotropia-Esotropia) and only (4) secondary cases were re-operated. All patients were evaluated after surgery clinically and with CT images and examined, follow ups every six months for up to three years.
Results: Out of 40 cases, 38 (95%) were successful (less than 10 Prism Diopters) with good ocular motility within one month, under correction only appeared in 2 (5%) of the cases. No persistent diplopia was noted in the central 30° field. One case was re-operated on, no overcorrection and no major complications were recorded during and after the surgeries. The results are supported by documents and images.
Conclusion: This technique is remarkable in our ophthalmic field because it did not interrupt the natural integrity of the normal ocular motility, it is simpler, with a high success rate, requires a shorter time, under local anesthesia for adult, without suturing, much more efficient, with lesser complications, and shorter learning curve, the horizontal muscles spontaneous reattach and adjust after surgery.