iosr-JDMS   Volume-22 ~ Issue-4 ~ April 2023

Abstract: The patient had sustained injuries to right eye following activities in the construction site. The penetrating injury resulted laceration over cornea, traumatic cataract, iridodialysis and hyphema. Assessment of workplace revealed that the patient was not wearing any personal protective equipment such as safety glasses nor face shield. The patient is not fit momentarily to return to the job but able to perform modified duties. The safety eyewear or glasses with high impact resistant with ANSI Z87.1+ or EN 166 and face shield as secondary protection should be worn by the workers involved in the construction activities to prevent eye injuries.

Keywords: Iridodialysis, personal protective equipment, traumatic eye injury

[1]. Serrano F, Stack LB, Thurman RJ, Phillips L, Self WH. Traumatic Eye Injuries: Management Principles for the Prehospital Setting. JEMS 2013;38(12):56-62. PMID: 24592570.
[2]. Rick J, O'Regan S, Kinder A. Early Intervention Following Trauma: A Controlled Longitudinal Study at Royal Mail Group: British Occupational Health Research Foundation 2006.
[3]. Laws of Malaysia. Act 273: Workmen's Compensation Act 1952. The Commissioner of Law Revision, Malaysia 2006. Retrieved from https://asean.org/storage/2016/06/MA4_Workmes-Compensation-Act-1952-Act-273.pdf
[4]. Laws of Malaysia. Act 4: Employees Social Security Act 1969. The Commissioner of Law Revision, Malaysia 2013. Retrieved from https://www.ilo.org/dyn/travail/docs/1626/Employees'%20Social%20Security%20Act%201969%20-%20www.agc.gov.my.pdf
[5]. Güzel M, Erenler AK, Niyaz L, Baydın A. Management of traumatic eye injuries in the emergency department. OA Emergency Medicine 2014;2(1):2.

Abstract: Summary: Infantile hemangioma is a benign tumor whose diagnosis is most often clinical. With a prevalence of 10% during the first year of life, hemangiomas are the most common vascular tumors during childhood and predominantly female. Infantile capillary hemangiomas are benign lesions whose regression is the rule. The risk of amblyopia requires urgent and rapid treatment. Several therapeutic modalities are proposed, however oral beta-blockers allow a rapid and favorable evolution for large and deep lesions and require close monitoring. We report a series of three cases of child with infantile capillary hemagioma.

Keywords: Infantile hemangioma-B-blockers-Corticosteroids

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Abstract: Dans le but de Rapporter l'enquête clinique d'une microsphérophakie isolée ayant intéressé une famille sénégalaise, dans le but d'en apprécier le retentissement fonctionnel. Nous avons conduit l'observation médicale de cet enfant atteint d'une affection rare et isolée. Il s'agissait d'un enfant de sexe féminin âgé de 12 ans scolarisée en menace d'échec scolaire par mal voyance. L'examen ophtalmologique a été suspicieux devant la baisse de l'acuité visuelle ainsi que le non passage à la réfraction malgré la transparence du cristallin en myosis. Ceci impose l'importance capitale même lors d'une caravane médicale de réaliser un bon examen clinique détaillé et complet.

[1]. Khokhar S, Pillay G, Sen S, Agarwal E. Clinical spectrum and surgical outcomes in spherophakia: a prospective interventional study. Eye. 2018;32:527–36. [2]. Macken PL, Pavlin CJ, Tuli R, Trope GE. Ultrasound biomicroscopic features of spherophakia. Aust N Z J Ophthalmol. 1995;23:217–20 [3]. Johnson GJ, Bosanquet RC. Spherophakia in a Newfoundland family: 8 years' experience. Can J Ophthalmol. 1983;18:159–64 [4]. Pikkel J, Irena E. Isolated spherophakia and glaucoma. Case Rep Med. 2013;2013:516490–3. [5]. Willoughby CE, Wishart PK. Lensectomy in the management of glaucoma in spherophakia. J Cataract Refract Surg. 2002;28:1061–4. [6]. Babighian et al.: Isolated Spherophakia in Two Siblings Case Rep Ophthalmol 2021;12:927–933

Abstract: Tout contact endothelial avec une entité non disposée à ce contact reste toxique pour les cellules cornéennes et conduit à une kératopathie bulleuse définitive. En effet, le vitreocorneal touch syndrome en représente une cause bien lourde que ce soit en post traumatique pur ou en iatrogénie. Nous rapportons le cas d'une contusion du globe compliquée par cette pathologie dont la prise en charge était axée sur le sauvetage de l'endothélium cornéen.

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Abstract: This is a seven years old child with no notable history, victim of a severe penetrating trauma to his left eye following a trauma by a metal object causing an axial corneo-limbic wound associated with a ruptured post-traumatic cataract. The examination on admission revealed a visual acuity reduced to a luminous perception in the traumatized eye. At the slit lamp we noted a total absence of the iris, a broken post-traumatic cataract. Therapeutic management initially consisted of a suture of the corneolimbic wound in the emergency room with antibiotic treatment and local oral corticosteroid. Postoperative ocular ultrasound revealed a posterior hyaloid detachment with a flat retina.......

[1]. Moghimi S, Esfahani MR, Maghsoudipour M. Visual Function after Implantation of Aniridia Intraocular Lens for Traumatic Aniridia in Vitrectomized Eye. Eur J Ophthalmol. juill 2007;17(4):660‑5.
[2]. Villemont A-S, Kocaba V, Janin-Manificat H, Abouaf L, Poli M, Marty A-S, et al. Prise en charge de l'aphakie et de l'aniridie post-traumatiques. Étude rétrospective de 17 patients opérés d'implants intraoculaires suturés à la sclère à iris artificiel. Gestion de l'aphakie-aniridie par implants suturés à la sclère à iris artificiel. J Fr Ophtalmol. sept 2017;40(7):592‑605.
[3]. Osher RH, Burk SE. Cataract surgery combined with implantation of an artificial iris. J Cataract Refract Surg. nov 1999;25(11):1540‑7.

Abstract: Placental abruption, classically defined as a premature separation of the placenta before delivery, is one of the leading causes of vaginal bleeding in the second half of pregnancy. Approximately 0.4–1% of pregnancies are complicated by placental abruption. The prevalence is lower in the Nordic countries (0.38–0.51%) compared with the USA (0.6–1.0%). Placental abruption is also one of the most important causes of maternal morbidity and perinatal mortality. Couvelaire uterus or uteroplacental apoplexy is a severe form of abruption where there is widespread extravasation of blood into the uterine musculature and beneath the serosa..........

Keywords: Placental abruption, uteroplacental apoplexy, concealed abruption placentae, retro placental clot, couvelaire uterus, haemoperitoneum

[1]. Workalemahu T, Enquobahrie DA, Gelaye B, Thornton TA, Tekola-Ayele F, Sanchez SE, Garcia PJ, Palomino HG, Hajat A, Romero R, Ananth CV, Williams MA. Abruptio placentae risk and genetic variations in mitochondrial biogenesis and oxidativephosphorylation: replication of a candidate gene association study. Am J Obstet Gynecol. 2018 Dec;219(6):617.e1-617.e17. [PMC free article] [PubMed] [2]. Martinelli KG, Garcia ÉM, Santos Neto ETD, Gama SGND. Advanced maternal age and its association with placenta praevia and placental abruption: a meta-analysis. Cad Saude Publica. 2018 Feb 19;34(2):e00206116. [PubMed] [3]. Workalemahu T, Enquobahrie DA, Gelaye B, Sanchez SE, Garcia PJ, Tekola-Ayele F, Hajat A, Thornton TA, Ananth CV, Williams MA. Genetic variations and risk of placental abruption: A genome-wide association study and meta-analysis of genome-wide association studies. Placenta. 2018 Jun;66:8-16. [PMC free article] [PubMed] [4]. Sylvester HC, Stringer M. Placental abruption leading to hysterectomy. BMJ Case Rep. 2017 Dec 11;2017 [PMC free article] [PubMed] [5]. Miller C, Grynspan D, Gaudet L, Ferretti E, Lawrence S, Moretti F, Lafreniere A, McGee A, Lattuca S, Black A. Maternal and neonatal characteristics of a Canadian urban cohort receiving treatment for opioid use disorder during pregnancy. J Dev Orig Health Dis. 2019 Feb;10(1):132-137. [PubMed]
[6]. Schmidt P, Skelly CL, Raines DA. Placental Abruption. 2020 Jan

Abstract: We report the case of patient with nasal NK/T non-Hodgkin lymphoma, a rare and aggressive tumor. We described the evolution of the disease in this patient through imaging examinations such as 18F-FDG PET and CT Scan, as well as the treatments administrated. The results of the examinations showed an initial response to the treatment, but a relapse of the disease was noted with metastasis at the mediastinal and abdominal level. The patient underwent a salvage treatment with CHOEP, but developed complications and unfortunately died. Our scientific research highlights the importance of early analysis and regular follow-up of this rare and aggressive disease in order to improve the patient's chances of survival.

[1]. Encéphalites virales :Renaud Du Pasquier, Pascal Meylan, Laurent Kaiser, Patrice H. Lalive
[2]. Tselis A, Duman R, Storch GA, Lisak RP Epstein-Barr virus encephalomyelitis diagnosed by polymerase chain reaction : Detection of the genome in the CSF. Neurology 1997;48:1351-5 [3]. Hoover SE, Ross JP, Cohen JI. Epstein-Barr Virus. Infections of the central nervous system. Philadelphia : Lippincott Williams & Wilkins, 2004:175-83
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Abstract: Backgroud: Non Carious Cervical Lesion (NCCL) are defined as the loss of tooth structures along the gingival margin of the tooth involving both the crown & root portion of tooth due to mechanical abrasion, erosion or abfraction, it is frequently associated with gingival recession which is very complex and challenging to the clinician that needs both restorative & surgical approach. In Type 3 & Type 4-NCCL complete root coverage is not possible only with surgery. For this reason, a line should be drawn to predetermine the limit up to which maximum root coverage (MRC) is possible and rest of the lesion requires restorative treatment. Coronally Advanced Flap (CAF) along with Sub Epithelial Connective Tissue (SECT) Graft technique is to be the gold standard treatment for root coverage surgery in spite of some obvious drawbacks, like creation of second wound etc. In this study, to avoid the drawback, it might be expected that CAF alone may be the suitable alternative for root coverage with predetermination of maximum root coverage line..........

Keywords: Non carious cervical lesion (NCCL), coronally advanced flap (CAF), Sub Epithelial Connective Tissue Graft (CTG), Maximum Root Coverage (MRC)

[1]. Santamaria, M. P., da Silva Feitosa, D., Nociti, F. H., Jr, Casati, M. Z., Sallum, A. W., & Sallum, E. A. (2009). Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap: a 2-year follow-up randomized-controlled cli.
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Abstract:Les mélanomes choroïdiens sont les plus fréquentes des tumeurs intra oculaires malignes primitives. Les options thérapeutiques sont limitées en l'absence de traitements conservateurs dans les pays en voie de développement rendant ainsi difficile leur prise en charge. L'objectif de cette étude était de discuter les difficultés de prise en charge du mélanome choroïdien . Nous rapportons l'observation d'une patiente présentant un aspect ophtalmoscopique de mélanome choroïdien dans une population mélanoderme. L'énucléation était proposée en première intention. Patiente de 50 ans, Le diagnostic de mélanome était évoqué devant l'aspect classique en échographie et confirmé à l'histologie après énucléation........

Keywords: choroïde ; tumeur ; mélanome ; énucléation

[1]. Jose SP. Rétine, choroïde, vitré: Tumeurs de la choroïde et de la rétine de l'adulte. Paris:Elsevier; 2005, P. 121-26.
[2]. Livia Lumbroso. L, Sarah. T. Tumeurs choroïdiennes et rétiniennes. Rétine 2012 ; 8 :72-82
[3]. Jampol LM, Moy CS, Murray TG, Reynodls SM,Albert DM, Schachat AP, et al. The COMS randomized trial of iodine 125 brachytherapy for choriodal melanoma: IV. Local treatmentfailure and enucleation in the first 5 years after brachytherapy. COMS report no. 19. Ophthalmology 2002; 109:2197-206.
[4]. Seck SM, Agboton G, Diop Y, Gueye NN, Seck. CM, Lam A. Rhabdomyosarcome orbitaire : expérience sur 20 ans à l'hôpital principal de Dakar. Revue SOAO 2011, 2 :30-7.
[5]. Kouassi FX, Ouattara Y, Kouassi AC, Yoffou ; L,Koffi KV, Soumahoro M, Koné S. Mélanome choroïdien chez l'africain mélanoderme : A propos d'un cas. Revue SOAO 2010,1 :28-31.

Abstract:BACKGROUND: Fractures of Metacarpals and phalanges are quite common in developing countries. These are associated with RTA, machine injuries, and other modes. Mobility of the hand is very important for daily activities; therefore, preoperative planning must be emphasized. Treatment of these fractures is highly associated with stiffness. MATERIAL AND METHODS: This prospective interventional study was conducted for a period of 6 months in our hospital. A total of 40 patients were included in the study. Among them, 25 patients (62.5%) were phalangeal fractures and 15(37.5%) patients were Metacarpal fractures. All these patients were operated on with a mini-external fixator. Follow-up was done at 2 weeks, 6 weeks, 4 months, and 6 months and functional outcome was assessed using the DUNCAN score........

Keywords: JESS, DUNCAN, RTA, K-WIRE.

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[3]. Reyes FA, Latta LL. Conservative management of difficult phalangeal fractures. ClinOrthopRelat Res. 1987; (214):23-30.
[4]. Singh J, Jain KM, Ravishankar R. Outcome of closed proximal phalangeal fractures of the hand. Indian J Orthop. 2011; 45:432-8.
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Abstract:Facial aging is a physiological phenomenon which affects each individual, linked to several factors, and responsible for several changes that may cause discomfort to the patient. In order to deal with these physiological changes, various techniques are available whether surgical or non-surgical to meet the demands of patients seeking a youthful and natural appearance. A good knowledge of these techniques, allows to ask the adequate indications in order to satisfy the requests of any patient.

Keywords: Facial aging, Remodeling, Surgery, Rejuvenation techniques

[1]. Démarchez, M. Le vieillissement cutané. 2012
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Abstract:Earlobe keloid can be clinically classified into five (5) major categories based on the surface of the earlobe, nodularity, planarity, helical rim extension and laterality. The main categories, except for the type 3 are further subdivided based on the degree of involvement. METHOD: This classification system was an observational finding among 48 earlobe keloids managed in consecutive 45 patients seen by me between 2017 and 2018 in the plastic surgery clinic of Irrua Specialist Teaching Hospital (ISTH), Edo state, Nigeria......

[1]. Yencha MW, Oberman JP. Combined Therapy in the treatment of Auricular Keloids. Ear Nose and Throat Journal. 2006; 85(2): 93-97.
[2]. Park TH, Seo SW, Kim JK, Chang CH. Earlobe keloids; Classification according to gross morphology determines proper surgical approach. Dermatol surg. 2012; 38: 406-412.
[3]. Insalaw L, Saxon S, Spiegel JH. What is the role of intralesional corticosteroids injections for keloids before considering surgery. Trans Am Laryngol Otol Soc. 2016; 126: 549-550.
[4]. Jain VK, Soundrya N, Rodrigues C, Shetty S. Bilateral Tops like earlobe keloid of unusual size: A case report and review of etiopathogenesis and treatment modalities. International Journal of Oral and Maxillofacial Pathology. 2011; 2(4): 45-50.
[5]. Perdanasari AT, Lazzeri D, Su W, Xi W, Zheng Z, Ke L et al. Recent Development in the Use of Intralesional Injections in Keloid Treatment. Arch Plast Surg. 2014; 41: 620-629.

Abstract: Background: The importance of malaria prevention especially in endemic areas during antenatal periods has been greatly emphasized. It is a useful tool for reducing the problems of malaria in pregnancy. Such problems may include anaemia in pregnancy, preterm labours, small for date and low bith weight etc. It has also been noted that optimal antioxidant status like Malondialdehyde is necessary to help pregnant women enjoy uneventful pregnancies as well as avert other problems of pregnancy which may include intrauterine growth retardations (IUGR), preterm births, neonatal anaemias, increased admissions into special care baby units and even neonatal deaths........

Keywords: Anaemia in pregnancy, antenatal course, Colorimetric method, Malaria endemicity, Malondialdehyde, Sulphadoxine-Pyrimethamine, Thiobarbituric acid (TBA).

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Abstract: Nous rapportons le cas d'un patient de 28 ans, qui consulte pour une baisse de l'acuité visuelle au niveau de l'oeil gauche depuis 4 ans. A l'examen clinique, l'acuité visuelle est 1 /10. Le tonus oculaire est à 12 mmhg. L'examen du segment antérieur montre l'existence d'une cataracte faite d'opacités blanchâtres centrales correspondant à une cataracte céruléenne congénitale unilatérale. Le traitement a consisté en une cure de la cataracte par phacoémulsification avec une bonne évolution. La cataracte céruléenne est une forme de cataracte congénitale rare à teinte bleutée, faite d'opacités blanchâtres en couches concentriques avec en leur centre une disposition radiaire. L'acuité visuelle est assez bonne dans l'enfance mais peut se dégrader ultérieurement. Le gène de type 1 (CCA1) est en 17q24, le gène CRYBB2 de type 2 (CCA2) est en 22q. L'affection est autosomique dominante.

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