Publications by authors named "Christine Hakimeh"
Surgical management of chronic sixth cranial nerve palsy: case report and literature review.
Med Hypothesis Discov Innov Ophthalmol
July 2024
Article Synopsis
- Esotropia caused by sixth cranial nerve palsy can greatly affect visual acuity, and if it doesn't improve within 6-10 months, surgery may be needed, with the modified Nishida procedure being a promising option for treatment without splitting muscles.
- A 59-year-old woman with chronic complete sixth nerve palsy underwent the modified Nishida procedure combined with botulinum toxin A (BTA) injection after multiple unsuccessful surgeries, resulting in significant improvement in her condition.
- Post-surgery, the patient experienced better eye alignment, less double vision, and a broader field of vision, showcasing the effectiveness of the modified Nishida procedure for this type of eye disorder.
Article Synopsis
- - Aplasia of the inferior rectus and inferior oblique muscles is a rare condition caused by improper embryological development, often associated with craniofacial syndromes and eye abnormalities.
- - The common treatment, a reverse Knapp procedure, aims to improve vertical eye alignment but may result in complications like ischemia or undercorrection.
- - This report describes a unique case of unilateral aplasia in a patient with congenital facial nerve palsy and optic nerve hypoplasia, successfully treated with a modified minimally invasive procedure.
Purpose: To evaluate the astigmatic correction obtained with a toric intraocular lens using the keratometric readings (Ks) from a swept-source optical coherence tomography (SS-OCT) biometer and the Barrett toric formula with its predicted posterior corneal astigmatism (PCA) value and to compare the results with those expected by using the OCT Ks and a measured PCA from a scheimpflug topographer and by using the SimKs and the measured PCA from the Scheimpflug topographer.
Setting: Private practice, Lynwood, California.
Design: Retrospective observational study.