85 results match your criteria: "Myungsung Christian medical Center[Affiliation]"

Purpose: To report the design of FLuorometholone as Adjunctive MEdical therapy for TT surgery (FLAME) trial.

Design: Parallel design, double-masked, placebo-controlled clinical trial with 1:1 randomization to fluorometholone 0.1% eye drops twice daily or placebo twice daily for 4 weeks in eyes undergoing trachomatous trichiasis (TT) surgery for assessing the efficacy, safety, and cost-effectiveness of fluorometholone 0.

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Purpose: The anti-inflammatory effect of therapeutic pars plana vitrectomy (PPV) in the management of posterior segment uveitis is incompletely quantified. In this study, we evaluated the change in total immunosuppression load (TIL) following PPV for the eyes of patients with non-infectious uveitis.

Methods: Retrospective chart review of patients with non-infectious posterior segment uveitis on continuous anti-inflammatory therapy (systemic corticosteroids ± immunomodulatory therapy [IMT]) ±3 months, who received therapeutic PPV for non-resolving inflammation.

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Purpose: Chronic anterior uveitis (CAU) often requires suppressive therapy, which has potential side effects including cataract, ocular hypertension, and increased risk of infection. No remittive therapy is currently available; however, several studies have demonstrated an association between low 25-hydroxy Vitamin D (25OHD) levels and either uveitis incidence or uveitis disease activity. This study investigates the potential of Vitamin D supplementation as a remittive treatment for CAU.

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Article Synopsis
  • This study is the first of its kind to statistically assess how well the Collaborative Ocular Tuberculosis Study (COTS) calculator predicts the need for antitubercular therapy (ATT) in patients with suspected tubercular uveitis (TBU) in an international setting.
  • The main goal was to determine if a score of 4 or higher on the COTS calculator effectively guides the initiation of ATT.
  • Results showed that among 492 participants, 45.7% received a high probability for ATT initiation, and the COTS-5 score showed the highest specificity at 88.7%, suggesting its effectiveness compared to clinician judgment.
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  • Intermediate uveitis involves inflammation of the vitreous and pars planitis, which can stem from various causes including infections, systemic diseases, or may be idiopathic (unknown origin).
  • The specific term "pars planitis" refers to the idiopathic form characterized by distinctive findings like snowballs and snowbanks in the eye.
  • Diagnosis relies on recognizing symptoms (like floaters) and conducting a thorough eye examination, while advanced techniques like PCR testing help identify underlying infectious or neoplastic causes.
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  • Actinomycosis is a rare, chronic infection caused by specific anaerobic bacteria, which can complicate diagnosis, especially when it affects the central nervous system.
  • A case study highlights a 29-year-old farmer with a dura-based mass that resembled a brain tumor, confirmed as actinomycosis through histopathology after surgical intervention.
  • Early diagnosis is crucial, especially in at-risk individuals, to ensure effective treatment and better recovery outcomes.
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Background: Venous thromboembolism (VTE) remains the commonest preventable cause of death in postoperative patients. VTE prophylaxis significantly reduces mortality risk, yet its utilization remains alarmingly low and variable (6-61 %) worldwide. This study aimed to compare VTE prophylaxis use among adult surgical patients in major hospitals in Addis Ababa, Ethiopia.

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Incidence and Remission of Post-Surgical Cystoid Macular Edema Following Cataract Surgery in Eyes With Intraocular Inflammation.

Am J Ophthalmol

November 2024

Department of Ophthalmology and Schepens Eye Research Institute (C.S.F., J.H.K.), Massachusetts Eye and Ear Infirmary; and Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA; Sight for Souls (J.H.K.), Bellevue, Washington, USA; MCM Eye Unit (J.H.K.), MyungSung Christian Medical Center (MCM) General Hospital and Myung Sung Medical School, Addis Ababa, Ethiopia; Department of Ophthalmology (J.H.K.), Addis Ababa University School of Medicine, Addis Ababa, Ethiopia. Electronic address:

Purpose: To evaluate the incidence, remission, and relapse of post-surgical cystoid macular edema (PCME) following cataract surgery in inflammatory eye disease.

Methods: A total of 1859 eyes that had no visually significant macular edema prior to cataract surgery while under tertiary uveitis management were included. Standardized retrospective chart review was used to gather clinical data.

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  • A study evaluated the incidence of significant posterior capsule opacification (PCO) and YAG laser capsulotomy among uveitic eyes after cataract surgery, revealing that about 16% of eyes experienced PCO with reduced visual acuity within a year.* -
  • Analysis of 1,855 uveitic eyes found that younger patients, those with poorer preoperative vision, and postoperative inflammation were more likely to develop PCO, while younger age and female sex were risk factors for needing YAG laser capsulotomy.* -
  • The findings indicate that PCO is common in uveitic patients post-surgery, with 22% of eyes undergoing YAG laser treatment in the same timeframe, emphasizing the need for
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Purpose: This study aims to understand the practice patterns among ophthalmologists in North America who manage patients with acute, non-infectious anterior uveitis.

Methods: An eight-question survey was designed to elucidate the practice patterns of ophthalmologists across various geographic locations and practice settings regarding the management of anterior uveitis. This survey was distributed via the American Uveitis Society and Young Uveitis Specialists email listserv to ophthalmologists who self-identify as uveitis specialists and have a patient population that is at least 30% uveitis.

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Using Smartphones to Enhance Vision Screening in Rural Areas: Pilot Study.

JMIR Form Res

April 2024

Schepens Eye Research Institute, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, United States.

Background: While it is treatable, uncorrected refractive error is the number one cause of visual impairment worldwide. This eye condition alone, or together with ocular misalignment, can also cause amblyopia, which is also treatable if detected early but still occurs in about 4% of the population. Mass vision screening is the first and most critical step to address these issues, but due to limited resources, vision screening in many rural areas remains a major challenge.

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Microsurgical treatment of ruptured intracranial aneurysms: An Ethiopian experience.

World Neurosurg X

July 2024

Department of Neurosurgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Introduction: In this ambispective cohort study, the authors share their experience with surgical outcomes of intracranial aneurysms in a resource-limited setting.

Methods: The study spans a 10-year period (January 2010 to December 2022) at Myungsung Christian Medical Center (MCM) in Addis Ababa, Ethiopia. Patient data, aneurysm characteristics, preoperative, intraoperative, and postoperative factors, along with patient outcomes, were collected using a structured questionnaire.

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Infectious diseases affecting the eye often cause unilateral or asymmetric visual loss in children and people of working age. This group of conditions includes viral, bacterial, fungal and parasitic diseases, both common and rare presentations which, in aggregate, may account for a significant portion of the global visual burden. Diagnosis is frequently challenging even in specialist centres, and many disease presentations are highly regional.

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Introduction: Small bowel bleeding can be overt or occult. Despite advances in imaging and endoscopy, the diagnosis and treatment of small bowel bleeding remain challenging due to its length and location. Diagnostic procedures such as push enteroscopy, capsule endoscopy and intraoperative enteroscopy are recommended to identify the source of bleeding.

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Background/aims: Trachomatous trichiasis (TT) is a severe consequence of chronic inflammation/conjunctival scarring resulting from trachoma, the leading infectious cause of blindness worldwide. Our prospective cohort study evaluated the effectiveness of refresher training (RT) for experienced surgeons (1-22 years) on the outcomes of upper lid (UL) TT surgery in rural Ethiopia.

Methods: Patients undergoing UL TT surgery in at least one eye by a participating surgeon were included.

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Antiviral treatment for acute retinal necrosis: A systematic review and meta-analysis.

Surv Ophthalmol

December 2023

Department of Bioinformatics, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore; National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital, London, UK; UCL-Institute of Ophthalmology, London, UK; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Singapore National Eye Centre, Singapore, Singapore; MyungSung Christian Medical Center (MCM) Eye Unit, MCM General Hospital, and MyungSung Medical School, Addis Ababa, Ethiopia; National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore, Singapore; Duke NUS Medical School, Singapore, Singapore; Singapore Eye Research Institute, Singapore, Singapore.

Acute retinal necrosis is a progressive intraocular inflammatory syndrome characterized by diffuse necrotizing retinitis that can lead to a poor visual outcome, mainly from retinal detachment. The antiviral treatment approach for acute retinal necrosis varies as there are no established guidelines. We summarize the outcomes of acute retinal necrosis with available antiviral treatments.

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Evaluating the Diagnostic Accuracy and Management Recommendations of ChatGPT in Uveitis.

Ocul Immunol Inflamm

October 2024

MyungSung Christian Medical Center (MCM) Eye Unit, MCM Comprehensive Specialized Hospital, and MyungSung Medical School, Addis Ababa, Ethiopia.

Introduction: Accurate diagnosis and timely management are vital for favorable uveitis outcomes. Artificial Intelligence (AI) holds promise in medical decision-making, particularly in ophthalmology. Yet, the diagnostic precision and management advice from AI-based uveitis chatbots lack assessment.

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Purpose: As a potentially sight-threatening disease with ocular, systemic, and treatment-related complications, uveitis diminishes quality of life (QOL) and affects psychosocial well-being. This review summarizes the existing tools for evaluating psychosocial well-being and/or QOL in patients with uveitis, explores the biological and non-biological factors affecting psychosocial well-being and/or QOL, and proposes future directions for incorporating these tools into clinical practice.

Methods: A systematic search of the MEDLINE, Embase, and Cochrane databases from inception to June 8, 2022 was conducted, screening for articles focused on psychosocial well-being and/or QOL in patients with uveitis.

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Article Synopsis
  • The study aimed to analyze the relationship between immunosuppression and overall as well as cancer-specific mortality in patients with noninfectious ocular inflammatory disease.
  • Researchers examined data from over 15,000 patients over a median of 10 years and found there were 1970 deaths, with 435 attributed to cancer.
  • The results indicated that patients on various immunosuppressants experienced similar mortality rates compared to the general U.S. population, suggesting that these treatments did not significantly increase overall or cancer mortality risk.
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Aims: To present current practice patterns in the diagnosis and management of Cytomegalovirus anterior uveitis (CMV AU) by uveitis experts worldwide.

Methods: A two-round modified Delphi survey with masking of the study team was performed. Based on experience and expertise, 100 international uveitis specialists from 21 countries were invited to participate in the survey.

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Article Synopsis
  • The study aimed to evaluate and create consensus guidelines among global uveitis specialists regarding the management of herpes simplex virus (HSV) and varicella-zoster virus (VZV) associated anterior uveitis (AU).
  • An online Delphi survey gathered responses from 76 uveitis experts across 21 countries, with findings leading to the establishment of treatment guidelines via the TITAN working group.
  • Key conclusions highlighted specific diagnostic signs for HSV and VZV AU, preferred use of valacyclovir for treatment, and a variety of opinions on treatment duration and managing recurrences.
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Incidence of and Risk Factors for Cataract in Anterior Uveitis.

Am J Ophthalmol

October 2023

From the Department of Ophthalmology, Massachusetts Eye and Ear Infirmary (G.N.P., J.H.K.), Boston, Massachusetts, USA; Department of Ophthalmology, Harvard Medical School (G.N.P., C.S.F., J.H.K.), Boston, Massachusetts, USA; MCM Eye Unit, MyungSung Christian Medical Center (MCM) General Hospital and MyungSung Medical School (J.H.K., C.M.P.), Addis Ababa, Ethiopia; Department of Ophthalmology, Addis Ababa University School of Medicine (J.H.K.), Addis Ababa, Ethiopia. Electronic address:

Purpose: To estimate the incidence/risk factors for cataract in noninfectious anterior uveitis.

Design: Retrospective multicenter cohort study (6 US tertiary uveitis sites, 1978-2010).

Methods: Data were harvested by trained expert reviewers, using protocol-driven review of experts' charts.

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In the current literature, clinical registry cohorts related to ocular inflammation are few and far between, and there are none involving multi-continental international data. Many existing registries comprise administrative databases, data related to specific uveitic diseases, or are designed to address a particular clinical problem. The existing data, although useful and serving their intended purposes, are segmented and may not be sufficiently robust to design prognostication tools or draw epidemiological conclusions in the field of uveitis and ocular inflammation.

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Purpose: To evaluate the long-term visual acuity (VA) outcome of cataract surgery in inflammatory eye disease.

Setting: Tertiary care academic centres.

Design: Multicentre retrospective cohort study.

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Article Synopsis
  • Angiomyolipoma (AML) is a rare benign tumor of the spine, making up only 0.14%-1.2% of all spine tumors, and is typically found in the extradural space, often in the thoracic region.
  • A case study detailed a 47-year-old male patient diagnosed with thoracic spine AML who successfully underwent surgery, resulting in excellent immediate and long-term recovery.
  • The findings emphasize the importance of including rare benign spinal tumors like AML in the diagnosis of spinal mass lesions, as they are usually treated surgically with positive outcomes.
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