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23 results on '"Choura, Racem"'

4. Multimodal imaging in persistent fetal vasculature

Author

Gouider, Dhouha, primary, Sayadi, Jihene, additional, Choura, Racem, additional, Raihan, Haythem, additional, Mekni, Manel, additional, Aidi, Nourhene, additional, Zeghal, Imene, additional, Malek, Ines, additional, and Nacef, Leila, additional

Published
2022
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5. Ocular manifestations in Arnold Chiari syndrome

Author

Choura, Racem, primary, Sayadi, Jihene, additional, Gouider, dhouha, additional, Mekni, Manel, additional, Raihan, Haythem, additional, Aidi, Nourhene, additional, Zeghal, Imene, additional, Malek, Ines, additional, and Nacef, Leila, additional

Published
2022
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7. Ophthalmic Manifestations of Newly Diagnosed Acute Leukemia Patients in a Tunisian Cohort

Author

Sayadi,Jihene, Gouider,Dhouha, Allouche,Yasmine, Choura,Racem, Cherni,Ines, Sayadi,Malek, Benneji,Hend, Zghal,Imene, Malek,Ines, Nacef,Leila, Sayadi,Jihene, Gouider,Dhouha, Allouche,Yasmine, Choura,Racem, Cherni,Ines, Sayadi,Malek, Benneji,Hend, Zghal,Imene, Malek,Ines, and Nacef,Leila

Abstract

Jihene Sayadi,1 Dhouha Gouider,1 Yasmine Allouche,1 Racem Choura,1 Ines Cherni,1 Malek Sayadi,2 Hend Benneji,2 Imene Zghal,1 Ines Malek,1 Leila Nacef1 1Department A, Hedi Raies Institute of Ophthalmology, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; 2Department of Hematology, Aziza Othmana Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaCorrespondence: Dhouha Gouider, Department A, Hedi Raies Institute of Ophthalmology, Faculty of Medicine of Tunis, University of Tunis El Manar, Bab Saadoun, Tunis, Tunisia, Tel +21640660114, Email dhouhagouider@gmail.comPurpose: To describe ocular manifestations of acute leukemia in a Tunisian cohort and to assess the associations between ophthalmic findings and epidemiological, clinical, and biological features of the disease.Methods: A prospective study included patients newly diagnosed with acute leukemia referred to our clinics between January 2019 and July 2020. All patients underwent a complete ophthalmic evaluation and spectral-domain optical coherence tomography (SD-OCT) at presentation, then every two months during one year. We defined two groups: Group 1 included patients with leukemic ophthalmopathy and group 2 included patients with normal ophthalmic examination.Results: Forty-six patients were enrolled. The mean age of patients was 32.1± 15.3 years. The sex ratio M/F was 1.55 (28 male patients and 18 females). Twenty-nine patients (63%) had acute myeloid leukemia (AML), and 17 (37%) had acute lymphoblastic leukemia (ALL). The average follow-up was 9.1 months (range: 3– 12 months). We observed ophthalmic manifestations in 28 patients (61%). Among them, 17 (61%) had vision-threatening complications. The posterior segment was the most common site of ocular involvement (82% of group1). Primary leukemic infiltration (Disc edema, ptosis, exophthalmos) was present in 13 eyes (14.1%). Twenty-seven eyes (29.3%) had secondary involvement lesions (Subconjunctiva

Published
2022

21. Prevalence and predictors of metamorphopsia after successful vitrectomy surgery for macula-off rhegmatogenous retinal detachment.

Author

Zgolli H, Abdelhedi C, Choura R, Abdaoui M, Fekih O, Zghal I, and Nacef L

Subjects
Humans, Vitrectomy adverse effects, Prevalence, Retrospective Studies, Retinal Detachment diagnosis, Retinal Detachment epidemiology, Retinal Detachment surgery, Vision, Low
Abstract

Aim: To estimate metamorphopsia prevalence, predictors and etiologies in patients operated for rhegmatogenous retinal detachment (RRD) with detached macula with successful results., Methods: Retrospective study including 50 eyes of 50 patients who underwent pars plana vitrectomy for RRD with detached macula with standard silicone oil (SO) tamponade. Patients who had successful surgery with durable anatomic reapplication of the retina after SO removal were included. Patients were examined on day 1, day 7,1 month, and 3 months after surgery. Best corrected visual acuity, Amsler grid, fundus biomicroscopy, Spectral Domain Optical Coherence Tomography (SD-OCT) and fundus auto-fluorescence (FAF) were performed in all patients after surgery. Structural abnormalities such as macular folds, macular epiretinal membrane, cystoid macular edema, and foveal disruption of the ellipsoid layer were observed on SD-OCT. Macular displacement was identified on FAF., Results: We identified metamorphopsia as post-operative visual impairment in 27 patients among 50 (54%). Clinical assessment found that a delay > 7 days between symptoms and surgery (p < 0.001), more than 2 detached quadrants (p=0.012), and stage C of proliferative vitreoretinopathy (p=0.035) were associated to metamorphopsia. Regarding multimodal imaging findings, only macular folds and macular displacement were significantly correlated with the occurrence of postoperative metamorphopsia (p <0.001)., Conclusion: Metamorphopsia is a common complaint after vitrectomy for RRD. Macular rotation and folds would be the main causes after complete and durable reapplication of the retina.

Published
2023

22. [Orbital cellulitis: diagnostic, therapeutic and prognostic approach in a reference center in Tunis, Tunisia (a retrospective study of 109 cases)].

Author

Mekni M, Sayadi J, Choura R, Fekih A, Gouider D, Rouatbi A, Zghal I, Malek I, Chebbi A, and Nacef L

Subjects
Humans, Male, Adult, Middle Aged, Cellulitis diagnosis, Cellulitis epidemiology, Cellulitis therapy, Retrospective Studies, Prognosis, Tunisia epidemiology, Anti-Bacterial Agents therapeutic use, Orbital Cellulitis diagnosis, Orbital Cellulitis epidemiology, Orbital Cellulitis therapy, Eyelid Diseases, Orbital Diseases diagnosis
Abstract

Orbital cellulitis is a rare disease. Two anatomo-clinical forms can be distinguished: a preseptal "benign" form and a retroseptal "severe" form. The purpose of this study was to analyze the epidemiological, clinical, therapeutic and prognostic profile of orbital cellulitis in a third-line Hospital in Tunis, Tunisia. We conducted a retrospective study involving 109 patients hospitalized for orbital cellulitis. Two groups were distinguished: the retroseptal cellulitis group including 42 patients (38.5%) and the preseptal cellulitis group including 67 patients (61.5%). The average age of patients was 27.1 ± 34.8 years. The sex ratio M/F was 0.84 (45.9% of male patients). Acute sinusitis was the most frequently identified portal for retroseptal cellulitis entry (35.7%, n=15), while acute dacryocystitis was the most common cause of preseptal cellulitis (23.9%, n=16). Diabetes, non-functioning eye and prior use of non-steroidal anti-inflammatory drugs were associated with retroseptal cellulitis (p=0.007, p=0.022 and p=0.014 respectively). All patients received systemic antibiotic therapy. Ten patients (23.8%) of the retro-septal cellulitis group and 5 patients (7.46%) of the preseptal cellulitis group underwent surgery. Nine cases of blindness (8.2%), a case of septic shock and a case of death were reported. Poor prognostic factors were a time of consultation > 7 days (aOR = 4.277, 95% CI = 2.504-32.426, p = 0.006) and Chandler stage>III (aOR = 7.009, 95% CI = 1.69-51.839, p = 0.029). In developing countries and especially in Tunisia, orbital cellulitis can be sight threatening or even life-threatening. Early management could lead to a favorable outcome without sequelae., Competing Interests: Les auteurs ne déclarent aucun conflit d'intérêts., (Copyright: Manel Mekni et al.)

Published
2022
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23. Central corneal thickness in a healthy Tunisian population.

Author

Chebil A, Choura R, Falfoul Y, Fekih O, and El Matri L

Subjects
Cross-Sectional Studies, Humans, Reference Values, Cornea diagnostic imaging
Abstract

Aim: To study the central corneal thickness of a Tunisian population and determine the influence of age, gender, axial length and refractive error on central corneal thickness (CCT) values., Methods: An observational, cross-sectional study was conducted on 608 eyes of consecutive Tunisian patients without ophthalmic disease. Corneal tomography (Oculus Pentacam, USA) and a complete eye examination were performed on all patients. The relationship between the central corneal thickness values and variables of age, refractive error, axial length and gender was assessed., Results: The mean central corneal thickness was 522±37.17μm (range 461 to 655 μm). No statistical association was found between central corneal thickness values and variables of age, refractive error, axial length and gender., Conclusions: The normal CCT value in the Tunisian population was of 522±37.17 µm. We have analyzed, for the first time, normal central corneal thickness values of a healthy Tunisian population.

Published
2021

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