Purpose: To describe a new technique for transconjunctival intrascleral fixation of Cionni CTR using double-flanged polypropylens suture. Methods: This is a prospective interventional case series which included 7 cases with severe (more than 180 degrees) zonular dialysis. Three cases were hereditary lens subluxation (Marfan syndrome), 2 cases with traumatic subluxation and 2 cases with pseudoexfoliation syndrome. Results: All cases achieved a good postoperative stable and centered IOL with good visual results. No postoperative complications were recorded apart from PCO in 3 cases and mild bleeding during needle passage in one case. Conclusion: This described technique is a simple, time sparing and minimally invasive method for achieving good bag centration. It eliminates the need of conjunctival peritomy, subconjunctival vessels cautery and scleral fashioning of a flap, pocket or a groove. The use of 6/0 polypropylene theoretically can achieve better longevity.

Background: One of our most cherished belongings is our ability to see well. The ability to see clearly is a fundamental human right. People fear losing their sight the most according to surveys. As we age, we are more likely to suffer from vision issues. The typical age of cataract onset in the West is around 60 years old, however in poorer countries it is more common around the age of 45 or even earlier. Since cataracts are responsible for 47.8 percent of the world's total blindness, they are a major cause of concern and a significant public health issue in developing countries.Objective: This study aimed to study the corneal endothelial changes in both procedures for extraction of mature senile cataract. Conclusion:Corneal endothelial cells are sensitive to trauma, which affects cell density and cell morphology. Endothelial cell loss during surgery affects the ability of the cornea to preserve transparency with subsequent visual affection.

AIM:To analyze the prognostic factors and assess the visual outcome in patients with IOFBs treated by pars plana vitrectomy. PATIENTS AND METHODS:This study was a prospective interventional case series of 80 consecutive eyes of patients with penetrating eye injuries and retained intraocular foreign body (IOFB) in the posterior segment who underwent IOFB removal by pars plana vitrectomy at Zagazig University Hospitals between August 2013 and December 2015. Three different groups were categorized according to final BCVA. Various preoperative, operative, and postoperative Factors were analyzed for their prognostic value for a good visual outcome and a poor visual outcome. RESULTS: There were 74 males and 6 females with a mean age of 28.80±7.82 years. Hammering and chiseling were the most frequent source of injury occurred in 69 patients (86.25 %). Final best corrected visual acuity (BCVA) was equivalent to or more than 0.5 (good outcome) in 28 patients, between 0.1-0.4 in 20 patients and less than 0.1 (poor outcome) in 32 patients. Age, sex of patients and preoperative retinal detachment (RD) were statistically insignificant for visual outcome. Initial poor BCVA was found to be highly significant for poor final BCVA (p<0.001). Corneoscleral entry site and intraretinal FB location were found to be highly significant for poor visual outcome (p<0.001). Corneal entry site and IOFBs finally located in vitreous cavity were highly significant for good outcome (p<0.001). Presence of preoperative endophthalmitis and postoperative RD were found to be significant for poor visual outcome (p = 0.037, 0.006 respectively). CONCLUSIONS: Many prognostic factors were recognized which aid in predicting visual outcome and identifying which patients are at highest risk for visual loss. Initial BCVA, FB entry site and location, preoperative endophthalmitis and postoperative RD were the most significant prognostic factors in predicting visual outcome.