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Monocular Elevation Deficiency: A Case Series of Surgical Outcome (Benha University)
Egypt (IFMSA-Egypt) - Benha Faculty of medicine, Benha
Prof. Dr Mohamed F. Farid
Dr .Mohamed A. Awwad
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Monocular Elevation Deficiency, also known by the older term Double Elevator Palsy, is an inability to elevate one eye in all fields of gaze, usually resulting in one eye that is pointed downward relative to the other eye. Sometimes it is associated with ptosis/ pseudoptosis. It could be congenital or acquired by trauma, cerebrovascular diseases, sarcoidosis, syphilis and midbrain tumors. Usually patients complain of diplopia, abnormal head posture and inability to elevate the affected eye Managing this condition is a challenge for strabismologists.
What is the aim of the project?
To assess the outcome of various surgical options in treatment of monocular elevation deficit.
What techniques and methods are used?
In this project we are trying to evaluate various methods in the treatment of Monocular Elevation Deficit through the following steps: - Diagnose cases of monocular elevation deficit. - Assess ocular motility. - Assess lid elevation status. - Measure angle of ocular deviation. - Assess visual acuity. - Perform forced duction test. - Inferior rectus recession surgery. - Muscle transposition surgery. - Measure post-operative ocular deviation angle. - Statistical analysis of the data.
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
• Clinical evaluation of subjects: Attending the squint outpatient clinic • Students will share in collected data required for the results, this could happen through; - Taking history from patients - They will Document visual acuity for patients using landolt chart. - Measuring fusion status - Assessing ocular motility - Assessing patient’s refraction - Attending the surgery as an observer - They will Monitor the patients post operatively for any complications, learning skills used for such monitoring like slit lamp examination, intraocular pressure measurement and fundus examination using indirect ophthalmoscopy • Statistical analysis of the results: The collected data will be tabulated and analyzed using Statistical Package for Social Sciences version 25 software.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Yes, strabismologist will provide the student with brief tutorials about squint in clinical and surgical management.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster - The student will prepare a presentation - The student will prepare a scientific report - The student will have the opportunity to present the results together with the supervisor at a conference
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
- Basic skills in history taking - Basic clinical ophthalmology skills e.g. (measuring visual acuity)
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months)
- Talebnejad M; Roustaei G (2014) Monocular Elevation Deficiency: a case series of surgical outcome. Iran J Med Sci 39(2):102–106
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