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Showing 8 results for Ojaghi

Firooz Amani , Saeid Sadeghieh , Ahad Azami , Habib Ojaghi,
Volume 2, Issue 4 (Winter 2002)

 Background & Objective: In order to avoid amblyopia, the welfare organization of Iran performs a special program every year. Since there was no research regarding the mistake rates made by the educators, this study was conducted to determine the probable differences between educators and optometrists in terms of their mistakes in examining amblyopia. The study aimed also at decreasing the amount of this difference and programming for the better performance of amblyopia examination in the future.

 Methods: This study was performed on 260 children in 22 nursery schools of Ardabil using systematic sampling method. These children were first examined by the educators and after some time they were examined for a second time by optometrists using retinoscopy and the fingertip. The data was collected using a questionnaire filled out by both the educators and the optometrists. This data was then analyzed by X2 tests and ANOVA using SPSS program.

 Results: 51.2% of the subjects were male and the rest of them (48.8%) were female. 63.5% of the nursery schools (day- care centers) were private and the others were run by the ministry of education. 13.8% of the subjects used eye glasses and 8.1% were under the control of a physician. 36.4% of the centers did not observe the standard interval. 18.8% of the educators were not skillful enough. 17.7% of the children suffered from astigmatism and 5.3% of them had a weak eyesight. Because of these factors, there was a 17.7% difference between the examination of educators and that of the optometrists.

 Conclusions: It seems necessary for the authorities to have better and more careful programs in the future for examining amblyopia.

Ahad Azami , Saeid Sadeghieh, Habib Ojaghi , Firooz Amani , Manoochehr Barak ,
Volume 3, Issue 4 (Winter 2003)

 Background & Objective: The nationwide amblyopia prevention program is performed by prevention deputy of welfare organization every year. In this analytic report practical results of screening program in 1998-2001 were presented and compared with similar findings in other countries. The results were also compared with the findings of previous similar researches in Iran.

  Methods : The amblyopia screening program was performed on all 3-65 year-old children in day-care centers as well as those referring to the visual acuity measuring centers. The first examination was accomplished by trainers. In the second step doubtful cases were referred to optometrist by trainers and amblyopia was diagnosed by an optometrist and confirmed by an eye specialist after excluding organic causes.

 Results: 608 out of 8427(7.21%) children examined by trainers in 2001 were referred to an optometrist because of suspected visual disorders. The prevalence of amblyopia in different cities of Ardabil province was 2%-15%. The figures in 2000-2001 were 10% (Rangs=1%-13%), respectively. In 1998 it was 11% (Range =5%-13%). In the second phase of amblyopia plan the prevalence of visual problems was estimated about 21%, 45%, 47%, and 74% in 1998-2001, respectively. In the third phase of the plan the amblyopia prevalence for children examined by eye-specialist in 1999-2001 were 1.6%, 1.41% and 1.25% respectively.

 Conclusions: In this research the prevalence of amblyopia was found to be 1.42% which has a conformity with the findings of other countries. Moreover, the higher variation in the estimation of the prevalence of visual disorders in this province requires further comparative researches.

Habib Ojaghi, Rahim Masoumi , Elham Ghaebi ,
Volume 5, Issue 2 (Summer 2005)

  Background & Objectives: Pterygium is a common ophthalmic disease which can cause astigmatism and restriction of visual field and cosmetic problems. Regarding the high recurrence rate using the common methods and because similar studies have never been done in Ardabil province, we decided to study the recurrence rate of pterygium after surgery with intraoperative application of mitomycin C.

  Methods: In this descriptive cross-sectional study all patients with primary pterygium who had undergone surgery between February 2001 and September 2003 were assessed and followed up for postoperative examinations. The findings were then statistically analysed.

  Results: In this study 83 eyes of 80 patients were examined. The highest prevalence of pterygium was in age group 31-40. Most of the patients had undergone unilateral surgery. In terms of size the most prevalence of pterygium was 3-4 mm. 4 cases (4.8%) had recurence one of which was observed in the first 2 months after surgery and three others in 2-6 months after it. In 50% of the recurred cases pterygium was 4 mm and in the rest of them it was 5 mm in size. After operation just 2 cases had granuloma which did not respond to topical corticosteroids and were excised by surgery.

  Conclusion: This study shows that the recurrence rate of pterygium after surgery with intraoperative mitomycin C is very low and this method has no serious complications. Using this method routinely is recommended. Moreover the recurrernce rate of pterygium is associated with its size.

Habib Ojaghi, Rahim Maasoomi, Nasrin Mazaheri Garangah, Mohsen Sagha,
Volume 5, Issue 3 (Autumn 2005)

 Background & Objectives: Considering the high prevalance of congenital obstruction of nasolacrimal ducts in infants and the importance of timely intervention and due to the lack of previous similar researches in Ardebil province, and regarding the discrepancies in the reports about the degree of successful accomplishment of the first probing, the researchers set out to design and perform the present research among the patients referring to ophthalmology ward.

  Methods: This descriptive and cross-sectional study was conducted on 84 children suffering from congenital nasolacrimal duct obstruction who had undergone pobing surgery in Alavi hospitaly between 2000 and 2002.

  Results: 70 eyes of 50 patients were examined. 27 (54%) were male and 23 (46%) were female. 20 of them (40%) had bilateral involvement and 30 (60%) had unilateral one. Involvement of right eye (60%) was more than left eye (40%) and was expected in first child (56%) more than subsequent offsprings. Clinical manifestation was epiphora in 44%, prulent discharge in 12% and epiphora with prulent discharge in 44%. 90% of the subjects were operated for the first time while 10% had had 2-3 operations before complete recovery was observed in 48% of the patients 46% of them had relative improvement and no recovery was witnessed in 6% of them.

 Conclusion: This study showed that the male infants were affected more than females, and the rate of involvement in right eye as well as in first children was relarively high. Also the rate of recovery among unilateral groups and infants under 1 year of age was considerably high, so it is recommended that the patients of this age group undertake a therapy with topical antibiotic and lacrimal sac massage and because of the low success of the surgery above 2 years of age, probing is recommended from 6 month to 18 months of age if medical treatment was unsuccessful.

Habib Ojaghi, Rahim Masoumi, Masoumeh Mohammadi,
Volume 8, Issue 1 (Spring 2008)

Background & Objective: one of the most common causes of Epiphora or lacrimation or recurrent infection is Dacryocystitis. The Dacryocystorhinostomy operation, which involves fistulization of the lacrimal sac into the nasal cavity may alleviate the symptoms. Since the routine usage of silicon tube in DCR operation for reducing the replapse has been a controversial issue, This study was done to investigate the rate of success of DCR operation
with silicone tube.
Methods: This study was a cross-sectional descriptive study in which all of the patients (189) who had history of DCR at Sina and Alavi hospitals were asked to continue the treatment after the operation through contact or follow up from home. So the results of their records were analyzed statistically.
Results: 102 out of 189 patients had history of operation who had referred for follow up, in terms of most prevalent symptoms, epiphora and purulent discharge was the highest 55.6% and the second one was epiphora alone 29.1%. The operation prevalence was more in women 74.1%. than in men 25.9% and unilateral involvement 97.3% was more than bilateral one. The highest age prevalence in DCR operation was 30-60 years. The surgery was successful in 82.3%. It was a little more successful in men (85.7%) than in women and the mean age of patients with successful DCR surgery was more than that of patients with unsuccessful DCR surgery.
Conclusion: The results showed that the rate of recovery in unilateral involvement is more than that of bilateral involvement. Also, success after the operation in patients whose primary complain was only purulent discharge was significantly more than those whose primary complain was epiphora and purulent discharge, It also seems that routine application of silicon tuby in DCR surgery has no effect in the increase of recovery and decrease of disease
recurrency which of course more prospective studies are required to prove this.
Rahim Masumi, Habib Ojaghi , Navid Masumi , Sara Jafarzadeh,
Volume 11, Issue 1 (spring 2011)

 Background & objectives:Amblyopia as one of the most important social and visual problems is common in the world including Iran. It plays a major role in visual dimness. The aim of this study was to determine prevalence and causes of amblyopia in middle school students in Ardabil city, Iran in 2004.

 Methods: In this descriptive cross-sectional study 4548 middle school students were included. The subjects primarily were screened by optometrists and an ophthalmologist by using of Snelen chart. The doubtful cases were referred to eye clinic for further checking and re-examined by ophthalmologist. The data were collected by questionnaire and the results were analyzed by descriptive and analytical statistics using SPSS software.

  Results: The results cleared that 11.4% of subjects (520) had refractive errors, 2.63% (120) showed the amblyopia and 0.9% (43) experienced strabismus. The most common cause of amblyopia was anisometropia (59% of all cases) and for strabismus was isotropia (69.5% of all cases). These findings showed that there is a significant correlation between type and rate of refractive defects with amblyopia. The highest rate for refractive amblyopia was over 3 Diopter hyperopia (29.5% of refractive amblyopia). Hyperopia revealed to occur in males more than females and vice versa for astigmatism

  Conclusion : It seems that the prevalence of amplyopia in Ardabil is similar to other cities in Iran and other countries. But the refractive amblyopia in Ardabil shows more prevalent than other areas. Its reason may be due to less knowledge to use glass and low socio-economic conditions as well as low quality of treatment.

Rahim Masumi, Amin Masumiganjgah , Habib Ojaghi, Eisa Banazadeh,
Volume 12, Issue 2 (summer 2012)

  Background & Objectives: Visual impairment included mild visual loss to total blindness that depends on the definitions different results achieved in various studies in all over the world. These kinds of studies will be helpful for social and health problems because some of the causes of blindness are preventable and curable at early stages.

  Methods: This study is a cross-sectional study. In this study, 300 patients older than 40 years with CF visual acuity or less had been surveyed, and information related to the patients recorded in questionnaires. The patients diagnosed by expert physician and recorded data were analyzedby descriptive statistical methods.

  Results: 57% of patients were male and 43% were female, and 41% were urban and 59% rural. The most common cause of visual impairment regarding to the definitions in this study was cataract (57%) and primary glaucoma (16%), uveitis (61%), corneal disease (6%), ARMD (4.33%), diabetic retinopathy (4%) and refraction disorder (myopia) were respectively after cataract and central retinal artery obstruction with 0.66% had the less prevalence. At all, retinal disease with 15% of prevalence was in third place of the major causes of visual impairment. Cataract was the cause of 43.9% of visual impairment in men and 74.4% in women. Glaucoma (24.6%) was the second cause in men and third common cause of visual impairment in women with 4.7% and comparing with men has lower prevalence.

  Conclussion: In this study cataract and glaucoma were the main causes of visual impairment, same as global studies, respectively. In this study prevalence of glaucoma in men was more than the prevalence in women and appears to be related to the fact that women are more sensitive to their health status comparing with men and they go to ophthalmologists sooner than men. With knowing that glaucoma will be controllable with appropriate treatments at the early stage and irreversible visual loss will be prevented.

Yousef Fekri, Habib Ojaghi,
Volume 18, Issue 4 (winter 2019)

Background: Topiramate, is an oral sulfonamide medication that is increasingly used for treating headache. We report a rare case of bilateral myopia and acute, secondary angle closure glaucoma following use of topiramate.
Case history: A 33 year-old woman, who referred to emergency ward of Alavi hospital in Ardabil, with bilateral painful loss of visual acuity following one week after starting topiramate. Her uncorrected visual acuity was two meter counting finger in both eyes. The patient had complete vision before administration of topiramate. At present, the eye refractive error was -6.00 diopters.The right and left intraocular pressure was 50 mm Hg OD and 45 mmHg OS respectively. Slit examination revealed conjunctival injection, corneal edemaand shallow anterior chambers. The patient had a history of taking topiramate tablets one week earlier. Topiramate was discontinued and she was treated with anti-glaucoma and cycloplegic drugs. Intraocular pressure and refractive errors were normalized within 3 days and 2 weeks, respectively.
Conclusion: Topiramate can cause acute angle-closure glaucoma and myopia even at low doses or for a short period usage.

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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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