BACKGROUND Among the various signs and symptoms of orbital fractures, certain clinical findings warrant immediate surgical exploration, including gaze restriction, computed tomographic (CT) evidence of entrapment, and prolonged oculocardiac reflex. Despite proper surgical reconstruction, prolonged complications such as diplopia and gaze restriction can occur. This article evaluated the prognost...

The trigeminocardiac reflex (TCR) is a well-recognized phenomenon that consists of bradycardia, arterial hypotension, apnea, and gastric hypermotility. It occurs particularly during ocular surgery and during other manipulations in and around the orbit. The parasympathetic supply to the face is carried in the trigeminal nerve. Alternative afferent pathways must exist via the maxillary and/or man...

OBJECTIVE We aimed to investigate the effects of dexmedetomidine premedication before intravenous infusion of ketamine in agitated children undergoing strabismus surgery. SUBJECTS AND METHODS We enrolled 60 agitated pediatric patients, aged 4.5-11 years. The patients were randomly allocated to one of two anesthesia regimens. Group D patients were premedicated with a single dose of intravenous...

The trigemino-cardiac reflex is a well-known clinical phenomenon described during different craniofacial or skull base surgery as well as neuroradiological interventions and defined as the sudden onset of parasympathetic dysrhythmia, sympathetic hypotension, apnea, or gastric hyper-motility during (intraoperative) stimulation of any of the sensory branches of the trigeminal nerve. According to ...

EDITOR: Corneal injuries in children are still common in developing countries. Suturing of corneal perforations is undertaken under general anaesthesia utilizing opioids. The efficacy of non-steroidal anti-inflammatory drugs (NSAIDs) has not been evaluated for this procedure. We conducted this randomized, double-blind study to assess whether a single dose of parecoxib could be a satisfactory al...

The purpose of this study was to determine the effective-ness of vision therapy (VT) in the treatment of sympto-matic convergence insufficiency (CI). Symptomatic CIsubjects were given 10 sessions of 60 minutes of in-office VT (IVT) followed by 30 minutes of home visiontherapy (HVT) per day for 3 months. Near exophoria,near point of convergence (NPC) break and near positi...

the aim of the iranian journal of ophthalmology (irjo), published since 1947 has been to promote the quality of the journal, and to have a small part in the progression of the ophthalmic sciences in the world. we do expect and demand our colleagues from iran and abroad to help us to achieve this precious goal. we are thankful to all those who have so far cooperated with us, our professional sta...

Objective: We aimed to investigate the effects of dexmedetomidine premedication before intravenous infusion of ketamine in agitated children undergoing strabismus surgery. Subjects and Methods: We enrolled 60 agitated pediatric patients, aged 4.5–11 years. The patients were randomly allocated to one of two anesthesia regimens. Group D patients were premedicated with a single dose of intravenous...