Inferior Vena Cava Collapsibility Index in Correlation with Central Venous Pressure and Cardiac Output
Abdel-Hady, M., Khallaf, M., El Mahdy, A., Abbas, E. (2025). Inferior Vena Cava Collapsibility Index in Correlation with Central Venous Pressure and Cardiac Output. EKB Journal Management System, 2025(7), 136-141. doi: https://doi.org/10.21608/aimj.2025.446649
Mohammed Hamed Abdel-Hady; Magdy Ezzat Khallaf; Ahmed Gomaa El Mahdy; Ezzat Nabil Abbas. "Inferior Vena Cava Collapsibility Index in Correlation with Central Venous Pressure and Cardiac Output". EKB Journal Management System, 2025, 7, 2025, 136-141. doi: https://doi.org/10.21608/aimj.2025.446649
Abdel-Hady, M., Khallaf, M., El Mahdy, A., Abbas, E. (2025). 'Inferior Vena Cava Collapsibility Index in Correlation with Central Venous Pressure and Cardiac Output', EKB Journal Management System, 2025(7), pp. 136-141. doi: https://doi.org/10.21608/aimj.2025.446649
Abdel-Hady, M., Khallaf, M., El Mahdy, A., Abbas, E. Inferior Vena Cava Collapsibility Index in Correlation with Central Venous Pressure and Cardiac Output. EKB Journal Management System, 2025; 2025(7): 136-141. doi: https://doi.org/10.21608/aimj.2025.446649

Inferior Vena Cava Collapsibility Index in Correlation with Central Venous Pressure and Cardiac Output

Al-Azhar International Medical Journal
Volume 2025, Issue 7, July 2025, Pages 136-141    PDF (377.74 K)
Document Type: Original Article
DOI: https://doi.org/10.21608/aimj.2025.446649
Authors
Mohammed Hamed Abdel-Hady* 1; Magdy Ezzat Khallaf2; Ahmed Gomaa El Mahdy3; Ezzat Nabil Abbas4
1MSc, Ophthalmology, Assistant Lecturer, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2Professor of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3Assistant Professor of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;
4Lecturer of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abstract
Background: The inability to move or feel anything that the facial nerve (FN) innervates is known as facial nerve paralysis (FNP). There are multiple potential causes of FNP due to the lengthy and sometimes complicated FN pathway.
Aim: The purpose of this study was to evaluate the lagophthalmos and adjust the position of the upper and lower lids in FNP patients who had undergone lateral tarsal strip (LTS) surgery in conjunction with belaphorotomy.
Methods: This prospective study was carried out on 30 patients aged from 19 to 65 years old, both sexes, with lagophthalmos, FNP more than 6 months, epiphora, lower lid ectropion, exposure keratopathy and bad cosmoses.  All patients were subjected to LTS and blepharotomy evaluation.
Results: Regarding the amount of lagophthalmos (mm), brow ptosis, and anterior segment examination preoperative and postoperative of the studied group, there were significant differences (p-value<0.05). Regarding minor complications, wound infection occurred in 2(6.7%) patients, a small excess skin fold in the upper lid occurred in 4(13.3%) patients, and an irritating suture at the slit lamp at the lateral canthus occurred in 2(6.7%) patients.
Conclusions: LTS combined with blepharotomy significantly improves eyelid function, reduces ocular surface complications, and enhances patient satisfaction in cases of chronic facial nerve palsy. While some minor complications were observed, they were not severe enough to outweigh the benefits of the procedure.
 
Keywords
Lateral Tarsal Strip; Blepharotomy; Facial Nerve Palsy; Lagophthalmos
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