Indian Journal of Ophthalmology最新文献

Author's Response to comments on "Depth, size of infiltrate, and the microbe - The trio that prognosticates the outcome of infective keratitis". 作者对有关 "浸润深度、大小和微生物--预示感染性角膜炎结果的三要素 "的评论的回复。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-10-26 DOI: 10.4103/IJO.IJO_1080_24

Shweta Agarwal, Bhaskar Srinivasan, Geetha Iyer, Sunita Pandey, Manokamna Agarwal, Richa Dhiman, Janani Surya, Appakkudal R Anand

引用次数: 0

Clinical outcomes of topography-guided versus wavefront-optimized LASIK for correction of myopia and compound myopic astigmatism. 地形图引导的 LASIK 与波前优化的 LASIK 在矫正近视和复合近视散光方面的临床效果对比。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-05-20 DOI: 10.4103/IJO.IJO_2012_23

Deeksha Rani, Sudarshan Khokhar, Aishwarya Rathod, Venkatesh Nathiya, Amar Pujari, Tavish Gupta

{"title":"Clinical outcomes of topography-guided versus wavefront-optimized LASIK for correction of myopia and compound myopic astigmatism.","authors":"Deeksha Rani, Sudarshan Khokhar, Aishwarya Rathod, Venkatesh Nathiya, Amar Pujari, Tavish Gupta","doi":"10.4103/IJO.IJO_2012_23","DOIUrl":"10.4103/IJO.IJO_2012_23","url":null,"abstract":"Purpose: To compare the safety, efficacy, and visual outcomes of topography-guided (TG) LASIK ablation versus advanced ablation algorithm (AAA) on Zeiss Mel 90 on virgin eyes.Setting: A tertiary care hospital in north India.Design: A retrospective comparative study.Methods: Case sheets of 30 patients who underwent TG LASIK and 45 patients who underwent AAA LASIK between January 2021 and September 2022 were retrieved and reviewed. The TG group included 60 eyes of 30 patients, and the AAA group included age- and sex-matched 90 eyes of 45 patients. Both groups were compared for visual outcomes, residual refraction, and root-mean-square higher-order aberrations (rms HOA) at 1 week, 1 month, 3 months, and 6 months postoperatively and using unpaired t -test and Mann-Whitney U test.Results: The mean preoperative spherical equivalent in the TG group and AAA group was - 3.12 (1.67) and - 3.19 (1.61), respectively. The safety and efficacy of the treatment were 100% in both groups. The postoperative increase in rms HOA was comparable in both groups ( P = 0.55). The ablation duration was significantly longer in topo-guided LASIK ( P = 0.001).Conclusion: AAA LASIK on MEL 90 is comparable to topography-guided LASIK for the management of low myopia and myopic astigmatism.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gonioscopy-assisted transluminal trabeculotomy (GATT) with scleral or iris fixation for subluxated intraocular lenses and glaucoma. 采用巩膜或虹膜固定术的巩膜镜辅助腔内小梁切开术（GATT）治疗眼内晶状体脱位和青光眼。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-07-11 DOI: 10.4103/IJO.IJO_2819_23

Tal Sharon, Liron Naftali Ben-Haim, Nimrod Dar, Ehud I Assia, Avner Belkin

{"title":"Gonioscopy-assisted transluminal trabeculotomy (GATT) with scleral or iris fixation for subluxated intraocular lenses and glaucoma.","authors":"Tal Sharon, Liron Naftali Ben-Haim, Nimrod Dar, Ehud I Assia, Avner Belkin","doi":"10.4103/IJO.IJO_2819_23","DOIUrl":"10.4103/IJO.IJO_2819_23","url":null,"abstract":"Introduction: This retrospective chart review aims to report a combined surgical approach of intraocular lens (IOL) fixation and gonioscopy-assisted transluminal trabeculotomy (GATT) for the treatment of subluxated IOLs and glaucoma or ocular hypertension.Methods: Charts of patients who underwent IOL fixation combined with GATT between November 2019 and July 2023 were reviewed. The main outcome measure was surgical success, defined as a well-centered IOL and an IOP of 18 mmHg or lower and either a 30% IOP reduction or a reduction in medications as compared to baseline. Complications and the need for reoperation were recorded.Results: Eleven patients who underwent GATT with IOL fixation were included. The mean age was 80.45 years (range: 73-90). IOL subluxation was associated with pseudoexfoliation in all cases. Seven patients underwent scleral fixation, and four underwent iris fixation. The mean follow-up was 15.36 (range: 2.7-26.6) months. The success rate was 72.73%. The mean baseline IOP was 20.63 ± 6.56 mmHg on 2.81 ± 1.53 medications. Four patients were on oral carbonic-anhydrase inhibitor (CAI) before surgery. The mean IOP at the end of the follow-up was 13.86 ± 3.5 mmHg on 1.36 ± 1.57 medications, and none were on oral CAIs. No intraoperative complications occurred, and transient hyphema and vitreous hemorrhage were the most common postoperative complications. All patients had a well-centered IOL. No patients needed additional surgery for IOL position or IOP control. The mean corrected distance visual acuity was 0.634 ± 0.62 logMAR at baseline and 0.36 ± 0.38 at the end of follow-up.Conclusions: GATT can be combined with IOL fixation to the sclera or iris to effectively reduce IOP and medication usage.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Journey of frontalis muscle advancement in severe blepharoptosis: Review of the techniques, modifications, and outcomes. 重度睑外翻的额肌前移术之旅：技术、修改和结果回顾。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI: 10.4103/IJO.IJO_357_24

Kasturi Bhattacharjee, Komal Sawarkar, Deepak Soni, Gargi Wavikar

{"title":"Journey of frontalis muscle advancement in severe blepharoptosis: Review of the techniques, modifications, and outcomes.","authors":"Kasturi Bhattacharjee, Komal Sawarkar, Deepak Soni, Gargi Wavikar","doi":"10.4103/IJO.IJO_357_24","DOIUrl":"10.4103/IJO.IJO_357_24","url":null,"abstract":"We aimed to review the degree of standardization of frontalis muscle (FM)-orbicularis muscle advancement techniques in the management of severe congenital blepharoptosis and also study the evidence which supports the procedure correcting blepharoptosis. The undisputed rationale of all types of brow suspension in the management of severe blepharoptosis is based on the concept that slings are the conventional way to simultaneously suspend a ptotic eyelid and transmit the contractile action of the FM to the tarsal plate. Traditionally, frontalis suspension using sling has been used to treat patients with severe congenital blepharoptosis with poor levator function; however, postoperative lagophthalmos, forehead scarring, and recurrence remain major concerns. Since the early 80s, a significant number of consecutive articles have suggested that the eyelid can be effectively suspended by directly suturing FM to the tarsal plate. This review article intends to evaluate the level of standardization of FM advancement techniques in the management of severe blepharoptosis. 'In addition, to determine if the procedure should be performed in a standard manner, and is there enough evidence available to recommend FM advancement as a useful surgical technique.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systemic effects of anti-VEGF intravitreal injection in patients with age-related macular degeneration: A multi-institutional real-world study. 抗血管内皮生长因子玻璃体内注射对老年性黄斑变性患者的全身影响：一项多机构真实世界研究。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI: 10.4103/IJO.IJO_3194_23

Tzu-Yi Lin, Yi-Ting Hsieh, Sunir J Garg, Lee-Jen Chen, Kuan-Jen Chen, Wei-Chi Wu, Chi-Chun Lai, Yih-Shiou Hwang, Eugene Yu-Chuan Kang

{"title":"Systemic effects of anti-VEGF intravitreal injection in patients with age-related macular degeneration: A multi-institutional real-world study.","authors":"Tzu-Yi Lin, Yi-Ting Hsieh, Sunir J Garg, Lee-Jen Chen, Kuan-Jen Chen, Wei-Chi Wu, Chi-Chun Lai, Yih-Shiou Hwang, Eugene Yu-Chuan Kang","doi":"10.4103/IJO.IJO_3194_23","DOIUrl":"10.4103/IJO.IJO_3194_23","url":null,"abstract":"Purpose: In individuals aged >50 years, age-related macular degeneration (AMD) is the leading cause of irreversible blindness. Intravitreal injections of antivascular endothelial growth factor (VEGF) agents (bevacizumab, ranibizumab, and aflibercept) show good efficacy and similar incidences of systemic adverse events (SAEs). However, comparative studies between agents are limited. Our study aimed to compare the real-world SAE risks of bevacizumab, ranibizumab, and aflibercept users.Methods: This retrospective cohort study identified new bevacizumab, ranibizumab, and aflibercept users in a multi-institutional database in Taiwan between 2014 and 2019. Inverse probability of treatment weights (IPTW) with propensity scores was conducted to achieve homogeneity among groups. The Fine and Gray model was utilized to estimate the subdistribution hazard ratio and 95% confidence interval.Results: This study included 701 bevacizumab, 463 ranibizumab, and 984 aflibercept users. After IPTW, all covariates were well-balanced. All three anti-VEGF agents had a low and comparable number per 100 person-years of major adverse cardiac events, heart failure, thromboembolic events, major bleeding, all-cause admission, and all-cause death (all P > 0.05). No significant differences in long-term change of systolic and diastolic blood pressure, low-density lipoprotein, estimated glomerular filtration rate, and alanine transaminase (all P for interaction > 0.05) were observed among groups.Conclusion: Bevacizumab, ranibizumab, and aflibercept had a good systemic safety profile in this study. All groups showed a low and similar SAE risk and no differences in their long-term change of laboratory data. Therefore, these anti-VEGF agents could be prescribed safely to patients with AMD.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on: Depth, size of infiltrate, and the microbe - The trio that prognosticates the outcome of infective keratitis. 发表评论：深度、浸润面积和微生物--预示感染性角膜炎结局的三要素。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-10-26 DOI: 10.4103/IJO.IJO_674_24

Philip A Thomas

引用次数: 0

Guidelines for setting up low-vision and rehabilitation services in India. 在印度建立低视力和康复服务的指导方针。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-05-20 DOI: 10.4103/IJO.IJO_2712_23

Suraj Singh Senjam, Radhika Tandon, Praveen Vashist, B Mounica, Vivek Gupta, Sneha Aggarwal

{"title":"Guidelines for setting up low-vision and rehabilitation services in India.","authors":"Suraj Singh Senjam, Radhika Tandon, Praveen Vashist, B Mounica, Vivek Gupta, Sneha Aggarwal","doi":"10.4103/IJO.IJO_2712_23","DOIUrl":"10.4103/IJO.IJO_2712_23","url":null,"abstract":"Low vision and blindness are increasing public health issues impacting individuals' quality of life. During clinical low-vision services, vision rehabilitation is crucial for enhancing daily living skills and improving life quality. Low-vision and rehabilitation (LVR) services encompass comprehensive measures that aid visually disabled individuals in restoring function, autonomy, and social participation. Such holistic management requires a multidisciplinary approach, facilitating adaptation to environmental and sociocultural changes. However, the lack of awareness about the principles and practices of LVR services poses a major hindrance to setting up such a special clinic in the eye hospital. This article is about a consensus statement on the guidelines for establishing LVR services focusing on basic requirements, especially in low-resource countries. The present recommendation to set up an LVR clinic was made after group discussions and debates among various experts and stakeholders during the National Workshop on Strengthening Low-Vision and Rehabilitation Services organized at Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi. The event was participated by many ophthalmologists and optometrists coming from across the country. The recommendations required at the tertiary level are outlined under the four headings: Human resources and training: two ophthalmologists, that is, a low vision specialist or a well-experienced in low vision and one who has received one-week orientation and training, one optometrist, one rehabilitation supervisor, and two rehabilitation assistants; Assessment equipment: basic screening and diagnostic; Assistive devices for low vision, including, digital and non-digital; Assistive devices for rehabilitation, and methods for records maintenance. The institution may not follow strictly the present guidelines but will provide an idea on LVR services initiation.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Commentary on: MNREAD acuity charts in regional languages. 评论：MNREAD 地区语言敏锐度图表。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-10-26 DOI: 10.4103/IJO.IJO_925_24

Karthikeyan Mahalingam, Geeta Behera

引用次数: 0

Author's Response: Ultrawide field angiography in proliferative diabetic retinopathy. 作者回复：增殖性糖尿病视网膜病变的超宽视野血管造影。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-10-26 DOI: 10.4103/IJO.IJO_1058_24

Vatsala Nidhi, Saurabh Verma, Nawazish Shaikh, Shorya V Azad, Rohan Chawla, Pradeep Venkatesh, Rajpal Vohra, Vinod Kumar

引用次数: 0

Profile of digital eye strain in teachers of different professions. 不同职业教师的数码眼疲劳概况。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-10-26 DOI: 10.4103/IJO.IJO_3387_23

Simran Rajan Shet Parkar, Sushant Kumar Shah, Priyanka Patnaik

引用次数: 0