Indian Journal of Ophthalmology最新文献

Double-frequency Nd:YAG laser reduction of peripheral iridotomy size for treatment of visual symptoms. 双频 Nd:YAG 激光缩小周边虹膜切口尺寸，治疗视力症状。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2025-02-21 DOI: 10.4103/IJO.IJO_2797_24

Harsh Kumar, Surbi Taneja

引用次数: 0

Secondary ab interno stenting to manage early tube-related hypotony. 二次腹腔支架置入术治疗早期导管相关性低血压。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-07-11 DOI: 10.4103/IJO.IJO_3032_23

Prasanna Venkataraman, Anahita Shroff

引用次数: 0

Primary implantation of glaucoma drainage device in secondary glaucoma: Comparison of Aurolab aqueous drainage implant versus Ahmed glaucoma valve. 继发性青光眼初次植入青光眼引流装置：Aurolab 眼液引流植入物与 Ahmed 青光眼瓣膜的比较。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-09-10 DOI: 10.4103/IJO.IJO_2505_23

Vanita Pathak-Ray

{"title":"Primary implantation of glaucoma drainage device in secondary glaucoma: Comparison of Aurolab aqueous drainage implant versus Ahmed glaucoma valve.","authors":"Vanita Pathak-Ray","doi":"10.4103/IJO.IJO_2505_23","DOIUrl":"10.4103/IJO.IJO_2505_23","url":null,"abstract":"Glaucoma drainage devices are invaluable in the management of secondary/ refractory glaucomas. This study aimed to compare the efficacy and safety of Aurolab Aqueous Drainage Implant (AADI) and the Ahmed Glaucoma Valve (AGV) in filtration-surgery-naïve secondary glaucoma eyes. For this purpose, a retrospective, comparative review was conducted on patients with secondary glaucoma (open and closed) who underwent primary tube procedures, either AADI or AGV. The primary outcome measure was intraocular pressure (IOP), and secondary measures included best-corrected visual acuity (BCVA), number of antiglaucoma medications (AGMs), and complications. This study included 59 eyes in the AADI group with a mean follow-up of 20.3 ± 12.9 months and 61 eyes in the AGV group with a mean follow-up of 19.8 ± 11.8 months. Preoperative IOP, AGM use, and BCVA did not significantly differ between the groups. However, at the last visit, both IOP and AGM use were significantly lower in the AADI group (12.9 ± 3.7 mmHg and 0.6 ± 0.9 vs. 15.7 ± 2.7 and 1.8 ± 1.0 respectively, all p < .001). Moreover, the AADI group exhibited a significantly higher rate of complete success (57.6%) compared to the AGV group (14.7%, p < .001); corresponding qualified success was 91.5% and 80.3%. Serious complication rates were comparable between the two groups. In conclusion, toth AADI and AGV procedures effectively reduced IOP and the need for AGMs. However, the reductions were significantly greater in the AADI group, which also showed a higher rate of complete success. Considering its affordability, AADI could have a substantial positive impact, particularly in resource-constrained settings.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"S327-S333"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286156","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

Comparison of postoperative cyclosporine 2.0% versus betamethasone 0.1% eye drops following trabeculectomy: A randomized clinical trial. 小梁切除术后使用 2.0% 环孢素眼药水与 0.1% 倍他米松眼药水的比较：随机临床试验。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-10-25 DOI: 10.4103/IJO.IJO_345_24

Esmaeil Babaei, Alireza Eslampoor, Ramin Daneshvar

{"title":"Comparison of postoperative cyclosporine 2.0% versus betamethasone 0.1% eye drops following trabeculectomy: A randomized clinical trial.","authors":"Esmaeil Babaei, Alireza Eslampoor, Ramin Daneshvar","doi":"10.4103/IJO.IJO_345_24","DOIUrl":"10.4103/IJO.IJO_345_24","url":null,"abstract":"Purpose: To investigate the effect of cyclosporine A 2% eye drop following trabeculectomy on intraocular pressure (IOP) and surgical success compared to postoperative steroid drop.Study design: Prospective, randomized clinical trial in an institutional setting.Methods patients: Forty patients with primary open-angle glaucoma and candidates for trabeculectomy were included in this study. Standard fornix-based trabeculectomy augmented with mitomycin C was performed for all patients. None of the included subjects had a history of prior laser or intraocular surgery in that eye.Intervention: All included subjects were randomly assigned to either postoperative cyclosporine A 2% or betamethasone 0.1% eye drops.Main outcome measures: IOP measured by applanation tonometer and surgical success rate.Results: Seventy-five potentially eligible POAG patients were seen during the study period, and 40 met the study criteria and were randomly assigned to one of the study groups. Patients in the cyclosporine A 2% group had consistently lower IOP, fewer glaucoma medications, and higher success rates for at least 24 months after surgery ( P < 0.0001). Complete success was more frequent in the cyclosporine group. Moreover, the cyclosporine A group had more diffuse and elevated bleb with less vascularity in the first 3 months after surgery ( P ≤ 0.01). This was paralleled with fewer dry eye signs and symptoms in the cyclosporine group in the first 3 months ( P < 0.03).Conclusion: Postoperative cyclosporine A 2% eye drop can be used instead of steroid drops and is associated with improved surgical success and decreased dry eye manifestations.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"S272-S281"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499471","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

Demographic profile, management approaches, and outcome analysis of secondary childhood glaucoma in a tertiary eye care hospital in northern India.

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2025-02-21 DOI: 10.4103/IJO.IJO_1595_24

Suneeta Dubey, Parul Bansal, Julie Pegu

引用次数: 0

Effect of Nd:YAG laser posterior capsulotomy on higher order aberrations in different types of posterior capsule opacification: A prospective study. Nd:YAG 激光后囊切开术对不同类型后囊混浊的高阶像差的影响：前瞻性研究。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-10-25 DOI: 10.4103/IJO.IJO_3162_23

R Senthil Prasad, Tony A Koshy, R Sankarananthan, Logesh Balakrishnan, Kamatchi Nagu, Madhu Shekhar

{"title":"Effect of Nd:YAG laser posterior capsulotomy on higher order aberrations in different types of posterior capsule opacification: A prospective study.","authors":"R Senthil Prasad, Tony A Koshy, R Sankarananthan, Logesh Balakrishnan, Kamatchi Nagu, Madhu Shekhar","doi":"10.4103/IJO.IJO_3162_23","DOIUrl":"10.4103/IJO.IJO_3162_23","url":null,"abstract":"Purpose: To evaluate higher order aberrations (HOA) in different types of posterior capsule opacification (PCO) and analyze its changes following Nd:YAG laser posterior capsulotomy (LPC).Settings: Tertiary care ophthalmic hospital.Design: Prospective, comparative, observational study.Methods: One hundred ninety-three pseudophakic eyes with PCO were evaluated over 3 months. PCO was classified into pearly, fibrous, and mixed types. Their uncorrected visual acuity (UCVA), corrected distance visual acuity (CDVA), intraocular pressure (IOP), evaluation of posterior capsule opacification (EPCO) scoring and root mean square values of HOA (total, coma, spherical, and trefoil) were measured using a wavefront aberrometer before and after LPC.Results: Pearly, fibrous, and mixed PCO were observed in 89 (46.1%), 47 (24.4%), and 57 (29.5%) eyes respectively. The UCVA and CDVA showed improvement in all types of PCO post-procedure. The total HOA was 0.48 ± 0.47, 0.43 ± 0.42, 0.37 ± 0.34, and 0.76 ± 0.53, the coma aberrations were 0.18 ± 0.15, 0.18 ± 0.14, and 0.19 ± 0.19, spherical aberrations were 0.07 ± 0.12, 0.09 ± 0.12, and 0.05 ± 0.06, whereas the trefoil aberrations were 0.35 ± 0.44, 0.24 ± 0.26, and 0.21 ± 0.20, 15-day post-Nd:YAG LPC in pearly, fibrous, and mixed PCO respectively, all of which showed a significant reduction. The EPCO score showed no significant difference between different subtypes of PCO and had no correlation with the HOA.Conclusions: Post Nd:YAG LPC showed improvement in visual acuity with significant reduction in HOA in all types of PCO.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"370-376"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499474","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

Atropine (0.05%) for rapid progressive childhood myopia (ARM study). 阿托品（0.05%）用于快速进行性儿童近视（ARM研究）。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.4103/IJO.IJO_1526_24

Rohit Saxena, Vinay Gupta, Himani Thakur, Rebika Dhiman, Thirumurthy Velpandian, Swati Phuljhele, Namrata Sharma

{"title":"Atropine (0.05%) for rapid progressive childhood myopia (ARM study).","authors":"Rohit Saxena, Vinay Gupta, Himani Thakur, Rebika Dhiman, Thirumurthy Velpandian, Swati Phuljhele, Namrata Sharma","doi":"10.4103/IJO.IJO_1526_24","DOIUrl":"10.4103/IJO.IJO_1526_24","url":null,"abstract":"Purpose: This study aims to assess the effectiveness of atropine 0.05% for myopia control among children exhibiting (documented) rapid myopia progression (>0.75D/year).Methods: This prospective interventional single-arm clinical trial included children aged between 6-12 years, spherical equivalent refractive (SER) error between - 2 and - 6D, and having documented myopia progression of >0.75D in the preceding year. All participants were administered atropine 0.05% in both eyes once at bedtime for 1 year. The primary outcome measure was a change in the rate of myopia progression (D/year) and change in SER and axial length (AL) at 1 year and documentation of any adverse effects related to therapy.Results: Forty children were enrolled with a mean age of 8.5 ± 2.2 years. (45% male) The mean SER 1 year before starting atropine treatment was -3.53 ± 0.78D. At baseline, the mean SER was -4.58 ± 1.03D, which increased to -4.98 ± 0.97D after 1-year follow-up. The study reported a 62% reduction in the rate of myopia progression after 1 year of atropine 0.05% treatment (-1.05 ± 0.21D/year [baseline] to - 0.4 ± 0.14D/year[1-year follow-up] [ P < 0.001]). The mean AL increased from 24.98 ± 2.43 mm (baseline) to 25.21 ± 2.32 mm (1 year). There was no significant correlation between changes in AL and SER ( r : 0.57; P : 0.063). The study observed the response to treatment was independent of the age at baseline, baseline refractive error, baseline rate of progression, gender, and family history of myopia. No adverse effects from atropine 0.05% were reported.Conclusions: Atropine 0.05% could be an effective treatment for children with rapidly progressing myopia with no significant side effects.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"358-361"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894075","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

Clinical spectrum of bilateral microspherophakia and risk factors associated with poor visual outcomes following lensectomy surgery - A multicentric study. 晶状体切除术后双侧微球晶状体的临床谱及与视力不良相关的危险因素——一项多中心研究

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.4103/IJO.IJO_607_24

Monalisa Mohapatra, Shailja Tibrewal, Samrat Chatterjee, Pradeep Agarwal, Chintan Shah, Rajat Kapoor, Anupam Sahoo, Pradhanya Sen, Veenu Maan, Sonu Arjun Shetty, Samir Sutar, Priya Goyal, Suma Ganesh

{"title":"Clinical spectrum of bilateral microspherophakia and risk factors associated with poor visual outcomes following lensectomy surgery - A multicentric study.","authors":"Monalisa Mohapatra, Shailja Tibrewal, Samrat Chatterjee, Pradeep Agarwal, Chintan Shah, Rajat Kapoor, Anupam Sahoo, Pradhanya Sen, Veenu Maan, Sonu Arjun Shetty, Samir Sutar, Priya Goyal, Suma Ganesh","doi":"10.4103/IJO.IJO_607_24","DOIUrl":"10.4103/IJO.IJO_607_24","url":null,"abstract":"Purpose: To study the clinical profile of patients with microspherophakia and the factors associated with poor vision following lensectomy surgery.Methods: A multicenter, retrospective, cross-sectional analysis was conducted from January 2010 to June 2022 on patients diagnosed with microspherophakia.Results: A total of 102 eyes from 51 patients were enrolled, of whom 24 (47.1%) were male and 27 (52.9%) were female. All patients presented with bilateral involvement. The most common presenting complaint was defective vision, affecting 98 (96.1%) eyes. Patients exhibited varying degrees of lenticular myopia, with a mean refractive error of -13.54 ± 11.92 D. Glaucoma was present in 36 (35.3%) eyes at presentation. Subluxation of the crystalline lens was observed in 50 (49.1%) eyes, dislocation of the lens into the anterior chamber in 24 (23.5%) eyes, and dislocation into the vitreous cavity in 4 (3.9%) eyes. Limbal or pars plana lensectomy was performed in 54 (52.9%) eyes. The mean corrected visual acuity improved from 1.05 ± 0.82 logMAR units to 0.82 ± 0.79 logMAR units after lensectomy ( P = 0.029). Poor postoperative visual acuity (less than 20/200) was associated with poor preoperative visual acuity ( P = 0.005), presence of glaucoma at the first visit ( P = 0.013), and intraocular pressure >30 mmHg ( P < 0.001).Conclusion: Microspherophakia is associated with high lenticular myopia, subluxation, and dislocation of the crystalline lens. Significant improvement in postoperative vision was observed after lensectomy. Factors associated with poor postoperative vision included poor preoperative corrected vision, presence of glaucoma, and high intraocular pressure.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"335-340"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894094","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

Evaluation of change in the contact of IOL with the posterior capsule with respect to the orientation of haptics of the IOL using intraoperative spectral domain optical coherence tomography. 术中光谱域光学相干断层成像评价人工晶状体与后囊膜接触的改变对人工晶状体触觉取向的影响。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.4103/IJO.IJO_348_24

Naren Shetty, Yash Patel, Reshma Ranade, Akash Jain, Raghav Narasimhan, Apurva Bansod, Rudy Nuijts

{"title":"Evaluation of change in the contact of IOL with the posterior capsule with respect to the orientation of haptics of the IOL using intraoperative spectral domain optical coherence tomography.","authors":"Naren Shetty, Yash Patel, Reshma Ranade, Akash Jain, Raghav Narasimhan, Apurva Bansod, Rudy Nuijts","doi":"10.4103/IJO.IJO_348_24","DOIUrl":"10.4103/IJO.IJO_348_24","url":null,"abstract":"Purpose: To study change in the contact of intraocular lens (IOL) with the posterior capsule with respect to the vertical versus horizontal orientation of the haptic-optic junction of the IOL using intraoperative spectral domain optical coherence tomography (SD-OCT).Methods: Fifty eyes of 50 patients with senile immature cataract underwent topical phacoemulsification procedure with implantation of a monofocal IOL by a single experienced surgeon. The Rescan 700 SD-OCT system was used for intraoperative imaging. These patients were imaged using intraoperative SD-OCT after implantation of IOL, with the haptics oriented horizontally and then vertically.Results: The vertical height between the posterior surface of the lens capsule and the posterior surface of IOL reduced significantly when the haptics were oriented vertically compared to horizontal orientation. This difference was found on analyzing both vertical as well as horizontal axis scans.Conclusion: We found a greater contact between the posterior capsule and the posterior surface of IOL, with the haptic optic junction of the IOL oriented vertically. This study also suggests the need for newer toric IOL designs which allow vertical orientation of haptics, leading to better contact between IOL and the bag.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"396-400"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894104","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

Real-world use of integrated intraoperative OCT in pediatric cataract. 综合术中OCT在小儿白内障中的实际应用。

IF 2.1 4区医学

Indian Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.4103/IJO.IJO_1478_24

Savleen Kaur, Jaspreet Sukhija, Ken K Nischal

{"title":"Real-world use of integrated intraoperative OCT in pediatric cataract.","authors":"Savleen Kaur, Jaspreet Sukhija, Ken K Nischal","doi":"10.4103/IJO.IJO_1478_24","DOIUrl":"10.4103/IJO.IJO_1478_24","url":null,"abstract":"Purpose: To study the utility of integrated intraoperative OCT (i 2 OCT) in pediatric patients with cataracts in the real world.Methods: It was a retrospective case series. We included patients aged 0-12 years with unilateral or bilateral cataracts who underwent cataract surgery or membranectomy for visual axis opacification between July 2022 and December 2023, where intraoperative OCT was used. We matched the clinical data with i 2 OCT images and tried to identify any useful information i 2 OCT provided. Intraoperative notes were reviewed to analyze any changes in the surgical plan or steps after doing i 2 OCT.Results: The mean age of the children undergoing surgery was 5.9 ± 2.4 years (range: 6 months-9 years). OCT provided valuable insights into the anterior, posterior capsule, and vitreolental surface morphology. The surgical decision was modified in 10 cases after doing the intraoperative OCT (31.3%).Conclusions: The study adds to the database of pediatric patients imaged using i 2 OCT in the real world. i 2 OCT complements the preoperative examination and aids intraoperative decision-making in cases of white cataracts with excellent real-time delineation of the vitreolental interface in children.","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"320-324"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894122","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