Indian Journal of Ophthalmology最新文献

{"title":"The impact of teleophthalmology on rural eye health outcomes through vision centers in Dharwad.","authors":"B V Pradeep, Manish C Doddamani, R Krishnaprasad, Deepika Jain","doi":"10.4103/IJO.IJO_1926_25","DOIUrl":"10.4103/IJO.IJO_1926_25","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the paper is to evaluate the impact and effectiveness of teleophthalmology services facilitated through vision centers in enhancing access to quality eye care in rural areas of Dharwad district, Karnataka, India.</p><p><strong>Methods: </strong>A prospective observational study conducted at four vision centers in Dharwad, Karnataka (Alnavar, Kalaghatagi, Noolvi, and Navalgund). Each center was equipped with a slit-lamp, fundus camera, and real-time teleconsultation system. A total of 398 patients were enrolled. Comprehensive ocular examinations were performed by trained optometrists, and cases requiring specialist input underwent live video teleconsultation with ophthalmologists. Impact was assessed by service uptake (proportion of patients completing teleconsultation). Effectiveness was measured using a validated 5-point Likert-scale patient-satisfaction questionnaire evaluating accessibility, communication, privacy, and overall satisfaction.</p><p><strong>Results: </strong>Out of 398 eligible participants, 381 (95.7%) completed teleconsultation. The mean age was 39.3 ± 12.6 years. The mean consultation duration was 20.1 ± 3.2 minutes. The mean satisfaction score was 4.6 ± 0.4, with over 90% of participants rating the service as \"Satisfied\" or \"Very satisfied.\" Lens-related disorders (19.8%) and refractive errors (18.7%) were most common.</p><p><strong>Conclusion: </strong>Teleophthalmology through vision centers achieved high uptake and patient satisfaction and was operationally feasible in this rural setting.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"S358-S362"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational needle stick injuries in a tertiary ophthalmic care setup: An eastern India perspective.","authors":"Prerana Vijay, Sujata Das, Srikant Kumar Sahu, Bibhusita Samal, Kirteemayee Sarangi, Smruti Rekha Priyadarshini","doi":"10.4103/IJO.IJO_2867_25","DOIUrl":"10.4103/IJO.IJO_2867_25","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 Suppl 3","pages":"S477-S478"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health assessment in glaucoma patients: Evidence from a tertiary care center in North India.","authors":"Preeti Dubey, Tirupati Nath, Vishal Sinha, Merensoba T Imchen","doi":"10.4103/IJO.IJO_450_26","DOIUrl":"10.4103/IJO.IJO_450_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1546-1548"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rho Kinase inhibitors in ophthalmology: The current status and comparative evaluation of Netarsudil and Ripasudil.","authors":"Manav D Singh","doi":"10.4103/IJO.IJO_1720_26","DOIUrl":"10.4103/IJO.IJO_1720_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1421-1423"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical technique for mitigating hyphema in minimally invasive glaucoma surgery - The \"Mohi Wait\" four-step technique.","authors":"Mohideen Abdul Kader, Madhavi Ramanatha Pillai, Shivam Gupta, Ramakrishnan Rengappa","doi":"10.4103/IJO.IJO_100_25","DOIUrl":"10.4103/IJO.IJO_100_25","url":null,"abstract":"<p><strong>Background: </strong>The introduction of minimally invasive glaucoma surgery (MIGS) has caused a significant shift in the surgical management of glaucoma. [ 1 ] The safety profile of MIGS is better, but a dreaded complication is postoperative hyphema. [ 2 , 3 ] Currently, standardized guidelines for preventing MIGS-associated hyphema are lacking.</p><p><strong>Purpose: </strong>We intend to describe a surgical technique, which will reduce the rate of hyphema.</p><p><strong>Synopsis: </strong>This video demonstrates the step-by-step execution of the \"MOHI Wait\" four-step technique. Following completion of a standard 360-degree trabeculotomy (GATT).</p><p><strong>Step: </strong>The viscoelastic is removed and 0.1-0.2 cc of intracameral preservative-free adrenaline (0.1 ml to 0.2 ml of 1:1000 Epitrate [Sunways India Private Limited, Mumbai, India] mixed with 5 ml saline) is injected.</p><p><strong>Step: </strong>The anterior chamber is filled with air bubbles for a few minutes and exchanged with Aurogel plus (1.6% sodium hyaluronate) (Aurolab, India).</p><p><strong>Step: </strong>After a waiting period of 10-15 minutes, the viscoelastic is completely removed by irrigation-aspiration.</p><p><strong>Step: </strong>The anterior chamber is filled up to 1/3 rd with air and a 30% fill with Aurogel (1.4% sodium hyaluronate) (Aurolab, Madurai India) around the inferior border of the air bubble. Intracameral moxifloxacin 0.1 cc (Auromox, Aurolab, Madurai, India) is injected. In the end, the surgeon taps to ensure hard and watertight closure.</p><p><strong>Highlights: </strong>Technique: Demonstrates a structured four-step approach combining adrenaline use, air tamponade, viscoelastic tamponade, and a wait-and-watch strategy to control reflux bleeding after GATT. With the adoption of the Mohi-Wait four-step technique, we were able to substantially reduce the occurrence of postoperative hyphema from 21.22% to 5.22% following GATT and the need for an anterior chamber washout from 9.4% to 1.3%. Clinical Relevance: This technique may be particularly helpful in light of the rising trend of MIGS, in which the risk of hyphema tends to be higher. Addresses one of the most common complications of angle-based MIGS procedures. Outcomes: Significant reduction in postoperative hyphema and secondary interventions following adoption of the technique. Reproducibility: Simple, cost-effective method easily adaptable by MIGS surgeons in routine clinical practice.</p><p><strong>Video link: </strong>https://youtu.be/TDh6QwKbNZk.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1565"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home monitoring devices for glaucoma.","authors":"Tarannum Mansoori, Amrita Kapoor Chaturvedi, George Yx Kong, Arnav Panigrahi, Manzoor A Malik, Kaweh Mansouri, Viney Gupta","doi":"10.4103/IJO.IJO_84_26","DOIUrl":"10.4103/IJO.IJO_84_26","url":null,"abstract":"<p><p>Glaucoma is a leading cause of irreversible blindness worldwide, with global prevalence projected to rise substantially in the coming decades. Advances in digital health technology have enabled the development of home-based monitoring devices that support patient-centered care. This review provides a comprehensive overview of current and emerging technologies for home glaucoma monitoring, focusing on intraocular pressure (IOP) assessment, optic disc imaging, and visual field testing. Home tonometry includes rebound devices such as the iCare HOME rebound tonometer and Tap Eye tonometer. Continuous IOP monitoring approaches include contact lens sensors (CLSs) such as Triggerfish CLS, miLens microfludic CLS, and implantable telemetric systems including Eyemate-IO and Eyemate-SC, offering insights into diurnal IOP fluctuations. IOP Connect (Injectsense) is a miniature implant that records and wirelessly uploads IOP data, though long-term validation is pending. Q Smart (Qura) is a remotely powered suprachoroidal sensor with frequent measurements, currently supported only by animal data. Smartphone-based optic disc imaging and devices with smartphone adapters provide accessible structural assessment, though image quality and user dependence remain limitations. Home-based perimetry platforms such as Melbourne rapid fields, Peristat, Eyeonic online circular-contrast perimetry, VisuALL, C3 Field Analyzer, Mobile virtual perimetry-Frequency-doubling technology, and Eyecatcher 3.0 show good agreement with standard automated perimetry while enhancing accessibility and testing frequency. Although these technologies show considerable potential to enhance disease surveillance and patient engagement, barriers including cost, regulatory approval, long-term validation, and integration into clinical work flows persist. Large-scale studies and unified digital platforms integrating structural and functional data are required to establish their role in routine glaucoma care.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1435-1443"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inverse chop/Prop technique for phacoemulsification of soft cataracts and posterior polar cataracts.","authors":"Vidhya Nagasubramanian, Muralidhar Rajamani, Ramamurthy Dandapani","doi":"10.4103/IJO.IJO_2206_25","DOIUrl":"10.4103/IJO.IJO_2206_25","url":null,"abstract":"<p><p>Soft cataracts pose significant challenges during phacoemulsification due to the pliable nature of the nucleus, which often leads to difficulty in cracking, cheese-wiring of instruments, and frequent occlusion breaks. Several fragmentation and non-fragmentation techniques have been described to manage such cases safely. We describe an inverse chop/prop technique that utilizes a blunt Sinskey hook to mobilize and crack the nucleus, facilitating safe and controlled phacoemulsification. This approach is also applicable for in situ phacoemulsification in posterior polar cataracts (PPCs), eliminating the need for nucleus rotation. We used this technique in patients with lens opacities classification system (LOCS) III grade 1-2 soft cataracts and PPCs. The technique involves introducing the Sinskey hook beneath an uncracked, partially cracked, or cracked nucleus to further crack or prop it, enabling subsequent emulsification. In PPCs, the hook is inserted via either side port to mobilize and crack the nucleus without rotation, permitting direct in situ emulsification. Cortex aspiration and intraocular lens (IOL) implantation are completed as per standard protocol. The technique was successfully performed in 188 patients without any procedure-related complications, including four cases with PPCs. In 50 cases, it proved particularly advantageous when conventional techniques encountered difficulty during emulsification. The inverse chop technique represents a valuable addition to the armamentarium for phacoemulsification of soft cataracts and PPCs, enhancing safety, control, and intraoperative efficiency.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"S473-S476"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Silicone oil synechiae glaucoma management with single pass four throw pupilloplasty.","authors":"Dhivya Ashok Kumar, Priya Narang, Amar Agarwal, Padma Preetha Narendiran, Juhija Rajendran","doi":"10.4103/IJO.IJO_443_24","DOIUrl":"10.4103/IJO.IJO_443_24","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1543-1544"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infusion gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma.","authors":"Punya Muralidhar, Anand K Pathak, Viney Gupta, Shikha Gupta","doi":"10.4103/IJO.IJO_1827_25","DOIUrl":"10.4103/IJO.IJO_1827_25","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1550-1552"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive impairment in glaucoma.","authors":"Hemlata Udenia, Neha Midha, Rohit Verma, Aafreen Bari, Tanuj Dada","doi":"10.4103/IJO.IJO_3157_25","DOIUrl":"10.4103/IJO.IJO_3157_25","url":null,"abstract":"<p><p>Glaucoma, while regarded as an isolated ocular disorder, is now increasingly recognized as a component of a wider neurological spectrum. An accumulating body of neuroimaging-based studies have revealed structural and functional changes in the brain that are analogous to those observed in Parkinson's and Alzheimer's disease. These changes are further associated with systemic disturbances, including autonomic dysfunction, neuroinflammation, and elevated cortisol levels. This mounting evidence may elucidate the increased susceptibility of cognitive impairment and dementia observed in individuals with glaucoma. This article presents a narrative review of the existing literature. A thorough search was conducted across various databases, including PubMed, Scopus, and the Embase Library, without restriction on year of publication. This review consolidates various lines of evidence that underscore the common characteristic between glaucomatous optic neuropathy and neurodegenerative disorders. A range of pharmacological (anti-dementia medication, nootropic agent, cerebral metabolizers, and neutraceuticals) and nonpharmacological strategies (regular physical activity, meditation, sleep optimization, and dietary modification) and emerging modalities-including noninvasive brain stimulation, nanotechnology-based drug delivery systems, and artificial intelligence-guided therapeutic models-are broadening the scope of management beyond traditional approaches that not only target intraocular pressure reduction but also may support overall neuro-cognitive wellbeing. The establishment of a multidisciplinary framework is also vital, wherein an ophthalmologist works in collaboration with neurologists, psychologists, and rehabilitation specialists to facilitate thorough cognitive evaluation and timely treatment. This review underscores the need of safeguarding both visual and cognitive functions by recognizing glaucoma as an ocular disorder and neurodegenerative condition, aiming to improve long-term outcomes and quality of life.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1451-1461"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}