Indian Journal of Ophthalmology最新文献

{"title":"Unpacking VKC: How gender and age shape the clinical picture.","authors":"Gaurav Chauhan, Suhita Mathimaaran, Ambika Chandrasekar, Varsha B Chavda, R Mugundhan, Bhaskar Srinivasan, Geetha Iyer, Murlidhar Rajagopalan, Shweta Agarwal","doi":"10.4103/IJO.IJO_177_25","DOIUrl":"https://doi.org/10.4103/IJO.IJO_177_25","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate gender differences in childhood- and adult-onset vernal keratoconjunctivitis (VKC), as well as the variations between these onset groups.</p><p><strong>Methods: </strong>This was a retrospective, observational study (Jan 2015-Dec 2020). Electronic medical records of VKC patients managed by cornea specialists were analyzed based on their age of onset (<16 years for childhood [C-VKC], >16 years for adult [A-VKC]) and gender.</p><p><strong>Results: </strong>Out of 1018 VKC patients, 931 had childhood onset and 87 had adult onset. Both groups showed a male predominance; however, it was slightly less in A-VKC, with a mean follow-up of 28.6 ± 36.2 and 25.03 ± 40.3 months in C-VKC and A-VKC, respectively. A family history of allergies was observed only in C-VKC, with no gender differences. Asthma was more common in C-VKC, while skin allergies were more prevalent in A-VKC. Mixed VKC with Grade 4 severity was the most common in both age groups, with no gender differences in C-VKC; however, the limbal variant was more common in females with A-VKC. The proportion of A-VKC and C-VKC patients who developed complications was similar (P value 0.85). However, the C-VKC group had a significantly higher number of patients with multiple complications (P value 0.0076) as well as those requiring surgical intervention (P value 0.02). Keratoconus was the most common complication in both groups, but limbal stem cell deficiency was significantly higher in A-VKC across genders.</p><p><strong>Conclusion: </strong>Adult-onset VKC is a distinct condition with minor differences and a milder course compared to childhood-onset VKC. Notably, there are no significant gender-based differences in its clinical presentation or complications.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"73 4","pages":"594-598"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718930","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}

{"title":"Adjunct Topical Human Immunoglobulin IgG Therapy in Dry Eye Disease.","authors":"Murugesan Vanathi, Livia Khan, Thirumurthy Velpandian, Ashish Dubey, Noopur Gupta, Tulika Seth, Manoranjan Mahapatra, Maroof Ahmed Khan, Sandeep Jain, Radhika Tandon","doi":"10.4103/IJO.IJO_608_25","DOIUrl":"https://doi.org/10.4103/IJO.IJO_608_25","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The aim of this study was to evaluate the role of topical human IgG eye drops (4 mg/mL) as adjunct therapy in eyes with moderate to severe refractory dry eye disease (DED).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;A prospective, longitudinal, open label, dual cohort study of patients with chronic DED of moderate to severe grade comprise of OSIG therapy group cohort on topical immunoglobulin IgG 0.4% four times daily, as adjunctive therapy for one year, to study the role of OSIG therapy in comparison with conventional treatment. Patients above 18 years of age with chronic moderate to severe grade DED with tear break-up time (TBUT) ≤7 seconds, Schirmer test ≤9 mm/5 minutes, ocular surface disease index (OSDI) score ≥13, National Eye Institute (NEI) corneal staining score &gt;3, and conjunctival staining score &gt;3 were recruited into the study. Study participants in the conventional treatment cohort group were on topical lubricants four hourly (carboxymethyl cellulose 0.5% and lubricant ointment at bedtime), topical steroids (prednisolone 1%/fluorometholone 0.1%/loteprednol 0.5%) therapy as per the severity of the DED requirement and topical immunomodulators (cyclosporine A 0.1% eye drops or tacrolimus 0.1% eye ointment) twice daily. Study participants in the OSIG treatment cohort group were started on topical human immunoglobulin IgG 0.4% four times daily as adjunct therapy in addition to the all the above-mentioned medications for a period of 12 months. Study parameters included DED severity level assessment, NIH score, ocular surface evaluation tests, Schirmer's I test, TBUT, corneal and conjunctival staining score, OSDI score, and conjunctival hyperemia score. Ocular surface imaging using LipiView and ocular surface analyzer imaging for non-invasive TBUT (NITBUT), meibomian gland, and tear imaging was performed for the OSIG treatment cohort. Study characteristics were evaluated at time of recruitment into the study (baseline visit) and at serial follow-up of months 3, 6, and 12 in OSIG treatment group and follow-up at month 6 in conventional treatment group. Treatment grading score was devised in accordance to the frequency of application of lubricants and steroids and potency of steroids.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Our study of 71 eyes of 36 patients [mean age 39 ± 11.80 years] in OSIG treatment cohort group and 64 eyes of 32 patients [mean age 40 ± 11.53 years] in conventional treatment cohort group observed a significant reduction in the objective ocular surface symptom assessment parameters of OSDI scores, and dry eye severity level with improvement in clinical assessment parameters of TBUT, ocular surface staining scores, and conjunctival hyperemia grades in eyes on adjunct OSIG treatment cohort as compared to the conventional therapy cohort. The frequency of topical lubricants and steroids along with the potency of steroids used showed a decreasing trend with 45.28% noted to have become free of steroid dependence a","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"73 4","pages":"610-620"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718764","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}

{"title":"The long-term effects of interface irrigation on visual outcomes and corneal aberrations in Small Incision Lenticule Extraction (SMILE).","authors":"Sibel Ahmet, Murat Kocamaz, Cem Sarı, Ahmet Kırgız, Yusuf Yıldırım, Muhittin Taşkapılı","doi":"10.4103/IJO.IJO_1856_24","DOIUrl":"https://doi.org/10.4103/IJO.IJO_1856_24","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the long-term effects on visual outcomes and corneal aberrations of irrigating the interface during the small-incision lenticule extraction (SMILE) surgery for managing myopia and myopic astigmatism.</p><p><strong>Methods: </strong>In 47 patients who underwent bilateral SMILE surgery for myopia and myopic astigmatism, one eye was irrigated with 1.0 ml of balanced salt solution via cannula (Group 1) and the other eye was not irrigated (Group 2). Visual and refractive outcomes of 94 eyes were analyzed on the first day, first week, first month, sixth month, and first year. Preoperative and postoperative corneal higher-order aberrations (HOAs) obtained from Sirius corneal tomography (Costruzione Strumenti Oftalmici, Florence, Italy) were evaluated in both groups. Anterior segment optical coherence tomography (Heidelberg Spectralis; Heidelberg Engineering, Heidelberg, Germany) was used for interface evaluation on the first postoperative day. Intraoperative and postoperative complications were recorded.</p><p><strong>Results: </strong>Preoperative spherical, cylindrical, and spherical equivalent values were similar in both groups (P values: 0.913, 0.796, and 0.876, respectively). Statistically significant increases in mean HOAs and coma values were observed in both groups during the postoperative follow-up periods compared to the preoperative period (each P value <0.05). No significant differences were noted between the two groups concerning visual acuity, refractive values, and corneal aberrations throughout all postoperative follow-up periods (each P value >0.05). Epithelial inoculation developed in one eye in the irrigated group, and diffuse lamellar keratitis developed in one eye in the non-irrigated group.</p><p><strong>Conclusion: </strong>This study demonstrated that the visual, refractive, and wavefront aberration outcomes, both in the short and long term, were comparable between cases with and without interface irrigation following lenticule removal from the stromal pocket in SMILE surgery.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556751","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}

{"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":"<p><strong>Purpose: </strong>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).</p><p><strong>Settings: </strong>Tertiary care ophthalmic hospital.</p><p><strong>Design: </strong>Prospective, comparative, observational study.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Post Nd:YAG LPC showed improvement in visual acuity with significant reduction in HOA in all types of PCO.</p>","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}

{"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":"<p><strong>Purpose: </strong>This study aims to assess the effectiveness of atropine 0.05% for myopia control among children exhibiting (documented) rapid myopia progression (>0.75D/year).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Atropine 0.05% could be an effective treatment for children with rapidly progressing myopia with no significant side effects.</p>","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}

{"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":"<p><strong>Purpose: </strong>To study the clinical profile of patients with microspherophakia and the factors associated with poor vision following lensectomy surgery.</p><p><strong>Methods: </strong>A multicenter, retrospective, cross-sectional analysis was conducted from January 2010 to June 2022 on patients diagnosed with microspherophakia.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Purpose: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Purpose: </strong>To study the utility of integrated intraoperative OCT (i 2 OCT) in pediatric patients with cataracts in the real world.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Comparison of two different intraocular lenses used in the modified Yamane technique.","authors":"Fahri O Aydin, Burakhan K Aksoy, Ali Ceylan, Yusuf B Akbaş, Murat Karapapak, Burçin Kepez Yildiz, Yusuf Yildirim","doi":"10.4103/IJO.IJO_2235_24","DOIUrl":"https://doi.org/10.4103/IJO.IJO_2235_24","url":null,"abstract":"<p><strong>Purpose: </strong>To compare AcrySof MA60AC (Alcon Laboratories, Fort Worth, TX, USA) and Sensar AR40e (Johnson and Johnson, Santa Ana, CA, USA) used in Yamane sutureless scleral fixation technique in terms of visual acuity, refractive stability, and complications.</p><p><strong>Methods: </strong>A retrospective, cross-sectional study was conducted in Istanbul Başakşehir Çam and Sakura City Hospital. Patients were divided into two groups: The first group consisted of patients with MA60AC lenses, while the second group consisted of patients with AR40e. Aphakic patients who underwent secondary intraocular lens (IOL) implantation and had postoperative minimum 3-month follow-up records were included. Visual acuity, refractive outcomes, perioperative and postoperative complications were recorded.</p><p><strong>Results: </strong>Forty-nine patients were included in the study. Twenty-two patients were in the first group and 27 patients were in the second group. Age, gender, and follow-up time were similar between groups (P = 0.546, 0.213, and 0.347, respectively). The median lenticular astigmatism value was 0.86 (0.08-2.11) D in group 1 and 0.99 (0.31-2.96) D in group 2 (P = 0.898). There was no significant difference between groups in terms of visual acuity, spherical, cylindrical, and spherical equivalent values (P = 0.752, 0.375, 0.073, and 0.949, respectively). In group 1, a haptic tip fracture and optic-haptic separation were observed perioperatively. Optic-haptic junction separation was observed in one patient in group 1 on postoperative day 1. In group 1, epiretinal membrane development was significantly higher (P = 0.019).</p><p><strong>Conclusions: </strong>Both AcrySof MA60AC and Sensar AR40e IOLs via the modified Yamane technique yielded favorable and predictable outcomes. Although statistically insignificant, haptic problems were more common in the first group.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"73 3","pages":"416-421"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500681","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}

{"title":"Double-frequency Nd:YAG laser reduction of peripheral iridotomy size for treatment of visual symptoms.","authors":"Harsh Kumar, Surbi Taneja","doi":"10.4103/IJO.IJO_2797_24","DOIUrl":"https://doi.org/10.4103/IJO.IJO_2797_24","url":null,"abstract":"<p><p>Peripheral iridotomy is a standard treatment for conditions like primary angle-closure glaucoma. However, the associated visual symptoms, such as glare and dysphotopsia, often reduce patient satisfaction. This article presents a novel surgical technique utilizing a double-frequency Nd:YAG laser (532 nm) to reduce the size of existing iridotomies, addressing these visual disturbances without compromising the functional efficacy of the iridotomy. The technique is performed under topical anesthesia, with minimal discomfort and no significant downtime for the patient. This innovative use of double-frequency Nd:YAG laser technology introduces a refined approach to managing postoperative visual outcomes in peripheral iridotomy, offering a valuable addition to the repertoire of ophthalmic surgical techniques.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"73 Suppl 2","pages":"S341-S342"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467895","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}