Indian Journal of Ophthalmology最新文献

{"title":"Comparison of surgical outcomes of suture gonioscopy-assisted transluminal trabeculotomy versus excisional goniotomy with Kahook dual blade at 12 months.","authors":"Devendra Maheshwari, Nimrita G Nagdev, Kalyani Singh, Madhavi R Pillai, Davinder S Grover, Mohammed U Sithiq, Rengappa Ramakrishnan","doi":"10.4103/IJO.IJO_2747_25","DOIUrl":"10.4103/IJO.IJO_2747_25","url":null,"abstract":"<p><strong>Purpose: </strong>To compare safety and efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) versus Kahook dual blade (KDB) with phacoemulsification in eyes with primary open angle glaucoma.</p><p><strong>Methods: </strong>This retrospective comparative study included 122 eyes-61 in GATT-Phaco group (Group 1) and 61 in KDB-Phaco group (Group 2). Baseline parameters including intraocular pressure (IOP), best-corrected visual acuity, and number of anti-glaucoma medications (AGMs) were compared across visits at 2 weeks and 1, 3, 6, and 12 months. Surgical success was defined as IOP ≤21/≤18/≤15 mmHg with >20%/25%/30% reduction from baseline (Criteria 1,2,3). Postoperative complications, secondary interventions, and surgical risk factors were analyzed.</p><p><strong>Results: </strong>The mean (SD) IOP (mmHg) decreased from 21.15 ± 3.76 to 13.20 ± 3.21 in Group 1 and 22.90 ± 4.05 to 14.44 ± 5.01 in group 2 at 12 months, with no significant difference between groups (P = 0.100). AGM reduced from 1.64 ± 0.84 to 0.08 ± 0.28 and 1.67 ± 0.77 to 0.08 ± 0.38 in groups 1 and 2, respectively, at 12 months (P > 0.99). By criteria 1, 2, and 3, the overall success was 85.3%, 78.7%, and 60.7% in Group 1 and 86.9%, 83.6%, and 70.5% in Group 2, respectively. Micro hyphemas were observed in 28 patients (20 in group 1, 8 in group 2), macro hyphemas in 4 patients of group 1 (2 requiring AC wash) and transient IOP spikes in 6 patients (4 in group 1, 2 in group 2).</p><p><strong>Conclusion: </strong>Both GATT and KDB achieved significant reductions in intraocular pressure and anti-glaucoma medication use at 12 months, with KDB demonstrating equivalent efficacy to 360° suture trabeculotomy.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1467-1472"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074546","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":"Unusual bilateral glaucoma flecken in hypertensive anterior uveitis.","authors":"Manu Sharma, Atul Arora, Surinder S Pandav, Vishali Gupta","doi":"10.4103/IJO.IJO_88_26","DOIUrl":"10.4103/IJO.IJO_88_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1424"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080761","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":"Refractory Bitot's spots in Axenfeld-Rieger malformation: Expanding its phenotypic spectrum.","authors":"Arnav Panigrahi, Shikha Gupta, Shyam Prakash, Arundhati Sharma, Viney Gupta","doi":"10.4103/IJO.IJO_20_26","DOIUrl":"10.4103/IJO.IJO_20_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1544-1546"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080732","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":"Intracameral phenylephrine-lidocaine preparation before gonioscopy-assisted transluminal trabeculotomy: A technical modification to reduce intraoperative angle bleeding.","authors":"Shikha Gupta, Adhikaansh Jain, Anand Kumar Pathak, Viney Gupta, Khyati Bhatt, Varun Gogia","doi":"10.4103/IJO.IJO_2278_26","DOIUrl":"10.4103/IJO.IJO_2278_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1562-1564"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080748","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":"The FIRE technique - A tube ligation alternative.","authors":"Roya Garakani, Jamie Beckman, Iqbal Ike K Ahmed","doi":"10.4103/IJO.IJO_2874_25","DOIUrl":"10.4103/IJO.IJO_2874_25","url":null,"abstract":"<p><p>Nonvalved glaucoma drainage devices (GDDs) carry a risk of early hypotony due to unregulated flow prior to capsule formation. Temporary flow restriction occurs through methods such as absorbable ligature sutures and intraluminal ripcords. Here, we propose an alternative approach, the Flanged Intraluminal Ripcord Element (FIRE) technique, that eliminates the need for a ligature suture and avoids the unpredictability associated with ligature autolysis. A patient case is discussed that demonstrated adequate prevention of hypotony and successful intraocular pressure reduction upon ripcord removal. The FIRE technique provides predictable flow control in the early postoperative period of nonvalved GDDs.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1535-1537"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080786","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":"Role of family members towards glaucoma medication adherence.","authors":"Gopinath Madheswaran","doi":"10.4103/IJO.IJO_40_26","DOIUrl":"10.4103/IJO.IJO_40_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1552-1553"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080774","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":"Gonioscopy-assisted transluminal trabeculotomy with phacoemulsification in high myopia versus non-high myopia with open-angle glaucoma-A comparative study.","authors":"Devendra Maheshwari, Nimrita Gyanchand Nagdev, Madhavi R Pillai, Ramarghya Chakraborty, Mohammed Sithiq Uduman, Syril Dorairaj, Ramakrishnan Rengappa","doi":"10.4103/IJO.IJO_3349_25","DOIUrl":"10.4103/IJO.IJO_3349_25","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the safety and efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) combined with phacoemulsification in eyes with high myopia versus non-high myopia with open-angle glaucoma.</p><p><strong>Methods: </strong>This retrospective comparative study included 76 eyes with open-angle glaucoma. Eyes were stratified into high myopia (Group 1; axial length ≥26.5 mm, n = 36) and non-high myopia (Group 2; axial length <26.5 mm, n = 40). Baseline parameters including intraocular pressure (IOP), best-corrected visual acuity, and number of anti-glaucoma medications (AGMs) were compared at 2 weeks, 1 month, and 3, 6, and 12 months. Surgical success was defined as IOP ≤21, ≤18, or ≤15 mmHg with a ≥20%, ≥25%, or ≥30% reduction from baseline, respectively. Postoperative complications, secondary interventions, and surgical risk factors were analyzed.</p><p><strong>Results: </strong>The mean (SD) IOP (mmHg) decreased from 20.56 ± 4.71 to 13.32 ± 5.02 in Group 1 and 19.33 ± 4.15 to 12.94 ± 3.48 in Group 2 at 12 months, with no significant difference between groups ( P = 0.92). AGM reduced from 2.11 ± 0.89 to 0.36 ± 0.95 in Group 1 and 1.98 ± 0.89 to 0.06 ± 0.24 in Group 2 at 12 months ( P = 0.07). There was no significant difference in success rate between groups by all criteria at the end of 12 months ( P = 0.77, 0.54, 0.14). Transient hyphema and IOP spikes were common complications. Five eyes required anterior chamber wash (3 in Group 1, 2 in Group 2).</p><p><strong>Conclusion: </strong>GATT with phacoemulsification is a safe and effective procedure in high myopia with open-angle glaucoma, with comparable outcomes to non-high myopia eyes at 12 months.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"1497-1502"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148602451","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":"Safety and efficacy of modified suture techniques in Ologen augmented trabeculectomy for eyes with advanced primary open angle and angle closure glaucoma.","authors":"Rakesh Shakya, Gaurav Kohli, Chintan Shah, Navjot Singh Ahluwalia, Rohil Paes, V K Raju, Deepak Edward, Arvind Kumar Morya","doi":"10.4103/IJO.IJO_2143_25","DOIUrl":"10.4103/IJO.IJO_2143_25","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the early postoperative safety and long-term efficacy of Ologen augmented trabeculectomy (Olo-trab) with releasable scleral flap suture in eyes with advanced primary open/closed angle glaucoma.</p><p><strong>Methods: </strong>This was a single-center, prospective, interventional, and noncomparative study of patients who underwent Olo-trab for advanced glaucoma (cup disc ratio > 0.8), in whom target pressure could not be met despite maximum permissible medical therapy. Postoperatively, patients were followed up for 12 months and evaluated for early postoperative complications within 1 month. The primary surgery success rate was assessed at 6 months and 1 year.</p><p><strong>Results: </strong>The study cohort comprised 31 eyes of 27 patients. The mean age of the population was 59.48 ± 10.41 years. Eight cases were on two-drug antiglaucoma medications (AGMs), 13 on three drugs, and 10 were using four AGMs. The mean preoperative intraoperative pressure (IOP) of the cohort was 30.5 ± 9.1 mmHg. A total of 15 cases underwent combined phacoemulsification and trabeculectomy. Early postoperative hypotony was the only complication observed in 2/31 eyes (6%). Twelve months post surgery, 27 out of 31 eyes (87.10%) had a complete success, and the remaining 4 (12.9%) achieved a qualified/partial success. Mean postoperative IOP readings at all follow-up visits were significantly lower than those at preoperative levels ( P < 0.001).</p><p><strong>Conclusions: </strong>Olo-Trab with a releasable scleral flap suture has shown encouraging results for IOP control with a marginalized risk of postoperative hypotony in advanced cases of primary glaucoma.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"1490-1496"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163121","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":"Assessment of driving safety in non-professional drivers with moderate to severe glaucoma.","authors":"Navdeep Kaur, Suresh Kumar, Parul Ichhpujani, Surbhi Kapoor, Gayana Gupta","doi":"10.4103/IJO.IJO_574_25","DOIUrl":"10.4103/IJO.IJO_574_25","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to assess driving safety in non-professional drivers who have moderate to severe glaucoma.</p><p><strong>Design: </strong>Cross-sectional analytical study.</p><p><strong>Methods setting: </strong>It is a hospital-based study conducted in a multispecialty tertiary care institute.</p><p><strong>Study population: </strong>Fifty-five patients (110 eyes) above 40 years of age with moderate to severe glaucoma as per Hodapp-Anderson-Parrish classification, having a valid driving license (for at least one year).</p><p><strong>Observation procedures: </strong>Enrollees underwent a comprehensive clinical assessment along with contrast sensitivity (CS) testing with Pelli-Robson chart and binocular field testing with Esterman visual field test (EVFT). The driving habits questionnaire was administered, and driving eligibility was compared to international guidelines.</p><p><strong>Primary outcome: </strong>Patients having moderate to severe glaucoma as well as poor CS experience significant driving-related difficulties, have reduced driving space, and are more dependent on others for mobility.</p><p><strong>Results: </strong>The mean age (years) was 61.42 ± 10.17 with a significant male preponderance (98.2%). The study population included 47.3% moderate and 52.7% advanced glaucoma patients. Twenty-two patients (40%) had CS less than 2.00 in their worse eye (mean: 1.93; Standard deviation (SD): 0.27; range: 1.4-2.3), out of which five had moderate glaucoma and seventeen had severe glaucoma. Only two patients with advanced glaucoma had CS <1.5 (visual impairment). Around half of the participants (30/55; 54.5%) passed the EVFT. The driving dependency score (mean ± SD) was 1.78 ± 0.92 (range: 1.0-3.0), driving difficulty score (mean ± SD) was 69.38 ± 20.43 (range: 0-100), and driving space score (mean ± SD) was 3.15 ± 0.85 (range: 0-6).</p><p><strong>Conclusion: </strong>Patients with moderate to advanced glaucoma with reduced CS face significant difficulties while driving. It is necessary to establish precise rules regarding vision standards for driving license issues and renewal in India so that motor vehicle accidents can be prevented due to vision-related impairments.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"1484-1489"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432593","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":"Comment on: Laser peripheral iridotomy induced changes in eyes with primary angle closure disease.","authors":"Harsha Bhattacharjee, Shahinur Tayab, Techi Dodum Tara, Sauvik Barua","doi":"10.4103/IJO.IJO_1253_26","DOIUrl":"10.4103/IJO.IJO_1253_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1559-1560"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080734","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}