Indian Journal of Ophthalmology最新文献

{"title":"Comment on: Trabecular meshwork peeling technique of ab interno trabeculectomy - A retrospective review.","authors":"Devendra Maheshwari, Harinikrishna Balakrishnan, Mohideen Abdul Kader, Nimrita G Nagdev, Ramakrishnan Rengappa","doi":"10.4103/IJO.IJO_778_26","DOIUrl":"10.4103/IJO.IJO_778_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1554-1555"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080754","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":"Autologous rotational partial thickness scleral flap - A salvage technique for late leaking blebs with scleral fistula.","authors":"Dewang Angmo, Subodh Lakra, Tanuj Dada","doi":"10.4103/IJO.IJO_2191_24","DOIUrl":"10.4103/IJO.IJO_2191_24","url":null,"abstract":"<p><p>Success rates for trabeculectomy have notably advanced with the adjunctive use of antifibrotic agents, particularly mitomycin C. Despite this, the increased prevalence of thin, cystic blebs and late-onset bleb leaks, particularly those complicated by scleral fistula formation, represents a visually threatening sequela. This manuscript delineates a modified autologous rotational partial-thickness scleral flap technique employed as a salvage procedure in managing late, leaking, thin cystic blebs with underlying scleral fistulae. In two patients managed with this technique, we observed re-establishment of an anatomically stable, moderately vascularized bleb, and maintenance of intraocular pressure within target range over 18-24 months. The procedure utilizes trypan blue-assisted peeling of the epithelium and a rotational, partial-thickness scleral flap, with conjunctival advancement, thereby achieving tectonic support and functional preservation of filtration.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1531-1534"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080812","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":"Intraorbital wooden foreign bodies: A retrospective study of 30 cases.","authors":"Chandana Chakraborti, Nabanita Barua, Juhi Gupta, Manisha Agarwal, Chandrima Dasgupta, Mrinal Kanti Ghosh","doi":"10.4103/IJO.IJO_2485_24","DOIUrl":"10.4103/IJO.IJO_2485_24","url":null,"abstract":"<p><strong>Purpose: </strong>Intraorbital Wooden foreign bodies (IOrbWFB) can remain trapped or undetected in imaging, leading to potentially serious complications. We aimed to study 30 consecutive cases of intraorbital wooden foreign body (IOrbWFB), their clinical profile, and management in a tertiary care hospital.</p><p><strong>Methods: </strong>A retrospective observational study of 30 cases at our center from March 2020 to December 2024 was conducted. Data were collected from hospital records and reviewed after obtaining institutional ethical clearance.</p><p><strong>Results: </strong>Out of the 30 cases, 14 patients presented with features of orbital cellulitis, and seven cases presented with orbitocutaneous fistula (OCF). The time interval between injury and initial presentation ranged from 1 day to 7 years. A total of 16 cases presented within a week of injury, among which four cases presented early within 24 hours. A foreign body was detected in 17 cases by computed tomography (CT), but 10 cases were misdiagnosed on the initial CT scan. Magnetic resonance imaging (MRI) was performed in 13 cases, including suspicious cases and when symptoms were not resolving. Eight patients underwent surgery multiple times, of which two cases underwent surgery three times, and five cases underwent surgery twice.</p><p><strong>Discussion: </strong>The size, location, and number of IOrbWFB should be evaluated thoroughly using imaging studies. They are often misdiagnosed on imaging; hence, a high index of suspicion should be maintained in cases with a history of trauma, regardless of the time interval between presentation and trauma. Primary surgery should be performed with proper exposure, and the foreign body should be removed intact to have a better outcome. The study will help to avoid missed diagnosis and misdiagnosis of IOrbWFB.</p><p><strong>Conclusion: </strong>Thorough history taking, detail examination, appropriate imaging and proper surgical planning are essential is all cases of suspected IOrbWFB.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"S433-S437"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163027","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":"A prospective, randomized study comparing different therapeutic modalities for acute adenoviral conjunctivitis.","authors":"Anchal Thakur, Surya P Sharma, Poonam Chauhan, Kapil Goyal, Mini P Singh, Nirbhai Singh, R K Ratho, Chintan Malhotra, Amit Gupta","doi":"10.4103/IJO.IJO_1019_25","DOIUrl":"10.4103/IJO.IJO_1019_25","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the outcomes of three different therapeutic modalities in acute adenoviral conjunctivitis.</p><p><strong>Design: </strong>Prospective randomized study.</p><p><strong>Methods: </strong>A total of 65 eyes of 65 patients with nested polymerase chain reaction (PCR)-proven adenoviral conjunctivitis were enrolled. The control group (20 eyes) received carbomer gel, whereas the treatment group (15 eyes each) received group 1: Ganciclovir (0.15%) gel five times/day and dexamethasone 0.1% four times/day; group 2: Povidone-iodine (PVP-I) 1% four times/day, and dexamethasone 0.1% four times/day; group 3: PVP-I 1% four times/day, ganciclovir 0.15% five times/day, and dexamethasone 0.1% four times/day in addition to the standard of care. Patients presenting within the first 96 hours were recruited, and antiviral treatment was given for seven days in all groups. The clinical signs and symptoms, as well as the viral load, were documented at enrollment, day 7, and day 14. All the symptoms and signs were graded.</p><p><strong>Results: </strong>Group 3 performed significantly better in terms of foreign body sensation ( P = 0.013), pain ( P = 0.019), and conjunctival congestion ( P = 0.00) compared with all the groups at day 7. The control group had a significantly higher number of subepithelial infiltrates (SEIs) ( P = 0.0001) and pseudomembranes ( P = 0.035) at day 7 than all the other groups. The viral load reduction was variable in all patients in all the groups; thus, a correlation could not be achieved.</p><p><strong>Conclusion: </strong>The combination of PVP-I 1% and ganciclovir 0.15% with dexamethasone 0.1% significantly reduced the severity of signs and symptoms in adenoviral conjunctivitis. The addition of dexamethasone was safe and effective in decreasing the incidence of SEI's and pseudomembranes.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":" ","pages":"S379-S385"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808427","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":"High-flow supraorbital arteriovenous malformation following trauma: A rare cause of ptosis.","authors":"Shreya Khandelwal","doi":"10.4103/IJO.IJO_1145_26","DOIUrl":"10.4103/IJO.IJO_1145_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 Suppl 3","pages":"S327-S328"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108838","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":"Retrospective analysis of indications and outcomes of trabecular micro-bypass stent implantation in Indian eyes.","authors":"Amit Pandey, Harsh Kumar, Abhishek Kathuria, Sagarika Patyal, Swati Singh, Bhavini Pandey","doi":"10.4103/IJO.IJO_981_25","DOIUrl":"10.4103/IJO.IJO_981_25","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the patient characteristics, initial outcomes, and complications associated with iStent implantation in Indian eyes.</p><p><strong>Methods: </strong>This retrospective case series comprised subjects who underwent iStent, iStent inject, or iStent inject W implantation as a standalone procedure or combined with phacoemulsification with at least 12 months follow-up. The main outcome measures were change in intraocular pressure (IOP) and number of anti-glaucoma medication (AGM), post op complications, and resurgery rates at the final follow-up.</p><p><strong>Results: </strong>A total of 56 eyes of 46 patients were included. Twenty-six eyes received iStent, and 30 eyes received either iStent inject or iStent inject W. Mean IOP reduced by 25.5%, and the mean number of AGM decreased by 75.8% at final follow-up ( P < 0.005). The overall success rate was achieved in 51 eyes (85%). When compared to standalone iStent, combined phacoemulsification with iStent delivered greater reduction in AGM ( P = 0.004). Compared to iStent, eyes with iStent inject and inject W had better IOP reduction ( P = 0.03), lesser AGM ( P < 0.005), and a lesser number of surgical failures ( P = 0.045). Three months after iStent inject implantation, trabeculectomy was performed in one eye with secondary glaucoma. Postoperative IOP rise due to steroid response was observed in 20 eyes (35.7%).</p><p><strong>Conclusion: </strong>iStent implantation in Indian eyes demonstrated promising outcomes in reducing both intraocular pressure and anti-glaucoma medication burden. While combined procedures exhibited superior efficacy in reducing IOP and AGM, postoperative complications such as steroid-induced IOP rise were observed, emphasizing the importance of careful monitoring and management in optimizing surgical outcomes.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1473-1477"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080740","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 pseudo plateau iris: A review.","authors":"Suresh Kumar Yadav, Arnav Panigrahi, Anurag Kumar, Viney Gupta","doi":"10.4103/IJO.IJO_2922_25","DOIUrl":"10.4103/IJO.IJO_2922_25","url":null,"abstract":"<p><p>Pseudo-plateau iris configuration (PPIC) is an under-recognized cause of persistent angle narrowing in the young population, characterized by anterior displacement of the peripheral iris secondary to iridociliary cysts. Although quite common in the general population, occurring in up to half of otherwise normal eyes, only a small subset of ciliary body (CB) cysts produce clinically significant angle compromise. The condition often remains undetected because routine anterior-segment evaluation lacks the ability to visualize the CB, and ultrasound biomicroscopy (UBM) is not universally employed. Clinically, PPIC may present with a \"lumpy-bumpy\" peripheral iris contour on gonioscopy and incomplete angle opening after laser peripheral iridotomy, raising suspicion for a non-pupillary-block mechanism. Indentation gonioscopy typically reveals appositional rather than synechial closure, reflecting the taut, cyst-supported iris configuration. UBM remains the diagnostic gold standard, demonstrating single or multiple thin-walled cysts, obliteration of the ciliary sulcus, and a deep central anterior chamber with peripheral crowding. Management is individualized and depends on the extent of angle compromise, intraocular pressure status, and cyst morphology. Medical therapy provides temporary pressure control, while laser iridoplasty may relieve focal appositional closure in selected eyes. Cataract extraction deepens the anterior chamber but may not fully address the underlying mechanical obstruction. Filtration procedures are usually needed in advanced cases. Given the discordance between high anatomic prevalence and relatively low glaucomatous conversion, this review focuses on improving recognition, refining diagnostic pathways, and outlining evidence-based management strategies for PPIC.</p>","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1444-1450"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080758","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":"Minimally ınvasive ınternal cyclopexy for cyclodialysis cleft-associated hypotonic maculopathy following gonioscopy-assisted transluminal trabeculotomy.","authors":"Elif Ertan Baydemir, Gülçicek Cayhan","doi":"10.4103/IJO.IJO_2177_25","DOIUrl":"10.4103/IJO.IJO_2177_25","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1549-1550"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080766","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":"Can digital perimetry deliver?","authors":"Parul Ichhpujani","doi":"10.4103/IJO.IJO_2497_26","DOIUrl":"10.4103/IJO.IJO_2497_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1417-1420"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074482","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":"Central Visual Field Defects in Glaucoma by Dr Tutul Chakravarti. Kugler Publications, Netherlands.","authors":"Viney Gupta","doi":"10.4103/IJO.IJO_2689_26","DOIUrl":"10.4103/IJO.IJO_2689_26","url":null,"abstract":"","PeriodicalId":13329,"journal":{"name":"Indian Journal of Ophthalmology","volume":"74 10","pages":"1567"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080825","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}