David Luke Stanley, Jessica Westwood, Josh Li Saw Hee, Gibran F Butt
{"title":"Exploring global variations in the quality of patient information videos for keratoplasty.","authors":"David Luke Stanley, Jessica Westwood, Josh Li Saw Hee, Gibran F Butt","doi":"10.4103/ojo.ojo_143_25","DOIUrl":"10.4103/ojo.ojo_143_25","url":null,"abstract":"<p><strong>Background: </strong>Healthcare information is easily accessible on YouTube; however, it is unregulated and the quality varies considerably. This study evaluates the causes for variation in the quality of corneal transplantation patient information videos on YouTube.</p><p><strong>Methods: </strong>YouTube was searched using \"corneal transplant\" and the variations for penetrating and lamellar transplants. The results were deduplicated and screened for inclusion by two independent reviewers. A modified DISCERN tool was used to evaluate the quality of each video by two observers independently. Differences in quality were assessed by production location and legality of direct-to-consumer (DTC) advertising.</p><p><strong>Results: </strong>Twenty-two videos were included in this study and the mean overall DISCERN score was 2.05 out of 5 (standard deviation = 1.09). Videos scored the highest in relevance to corneal transplant (mean 4.05) and lowest in explaining which patients are unsuitable (mean 1.00) and supporting shared decision-making (mean 1.05). The video with highest viewer engagement was created by McMaster University students. Videos produced in the United States (US) discussed uncertainty and risk less frequently (49% and 43% less, respectively [<i>P</i> < 0.05]) than videos released outside the US.</p><p><strong>Conclusions: </strong>Quality of YouTube content is variable and the lack of clarity over corneal transplant subtypes can be confusing for patients. There is considerable scope to improve visuals within videos to supplement verbal information in clinic, alongside tailoring information to the relevant age demographic. Essential components frequently lacking include risk, especially where DTC advertising is legal. While videos may be a useful supplement they should not be relied on for comprehensive material.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"217-222"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Farhat Siddiqui, Tarique Husain Khan, Zafar Ameer Zaidi, Zaman Beg, Luxmi Singh
{"title":"Lower eyelid schwannoma mimicking chalazion in an adolescent.","authors":"Farhat Siddiqui, Tarique Husain Khan, Zafar Ameer Zaidi, Zaman Beg, Luxmi Singh","doi":"10.4103/ojo.ojo_235_25","DOIUrl":"10.4103/ojo.ojo_235_25","url":null,"abstract":"<p><p>To highlight a rare case of eyelid schwannoma in a teenager, clinically mimicking a common chalazion, and confirmed by histopathology and immunohistochemistry. A 15-year-old boy presented with a slowly enlarging, painless right lower eyelid nodule. Initially diagnosed as a chalazion or sebaceous cyst, the lesion was surgically excised. Histopathological examination revealed interwoven fascicles of spindle cells with Antoni A and B patterns and Verocay bodies. Immunohistochemistry revealed strong S-100 protein positivity, confirming the diagnosis of schwannoma. Eyelid schwannomas are extremely rare and often mimic benign lesions such as chalazia. An accurate diagnosis requires histopathological and immunohistochemical evaluations. This case underscores the importance of considering nerve sheath tumors in the differential diagnosis of persistent eyelid swelling.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"271-274"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P Surekha, V Kavitha, Pravallika Penugonda, Mallikarjun M Heralgi
{"title":"A unique case report of Wildervanck syndrome in association with facial nerve paresis and arachnodactyly.","authors":"P Surekha, V Kavitha, Pravallika Penugonda, Mallikarjun M Heralgi","doi":"10.4103/ojo.ojo_130_25","DOIUrl":"10.4103/ojo.ojo_130_25","url":null,"abstract":"<p><p>Wildervanck syndrome, also called as cervico-oculo-acoustic syndrome. This is characterized by the triad of Klippel-Feil syndrome, Duane retraction syndrome, and congenital deafness. Other associations described are cardiovascular and musculoskeletal abnormalities. Some reports, in fact, state that nearly one percent of hearing-impaired females may be affected by Wildervanck syndrome. In our case report, a child who had the complete triad of the syndrome along with arachnodactyly (long slender digits), camptodactyly, short stature, and facial nerve paresis has been described.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"259-262"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adie's syndrome in a recovered case of Bell's palsy - A rare case report.","authors":"Priyanka Gupta, Priyanka Dahiya, Supreet Rai, Sapana Yadav, Panku Baghla, Navdeep Kaur","doi":"10.4103/ojo.ojo_48_25","DOIUrl":"10.4103/ojo.ojo_48_25","url":null,"abstract":"<p><p>This article describes a rare case where a patient developed Adie's pupil after recovering from Bell's palsy. Adie's pupil, caused by parasympathetic involvement, presents as a dilated, poorly reactive pupil with reduced accommodation; Bell's palsy involves facial nerve dysfunction leading to facial paralysis, usually resolving within 6 months. The patient, with a prior history of fully resolved Bell's palsy, presented with right-sided Adie's pupil and absent deep tendon reflexes. Diagnosis was confirmed with 0.125% pilocarpine. While Adie's pupil has been linked to other conditions, its occurrence post-Bell's palsy is unusual, underscoring the importance of long-term follow-up in such patients.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"263-266"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic challenge of a lower eyelid swelling: A vascular thrombus mimicking a dermoid cyst.","authors":"Milind Prasannakumar Suryawanshi, Aisha Salim Rashid Al Battashy, Rhema Milind Suryawanshi","doi":"10.4103/ojo.ojo_313_25","DOIUrl":"10.4103/ojo.ojo_313_25","url":null,"abstract":"<p><p>Eyelid and periorbital lesions encompass a wide range of etiologies and clinical presentations, often posing diagnostic challenges. We report a case of a right lower eyelid mass that was initially referred to as a nonresolving chalazion. Clinical suspicion suggested a vascular lesion; however, magnetic resonance imaging indicated a dermoid or epidermoid cyst. Definitive diagnosis was achieved through histopathological examination of the excised specimen, which revealed a vascular thrombus originating from a true aneurysm of an artery. In the absence of a clear history of trauma, infection, or a systemic illness, an unrecognized injury was considered the most plausible explanation. To the best of our knowledge, a vascular thrombus arising from a true arterial aneurysm involving the lower eyelid has not been previously reported. This case report underscores the importance of comprehensive clinical, radiological, and histopathological evaluation in the assessment of atypical eyelid lesions.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"252-255"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparative study of retinal vein occlusion and serum 25-hydroxy Vitamin D in a tertiary care hospital.","authors":"Aishwarya Bhattacharya, Swati Majumdar, Manali Sinha Ray, Debasmita Nandi, Sambuddha Ghosh, Debolina Bannerjee","doi":"10.4103/ojo.ojo_489_25","DOIUrl":"10.4103/ojo.ojo_489_25","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"281-283"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sunita Mohan, Govindasamy Kumaramanickavel, Fred Stevens, Albert Scherpbier
{"title":"Reaching the unreached: Task-shifting diabetic retinopathy screening in urban slums of low- and middle-income countries.","authors":"Sunita Mohan, Govindasamy Kumaramanickavel, Fred Stevens, Albert Scherpbier","doi":"10.4103/ojo.ojo_264_25","DOIUrl":"10.4103/ojo.ojo_264_25","url":null,"abstract":"<p><p>Diabetic retinopathy (DR) is a leading cause of preventable blindness, with the highest burden falling on populations living in urban slums and peri-urban settlements in low- and middle-income countries. These communities often remain outside the reach of conventional health systems due to systemic neglect, migratory lifestyles, and fragile infrastructure. Traditional facility-based screening models are often inaccessible, underscoring the urgent need for decentralized, community-embedded solutions. This review synthesizes global evidence on community and allied health worker (CAHW)-led DR screening initiatives in urban slum contexts, drawing from 22 studies conducted across Asia, Africa, Latin America, and Oceania. In addition, field experience from a DR screening program in Dharavi, Mumbai, one of Asia's largest informal settlements, is included to illustrate operational realities. Findings highlight the transformative potential of task-shifting DR screening responsibilities to CAHWs, many of whom are recruited from the communities they serve. These workers effectively carried out tasks including health education, visual acuity screening, portable fundus photography, referral navigation, and digital data management. With structured training and supervision, CAHWs were found capable of taking on responsibilities conventionally reserved for ophthalmic professionals. Their cultural familiarity and embedded presence also enabled them to overcome key barriers such as distrust, mobility, and language, improving screening uptake and follow-through in underserved populations. Despite clear benefits, challenges persist. Programs often lack standardized competency frameworks, adequate incentives, digital tools, and integrated referral systems. Addressing these gaps is essential for sustaining impact.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"183-189"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asma Khallouli, Ahmed Jabri, Atf Ben Abderazek, Yassin Oueslati, Afef Maalej
{"title":"Multimodal retinal imaging in migraine: Structural and vascular correlates of clinical characteristics.","authors":"Asma Khallouli, Ahmed Jabri, Atf Ben Abderazek, Yassin Oueslati, Afef Maalej","doi":"10.4103/ojo.ojo_428_25","DOIUrl":"10.4103/ojo.ojo_428_25","url":null,"abstract":"<p><strong>Background: </strong>To evaluate retinal structural and vascular changes using optical coherence 15 tomography (OCT) and OCT angiography (OCT-A) in migraine patients and to explore 16 their associations with clinical and epidemiological characteristics.</p><p><strong>Subjects and methods: </strong>This cross-sectional, comparative study included 136 eyes from 68 subjects, divided into 68 eyes from migraine patients and 68 eyes from controls. Participants underwent full ophthalmological examinations, OCT, and OCT-A.</p><p><strong>Results: </strong>Patients had a mean age of 35.8 years and a female-to-male ratio of 1.83. Migraine with aura was present in 47.1% of cases. A reduction in upper retinal nerve fiber layer thickness was found in migraine patients, with no other significant OCT or OCT-A differences compared to controls. Correlations were observed between OCT metrics and disease duration, severity, and attack frequency, though no correlations were noted with laterality.</p><p><strong>Conclusion: </strong>Optical coherence tomography and optical coherence tomography-angiography may serve as valuable biomarkers for diagnosing, monitoring, and predicting outcomes in both aura and nonaura migraines.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"210-216"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on a comparative study of retinal vein occlusion and serum 25-hydroxy Vitamin D at a tertiary care center.","authors":"Pradeep Kumar Panigrahi","doi":"10.4103/ojo.ojo_271_25","DOIUrl":"10.4103/ojo.ojo_271_25","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"280"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tofacitinib in uveitis and scleritis.","authors":"Parthopratim Dutta Majumder, Fathima Fahima, Rakshita Deepak Kene, Richa Pyare, Jyotirmay Biswas","doi":"10.4103/ojo.ojo_425_25","DOIUrl":"10.4103/ojo.ojo_425_25","url":null,"abstract":"<p><p>Janus kinases (JAKs) are a family of intracellular, non-receptor tyrosine kinases that play a crucial role in the JAK signaling pathway involved in the inflammatory process. Over the years, this pathway has garnered significant interest among researchers, leading to the development of various therapeutic agents aimed at blocking the pathway, thereby contributing to remarkable progress in the management of inflammatory diseases across multiple medical specialties. Although the use of JAK inhibitors in ophthalmology is still limited, evidence is gradually emerging on their role in managing uveitis and scleritis. One such agent is tofacitinib, a small-molecule pan-JAK inhibitor. Its therapeutic profile differs from that of biologics due to its partial and reversible inhibition of cytokines. Additionally, owing to its smaller molecular size, the drug is available in an oral formulation. In recent years, there has been a growing interest in JAK inhibitors, particularly tofacitinib, as a potential therapeutic option for refractory uveitis and scleritis in both adult and pediatric populations. Tofacitinib, either as monotherapy or in combination, has shown effectiveness in managing various uveitis cases that were unresponsive to conventional immunosuppressive therapies. It has also been explored in treatment-resistant scleritis. However, concerns persist regarding the potential adverse effects of tofacitinib, including cardiovascular events, thromboembolism, malignancies, and infections. This review aims to provide a comprehensive update on the role of tofacitinib in ocular inflammation, with particular emphasis on its clinical efficacy, safety profile, and the emerging literature surrounding its risks and side effects.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 2","pages":"190-199"},"PeriodicalIF":0.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148605757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}