{"title":"Vitreous hemorrhage after weight loss therapy.","authors":"Ahmed S Al-Hinai","doi":"10.4103/ojo.ojo_60_26","DOIUrl":"10.4103/ojo.ojo_60_26","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609331","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":"Pharmacological management of nystagmus: An in-depth review for clinical practice.","authors":"Hassan Asadigandomani, Paria Kazemian, Masoud Khorrami-Nejad, Humaid Sulaiman Al Kalbani, Babak Masoomian","doi":"10.4103/ojo.ojo_246_25","DOIUrl":"10.4103/ojo.ojo_246_25","url":null,"abstract":"<p><p>Nystagmus, characterized by involuntary ocular movements, presents significant challenges in both congenital and acquired forms, often significantly impacting visual acuity and quality of life. This comprehensive review examines the current landscape of pharmacological interventions for nystagmus, highlighting several key drug classes and their mechanisms of action. To identify relevant studies, an extensive literature search was conducted in PubMed, Web of Science, and Scopus, covering English-language articles from 1960 to 2025. Gabapentin, a calcium channel blocker with potential effects on gamma-aminobutyric acid (GABA) activity, and baclofen, a GABAergic agent, have shown promise in treating both congenital and acquired forms, whereas glutamate antagonists like memantine have demonstrated efficacy in some cases. Potassium channel blockers, including aminopyridines, have proven especially effective for certain acquired nystagmus types, particularly downbeat nystagmus. The potential of anticholinergic drugs and benzodiazepines in specific nystagmus subtypes is also discussed. Efficacy often varies among individuals, highlighting the need for personalized approaches. This review underscores the importance of both nystagmus reduction and preservation of normal eye movements. Although many medications show promise, most studies have small sample sizes and lack long-term data, making direct comparisons challenging. Therefore, further research (particularly large-scale randomized controlled trials) is needed to support the development of novel targeted therapies, including combination treatments or adjunctive nonpharmacological approaches, to improve management of this complex condition.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609549","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":"Cyclosporine A as an adjuvant therapy in high-risk penetrating keratoplasty: A systematic review and meta-analysis.","authors":"Tania Tandra, Clarissa Djarizal, Syska Widyawati, Yulia Aziza","doi":"10.4103/ojo.ojo_288_24","DOIUrl":"10.4103/ojo.ojo_288_24","url":null,"abstract":"<p><p>Immunologic rejection is a significant cause of graft failure in high-risk keratoplasty, with rejection rates exceeding 70% without immunosuppressive therapy. Cyclosporine A (CsA) is emerging as a valuable adjunct to corticosteroids, the standard rejection prevention therapy. A literature review conducted in March 2024 through PubMed, Proquest, and Google Scholar utilized keywords (keratoplasty OR \"high risk keratoplasty\" OR \"high risk corneal transplantation\" OR \"corneal transplantation\") AND (cyclosporine OR ciclosporin OR ciclosporine), covering studies from 2000 to 2024. The review included three randomized controlled trials, four retrospective cohort studies, and one retrospective case-control study, evaluating rejection-free graft survival rates and side effects associated with CsA therapy. Topical CsA significantly reduced rejection events compared to controls at 1 year follow-up (<i>n</i> = 215, 17.78% vs. 32.41%, risk ratios [RR] 0.55, 95% confidence interval [CI]: 0.34-0.92, <i>P</i> = 0.02, <i>I</i> <sup>2</sup> = 31%, fixed effects), whereas systemic CsA showed no significant difference (<i>n</i> = 248, 19.33% vs. 24.81%, RR 0.66, 95% CI: 0.40-1.08, <i>P</i> = 0.10, <i>I</i> <sup>2</sup> = 0%, fixed effects). No significant difference in graft survival rates was observed between the CsA and control groups. Systemic CsA was associated with systemic side effects, whereas topical CsA primarily caused ocular side effects. In summary, topical CsA significantly reduces rejection rates without substantial ocular or systemic side effects.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"28-36"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609557","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":"Large language models and eye education: A narrative review.","authors":"Albert Andrew, Sasha Rodenko","doi":"10.4103/ojo.ojo_223_24","DOIUrl":"10.4103/ojo.ojo_223_24","url":null,"abstract":"<p><p>The emergence of large language models (LLMs) has sparked both excitement and concern due to their rapidly advancing capabilities. This development marks a crucial moment in health care, as LLMs have the potential to bring about revolutionary changes to current clinical practices and ultimately patient care. ChatGPT, Gemini (formerly known as Bard), among other applications, are all examples of publicly available generative artificial intelligence (AI) chatbots based on LLM technology. This narrative review aims to outline the literature regarding the use of publicly available LLMs by different stakeholders, such as patients, clinicians, and clinical students, to enhance their understanding of ocular topics, core implications of such technologies for both patients and clinicians, and areas in which further research is necessary to fully appreciate these tools' impact and for its safe integration in clinical eye care.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"17-27"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609522","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":"The skills and keystone assessment for regional anesthesia (SanKARA) scoring system for evaluating competency in peribulbar anesthesia.","authors":"Matteo Ripa, Deergha Pareek, Neeraj Apoorva Shah","doi":"10.4103/ojo.ojo_129_25","DOIUrl":"10.4103/ojo.ojo_129_25","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to introduce a standardized tool, developed through expert consensus with face and content validation, that integrates a comprehensive rubric with a scoring system for evaluating the ophthalmology residents' competency in peribulbar anesthesia: The Skills and Keystone Assessment for Regional Anesthesia (SanKARA) Scoring System.</p><p><strong>Materials and methods: </strong>A multidisciplinary expert panel from Sankara Eye Hospital, Jaipur, India, each with experience of ≥2000 peribulbar anesthesia blocks, was established to develop a tool that combined a comprehensive rubric outlining essential competency criteria with a scoring system designed to assign numerical values to performance. The explicit behavioral descriptors for each crucial step of the peribulbar block were scored using a modified four-point Dreyfus scale of skill acquisition.</p><p><strong>Results: </strong>The SanKARA Scoring System encompassed 20 crucial steps for evaluating competency in peribulbar anesthesia. These steps were further subgrouped into specific categories (pre-procedural-related, procedural-related, and post-procedural-related) to summarize the specific stages of the whole procedure. Key procedural aspects included needle positioning, drug administration, patient monitoring, and adverse event management.</p><p><strong>Conclusions: </strong>The SanKARA Scoring System integrates a structured rubric and scoring system to standardize peribulbar anesthesia training. This system can be globally adopted to assess and improve the training of ophthalmology residents, guide them in learning this paramount skill, and set a global competency benchmark.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"65-74"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609364","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}
Pugazhenthan Thangaraju, T Tamilselvan, T Y Sree Sudha, T Eswaran
{"title":"Comment on of \"Effect of ginkgo biloba extracts in the prevention of posterior capsule opacification after cataract surgery: A randomized clinical trial\".","authors":"Pugazhenthan Thangaraju, T Tamilselvan, T Y Sree Sudha, T Eswaran","doi":"10.4103/ojo.ojo_295_25","DOIUrl":"10.4103/ojo.ojo_295_25","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"166-167"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609567","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}
Amir Ahmadzadeh Amiri, Ali Ahmadzadeh Amiri, Hossein Asgari Rad, Fatemeh Daneshvar, Jamshid Yazdani Charati, Ahmad Ahmadzadeh Amiri
{"title":"Effect of Ginkgo biloba extracts in the prevention of posterior capsule opacification after cataract surgery: A randomized clinical trial - Response to reviewer comments.","authors":"Amir Ahmadzadeh Amiri, Ali Ahmadzadeh Amiri, Hossein Asgari Rad, Fatemeh Daneshvar, Jamshid Yazdani Charati, Ahmad Ahmadzadeh Amiri","doi":"10.4103/ojo.ojo_417_25","DOIUrl":"10.4103/ojo.ojo_417_25","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"168-169"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609597","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":"Sighting dominance, retinal nerve fiber layer and macula; are they related? - An ocular dominance analysis study.","authors":"Roshni Robert, Mahesh Babu, Krishnendu Unnikannan, Konatham Shruthi","doi":"10.4103/ojo.ojo_145_24","DOIUrl":"10.4103/ojo.ojo_145_24","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to study ocular dominance and its association with retinal nerve fiber layer (RNFL) and macular thickness.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted on 432 participants with nonpathological eyes. We determined the ocular dominance by the hole-in-card test (Dolman method). A comprehensive eye examination was conducted on the participants, including best-corrected visual acuity, intraocular pressure, and anterior and posterior segment examination. The RNFL thickness was measured using optical coherence tomography. The findings were analyzed using paired <i>t</i>-tests to compare between dominant and nondominant eyes.</p><p><strong>Results: </strong>Out of the 432 participants, 70.4% (304) showed right eye dominance of study population had right eye dominance. The average RNFL (AvRNFL) thickness showed a small but significantly higher value in dominant eyes compared to nondominant eyes. We found significantly higher RNFL thickness in temporal, inferior and nasal quadrants in dominant eyes compared to nondominant eyes. Age had minimal effect on the difference in AvRNFL thickness between dominant and nondominant eyes (<i>P</i> = 0.144). There was no significant difference in macular retinal thickness between the eyes.</p><p><strong>Conclusions: </strong>Ocular dominance was found predominantly in the right eye. The dominant eye showed greater AvRNFL thickness compared to nondominant eye. AvRNFL, inferior RNFL, Nasal RNFL, Temporal RNFL thickness were greater in the dominant eye compared to the nondominant eye. There was no difference in macular thickness. Our findings suggest the need to consider dominance in various disease entities, in clinical decision making and normative data particularly concerning retinal nerve fiber layer.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147608948","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}
Rashmi Mercy Lobo, Washoo Mal, Ahmed Rashid Al-Hinai, Nawal Ali Al-Fadhil, Mohamed Said Al-Abri
{"title":"Hydroxychloroquine retinopathy screening: An evidence-based national guideline.","authors":"Rashmi Mercy Lobo, Washoo Mal, Ahmed Rashid Al-Hinai, Nawal Ali Al-Fadhil, Mohamed Said Al-Abri","doi":"10.4103/ojo.ojo_20_26","DOIUrl":"10.4103/ojo.ojo_20_26","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"19 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609586","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}