{"title":"Branch retinal artery occlusion in a young patient with Mayer-Rokitansky-Küster-Hauser type 2 syndrome.","authors":"Anita Bedwal, Mousumi Banerjee, Parveen Rewri","doi":"10.4103/ojo.ojo_48_24","DOIUrl":"10.4103/ojo.ojo_48_24","url":null,"abstract":"<p><p>Retinal vascular occlusions are rare in young people, and any occlusion warrants an extensive clinical evaluation to establish the etiology. Cardiac malformations are a source of embolism. We present a case of atrial septal defect (ASD) in a patient with type II Mayer-Rokitansky-Küster-Hauser syndrome, leading to unilateral branch retinal arterial occlusion (BRAO) in a young woman. A 21-year-old woman presented with sudden, painless, blurring of vision, and a superior visual field defect in her right eye. A fundus examination confirmed the BRAO diagnosis. Ocular and systemic evaluation revealed primary amenorrhea, ASD, ectopic kidneys, and pelvic cyst. Any vascular occlusion in a young patient must be thoroughly evaluated, including a detailed systemic history.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"393-395"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801404","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":"Before blaming severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as trigger of new-onset ocular myasthenia, alternative etiologies must be ruled out.","authors":"Josef Finsterer","doi":"10.4103/ojo.ojo_86_23","DOIUrl":"10.4103/ojo.ojo_86_23","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"416-417"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801306","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}
Veenish Samvedya, K S Smitha, Kamate Mahesh, Hattiholi Virupaxi
{"title":"Correlation of optic nerve on magnetic resonance imaging with visual acuity in children with cerebral visual impairment.","authors":"Veenish Samvedya, K S Smitha, Kamate Mahesh, Hattiholi Virupaxi","doi":"10.4103/ojo.ojo_238_23","DOIUrl":"10.4103/ojo.ojo_238_23","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to correlate the optic nerve dimensions at various locations on magnetic resonance imaging (MRI) with the visual acuity of children with cerebral visual impairment (CVI).</p><p><strong>Materials and methods: </strong>A 1-year cross-sectional study was conducted in a tertiary care hospital involving 60 children aged 1 to 12 years diagnosed with CVI but without ocular pathologies. Visual acuity was evaluated using teller acuity cards (TACs). MRI of the brain and orbit was performed using three-dimensional high-resolution, volumetric heavily T2-weighted sequences to screen for brain pathologies and measure optic nerve dimensions at two locations. The correlation between visual acuity and optic nerve dimensions was analyzed. The Chi-square test was employed to assess significance using SPSS software.</p><p><strong>Results: </strong>In our study, 64% (<i>n</i> = 38) of the participants were children under 3 years of age. The severity and characteristics of CVI influenced visual functioning at different ages. As children with CVI grew older and moved from Phase I to Phase III, the proportion with very low visual acuity significantly decreased from 85.2% in Phase I to 22.2% in Phase III and from 63.2% in the <3-year age group to 18.2% in more than 5-year age group. No direct correlation was found between optic nerve dimensions and visual acuity but optic disc changes such as optic disc pallor significantly correlated with low visual acuity.</p><p><strong>Conclusion: </strong>Our findings suggest that there may not be a direct correlation between optic nerve dimensions and visual acuity in children with CVI. However, optic disc changes do correlate with visual acuity, but optic disc changes alone are not a criterion for assessing visual function. Additionally, our study highlights the significance of a combined assessment by a neuro- ophthalmologist and neuro-pedaitrician in children with CVI.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801782","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":"Examining the competence of artificial intelligence programs in neuro-ophthalmological disorders and analyzing their comparative superiority.","authors":"Eyupcan Sensoy, Mehmet Citirik","doi":"10.4103/ojo.ojo_19_24","DOIUrl":"10.4103/ojo.ojo_19_24","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate the knowledge levels of chat generative pretrained transformer (ChatGPT), Bing, and Bard programs, which are three different artificial intelligence chatbots offered to the market free of charge by various manufacturers, regarding neuro-ophthalmological diseases, to examine their usability, and to investigate the existence of their superiority to each other.</p><p><strong>Materials and methods: </strong>Forty questions related to neuro-ophthalmological diseases were obtained from the study questions' section of the American Academy and Ophthalmology 2022-2023 Basic and Clinical Science Course Neuro-ophthalmology Book. The questions were posed to the ChatGPT, Bing, and Bard artificial intelligence chatbots. The answers were evaluated as correct or incorrect. The statistical relationship between the correct and incorrect answer rates offered by the artificial intelligence programs was tested.</p><p><strong>Results: </strong>The correct answer rates were given by the artificial intelligence programs to the questions asked: ChatGPT - 52.5%; Bing - 55%; and Bard - 65%. There was no statistically significant difference between the correct answer rates of the three artificial intelligence programs (<i>P</i> = 0.489, Pearson's Chi-square test).</p><p><strong>Conclusion: </strong>Although information about neuro-ophthalmological diseases can be accessed quickly and accurately using up-to-date artificial intelligence programs, the answers given may not always be correct. Care should always be taken when evaluating the answers to the questions.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"348-351"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801874","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}
Turad Alkadi, Samar Alanazi, Abdulrahman Algwaiz, Salman Alyahya, Faris Binyousef
{"title":"Early visual and clinical outcomes of transepithelial photorefractive keratectomy versus transepithelial keratectomy with smart pulse technology for myopia.","authors":"Turad Alkadi, Samar Alanazi, Abdulrahman Algwaiz, Salman Alyahya, Faris Binyousef","doi":"10.4103/ojo.ojo_212_23","DOIUrl":"10.4103/ojo.ojo_212_23","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to compare early visual outcomes, epithelial healing, and stromal haze between transepithelial photorefractive keratectomy (Trans-PRK) using smart pulse technology (SPT) with traditional Trans-PRK.</p><p><strong>Methodology: </strong>This study is a retrospective, comparative study conducted at a private eye center in \"Riyadh, Saudi Arabia,\" investigating myopic patients who underwent either Trans-PRK with SPT (study group) or traditional Trans-PRK (control group). The patients were assessed preoperatively and followed up at 1 week and 2 months postoperatively. The main outcomes included uncorrected distance visual acuity (UDVA), corneal haze, and corneal epithelial defect.</p><p><strong>Results: </strong>This study included 501 eyes, of them, 222 eyes (44.3%) underwent Trans-PRK with SPT. The UDVA in the study group was significantly better 1 week postoperatively (<i>P</i> < 0.05). For the 2-month follow-up visits, there was no significant difference between the groups. Epithelium healing and stromal haze were comparable in the two groups without significant differences between them.</p><p><strong>Conclusion: </strong>Transepithelial photorefractive keratectomy with SPT yielded better short-term visual outcomes than traditional Transepithelial photorefractive keratectomy.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"337-341"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801784","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":"Lacrimal irrigation before intraocular surgery: Where are we today?","authors":"Akshay Gopinathan Nair","doi":"10.4103/ojo.ojo_334_24","DOIUrl":"10.4103/ojo.ojo_334_24","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"311-312"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801890","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 retrospective study of the incidence, patterns, and risk factors of retinopathy of prematurity in infants with birth weight >1500 g in a South Indian tertiary care hospital.","authors":"Vishalakshi Bhat, Shankargouda H Patil","doi":"10.4103/ojo.ojo_35_24","DOIUrl":"10.4103/ojo.ojo_35_24","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to determine the incidence, patterns, and risk factors for the development of retinopathy of prematurity (ROP) in infants weighing >1500 g at birth.</p><p><strong>Materials and methods: </strong>A retrospective analysis was done of the ROP screening records between April 2019 and March 2022. All the infants with birth weight >1500 g who underwent ROP screening were included. Data collected included demographic details, details of the risk factors (respiratory distress syndrome [RDS], hypoxia, anemia, septicemia, patent ductus arteriosus, congenital heart disease [CHD], i.e., atrial septal defects or ventricular septal defects, and multiple gestations), and ocular examination findings. Statistical analyses included calculation of mean, range, Chi-square test, and bivariate logistic regression for associations of risk factors with ROP.</p><p><strong>Results: </strong>ROP was noted in 16.6% of the 336 eyes of 168 infants. The mean birth weight and mean gestational age (GA) of the infants were 1850 ± 33 g and 33.33 weeks ± 1.71 weeks, respectively. Eighteen eyes (32.1%) had Stage I, 17 eyes (30.35%) had Stage II, and 11 eyes (19.64%) had Stage III ROP in Zone II. Aggressive ROP was seen in 8 eyes (14.28%) and stage 5 ROP in two eyes (0.59%). Male gender, GA, CHD, and RDS showed a statistically significant association with the development of ROP in these infants.</p><p><strong>Conclusion: </strong>ROP was seen in 16.66% of our subjects. Treatment was required in 6.25% of infants. Risk factors for the development of ROP were low gestational age, male gender, the presence of RDS, and congenital heart disease.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"357-361"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801240","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":"An update of multimodal imaging in white dot syndrome.","authors":"Ahana Sen, Chetan Rao, Jyotirmay Biswas","doi":"10.4103/ojo.ojo_116_24","DOIUrl":"10.4103/ojo.ojo_116_24","url":null,"abstract":"<p><p>The white dot syndromes are a group of phenotypically similar disorders characterized by multiple lesions at the level of the outer retina, retinal pigment epithelium, and choroid. Common white dot syndromes whose imaging modalities have been described in this article are multiple evanescent white dot syndrome, acute posterior multifocal placoid pigment epitheliopathy, acute zonal occult outer retinopathy, multifocal choroiditis and panuveitis, punctate inner choroidopathy, serpiginous choroiditis, and birdshot chorioretinopathy. The various imaging modalities help us to better understand the pathophysiology of the various entities and help in diagnosing, monitoring, and prognosticating them. Optical coherence tomography angiography (OCTA) is a comparatively newer tool that helps us to visualize lesions in the choroid that correlate with indocyanine green angiography (ICGA) findings. Even though it is of limited value and cannot replace ICGA, it had gained considerable interest among ophthalmologists. Similarly, the noninvasive nature of modalities such as fundus autofluorescence and OCT makes them appealing and preferable over invasive techniques such as fundus fluorescein angiography and ICGA.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"325-333"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801254","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}
Arash Maleki, Stephen D Anesi, Peter Y Chang, C Stephen Foster
{"title":"Oral cyclophosphamide treatment for clinical periocular inflammation of unknown origin.","authors":"Arash Maleki, Stephen D Anesi, Peter Y Chang, C Stephen Foster","doi":"10.4103/ojo.ojo_30_24","DOIUrl":"10.4103/ojo.ojo_30_24","url":null,"abstract":"<p><p>This study outlines a scenario involving unilateral periocular inflammation exhibited resistance to conventional immunomodulatory therapy (IMT) and biologic response modifying agents, which was successfully managed with oral cyclophosphamide monotherapy. A 39-year-old male visited our clinic, expressing discomfort and swelling in his left upper eyelid for six months. All multidisciplinary consultations and imaging yielded normal results. He remained consistently on a dosage of 50 mg oral prednisone. Blood tests yielded results within the normal range or were negative, with the exception of the antinuclear antibody. He did not respond to conventional IMT and biological response modifier agents. Ultimately, the patient began oral cyclophosphamide. One month after commencing cyclophosphamide treatment, the oral prednisone dosage was gradually reduced without any flare-up. oral cyclophosphamide can serve as a valuable treatment for periocular inflammation that does not respond to standard conventional IMT and biologic response modifier agents.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 3","pages":"399-402"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801906","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}