{"title":"Delayed presentation for cataract surgery in adults in Oman: Is there a problem and what should we do about it?","authors":"Samiya Ahmed Mohammed Al Jabri","doi":"10.4103/ojo.ojo_169_24","DOIUrl":"10.4103/ojo.ojo_169_24","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 2","pages":"163-165"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917214","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}
L Anoop, B N Viswanath, S Shashidhar, Ravi Bypareddy, R H Hithashree, S Surabhi
{"title":"Role of nonsteroidal anti-inflammatory drugs on change in macular volume postcataract surgery in diabetic eyes: A retrospective comparative study.","authors":"L Anoop, B N Viswanath, S Shashidhar, Ravi Bypareddy, R H Hithashree, S Surabhi","doi":"10.4103/ojo.ojo_26_23","DOIUrl":"10.4103/ojo.ojo_26_23","url":null,"abstract":"<p><strong>Context: </strong>Diabetic eyes suffer from variety of complications including macular edema. Cataract surgery is the most commonly done procedure throughout the world and majority would be diabetics. As pseudophakic-cystoid macular edema (CME) is a known complication following cataract surgery, our study concentrated on finding the role of prophylactic topical nonsteroidal anti-inflammatory drugs (NSAIDs) on change in total macular volume (TMV) postcataract surgery in diabetic eyes.</p><p><strong>Aims: </strong>To evaluate the role of NSAIDs on change in TMV postcataract surgery in diabetic eyes.</p><p><strong>Settings and design: </strong>Retrospective comparative study.</p><p><strong>Subjects and methods: </strong>Data were collected from the medical records department of our institute constituting diabetics undergoing cataract surgery from June-2021 to February-2022. Eighty diabetic eyes were divided into two groups: one group were given topical nepafenac drops and another who were not given. Demographic details, diabetic retinopathy stage, preoperative optical coherence tomography (OCT), and postoperative day (POD) 7, day 28, and 3 months OCT were collected. Statistical analysis was done to compare the change in TMV between both the groups.</p><p><strong>Statistical analysis used: </strong>Student's <i>t</i>-test and Chi-squared/Fisher's exact test were employed to find statistically significant differences between the two groups using SPSS-22.0 software.</p><p><strong>Results: </strong>In our study, the mean age in the group with nepafenac was 60.93 ± 5.86 years and 31 (77.5%) had moderate nonproliferative diabetic retinopathy (NPDR), and in the group without nepafenac, the mean age was 58.53 ± 7.41 years and 30 (75%) had moderate NPDR. Majority of the individuals in the study group were known diabetic for 2-5 years. Change in TMV at POD 3 months among two groups was not statistically significant; <i>P</i> = 0.758 (<i>P</i> < 0.05-significant).</p><p><strong>Conclusions: </strong>Our study concluded that topical-NSAIDs played no role in postoperative period following cataract surgery with respect to change in TMV in diabetic eyes. Thus, prophylactic usage of topical-NSAIDs can be a burden on patient as it has no role in prevention of pseudophakic-CME in those with the duration of diabetes mellitus <5 years and with mild-to-moderate NPDR.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 2","pages":"187-191"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917269","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}
Archana Nivash, Sujatha Mohan, Niranjana Anand, Sujitha Danasekar, Mohan Rajan
{"title":"Bilateral angle-closure attack in a COVID-19-positive patient.","authors":"Archana Nivash, Sujatha Mohan, Niranjana Anand, Sujitha Danasekar, Mohan Rajan","doi":"10.4103/ojo.ojo_311_22","DOIUrl":"10.4103/ojo.ojo_311_22","url":null,"abstract":"<p><p>Ophthalmic examination of a patient with active COVID-19 infection can be challenging. We describe a woman with active COVID-19 infection who was misdiagnosed initially as having conjunctivitis and later presented with acute angle-closure attack in both eyes. Intraocular pressure (IOP) on presentation was about 40 mmHg in both eyes. She was on multiple medications for her COVID-19 infection. A nonpupillary block mechanism of secondary angle closure was suspected and laser iridotomy was avoided. Her IOP was well controlled with medications. Due to significant cataract, phacoemulsification with IOL was performed using femto-assisted rhexis <i>in lieu</i> of the postdilatation IOP spike. There was good IOP control and 6/6 vision postoperatively. Bilateral angle closure of probable multifactorial cause can occur in COVID-19-positive patients.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 2","pages":"264-267"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917205","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}
Aliakbar Sabermoghadam, Mohammad Sharifi, Mohammad Taghi Shakeri
{"title":"Evaluation of sensitivity and specificity of the slit-light method in the diagnosis of cyclotorsion.","authors":"Aliakbar Sabermoghadam, Mohammad Sharifi, Mohammad Taghi Shakeri","doi":"10.4103/ojo.ojo_82_23","DOIUrl":"10.4103/ojo.ojo_82_23","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the amount of sensitivity and specificity of the slit-light (SL) method in the diagnosis of ocular cyclotorsion.</p><p><strong>Materials and methods: </strong>One hundred and twenty eyes of 60 individuals (10-60 years old), with mean visual acuity of 0.08 ± 0.14 LogMAR, were divided into two groups (normal and torsion groups). Individuals without ocular motility disorder were selected as normal and patients with extraocular motility disorders and oblique muscle dysfunctions as the torsion group. The sensitivity and specificity of SL in the diagnosis of ocular torsion were measured by masked investigators and compared to fundus photography (FP). Inter- and intraobserver variability of these techniques was also determined.</p><p><strong>Results: </strong>The amounts of sensitivity and specificity of SL, measured by the first examiner, were 60% and 92% for intorsion and 50% and 96% for extorsion assessment, respectively. These amounts were 53% and 95% for intorsion, and 54% and 97% for extorsion by the second examiner. The contingency coefficient between the two examiners was 68.6% for SL. This amount was 61% between FP and SL for the first examiner and 63% for the second. The contingency coefficient for the repeatability of SL was 72.2% for the first examiner and 75.7% for the second. This amount was 71.2% between the two examiners.</p><p><strong>Conclusion: </strong>SL can be considered a useful method for the diagnosis of cyclotorsion.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 2","pages":"245-248"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917259","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":"Ocular manifestations in a case of granulomatosis with polyangiitis.","authors":"Abhijeet Beniwal, Aishwarya Rathod","doi":"10.4103/ojo.ojo_196_22","DOIUrl":"10.4103/ojo.ojo_196_22","url":null,"abstract":"","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 2","pages":"285-286"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917262","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}
Arpita Nayak, Anuj Sharma, Sandhya Ramachandran, K R Harsha Vardhana
{"title":"Pediatric isolated intraorbital mucocele: Case report and review of literature.","authors":"Arpita Nayak, Anuj Sharma, Sandhya Ramachandran, K R Harsha Vardhana","doi":"10.4103/ojo.ojo_131_23","DOIUrl":"10.4103/ojo.ojo_131_23","url":null,"abstract":"<p><p>A 9-year-old child presented with a palpable swelling under the right lower lid for 3 years. On examination, the swelling was nontender, well circumscribed, and cystic on palpation. A computed tomography scan showed a well circumscribed, hyperdense lesion in the inferior orbit with no anatomic connection with the paranasal sinuses. Transcutaneous orbitotomy was performed, and the lesion was excised in toto. Histopathological examination was suggestive of a mucocele.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 2","pages":"268-270"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917266","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":"Phacoemulsification in patients with diabetic macular edema - A real-world data of 75 eyes.","authors":"Shikha Talwar Bassi, Shebin Salim, Ekta Rishi","doi":"10.4103/ojo.ojo_75_23","DOIUrl":"10.4103/ojo.ojo_75_23","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the outcomes of phacoemulsification with intravitreal triamcinolone acetonide (IVTA) injection in patients with cataract and diabetic macular edema (DME) across the grades of diabetic retinopathy (DR).</p><p><strong>Materials and methods: </strong>It was a retrospective observational study. The study included 70 patients (75 eyes) with cataract and clinically significant macular edema in diabetics with nonproliferative (61 eyes) or proliferative (14 eyes) DR who underwent phacoemulsification with IVTA. Visual outcome and progression of DME over 3 months were studied in terms of the best-corrected visual acuity (BCVA) and central macular thickness (CMT), respectively.</p><p><strong>Results: </strong>The case records of 70 patients (75 eyes) were studied. The mean baseline BCVA (<i>n</i> = 75) in the logMAR scale ± SD was 0.92 ± 0.53. 3 weeks after the surgery, the mean BCVA improved to 0.39 ± 0.26 and the mean CMT (<i>n</i> = 40) was 382.57 ± 192.30 compared with the mean preoperative CMT of 480.57 ± 163.25 in the same set (<i>P</i> = 0.01). The mean CMT decreased at 3 weeks in 22 (55% of the eyes). An improvement of ≥2 lines was seen at 3 weeks in 52 (69.33%) eyes and in 49 (65.33%) eyes at 3 months. The mean CMT at 3 months was 445.51 ± 222.99 (<i>n</i> = 70) compared to the preoperative mean CMT of 470.72 ± 176.15 in the same set (<i>P</i> = 0.29). The mean CMT decreased at 3 months in 34 (48.5%) eyes.</p><p><strong>Conclusions: </strong>Phacoemulsification with IVTA injection improved the mean visual acuity at 3 weeks and 3 months in two-thirds of cases and decreased the mean CMT at 3 weeks in nearly half the numbers.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 1","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10957054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207390","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 case of granulomatosis with polyangiitis-associated scleritis presenting as conjunctivitis.","authors":"Aashna Doshi, Mauli Shah, Bhaskar Srinivasan, Parthopratim Dutta Majumder","doi":"10.4103/ojo.ojo_255_22","DOIUrl":"10.4103/ojo.ojo_255_22","url":null,"abstract":"<p><p>A 42-year-old male presented initially with conjunctivitis and was treated with topical medical medications without any improvement. He developed ocular pain subsequently and further examination revealed lid edema, conjunctival hyperemia with chemosis, matting of lashes with yellowish discharge, and deeper episcleral congestion which did not blanch with topical vasoconstrictor. Subsequent laboratory investigation revealed positive cytoplasmic-antineutrophil cytoplasmic antibody (Anti-PR 3 antibody). He continued to develop recurrences and finally responded to oral azathioprine. Granulomatosis with polyangitis may rarely present as conjunctivitis and subsequently manifest as scleritis.</p>","PeriodicalId":19461,"journal":{"name":"Oman Journal of Ophthalmology","volume":"17 1","pages":"127-129"},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10957065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207387","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}