{"title":"From chrysalis to butterfly: The flight of ophthalmology has begun","authors":"Kirti Singh","doi":"10.4103/DLJO.DLJO_162_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_162_23","url":null,"abstract":"","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"10 5 1","pages":"167 - 168"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Real-time microscope-integrated optical coherence tomography-guided stromal fluid drainage in corneal hydrops for early resolution of corneal edema","authors":"Pranita Sahay, Rinky Agarwal, P. Maharana","doi":"10.4103/DLJO.DLJO_122_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_122_23","url":null,"abstract":"Aim: This study aims to describe a novel technique of microscope-integrated optical coherence tomography (MiOCT)-guided stromal fluid drainage in corneal hydrops with multiple stromal fluid clefts for rapid resolution. Materials and Methods: Eight patients of keratoconus with corneal hydrops with multiple stromal fluid clefts underwent this procedure. Medical management was initiated in all cases at presentation and intervention was performed only in cases with poor response to medical therapy at 3 weeks. The surgical technique comprised of MiOCT-guided localization of the stromal fluid clefts followed by multiple venting incisions into the stromal fluid clefts with micro-vitreoretinal blade and simultaneous air tamponade in the anterior chamber. Corneal massage with Merocel sponge further aided in draining and imbibing fluid through the incision site. Time taken for resolution of corneal edema, requirement for repeat procedure and any complication arising out of this procedure was noted. Results: Eight patients of acute corneal hydrops (5–30 years) underwent this procedure. The primary diagnosis was bilateral keratoconus for all. Majority (n = 7/8) of the cases were resolved in 3 weeks and all were resolved in 4 weeks. None of the cases required a repeat procedure. No intraoperative or postoperative complication was noted in any case. Conclusion: MiOCT-guided drainage of stromal fluid pockets in cases of corneal hydrops is a safe and effective technique. Real-time monitoring with MiOCT allows for fluid clefts location, instrument depth judgment, and complete drainage of fluid clefts. It is especially useful in cases with severe corneal edema and large fluid clefts where medical management alone fails.","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"49 1","pages":"195 - 198"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reiter's syndrome and Crohn's disease coexistence","authors":"Sujit Das, Neelima Mehrotra, Ankita Sivastava","doi":"10.4103/DLJO.DLJO_100_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_100_23","url":null,"abstract":"Reiter's syndrome is characterized by a classic triad of arthritis, urethritis, and conjunctivitis. Reactive arthritis is a rheumatoid factor-seronegative, human leukocyte antigen B27-linked arthritis. It most commonly strikes individuals aged 20–40 years of age and is more common in men than in women. This inflammatory arthritis manifests several days to weeks after a gastrointestinal or genitourinary infection and is thought to be caused by an autoimmune response involving cross-reactivity of bacterial antigens with joint tissues. Herein, we present a case of Reiter's syndrome with Crohn's disease with anterior uveitis in a 22-year-old male patient.","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"89 1","pages":"220 - 222"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anushri Godbole, Gaurav Kamble, Amit S. Nene, Sheetal Divate, Onkar H. Pirdankar
{"title":"Multiple Subconjunctival “Tahitian Pearls”","authors":"Anushri Godbole, Gaurav Kamble, Amit S. Nene, Sheetal Divate, Onkar H. Pirdankar","doi":"10.4103/DLJO.DLJO_134_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_134_23","url":null,"abstract":"The present report aims to describe the anterior optical coherence tomography findings of subconjunctival silicone oil bubbles in a 27-year-old female who had undergone retina surgery.","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"68 1","pages":"225 - 226"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Genomic studies in glaucoma","authors":"Ashok Singh, Sushmita Kaushik","doi":"10.4103/DLJO.DLJO_141_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_141_23","url":null,"abstract":"Genetic studies in glaucoma provide crucial insights into the underlying mechanisms and risk factors of this complex ocular disorder. The varied susceptibility genes and polymorphisms that contribute to its development have led to a deeper understanding of the biological pathways involved in intraocular pressure regulation and outflow resistance patterns. Genetic studies, though logistically difficult to offer all patients, have highlighted the hereditary nature of certain glaucoma subtypes, paving the way for improved risk assessment, and early intervention strategies for affected individuals. The integration of genome-wide association studies, next-generation sequencing techniques, and advanced bioinformatics has accelerated the discovery of novel genetic markers associated with glaucoma. Genetic research in glaucoma holds promise for personalized treatment approaches, targeted therapies, and enhanced disease management, thereby offering new avenues to mitigate vision loss and enhance the quality of life for patients.","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"3 1","pages":"231 - 236"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pradeep Kumar, Sanjay K Mishra, Amrita Joshi, Deepesh Unni, A. Sati, Supriya Dhar
{"title":"Retinal surgery evolution with new trends","authors":"Pradeep Kumar, Sanjay K Mishra, Amrita Joshi, Deepesh Unni, A. Sati, Supriya Dhar","doi":"10.4103/DLJO.DLJO_157_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_157_23","url":null,"abstract":"Retinal surgery has undergone a complete transformation in the past century. The earliest reported results of Gonin et al. with ignipuncture in 1923 heralded the scientifically evidenced treatment of retinal detachment. The article follows the subsequent landmark developments in the field of retinal detachment surgery in the form of external buckles, cryotherapy, laser photocoagulation, operating microscopes with inverter, wide-angle viewing systems, vitrectomy, vitreous substitutes, and endolaser that have been deliberated on. The recent developments in the past two decades which have reshaped retinal surgery from a last-stage procedure to an early option for visual rehabilitation in the form of smaller gauges for vitrectomy, chandelier illumination, valved cannulas, intraoperative intraocular pressure control, role of anti-vascular endothelial growth factors, and heads-up viewing systems have also been elaborated.","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"30 1","pages":"255 - 259"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An occult lacrimal sac diverticula incidentally found on exploration after tectonic penetrating keratoplasty for a leaky cicatrix in a patient with marfan syndrome","authors":"N. Narayanan, S. Nissar, Nimisha Nagpal","doi":"10.4103/DLJO.DLJO_97_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_97_23","url":null,"abstract":"We report a lacrimal sac diverticulum found incidentally on exploration after a tectonic penetrating keratoplasty performed for an anterior staphyloma with a leaky cicatrix. It was done in the left eye (LE) of a Marfan's syndrome patient with bilateral congenital subluxated lenses who developed corneal decompensation after he underwent cataract surgery elsewhere with anterior chamber intraocular lenses 13 years ago. The fibrillin-1 gene mutation in Marfan's syndrome could have predisposed to the diverticulum formation in the LE and corneal perforation in that eye highlights the importance of a protective healthy ocular environment.","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"113 1","pages":"214 - 216"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An eye on the steps of an ophthalmologist!","authors":"S. Tagare, Saloni Joshi, Megha J Nair","doi":"10.4103/DLJO.DLJO_133_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_133_23","url":null,"abstract":"","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"177 1","pages":"227 - 228"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A cross-sectional study of structural and functional assessment in early and moderate cases of primary open-angle glaucoma","authors":"Akriti Sehgal, Ritesh Singla, Rajwinder Kaur, Tanvir Kaur, Priyanka Gupta, Priyanka Dahiya","doi":"10.4103/DLJO.DLJO_136_23","DOIUrl":"https://doi.org/10.4103/DLJO.DLJO_136_23","url":null,"abstract":"Aim: To assess and compare the structural and functional changes in early and moderate cases of primary open-angle glaucoma (POAG). Materials and Methods: An observational, cross-sectional study was done on patients with POAG presenting to a tertiary eye center in Northern India. The structural assessment was based on peripapillary retinal nerve fibre layer (RNFL) thickness which was measured using spectral domain optical coherence tomography (SD-OCT) and functional assessment was visual field (VF) assessment which was done using the Humphrey Field analyzer model 740i. Patients were divided into groups according to Hodapp, Parrish, and Anderson's criteria. Results: Fifty eyes (26 patients) with POAG were included in the study. There were 26 (52%) right eyes and 24 (48%) left eyes. Patients' average age in the early group was 50.90 ± 6.14 years and the moderate group was 54.40 ± 7.51 years. The RNFL thickness was compared among early and moderate cases of POAG. In early cases, RNFL thickness was found to be 106.33 ± 7.09, and in moderate cases, it was 78.93 ± 26.2. The VF indices were compared among early and moderate cases. In early glaucoma, the mean deviation (MD) was found to be −2.82 ± 0.73, and in moderate glaucoma, it was found to be −11.49 ± 8.26. This correlation between structural and functional changes was found to be statistically significant for superior, inferior, average RNFL thickness, and VF MD. Nasal and temporal RNFL and MD were moderately correlated. Conclusion: In our study, we correlated RNFL thickness with VF indices. This correlation between structural and functional changes was found to be statistically significant for superior, inferior, average RNFL thickness, and VF indices. Hence, optical coherence tomography seemed to identify RNFL alterations in early glaucoma even when the VFs and disc appear normal.","PeriodicalId":215834,"journal":{"name":"Delhi Journal of Ophthalmology","volume":"60 1","pages":"206 - 210"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
