The Official Scientific Journal of Delhi Ophthalmological Society最新文献

{"title":"Bilateral Ocular and Facial with Unilateral Intracranial Involvement In Sturge Weber Syndrome: A Case Report and Review of Literature","authors":"M. Dube, Rashmi Kujur, S. Prajapati","doi":"10.7869/djo.311","DOIUrl":"https://doi.org/10.7869/djo.311","url":null,"abstract":"The Sturge-Weber syndrome (SWS) is a rare congenital disorder involving the eye in the form of glaucoma and choroidal hemangioma, facial skin in the form of port wine stain, usually in the distribution of ophthalmic division of the trigeminal nerve, and the brain in the form of leptomeningeal angiomas. We report a rare case of 6 year-old girl with Sturge-Weber syndrome with bilateral port wine stain involving the ophthalmic and maxillary division of trigeminal nerve, unilateral intracranial involvement, bilateral glaucoma and abnormal retinal vasculature, without the presence of choroidal hemangioma.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"4 1","pages":"37-39"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85808038","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":"Preoperative Conjunctival Swab Analyses for Chloramphenicol and Moxifloxacin in Normal Ocular Commensals","authors":"Sajeev Cherian Jacob, Isiri Revanasiddappa, T. Vaishnavi, C. Antony, Venkataramana Kalikivay","doi":"10.7869/djo.307","DOIUrl":"https://doi.org/10.7869/djo.307","url":null,"abstract":"Purpose:- Normal microfloras of conjunctival sac can flourish and be the potential cause for postoperative intraocular infections. Precautions and measures have to be taken to prevent acute postoperative endophthalmitis, which is a challenge to treat, and has poor visual outcome. Hence this study was done to assess the sensitivity of commonly used topical antibiotics like chloramphenicol and moxifloxacin. Material & Methods:- During the period of 10 months, 727 patients were included in the study that were either planned for intravitreal injection of anti-VEGF or were undergoing cataract surgery in a tertiary eye hospital. Conjunctival swabs were obtained, subjected to standard aerobic culture, along with identification techniques and antibiotic sensitivity evaluation was done. All collected data was entered in Microsoft Excel and statistical analysis was performed. Results:- Out of 727 conjunctival swabs, 13 (1.7 %) conjunctival swabs showed microbial growth. The most common organism was found to be staphylococcus epidermidis. Microbial culture and antibiotic sensitivity revealed that only 5 conjunctival swabs (38%) showed sensitivity to moxifloxacin, whereas chloramphenicol showed sensitivity in 11 conjunctival swabs (85%). The antibiotic sensitivity reports of inhibition zone for moxifloxacin and chloramphenicol were compared using paired t test and showed that bacteria were more sensitive to chloramphenicol than moxifloxacin with p value of 0.00. Conclusion:- The results of this study suggest that topical chloramphenicol was found to be more sensitive as compared to topical moxifloxacin. Hence, it is wise to choose the cheaper and more effective topical chloramphenicol over moxifloxacin. Abstract is the most common cause of post-intravitreal anti-VEGF injection endophthalmitis. 3 Recently, increasing number of cases are occurring after intravitreal injections of anti-vascular endothelial growth factor (VEGF) medication due to a dramatic increase in the number of injections annually. 4 Indian studies have found that the major pathogens causing acute postoperative endophthalmitis include coagulase-negative staphylococci (70%), Staphylococcus aureus (10%), and Streptococci (9%), which matches with the western data as well. Precautions and measures have to be taken to prevent acute postoperative endophthalmitis, which is a challenge to treat, and has a poor visual outcome. Pre-operative precaution for eye surgeries includes 24 hours preoperative instillation of topical antibiotics, for which we should be aware which antibiotic is sensitive for the most common organisms found in the microflora of the conjunctival sac. 5 study normal ocular","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"50 1","pages":"22-25"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83989569","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":"Legal Liabilities and Duties of a Doctor: Part 2","authors":"Kirti Singh, Bhumika Sharma, Arshi Singh, A. Lal","doi":"10.7869/djo.314","DOIUrl":"https://doi.org/10.7869/djo.314","url":null,"abstract":"","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"49 1","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76227644","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":"Profile of Eyelid Tumours: Histopathological Examination and Relative Frequency At A Tertiary Centre In North–West Rajasthan","authors":"Mahendra Kumar Jangir, A. Kochar, Nabab Khan, M. Jaju","doi":"10.7869/DJO.305","DOIUrl":"https://doi.org/10.7869/DJO.305","url":null,"abstract":"Purpose:- To analyze the demography and relative frequency and to compare the clinical diagnosis with histopathological diagnosis of eyelid tumours at a tertiary care centre in North-West Rajasthan. Methods:- Retrospective data of patients with eyelid tumours from June 2012 to June 2014 and prospective data of patients from July 2014 to December 2016 were analyzed. Data were collected and stratified based on age, gender, type and subtype, location of tumour and histopathological diagnosis. Results:- A total of 125 patients were evaluated, of which, 54.4% (68) were male and 45.6% (57) were female. The mean age of the patients was 37.28+21.75 years. Out of the total cases, 108 (86.4%) cases were benign and 17 (13.60%) were malignant eyelid tumours. The most common benign tumour included epidermal cyst (21.3%), demoid cyst (13.89%), intradermal naevus (12.03%) and haemangioma (12.03%). The most frequent malignant tumours included sebaceous gland carcinoma (47%), basal cell carcinoma (29%) and squamous cell carcinoma (24%). Conclusion:- Epidermal cyst was the most common benign tumour followed by demoid cyst, intradermal naevus and haemangioma and sebaceous gland carcinoma was the most common malignant tumour, followed by basal and squamous cell carcinoma.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"200 1","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80117340","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":"Paediatric Spectacle Prescription","authors":"Wangchuk Doma, Abhishek Dagar","doi":"10.7869/djo.303","DOIUrl":"https://doi.org/10.7869/djo.303","url":null,"abstract":"The prescription of spectacles in children depends on the individual need of the child and other associated factors like strabismus and amblyopia. Several guidelines have been published to help ophthalmologists when prescribing optical correction in infants and children, including the publication by the American Academy of Ophthalmology. The purpose of this paper is to reassess and review the guidelines to assist the clinician in deciding when to prescribe spectacles in children, and the amount of refractive error which should be corrected, with a view to fulfilling the particular clinical requirements of each child.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"14 1","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88890331","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":"Management of Recurrent Tube Exposure in A Challenging Scenario","authors":"M. Menon, Aditi Singh, Anand Balasubramaniyam","doi":"10.7869/DJO.310","DOIUrl":"https://doi.org/10.7869/DJO.310","url":null,"abstract":"secured over the tube with four 9/0 nylon interrupted buried sutures. A 6×4-mm-free conjunctival autograft was obtained Glaucoma drainage devices (GDD) remain an effective option for management of refractory glaucoma. However, GDD surgery is not without its complications, including conjunctival erosion and patch graft thinning, to name a few, leading to tube exposure eventually. In our case the patient had various ocular risk factors for tube exposure, thus we used multiple treatment options to prevent recurrent exposure and subsequent complications. A 42 year old lady presented with complaint of sudden decrease in right eye vision, following blunt trauma. On examination, she was found to have retinal detachment in the right eye. She underwent retinal detachment surgery with 360o scleral buckling. She developed intractable glaucoma following surgery, for which Ahmed Glaucoma Valve was implanted after scleral buckle removal. She had two instances of tube exposure. The first was managed with direct conjuctival closure. For the second, a scleral patch graft was used, which was covered with conjunctiva from the inferior fornix and amniotic membrane secured over it. She was on a course of tablet doxycycline 100mg / day, for 2 months. One and a half years after surgery there are no further incidents of tube exposure with well controlled intraocular pressure. Erosion of the drainage tube after shunt surgery is a potentially serious problem. While many techniques and materials are successfully used to address this situation, further studies are required to determine the best repair method. Abstract medical therapy. An Ahmed glaucoma valve (AGV; model FP7, New World Medical, LA) was implanted in the right eye after scleral buckle removal to","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"1 1","pages":"35-36"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90413476","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":"Medical Research in India: Are We There Yet?","authors":"B. Chawla","doi":"10.7869/djo.301","DOIUrl":"https://doi.org/10.7869/djo.301","url":null,"abstract":"","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"32 1","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73345939","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 Update on Pediatric Cataract Surgery: Where Are We Today?","authors":"A. Agarwal, J. Ram","doi":"10.7869/DJO.302","DOIUrl":"https://doi.org/10.7869/DJO.302","url":null,"abstract":"Despite significant advances in the field of Ophthalmology, childhood blindness remains a major challenge and a cause of worry for ophthalmologists the world over. The magnitude of the problem is compounded in resource-limited countries such as India where the number of patients may be very high and the system is not designed well enough to suit the needs of the entire population. In India, more than 20% children may be visually impaired.1 This poses a challenge to the system; appropriate care and follow-up of these children requires significant dedication, skill and clinical resources, some of which may be scarce in our country.2 In the index editorial, we have summed up our experiences in pediatric cataract surgery from a large tertiary eye care center, and report the challenges that still need to be tackled in the present times.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"11 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80939135","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":"Hyperbaric Chamber and Its Ophthalmic Applications","authors":"S. Patyal","doi":"10.7869/DJO.313","DOIUrl":"https://doi.org/10.7869/DJO.313","url":null,"abstract":"Introduction Hyperbaric Oxygen therapy (HBOT) has been used for centuries by physicians and surgeons but only recently, it has been used to treat ophthalmic disorders. Treatment of ophthalmic disorders is an off label use of hyperbaric oxygen therapy. Having been tried in a large number of animal experiments and clinical trials, the HBOT is now gaining acceptance by the medical fraternity and is being utilised for a variety of systemic and ocular diseases. This form of therapy is given in a device called Hyperbaric chamber. Hyperbaric oxygen therapy has been defined by Committee on hyperbaric medicine, Undersea and Hyperbaric Medicine Society, as breathing 100% oxygen at a pressure greater than one atmosphere absolute(ATA).1 The concept of breathing oxygen under pressure is old, as, in 1662, Henshaw a British clergyman, used organ bellows to change the atmospheric pressure in a sealed chamber called the Domiciliumin, in which both hyperbaric and hypobaric environments could be created. He used it for promoting good health and for treating diseases.2 Almost two centuries later, hyperbaric therapy was revived in France by a French physicians Junod (1834) and later by Pravaz (1837) to treat pulmonary and a variety of other diseases. In 1879, Fontaine performed surgeries in a pressurised mobile operating room.3 However, HBOT use was not substantiated by any evidence or scientific proof. In 1860, it was introduced in North America by Dr Orville J Cunningham who started treating Spanish Influenza cases in the hyperbaric chamber. In 1928, he built a five story high steel sphere, 68 feet in diameter with 12 bedrooms containing all amenities of a good hotel. A variety of diseases were treated in this “hotel” but was dismantled in 1937 lack due to lack of scientific evidence for the use of hyperbaric oxygen therapy.4 In 1930s, the US navy began using hyperbaric oxygen therapy for treating decompression sickness. The biggest boost to using hyperbaric oxygen therapy came from Netherlands with Boerema’s work on animals which was so successful that a large operating hyperbaric chamber was built in Amsterdam to conduct complicated heart and lung surgeries. Boerema and his team successfully treated clostridial myonecrosis and severe anemia in pigs.5 Another luminary who contributed immensely in the uses of hyperbaric oxygen therapy is Richard A. Neubauer, who opened the Ocean Hyperbaric Neurologic center in Lauderdale by the Sea, for treating patients with central nervous system disorders. Hyperbaric oxygen therapy has been used for centuries but it has been accorded more scientific reasoning only recently. Ophthalmic applications of this therapy is an off label use of hyperbaric oxygen but results of its use in Central Retinal Artery Occlusion and many other devastating ocular infections is paving the way for increasing acceptability by ophthalmologists. Recent protocols of therapy are being enunciated and safer hyperbaric chambers are being manufactured to hel","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"174 1","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73359468","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":"Prevalence Of Diabetic Retinopathy in Type 2 Diabetic Patients Attending Tertiary Care Hospital In Sikkim","authors":"K. Bhutia, N. Lomi, S. Bhutia","doi":"10.7869/DJO.306","DOIUrl":"https://doi.org/10.7869/DJO.306","url":null,"abstract":"Results:The overall prevalence of diabetic retinopathy was 17.4%, out of which, 55.17% were males and 44.8% females. 91.9% had non proliferative diabetic retinopathy among which, 51.7% had mild, 35.6% moderate and 4.6% severe retinopathy, whereas 8% patients had proliferative diabetic retinopathy. 14% were observed to be suffering from macular edema which on further classification showed as 42.8% mild, 31.4% moderate and 25.71% severe edema. 1.5% diabetic patients developed retinopathy after five years and 30.6% developed after more than 20 years.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"510 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79530821","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}