Journal of Clinical Ophthalmology and Research最新文献

{"title":"The illusion of posterior lenticonus in a patient of anterior lenticonus","authors":"Deeksha Rani, Aishwarya Rathod, Sudarshan Khokhar, Amar Pujari","doi":"10.4103/jcor.jcor_127_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_127_23","url":null,"abstract":"The rare occurrence of both anterior and posterior lenticonus in association with Alport’s syndrome has been reported. However, the diagnosis of posterior lenticonus in these cases was based solely on slit-lamp examination, casting doubt on its accuracy. This is the first report to use multimodal anterior segment imaging to confirm the absence of posterior lenticonus, despite the illusion of its presence through slit-lamp examination.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"159 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133490","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":"Endogenous Aspergillus endophthalmitis in a chronic kidney disease","authors":"Mohd Azaz Quraishi, Amit S. Nene, Onkar H. Pirdankar, Pratik Shenoy, Pushpanjali Badole, Kaustubh Rewatkar, Smitesh Shah","doi":"10.4103/jcor.jcor_151_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_151_23","url":null,"abstract":"Fungal endogenous endophthalmitis (FEE) is an intraocular infection secondary to the fungemia, spreading through the hematogenous route. We here report a case of a 60-year-old female diagnosed with FEE and culture-proven Aspergillus fumigatus in a chronic kidney disease (CKD) patient, which is a rare and challenging condition to manage. Early diagnosis and prompt treatment are the only keys to achieve suitable outcomes. It can be achieved by a multidisciplinary approach involving nephrologists and ophthalmologists. Routine ophthalmology review in CKD patients under hemodialysis may prove to be effective in early diagnosis of the fungal endophthalmitis or even help in ruling out systemic infections.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"71 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136096","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":"Orbital myiasis","authors":"Suchitra Kumari, Antabha Bandyopadhyay, Anup Kumar Mahato, Anjali Kumari","doi":"10.4103/jcor.jcor_123_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_123_23","url":null,"abstract":"Myiasis is a parasitic disease caused by fly larvae of the Diptera order that infest humans and other vertebrates. Orbital myiasis is a potentially destructive infestation of the orbital tissues. We present a case of orbital myiasis in a 34-year-old male with a 4-day history of foreign body sensation, pain, and bloody discharge from his right eye. On examination, a necrosed, gaping wound of approximately 7 cm × 2 cm was present under the right eye. The wound was infested with larvae, eyelids were swollen, and conjunctival congestion and discharge were present. The larvae were removed using turpentine oil, and the wound was debrided and treated with hydroheal AM gel regularly for 1 week. A systemic antibiotic and topical antibiotic-steroid combination was given. After 1 week of treatment, the best-corrected visual acuity in both his eyes was 6/6, and anterior and posterior segment findings were normal; a computed tomography scan was also normal. The wound healed with secondary intention.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139356","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":"Clinical study of ocular manifestations in patients with newly diagnosed and relapsed hematolymphoid malignancies at a tertiary care hospital","authors":"Deepthi Rameshbabu Honniganur, Thanuja G. Pradeep, S. Devadas","doi":"10.4103/jcor.jcor_33_24","DOIUrl":"https://doi.org/10.4103/jcor.jcor_33_24","url":null,"abstract":"\u0000 \u0000 To estimate the proportion of ocular manifestations in new and relapsed cases of various hematolymphoid malignancies and to determine an association between these ocular manifestations and the hematological parameters of the patients.\u0000 \u0000 \u0000 \u0000 The study was conducted in the department of ophthalmology in association with medical oncology. All patients with newly diagnosed or presenting with a relapse of hematolymphoid malignancies underwent a complete ocular evaluation.\u0000 \u0000 \u0000 \u0000 A total of 63 patients were included in this study. The mean age of the patients was 34.71 ± 19.80 years. Acute myeloid leukemia and B-ALL accounted for 73% of the cases. At the time of examination, 47.61% of patients (n = 30) were newly diagnosed and 52.38% (n = 33) had relapsed. Acute leukemias had more probability of having ocular manifestations than chronic leukemias (P = 0.01). Subconjunctival hemorrhage was found to be the most common anterior segment finding (n = 10, 15.87%; P = 0.05). The most common posterior segment finding seen in both the right and left eyes was dot blot hemorrhages (n = 20). Those patients who had hemoglobin counts <6.5 mg/dl had the most ophthalmic manifestations (n = 20); of which Roth spots were seen the most (n = 6; P = 0.04). And those who had platelet counts <50,000 cells/cumm presented with Roth spots (n = 6, P = 0.05) followed by subretinal hemorrhages (n = 5, P = 0.05) and preretinal hemorrhages (n = 5, P = 0.05).\u0000 \u0000 \u0000 \u0000 Screening to detect ocular manifestations is of importance in hematolymphoid malignancy, especially in newly detected and relapsed cases. A complete ocular examination is recommended in these patients, as most patients are asymptomatic and ocular manifestation could be an early sign of worsening of the disease. Among the various blood parameters, low hemoglobin and platelet counts are definite indicators of the presence of intraretinal bleeding manifestations.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"85 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143375","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":"Factors influencing the selection of spectacle frames and lenses – Knowledge, attitude, and practice study","authors":"Mini Christina, G. Mahasampath, John Victor Peter, Jayanthi Peter","doi":"10.4103/jcor.jcor_23_24","DOIUrl":"https://doi.org/10.4103/jcor.jcor_23_24","url":null,"abstract":"\u0000 \u0000 This study evaluated the knowledge, attitude, and practice (KAP) of patients toward the selection of frames and glasses and factors that influence selection options.\u0000 \u0000 \u0000 \u0000 In this questionnaire-based study comprising closed-end questions, consenting patients aged over 18 years were recruited. The association between family income and age on KAP was analyzed using Fisher’s exact test.\u0000 \u0000 \u0000 \u0000 The mean (standard deviation) age of the cohort (n = 200, 97 males) was 44.6 ± 16.2 years. A majority (85%) stated that spectacles improved vision; 9% believed it would make eyes weaker. Only 39% were aware of alternate options for refractive error. The durability of the frame was a key factor in selecting frames in 47%; 44% stated they would change spectacles every year. Expensive frames, celebrity endorsement, fashion, and branding influenced choice in 35%, 13.5%, 12%, and 7.5% of the respondents, respectively. Higher annual family income (>Rs. 50,000) when compared with low income (<50,000), was associated with awareness of alternate options for refractive error (P < 0.001) and preference for celebrity-endorsed frames (P = 0.007). There was no association between income and choice of expensive frames (P = 0.16). A higher proportion of older patients (≥40 years) preferred to change glasses only on doctor’s recommendations when compared with younger patients (P = 0.006).\u0000 \u0000 \u0000 \u0000 Knowledge on alternate options for refractive error was poor. Celebrity endorsement, costly, fashionable, or branded frames did not appear to play an influential role in the choice of frames. High annual income families preferred celebrity-endorsed frames and were more aware of alternative options for refractive error.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"31 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137493","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":"How severe are ocular surface abnormalities 3 months following cataract surgery? An observational study","authors":"Vivekanand Undrakonda, Amulya Koyi, Krishnapriya Kamireddy, Sarita Lobo","doi":"10.4103/jcor.jcor_115_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_115_23","url":null,"abstract":"\u0000 \u0000 The aim of this study was to detect the pattern of ocular surface changes seen 3 months after undergoing phacoemulsification or manual small-incision cataract surgery (SICS) and match them with age-matched normal individuals.\u0000 \u0000 \u0000 \u0000 A prospective observational study was conducted in the ophthalmology outpatient department (OPD) in a tertiary care center. Consecutive patients coming to OPD were grouped into three study groups – Group 1 included 25 patients who had undergone manual SICS, Group 2 included patients who had undergone clear corneal phacoemulsification surgery, and Group 3 included age-matched controls. Patients with ocular and systemic diseases were excluded. All the patients underwent Schirmer’s test, tear film breakup time, ocular surface staining, and ocular surface disease index score. One-way analysis of variance test was used for the comparison of data, and P = 0.05 or less was considered to indicate a significant difference.\u0000 \u0000 \u0000 \u0000 Significant dry eye changes after 3 months of cataract surgery were present in SICS and Phacoemulsification groups as compared to age-matched normals (p-value < 0.05), but there was no significant difference between SICS and PHACOEMULSIFICATION surgery groups in the incidence of dry eye incidence.\u0000 \u0000 \u0000 \u0000 Dry eye symptoms are significant following cataract surgery irrespective of the type of surgery either SICS or phacoemulsification.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"8 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138545","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":"Clinicoetiological profile of congenital cataracts in children: A single-center experience","authors":"L. Cornelius, Jered Livinston Kanagaraj, N. Elango","doi":"10.4103/jcor.jcor_146_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_146_23","url":null,"abstract":"\u0000 \u0000 Congenital cataract is the most common treatable cause of blindness during infancy and is responsible for 5%–20% of blindness in children worldwide.\u0000 \u0000 \u0000 \u0000 It was a retrospective descriptive study analyzing the causes of congenital cataracts in infants referred to the pediatric neurology department of a tertiary care institution, in South India.\u0000 \u0000 \u0000 \u0000 Thirty-two infants with congenital cataracts underwent evaluation. Thirteen (40.6%) were <6 months and 19 (59.4%) beyond 6 months of age. White reflex in eyes was the primary complaint in 14 (43.8%), not looking at the caregiver in 10 (31.3%), squint in 5 (15.6%), and involuntary movement of eyeballs in 3 (9.4%) patients. Cataracts were bilateral in 26 (81.3%) and unilateral in 6 (18.7%) patients. The associated features were developmental delay in 25 (78.1%), microcephaly in 15 (46.9%), seizures in 6 (18.8%), cardiac disease in 6 (18.8%), focal deficit in 3 (9.4%), and deafness in 2 (6.3%). Neuroimaging revealed basal ganglia calcifications in 6 (18.7%), cerebral atrophy in 3 (9.4%), gliosis in parieto-occipital regions and hyperintensities in frontal regions in 2 (6.3%) children each, and hydrocephalus, Dandy–Walker malformation, thin corpus callosum, and hypomyelination in one (3.1%) each. The etiological causes were confirmed rubella syndrome in 7 (21.9%), probable rubella syndrome in 3 (9.4%), confirmed cytomegalovirus in 6 (18.8%), probable cytomegalovirus in 7 (21.9%), herpes virus infection in 1 (3.1%), combined infections in 2 (6.3%), Down syndrome in 3 (9.4%), Lowe syndrome in 1 (3.1%), and idiopathic in 2 (6.3%) patients.\u0000 \u0000 \u0000 \u0000 Intrauterine infections, especially cytomegaloviral and rubella infections, are the common causes for congenital cataracts in infants. Vaccination against rubella, knowledge about intrauterine infections, mode of spread, and prevention are the needs of the hour.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"65 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140514","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":"Corneal morphology following use of Malyugin versus B-hex pupil expansion rings in small pupil phacoemulsification","authors":"Simple Gupta, Mohini Agrawal, Kumar Pushkar, Abhishek Tripathi, Rohit Bhanot, Manish Singh","doi":"10.4103/jcor.jcor_150_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_150_23","url":null,"abstract":"\u0000 \u0000 The aim of the study is to evaluate changes in corneal parameters following the use of the Malyugin ring (MR) and B-Hex ring (BhR) in small pupil phacoemulsification.\u0000 \u0000 \u0000 \u0000 A prospective cross-sectional study. 51 eyes with small pupil underwent phacoemulsification with the use of MR and BhR as pupil expansion techniques. Best-corrected visual acuity (BCVA), endothelial cell counts density (ECD), coefficient-of-variation (CV), hexagonality, central corneal thickness (CCT), and intraocular pressure (IOP) were recorded on preoperative day and postoperative day 1 and day 30.\u0000 \u0000 \u0000 \u0000 Mean age at presentation was 70.9 ± 4.1 years. The most common cause for small pupils was alpha-blockers used in benign prostate hypertrophy, followed by diabetes mellitus and pseudo-exfoliation syndrome. Mean preoperative BCVA (3/60–6/12), IOP (17.12 ± 2.81 mmHg), CCT (530.96 ± 44.47 μ), ECD (2347.96 ± 298.09 cells/mm2), 6A (48.92% ± 6.34%) and CV (39.50 ± 3.49) changed to BCVA (6/9–6/6), IOP (18.69 ± 1.91 mm of Hg), CCT (536.04 ± 37.61 μ), endothelial cell count (2201.15 ± 276.75 cells/mm2), 6A (45.12% ±4.99%), and CV (37.57 ± 3.37) at day 30 postoperatively after use of MR. Similarly, mean preoperative BCVA (3/60–6/12), IOP (16.40 ± 2.42 mmHg), CCT (532.40 ± 36.14 μ), ECD (2433.68 ± 162.01 cells/mm2), 6A (48.84% ± 3.73%), and CV (39.36 ± 3.915) changed to BCVA (6/9–6/6), IOP (17.68 ± 2.75 mmHg), CCT (546.88 ± 31.25 μ), ECD (2322.08 ± 167.97 cells/mm2), 6A (46.36% ± 3.25%) and CV (38.96 ± 4.43) at day 30 post-operatively after use of BhR. The average change was clinically insignificant at day 30.\u0000 \u0000 \u0000 \u0000 MR and BhRs are safe pupil expansion devices and the corneal parameters are in the acceptable range of any routine phacoemulsification for senile cataracts. Nevertheless, B-hR shows relatively less alteration in corneal parameters, when compared to MR.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":" 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141132652","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":"Doctors as physical fitness role models for the society – Is it the need of the hour?","authors":"M. Moreker, Nivesh Kishore Tiwari","doi":"10.4103/jcor.jcor_21_24","DOIUrl":"https://doi.org/10.4103/jcor.jcor_21_24","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"56 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141457","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":"Navigating the pitfalls: What to avoid in writing a research article","authors":"R. Joshi","doi":"10.4103/jcor.jcor_57_24","DOIUrl":"https://doi.org/10.4103/jcor.jcor_57_24","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140752","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}