Journal of Clinical Ophthalmology and Research最新文献_第7页

Clinical and microbiological profile of pediatric infectious keratitis 儿童感染性角膜炎的临床和微生物学特征

Journal of Clinical Ophthalmology and Research Pub Date : 2023-05-01 DOI: 10.4103/jcor.jcor_70_22

Ashi Khurana, Ajit Kumar, P. Agarwal, Mohit R. Sharma, L. Chauhan

{"title":"Clinical and microbiological profile of pediatric infectious keratitis","authors":"Ashi Khurana, Ajit Kumar, P. Agarwal, Mohit R. Sharma, L. Chauhan","doi":"10.4103/jcor.jcor_70_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_70_22","url":null,"abstract":"Purpose: Corneal ulcers are more prevalent in tropical developing countries. The purpose of this study is to report the risk factors, microbiological profile, and treatment outcomes of infectious keratitis in children. Materials and Methods: Retrospective case series of 77 consecutive children aged 16 years or younger with a diagnosis of infectious keratitis treated at the cornea service of a tertiary eye care institute. Patient demographics, predisposing factors, microbial susceptibility, microbial smear and culture results, clinical course, and visual outcomes were analyzed. Results: The average age of patients was 9.1 years (range 8 days–16 years). The mean time from the onset of symptoms to the ophthalmological examination was 14.6 (18.9) days. The most common associated risk factor was ocular trauma (n = 32, 43%). A total of 32 (32/77, 42%) eyes were positive on the smear examination. Bacterial infection was reported in 30 (30/77, 39%) and fungal infection was reported in 9 (9/77, 12%) children. Staphylococcus was the most commonly isolated organism (13/39, 33%) followed by Streptococcus (9/39, 23%), Pseudomonas (6/39, 15%), and Fusarium spp. (6/39, 15%). Curvularia spp. was also identified in 3 (3/39, 8%) eyes. Nineteen (19/77, 25%) children require surgical intervention. Therapeutic penetrating keratoplasty was needed in two children. Conclusion: Contrary to previous reports, bacteria are more frequent etiological organisms than fungi causing pediatric infectious keratitis in this study population. Staphylococcus spp. was the most predominant causative organism. Curvularia was not identified in previously reported studies from India. Most of the patients were managed medically. Surgical intervention was less frequent.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"81 - 86"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45507222","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}

引用次数: 0

Head and facial anthropometry of South Indian pediatric population 南印度儿童人口的头部和面部人体测量

Journal of Clinical Ophthalmology and Research Pub Date : 2023-05-01 DOI: 10.4103/jcor.jcor_99_22

D. Rao, L. Nivetha, S. Murthy, N. Nishant, Manaswini Sahoo, K. Naveena

{"title":"Head and facial anthropometry of South Indian pediatric population","authors":"D. Rao, L. Nivetha, S. Murthy, N. Nishant, Manaswini Sahoo, K. Naveena","doi":"10.4103/jcor.jcor_99_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_99_22","url":null,"abstract":"Purpose: The purpose of this study is to document and describe the head and facial anthropometric data in the pediatric age group using direct and indirect methods. Materials and Methods: It was a prospective study done from January 2021 to June 2021. All children aged 7 to 18 years who attended our pediatric ophthalmology outpatient department were included. Head and facial anthropometric parameters were defined and collected by direct and indirect methods. Rees-Fairbanks facial gauge was used to collect data in the direct method. In the indirect method, three photographs were taken one in straight gaze, the second toward their right side, and the third toward their left side positioned and analyzed by image processing software called ImageJ. Results: Anthropometric data were collected for 254 children which included 125 boys and 129 girls. Facial parameters were recorded by both direct and indirect methods. The highest mean difference between the two methods was <2 mm for linear measurements and <2° for angular measurements. Conclusion: We found that anthropometric data obtained by direct and indirect methods concur to a great extent. Further, the anthropometric data were different in different age groups and may have a bearing on spectacle prescription in children.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"77 - 80"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47267406","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}

引用次数: 1

Efficacy and safety of intravitreal triamcinolone acetonide in the management of recalcitrant diabetic macular edema 玻璃体注射曲安奈德治疗顽固性糖尿病黄斑水肿的疗效和安全性

Journal of Clinical Ophthalmology and Research Pub Date : 2023-05-01 DOI: 10.4103/jcor.jcor_129_22

Sathiskumar Rangasami, Subashree Palani, Menaka Chinnappan, S. Radhakrishnan

{"title":"Efficacy and safety of intravitreal triamcinolone acetonide in the management of recalcitrant diabetic macular edema","authors":"Sathiskumar Rangasami, Subashree Palani, Menaka Chinnappan, S. Radhakrishnan","doi":"10.4103/jcor.jcor_129_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_129_22","url":null,"abstract":"Background: Diabetic macular edema (DME) is the major cause of visual impairment among patients with diabetic retinopathy. The various treatment modalities available for DME are laser photocoagulation, intravitreal injection of anti-vascular endothelial growth factor drugs, and ocular corticosteroids. Usage of intravitreal injections of triamcinolone acetonide has shown to improve vision by reducing macular thickness and the benefits persisted for a longer duration. Aim: The aim is to evaluate the efficacy and safety of intravitreal triamcinolone acetonide in the management of recalcitrant DME. Methodology: A prospective interventional study was performed for 2 years among patients with DME at a tertiary care institute in Tamil Nadu. A total of 35 patients satisfying our inclusion and exclusion criteria were included in the study. Intravitreal injection of 0.05 ml (2 mg) of triamcinolone acetonide was given to all our study participants. The two major outcome parameters were best-corrected visual acuity (VA) and the central foveal thickness (CFT). Patients were followed up for 6 months. Results: Best-corrected visual acuity showed a statistically significant improvement till the end of 3 months, whereas the values measured at the end of 6 months showed no statistically significant difference. The reduction of values in CFT was found to be statistically significant both at the end of 3 months as well as at the end of 6 months. Conclusion: Intravitreal triamcinolone injection showed a significant improvement in VA and a reduction in CFT without an increase in intraocular pressure and in the incidence of cataracts.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"101 - 105"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43201266","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}

引用次数: 1

Scleritis due to ziziphus plant 酸枣属植物引起的巩膜炎

Journal of Clinical Ophthalmology and Research Pub Date : 2023-05-01 DOI: 10.4103/jcor.jcor_125_22

K. Dangra

引用次数: 0

Long-term motor and sensory outcomes after unilateral recession-resection for pseudodivergence excess intermittent exotropia 假性散度过度间歇性外斜视单侧退行切除后的长期运动和感觉结果

Journal of Clinical Ophthalmology and Research Pub Date : 2023-05-01 DOI: 10.4103/jcor.jcor_132_22

K. Mohan, S. Sharma

{"title":"Long-term motor and sensory outcomes after unilateral recession-resection for pseudodivergence excess intermittent exotropia","authors":"K. Mohan, S. Sharma","doi":"10.4103/jcor.jcor_132_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_132_22","url":null,"abstract":"Purpose: To report long-term motor and sensory outcomes after unilateral recess-resect surgery for pseudodivergence excess intermittent exotropia. Materials and Methods: The medical records of patients who underwent unilateral lateral rectus recession-medial rectus resection for pseudodivergence excess intermittent exotropia and followed postoperatively for at least 5 years were reviewed retrospectively. Results: A total of 21 patients were included. The mean age at surgery was 11.5 ± 6.3 years. The mean postoperative follow-up was 7.8 ± 2.7 years (range: 5–13 years). Overall, 11 patients (52%) had surgical success at their last follow-up. Strabismus duration, near and distance deviations, fusion at distance, and stereoacuity did not predict motor outcome after surgery. One patient (100%) without fusion at near and 10 of 15 patients (67%) without fusion at distance preoperatively exhibited fusion at their last follow-up. Six out of eight patients (75%) with a preoperative stereoacuity of 120–1980 arcsec and two out of three patients (67%) with nil stereopsis achieved a stereoacuity of 60 arcsec. Overall, 10 patients (48%) had a recurrence of intermittent exotropia at a mean 2.5 years after surgery. Conclusions: Nearly half of our patients with pseudodivergence excess intermittent exotropia achieved a successful long-term ocular alignment after unilateral recess-resect surgery. A large majority of patients who preoperatively had a subnormal or nil stereoacuity exhibited postoperatively a normal stereoacuity at the last follow-up visit.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"97 - 100"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48383158","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}

引用次数: 0

Multimodal imaging of Dalen–Fuchs nodules in sympathetic ophthalmia 交感性眼炎Dalen-Fuchs结节的多模态成像

Journal of Clinical Ophthalmology and Research Pub Date : 2023-05-01 DOI: 10.4103/jcor.jcor_102_22

Paurnima U Bodhankar, J. Sheth, Mahesh Gopalakrishnan, Giridhar Anantharaman

引用次数: 0

Translational movement of the eyeball under the influence of an air impulse 眼球在空气脉冲影响下的平移运动

Journal of Clinical Ophthalmology and Research Pub Date : 2023-04-19 DOI: 10.17352/2455-1414.000101

AV Chigarev, MO Mikhnovich

引用次数: 0

Photoscreener: An effective tool for vision screening of preschool children in community setting Photoscreener：一种在社区环境中对学龄前儿童进行视力筛查的有效工具

Journal of Clinical Ophthalmology and Research Pub Date : 2023-01-01 DOI: 10.4103/jcor.jcor_15_22

Shalinder Sabherwal, Manasvini Sharma, A. Majumdar, Birendra P Singh, Zeeshan Siddiqui, I. Sood, Shailja Tibrewal, S. Ganesh

{"title":"Photoscreener: An effective tool for vision screening of preschool children in community setting","authors":"Shalinder Sabherwal, Manasvini Sharma, A. Majumdar, Birendra P Singh, Zeeshan Siddiqui, I. Sood, Shailja Tibrewal, S. Ganesh","doi":"10.4103/jcor.jcor_15_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_15_22","url":null,"abstract":"Background: Although studies compare the accuracy of spot photoscreeners, few evaluate photoscreeners in community settings. To our knowledge, all studies from India have been purely hospital based, particularly in children under 5 years. Aim: The aim was to evaluate the effectiveness of using a commercially available photoscreener for pediatric vision screening in a community setting. Settings and Design: This cross-sectional comparative study was conducted from December 2018 to February 2019 in a north-eastern district of Delhi. Methods: The automated Spot™ Vision Screener was used to screen the vision of preschoolers. A result displayed as “complete eye exam recommended” on the photoscreener was considered as screening positive and the child was referred to the pediatric ophthalmology unit of a tertiary eyecare institution, as per predefined international guidelines. Statistical Analysis: Referral rate and positive predictive value (PPV) of using the photoscreener were considered as primary outcome measures. Results: A total of 1205 children were screened using a photo-screener. Almost 16.4% of them were identified and referred a significantly higher referral rate than that in the historic control (2.7%, P < 0.001). Nearly 51.5% of the referred children reported to the unit. The PPV of pediatric eye screening done in a community setting by the photoscreener for refractive error (RE) was 81.4%. Fifty-nine percent of the children detected with REs were found to be at risk of amblyopia. Mean spherical equivalent, sphere, and cylinder of final glass prescription were significantly different from that of photoscreener refraction. Conclusion: Photoscreener improves the referral rate and has a high PPV. It could be a standard tool to screen preschoolers in community settings.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"30 - 35"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43968071","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}

引用次数: 0

New beginning: Taking over the mantle 新的开始:接过衣钵

Journal of Clinical Ophthalmology and Research Pub Date : 2023-01-01 DOI: 10.4103/jcor.jcor_1_23

R. Joshi

引用次数: 0

Pattern retinal dystrophy in a case of myotonic dystrophy 肌强直性营养不良一例视网膜营养不良

Journal of Clinical Ophthalmology and Research Pub Date : 2023-01-01 DOI: 10.4103/jcor.jcor_75_22

C. Bindra, Parminder Bindra, Bindra Preeti

{"title":"Pattern retinal dystrophy in a case of myotonic dystrophy","authors":"C. Bindra, Parminder Bindra, Bindra Preeti","doi":"10.4103/jcor.jcor_75_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_75_22","url":null,"abstract":"Myotonic dystrophy is an autosomal dominant disease which can present with various ocular manifestations. A case of myotonic dystrophy presented with limited visual recovery postcataract surgery. Multimodal imaging analysis, including fundus photography, spectral domain optical coherence tomography (SD-OCT), and fundus fluorescein angiography, were performed showing pattern dystrophy of the pigment epithelium. Fundus photography revealed mild pigmentary alteration over the macular area, whereas fluorescein angiography showed hyperfluorescent staining from the disc to macular area with intervening hypofluorescent linear streaks. On SD-OCT, an epiretinal membrane was seen over the foveal area with mild puckering of inner retinal layers. Furthermore, intraretinal hyperreflective foci were seen along with intermittently disrupted photoreceptor layer. Annual follow-up with fundus photography, SD-OCT, and fluorescein angiography is required to avoid associated complications of scarring and choroidal neovascularization. High suspicion of retinal involvement is warranted in a case of myotonic dystrophy with limited visual recovery postcataract surgery.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"52 - 54"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41528044","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}

引用次数: 0