{"title":"Amalric triangular sign: Combined central retinal artery and posterior ciliary artery occlusion presenting with macular edema","authors":"C. Bindra, Parminder Bindra, Bindra Preeti","doi":"10.4103/jcor.jcor_74_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_74_22","url":null,"abstract":"A 55-year-old female patient presented with no light perception and features suggestive of central retinal artery occlusion (CRAO) and posterior ciliary artery occlusion. Multimodal imaging analysis revealed retinal thickening, cherry-red spot, pallid optic disc with choroidal infarction (Amalric sign), and macular edema. Carotid Doppler disclosed 70% stenosis of the right common carotid artery. Systemic investigations showed elevated erythrocyte sedimentation rate, total cholesterol, and low-density lipoprotein level. The Amalric triangular sign with CRAO may present with macular edema. Prompt cardiac and carotid evaluation with appropriate management should be done.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"54 - 56"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41578560","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}
Ritesh Verma, Manisha Rathi, J. Phogat, Amita Sodhi, Sakshi Lochab
{"title":"Reactivation of retinopathy of prematurity after intravitreal bevacizumab monotherapy in aggressive posterior retinopathy of prematurity","authors":"Ritesh Verma, Manisha Rathi, J. Phogat, Amita Sodhi, Sakshi Lochab","doi":"10.4103/jcor.jcor_77_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_77_22","url":null,"abstract":"Aims: The aim of the study was to identify the risk factors and timing for the reactivation of retinopathy of prematurity (ROP) after intravitreal bevacizumab (IVB) in aggressive posterior retinopathy of prematurity (APROP). Materials and Methods: A retrospective study to analyze the outcome of 24 eyes of 12 infants treated with IVB monotherapy (0.625 mg) was done. Data were analyzed regarding the initial response to IVB, the incidence of ROP reactivation, timing, location, and stage of reactivation. Gestational age, postmenstrual age, and other neonatal comorbid risk factors were compared between the reactivation and those without reactivation after IVB. Results: The mean follow-up time was 50.2 ± 1.4 weeks after IVB. Reactivation was identified in 8 (33.3%) eyes. Reactivation in zone I was seen in only two eyes and zone II reactivation was present in six eyes. The mean postmenstrual age at the time of recurrence was 44.0 ± 1.15 weeks (range: 43–45). The mean time between initial treatment and treatment-requiring recurrence was 11.8 ± 0.9 weeks. Multiple pregnancy, low birth weight, sepsis, and necrotizing enterocolitis were significantly associated with ROP reactivation. None of our patients progressed to retinal detachment after laser treatment for reactivation. Conclusions: Although IVB treatment is effective in inducing the regression of APROP, the effect may be transient. The recurrence of ROP should be carefully watched in a long-term follow-up after IVB monotherapy, particularly in the first 12 weeks after IVB.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"15 - 20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45250693","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":"Diagnostic accuracy of direct ophthalmoscopy in the rapid assessment of avoidable blindness protocol: A cross-sectional study","authors":"R. Alfin, Alice Ramyil, C. Mpyet","doi":"10.4103/jcor.jcor_105_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_105_22","url":null,"abstract":"Background: Rapid Assessment of Avoidable Blindness (RAAB) relies mainly on direct ophthalmoscopy (DO) for the diagnosis of posterior segment eye diseases (PSEDs). There is, however, a growing concern that DO may not be sufficiently sensitive to detect PSED owing to inherent diagnostic limitations. Aim of the Study: The aim of the study was to determine the sensitivity and specificity of DO for the detection of PSEDs in RAAB, using indirect ophthalmoscopy (IO) as a reference standard. Materials and Methods: Participants were patients 50 years and older, presenting to the eye clinic of a tertiary hospital in Jos, between April and September 2016 who gave consent. Their visual acuity was assessed as is done in RAAB6. Those found to be unilaterally or bilaterally visually impaired underwent anterior and posterior segment eye examinations to identify the cause. Dilated fundoscopy was first performed by a senior ophthalmology resident with DO (index test), followed by IO (reference standard test) by a consultant ophthalmologist. Results: A total of 250 patients were recruited into the study, of which 188 took the index and reference standard tests. PSEDs were detected in 65 (34.6%) persons and glaucoma accounted for 87.7% of these. The sensitivity of DO for the detection of glaucoma was 95.3%, while the specificity was 91.0%. Sensitivity and specificity for the detection of diabetic retinopathy and central retinal vein occlusion were both 100%. Specificity for the detection of other PSEDs was good even though sensitivity was below acceptable limits. Conclusion: The performance of DO against IO in this study, suggests that it is a satisfactory modality for the detection of the most common PSEDs in RAAB.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"40 - 44"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42638508","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":"Study of Clinical Profile with Radiological and Histopathological Evaluation of Patients with Orbital Mucormycosis in COVID-19 Era","authors":"Ekta Agrawal, Saurabh S Patil","doi":"10.26502/fjor.2644-00240081","DOIUrl":"https://doi.org/10.26502/fjor.2644-00240081","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89731395","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 Profile of Patients with Vogt–Koyanagi-Harada Disease at a Tertiary Eye Hospital in Bangladesh","authors":"Arzumand Binte Yousuf Muna, Pankaj Kumar Roy, Tamjida Farhana, Md. Ershadul Haque Rahat, Masmum Sababa, Rehnuma Sadia Siddiqua, A. Rahman","doi":"10.26502/fjor.2644-00240078","DOIUrl":"https://doi.org/10.26502/fjor.2644-00240078","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91089953","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":"Transformation of ophthalmology education during the Coronavirus Disease 2019 pandemic by E-learning in India","authors":"Meenakshi Pathania, R. Chaudhary, Jyotsana Attri","doi":"10.4103/jcor.jcor_27_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_27_22","url":null,"abstract":"Purpose: The purpose of this study was to assess the impact of the coronavirus disease 2019 pandemic imposed social distancing measures on the learning of ophthalmology in the institutions involved in the training of the ophthalmologists and the use of alternate E-learning methods to maintain the standard of education. Materials and Methods: This study was conducted among the postgraduate residents and faculty involved in ophthalmology-related education from October 15, 2020, to September 15, 2021. The study was based on a questionnaire performed based on a Google Form that was sent to the participants. Results: A total of 345 participants completed the survey. Most of the participants were using conventional learning methods such as lectures, ward rounds, clinical meets, and journal clubs. E-learning techniques showed a statistically significant increase during the pandemic (P < 0.001). Theoretical studies continued but the surgical training of the residents and fellows was significantly reduced. Conclusion: During the pandemic due to the imposed challenges in ophthalmology learning, even though surgical learning suffered, there was a significant increase in the utilization of E-learning alternatives, opening a new arena of learning opportunities.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"26 - 29"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70786710","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":"Study of the Retinal Impact of Sickel Cell Disease in Homozygous SS Patients Aged over 15 Years in a Hospital Environment in Kinshasa","authors":"Bukasa Kizito Deo gratias, Kayembe Lubeji David, Kelekele Kendjapa Joseph-Théodore, Kabedi Ngoy Nelly, Nsambayi Lukusa Delux, Gini Ambunga Yannick","doi":"10.26502/fjor.2644-00240079","DOIUrl":"https://doi.org/10.26502/fjor.2644-00240079","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82027568","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}
Seyed Ameli, Ali Panahi sharif, Sanaz saleh, seyed Mohammad Masoud Shushtarian, A. Shojaei
{"title":"Flash Visual Evoked Potential Recording in Patients with Brain Stroke.","authors":"Seyed Ameli, Ali Panahi sharif, Sanaz saleh, seyed Mohammad Masoud Shushtarian, A. Shojaei","doi":"10.26502/fjor.2644-00240082","DOIUrl":"https://doi.org/10.26502/fjor.2644-00240082","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88440767","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 rare case of bilateral ocular surface squamous neoplasia in an immunocompetent patient","authors":"Swatishree Nayak, Neeta Misra, Ashik Ravi, Somen Misra","doi":"10.4103/jcor.jcor_127_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_127_22","url":null,"abstract":"Ocular surface squamous neoplasia (OSSN) is a broad entity that includes dysplastic lesions involving the squamous epithelium of conjunctiva and cornea. It is commonly seen in males between 50 and 75 years of age and has higher incidence in places close to the equator. Although a disease seen in 75% of cases unilaterally in older males, the younger cohort can have a bilateral presentation, where there is a strong suspicion of immunosuppression. Herein, we report a rare case of bilateral OSSN in an immunocompetent patient.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134892556","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}
Dhwanit Khetwani, Meghana Tanwar, U. Kim, Santhi Radhakrishnan
{"title":"Necrotizing dacryometaplasia – A needle in haystack of necrotizing sialometaplasia","authors":"Dhwanit Khetwani, Meghana Tanwar, U. Kim, Santhi Radhakrishnan","doi":"10.4103/jcor.jcor_126_21","DOIUrl":"https://doi.org/10.4103/jcor.jcor_126_21","url":null,"abstract":"Necrotizing dacryometaplasia (ND) is a rare entity which can mimic an aggressive malignant tumor. It seems to be analogous to necrotizing sialometaplasia which generally affects the salivary glands and is an inflammatory condition. There is scarce information about this entity as only two case reports have been reported in the last two decades. Due to the presence of adjacent bony erosion, it may mimic an aggressive malignant tumor. Here, we report a 27-year-old male who presented with right upper eyelid swelling for 2 months, which clinically and radiologically pointed to be a malignancy turned out to be ND.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"72 - 74"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42577252","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}