TNOA Journal of Ophthalmic Science and Research最新文献

{"title":"MII retcam assisted documentation of unilateral angiopathia retinae traumatica in a three year old","authors":"Taranpreet Chitkara, Shubhneek D. Utaal, M. Kaur, Shakeen Singh","doi":"10.4103/tjosr.tjosr_35_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_35_22","url":null,"abstract":"Purtscher's retinopathy is characterized by sudden vision loss following severe head trauma. Signs of ischemia are visible at the posterior pole with edema and hemorrhages concentrated around the optic disc. Digital imaging with retcam is more precise in diagnosing but is not easily available or affordable. Smartphones have thus, emerged as an alternative and reliable imaging tool. The aim of this study is to illustrate the utility of MII RetCam assisted smartphone based fundus imaging in registering and monitoring Purtscher's retinopathy. Good documentation helps in better communication with the patient and relatives and improves their compliance with treatment.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"105 - 107"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44708211","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":"Conjunctival impression cytology in chronic cement exposure: A comparative study","authors":"Jayashree Menashinkai, S. Umarani, Shruthi Agadi, Salman Gathinavar","doi":"10.4103/tjosr.tjosr_108_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_108_22","url":null,"abstract":"Context: The Bagalkot region of Karnataka in specific is known for its hot and dry climate and also the presence of cement factory. Very few studies have been conducted in this region, and there is a need for this study to know the ocular symptoms and conjunctival cell changes among the population residing in the vicinity of Bagalkot cement factory. Settings and Design: This is a comparative cross-sectional study between70 participants residing within 2 km radius (Group 1) and 70 participants residing outside 2 km radius (Group 2) of Bagalkot cement factory. Patients were evaluated for ocular discomfort using OSDI questionnaire and tear film changes using Schirmer's-1 test and sample was collected for conjunctival impression cytology. Results: As this study was age and gender matched, the age distribution and gender distribution among two groups were same. Schirmer's-1 test values were significantly low (<10 mm) in group 1 subjects (71.4%) than in group 2 subjects (32.9%) (P = <0.001). Majority of group 1 subjects were graded 2 and 3 in Nelson's grading for conjunctival impression cytology (55.8%), but this was 22.9% in group 2 (P < 0.001). OSDI score showed that 57.2% of group 1 had moderate-to-severe dry eye and this was 12.9% in group 2 (P < 0.001). Gender, occupation, location of stay and duration of stay showed significant association with Schirmer's test, OSDI score and Nelson's grading (P < 0.05). Conclusions: Cement dust poses high risk to eye health. More plans should be carried out to reduce dust exposure in the high-risk areas of the factory.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"67 - 70"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47590262","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":"Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report","authors":"V. Senthilkumar, Sujitha Ramesh","doi":"10.4103/tjosr.tjosr_113_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_113_22","url":null,"abstract":"Escitalopram, a selective serotonin reuptake inhibitor is widely used for the treatment of depression in psychiatric and primary care practices. We report a rare instance of escitalopram-induced bilateral secondary angle closure and acute onset myopic shift in a young male treated for depression. Ultrasound biomicroscopy obtained after the onset of his symptoms revealed bilateral ciliochoroidal effusion. His signs and symptoms stabilized completely within two weeks of stopping the drug. The presentation of escitalopram-induced idiosyncratic reaction with bilateral angle closure and ciliochoroidal effusion was rarely reported in Indian ethnic eyes. A detailed history taking and meticulous clinical evaluation helped us differentiate from acute primary angle closure glaucoma.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"132 - 134"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45077784","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":"Questionnaire-Based evaluation of patient's awareness on proper eye drop opening and usage among the outpatients visiting a tertiary eye care center in South India: A pilot survey","authors":"Anitha Venugopal, M. Ravindran, Ramakrishnan Rangappa, M. Uduman","doi":"10.4103/tjosr.tjosr_72_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_72_22","url":null,"abstract":"Purpose: The purpose of this study is to study the patient's awareness of the proper method of eye drop (ED) opening and usage among patients attending the outpatient and specialty clinics of a tertiary eye care center in South India. Methods: A questionnaire-based cross-sectional survey was conducted among 514 patients attending outpatient departments of general units and specialty clinics by seven study coordinators. The questionnaire consists of 10 simple questions to assess the awareness of these patients on ED opening, usage methods, and from whom they received the information. Immediately, at the end of the questionnaire, all the patients participating in the survey were properly instructed on the right method of ED usage. In addition, they were inquired about the right mode of communication on the topic of interest. Results: Total number of participants included was 514. Mean age was (standard deviation) 50.58 (20.8) years; only 3.3% (17) were not informed about the proper usage of ED method by any of the staff or the counselors or doctors from the hospital, and 96.7% (497) were counseled for the proper method of ED usage. Among them, the information was properly explained to 82.7% (412) of the respondents by the counselors in each department; only 7.4% (37) were explained by the doctors. Most of them, 80.2% (412), preferred direct oral conversation methods of counseling on ED usage, 9.9% (51) preferred through posters, 7% (36) through video displays, and only 9% (10) through public address systems. Conclusion: A separate, precise ED counseling system is necessary for delivering proper instructions on ED usage and opening. The patient's education with eye-to-eye contact from the counselors is the patient's preferred route of obtaining information on ED usage.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"80 - 84"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48304617","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":"Ocular surface squamous cell neoplasia (OSSN) in HIV infection","authors":"SanthanarajVijay Antony, JosephineS Christy","doi":"10.4103/tjosr.tjosr_59_23","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_59_23","url":null,"abstract":"Among the ocular surface malignancies in human immunodeficiency virus (HIV) infection, ocular surface squamous cell neoplasia (OSSN) occurs in 4–8% of patients.[1] In an Indian study, 38% of seropositivity was noted, and 26% were newly detected for HIV.[2] Peculiarities of OSSN in HIV are reduced mean age at presentation, large aggressive high-grade tumour with a higher risk of extension and increased risk of recurrence.[3] It can present either as a solitary gelatinous [Figure 1a]/nodular [Figure 1b] tumour or as a large diffuse lesion. Histopathological confirmation is indispensable for a definitive diagnosis of OSSN. Other modalities like ultrasound biomicroscopy, anterior segment-optical coherence tomography, computed tomography and magnetic resonance imaging may be needed in a tailored approach to look for the extent of tumour in adjacent structures.[4] Wide excision biopsy, following the ‘no touch’ technique and maintaining a 4 mm free margin along with cryotherapy to resected margin, is the treatment of choice. The residual surgical defect is managed by amniotic membrane transplantation. A diffuse lesion that involves >3 quadrants of the ocular surface can be managed by neoadjuvant chemotherapy with mitomycin-C, interferon-α2b or 5-flourouracil.[3,4]Figure 1: (a) Elevated gelatinous lesion at the limbus. (b) Large nodular lesion with surface leukoplakiaFinancial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"92 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":"136003195","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":"The knight of ophthalmology: Sir Stewart Duke-Elder","authors":"ShruthyVaishali Ramesh, SaiThaejesvi Gopalakrishnan","doi":"10.4103/tjosr.tjosr_70_23","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_70_23","url":null,"abstract":"As you delve into the life and accomplishments of the individual being discussed in this piece, you may find yourself momentarily perplexed. The list of achievements is extensive enough to prompt a double-take—does it all pertain to a single individual, or perhaps two? Additionally, the man in question goes by two names instead of one, further adding to the confusion. THE STORY OF A LEGEND Sir Stewart Duke-Elder was born in Dundee, Scotland, on April 22, 1898. Born to a family of meager means, he poured his wholesome efforts into his education, earning several gold medals during his schooling and getting a special distinction in Physiology during his MA at St. Andrews. He then pursued his medical education at the Royal Infirmary, Dundee, and Edinburgh.[1] He made his first mark in the field of Ophthalmology when he established the Institute of Ophthalmology in 1948 and served as its director for a whopping 17 years. The institute served as a hub, nurturing new clinicians and scientists by enabling their training and various research activities. He continued to be the life president and emeritus director of research in the institute, even after his retirement in 1965.[2] In 1923, he earned his fellowship at the Royal College of Surgeons of England. He joined forces with Sir John Parsons later on as his clinical assistant, which later blossomed into a lifelong collaboration and friendship. This prompted Duke-Elder’s efforts to promote healthy mergers among various ophthalmologists, which he found was essential for growth in the field. He worked to coordinate the merger of the Council of British Ophthalmology and the Association of British Ophthalmologists to create the Faculty of Ophthalmologists in 1945. He oversaw the faculty as its first president and ensured that the association was well represented on the Council of Royal College of Surgeons.[3] Stewart’s work plunged into glaucoma in 1926, with his research work on intraocular pressure in correlation with the osmotic pressure of blood and pressure equilibrium dynamics in the eye. He was the first person to measure intraocular pressure through the cannulation of retinal vessels. In 1932, he secured his knighthood for his acumen in glaucoma management, which he used to treat the then-prime minister of England, James Ramsey MacDonald. He went on to become the Surgeon-Oculist to three consecutive monarchs, Edward VIII, George VI, and Queen Elizabeth II, holding the post of royal surgeon for almost 29 years. Duke-Elder published his first book in 1927, named “Recent Advances in Ophthalmology.” He also contributed heavily to various volumes of “Textbook of Ophthalmology” in 1932 and “System of Ophthalmology” in 1958. His most famous work, which has stood testament to time, remains his book, “The Practice of Refraction,” which lingers as the go-to book on optics and refraction, for every neophyte ophthalmologist.[4] During the 1920s, while working as a clinical assistant for Parsons, he had the oppo","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"1 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":"136003455","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":"Primary aqueous drainage implant in secondary childhood glaucoma associated with aniridia","authors":"Sapna Sinha, Indira Durai, G. Puthuran","doi":"10.4103/tjosr.tjosr_37_21","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_37_21","url":null,"abstract":"","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"140 - 140"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44277291","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":"Ocular findings in patients with chronic kidney disease","authors":"D. Jayaraman, M. Shivakumar, Prathibha Shanthaveerappa","doi":"10.4103/tjosr.tjosr_39_21","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_39_21","url":null,"abstract":"Introduction: Chronic kidney disease (CKD) affects every organ system including the eye. Aim: To conduct a thorough ocular examination in the patients of CKD and to analyse the findings. Materials and Methods: A total of 100 cases were collected from the nephrology unit of our tertiary centre. This was a cross-sectional, hospital-based study. Results: The commonest causes for visual impairment were maculopathy followed by cataracts. The other ocular findings were progressive pterygium, keratitis, central retinal vein occlusion (CRVO), retinal detachments (RDs), vitreous haemorrhage (VH) and disc-related changes. Hypertensive retinopathy (HR) was more prevalent and tended to be more severe as the renal disease progressed. More severe grades of diabetic retinopathy (DR) were detected with increasing severity of the renal disease. Conclusion: This study shows the importance of ocular evaluation of patients with CKD.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"75 - 79"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41952504","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":"Aberrometry in ophthalmology and its applications in cataract surgery","authors":"Josephine S. Christy, Aditi Parab","doi":"10.4103/tjosr.tjosr_125_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_125_22","url":null,"abstract":"We live in a world of exponentially increasing technology advancements and improving patient care has become a priority for all health care providers. In the field of ophthalmology, quality of vision has taken an edge over the need for regular visual acuity. Aberrometry is a newer non-invasive technique to accurately measure the imperfections of the eye and largely aid in achieving the best post-operative visual outcome. This article aims in reviewing the basics of optical aberrations and how to make the best of this technique in our clinical practice.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"32 - 40"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48766364","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 manifestations and management of ocular mucormycosis during COVID-19 pandemic in Eastern India: A retrospective analysis","authors":"PradeepK Panigrahi, Swati Samant, Radhamadhab Sahu, Keya Chakrabarti, Suprava Das, Sangita Basantaray, SrikantKumar Dhar","doi":"10.4103/tjosr.tjosr_69_23","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_69_23","url":null,"abstract":"Purpose: To report the clinical presentation, risk factors and treatment outcomes of ocular mucormycosis during COVID-19 pandemic in Eastern India. Method: Eleven cases of biopsy-proven rhino-orbital mucormycosis with a history of concurrent or past COVID-19 presenting to the ophthalmology department of two tertiary referral centres in Eastern India from April to June 2021 were studied. Complete ophthalmological, otolaryngeal workup and imaging studies, staging was done and treatment was planned in a multidisciplinary approach. Empirical systemic amphotericin B was started. All cases underwent radical sinus surgery with orbital wall decompression, sinus and orbital irrigation with amphotericin B, followed by regular nasal debridement and serial ophthalmic examinations. Cases were followed up for a period of three months. Results: The mean age was 46.5 ± 10.7 years with male preponderance (90.9%). 90.90% of patients had elevated blood sugar levels at presentation. The common ocular presentations were conjunctival congestion (90.90%), periorbital oedema (72.72%), ophthalmoplegia (72.72%), diminution of vision (63.63%), ptosis (54.54%) and proptosis (45.45%). After treatment, regular follow-up showed clinical improvement in vision (80%), chronic ophthalmoplegia (83.3%) and complete improvement in proptosis, ptosis and periorbital oedema. COVID infection, old age, hyperglycemia, unvaccinated status and cerebral involvement were associated with increased mortality. The survival rate at three months follow-up was 81.8% and these patients were on antifungal therapy. Conclusion: A high index of suspicion and early detection as well as prompt medical and surgical treatment increases the chances of survival. Orbital wall decompression, sinus and orbital irrigation with amphotericin B are helpful in salvaging the eye and vision in most cases.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"19 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":"136003196","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}