International Journal of Ophthalmology & Visual Science最新文献

{"title":"Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting","authors":"S. Kodavoor, S. Balajee, R. Dandapani","doi":"10.11648/J.IJOVS.20210604.16","DOIUrl":"https://doi.org/10.11648/J.IJOVS.20210604.16","url":null,"abstract":"AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123900220","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":"Pattern of Manifest Strabismus in Children Seen in a Tertiary Hospital in Rivers State, Nigeria","authors":"Henrietta Nwachukwu, A. Adio, G. Nathaniel, K. Musa","doi":"10.11648/J.IJOVS.20210604.15","DOIUrl":"https://doi.org/10.11648/J.IJOVS.20210604.15","url":null,"abstract":"Objectives: Manifest strabismus in children is a major cause of suboptimum visual experience with attendant impact on their development. This study aims to determine the pattern of manifest strabismus among children attending the Paediatric Ophthalmology clinic of the University of Port Harcourt Teaching Hospital, Rivers State. Materials and method: One hundred and twenty-five (125) children, aged 6 months to 18 years with manifest strabismus were consecutively selected and examined out of one thousand eight hundred and ninety-seven (1897) children seen at the Paediatric ophthalmology clinic of the University of Port Harcourt Teaching Hospital over a period of 18 months. Severely ill children with manifest strabismus, children with phoria, pseudo-strabismus and microtropia were excluded. Results: There were sixty-nine females (55.2%) and 56 males (44.8%). The male to female ratio was 1: 1.2. The prevalence of manifest strabismus was 6.6%. Eighty-two (4.3%) children had esotropia, 38 (2.0%) had exotropia while 5 (0.27%) had vertical deviation. Infantile (congenital) esotropia 34 (27.2%) was the most common type of esotropia observed, followed by accommodative esotropia 13 (10.4%), while infantile (congenital) exotropia 19 (15.2%) was the predominant type of exotropia. Conclusion: The prevalence of Manifest strabismus among children attending the Paediatric Ophthalmology clinic is high. Esotropia was the commonest form of Manifest strabismus seen.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129669158","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 COVID Patients During Recovery Phase at Tertiary Eye Care Centre in South India","authors":"A. Sultana, Sana Fathima, Amatul Raheem Sara","doi":"10.11648/J.IJOVS.20210604.14","DOIUrl":"https://doi.org/10.11648/J.IJOVS.20210604.14","url":null,"abstract":"BACK GROUND: Though Corona virus -19 first reported in china, Indian population in urban as well as rural areas were badly effected during second wave with involvement of various ocular structures, some patients lost vision due to retinal vascular occlusions, some patients required enucleation and orbital exenteration due to fungus infections of the eye. Patients reported with different ocular disorders were documented and intervened, were included in this study. We tried to understand whether these manifestations were due to Corona Virus or due to immune compression because of systemic disorders in Corona patients treated with oral steroids and unsterile oxygen support. Aim: Purpose is to study the various clinical manifestations noted in COVID-19 patients during second wave after treatment while recovering from the acute illness. Methods: Retrospective interventional study done at tertiary eye care centre. Duration of the study is 3months from April 2021 to June 2021.500 patients were presented to our tertiary eye care centre with various clinical manifestations. All patients underwent detailed systemic and ocular examination. Patients after treatment for COVID-19 at various hospitals across the country were presented to our institute with many opportunistic infections. Apart from history BCVA, Slit Lamp examination, fundus examination, OCT, Fundus Fluorescein Angiography and B Scan done in patients where media was hazy, documentation done in all cases. Systemic examination and other investigation like RT PCR for corona virus was done in all patients. Patients presented with orbital involvement were advised CT Scan orbit. Results: Most of the patients were badly effected with many ocular complications, very few patients could maintain normal visual acuity. Many patients developed diabetes mellitus, probably they were pre diabetics manifested after use of oral steroids. Conclusion: Second wave in India increased the mortality and also effected the quality of the life in survivors. Fatality was high due to various ocular complications in all individuals irrespective of age and immune status.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128305351","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":"Childhood Eyelid Pilomatricoma Mimicking Recurrent Chalazion","authors":"A. Zaghdoudi, R. Messaoud, M. Khairallah, S. Khochtali, R. Hadhri, S. Mbarek, F. Abid, W. Ammari, Anis Mahmoud, M. Khairallah","doi":"10.11648/J.IJOVS.20210604.13","DOIUrl":"https://doi.org/10.11648/J.IJOVS.20210604.13","url":null,"abstract":"Pilomatricoma is a rare benign subcutaneous childhood tumor first described in 1880. It has no gender predilection. The exact etiology of this disease is still unknown. However, association with mutation in the CTNNB1 gene was reported. The most frequent location is the neck, although the upper eyelid is an uncommon site of involvement. The diagnosis of pilomatricoma is clinically challenging, and is based on histopathologic examination, after complete surgical excision, which is the radical treatment. It shows foreign body reaction that surrounds nucleated basophilic cells and islands of enucleated calcified ghost cells. The tumor may have diverse clinical presentations and aspects. It commonly manifests as an asymptomatic, solitary subcutaneous mass. Some clinical signs are specific such as the tend sign and the teeter-totter sign. Squamous and basal cell carcinoma are the main clinical differential diagnoses, and should be routinely ruled out. Radiologic investigations (ultrasonography and Magnetic resonance imaging: MRI) may enhance diagnosis accuracy in atypical cases. Ultrasonography shows hyperechoic and heterogeneous mass. MRI is more specific for diagnosis showing homogeneous well-defined mass on T1-weighted scans and high signal intensity on T2-weighted images. Pilomatricoma of the upper eyelid may be misdiagnosed and treated as recurrent chalazion. Recurrence and malignant transformation of pilomatricoma are rare after complete surgical excision. This case report is about a 14-year-old healthy boy who exhibited large pilomatricoma in the upper eyelid initially misdiagnosed and mistreated as chalazion.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122367217","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":"Structural and Perfusional Study of Successfully Repaired Diabetic Tractional Retinal Detachment Involving the Macula","authors":"Miguel A. Quiroz-Reyes, E. Quiroz-Gonzalez, Felipe Esparza-Correa, J. H. Kim-Lee, Alejandra Nieto-Jordan, Boris Moreno-Andrade, Jorge Morales-Navarro, F. Graue-Wiechers","doi":"10.11648/J.IJOVS.20210604.12","DOIUrl":"https://doi.org/10.11648/J.IJOVS.20210604.12","url":null,"abstract":"Purpose: Severe visual sequelae can be frequently observed in patients with diabetic tractional retinal detachment (TRD) involving the macula. We analyzed the postoperative structural spectral-domain (SD)-OCT and optical coherent tomography angiography (OCT angiography) findings in four selected eyes that were enrolled after successful anatomical diabetic macular detachment repair. These diabetic macular tractional detachments were evolved within 16 weeks. We also correlated the postoperative mean best-corrected visual acuity with the postoperative SD-OCT and OCT angiographic findings. Methods: This case series included 4 selected eyes of 4 patients with a mean diabetes evolution period of 18.4±4.8 years SD. Vitrectomy techniques were successfully used for TRD involving the macula. Postoperative SD-OCT, and final postoperative functional evaluations, including BCVA and OCT angiographic evaluation were performed at the final postoperative follow-up visit. Results: The mean difference between the preoperative (0.87±0.15) and final postoperative (0.35±0.21) BCVA was significant (p<0.05). The mean duration of vision loss before surgery was 11.6±2.3 weeks. The mean time for postoperative macular detachment resolution was 3.6±1.7 weeks SD. A mean follow-up evaluation of 13.1±2.7 SD months. Final postoperative imaging tests demonstrated multiple abnormalities of the foveal avascular zone and different areas of non-perfused macula on OCT angiography. The presence of disorganization of the retinal inner layers (DRIL) and chronic ischemic macular edema changes in 3 eyes (75.0%) as well as the OCT angiography abnormal findings in 3 (75.0%) were analized and correlated. Conclusion: In successfully reattached macula, postoperative microcirculatory abnormalities consistent with superficial and deep plexuses deficiencies and vessel densities alterations were detected as well as persistent DRIL, EZ and ELM line abnormalities.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology &amp; Visual Science","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132145593","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":"Curative Effect of Cataract Phacoemulsification with Iris Posterior Synechia","authors":"Sun Tangsheng, Chen Liangju, Zhao Guangyu, Liu Lijuan, Hong Linyong","doi":"10.11648/J.IJOVS.20210604.11","DOIUrl":"https://doi.org/10.11648/J.IJOVS.20210604.11","url":null,"abstract":"Background: Uveitis can cause blindness if not be appropriately managed. Anterior segment is common and frequent site in uveitis, can result in different degrees iris posterior synechia, iris depigmentation and atrophy, earlier form of cataract, etc. Surgery of cataract is complicated and prone to inflammatory reaction, especially in patients who involve anterior and posterior segment. Better operation technique and gentle maneuver is very important in such surgery. Aim: To investigate the application of phacoemulsification with IOLs implantation in cataract surgery with posterior synechia of the iris, and analyze its clinical effect. Methods: 36 cases (45 eyes) were enrolled from March 2019 to October 2020, diagnosed with chronic uveitis complicated cataract, treated with phacoemulsification combined with implantation of intraocular lens. Postoperative visual acuity and complications during operation were recorded. Results: Postoperative day 1, the best corrected visual acuity (BCVA) of 25 eyes (55.6%) were no less than 0.5, 14 eyes (31.1%) were 0.3~0.5, 6 eyes (13.3%) were 0.1~0.25; Anterior chamber inflammation emerged in 9 eyes (20.0%), more severe and recurrence of iris posterior synechia in 8 eyes (17.8%), pigmentation lost on IOLs in 7 eyes (15.6%). Intraocular pressure (IOP) after operation was 14.35±9.43mmHg (11 eyes were above normal, 6.0~25.0mmHg), no significance difference with preoperation IOP (t=0.25, p=0.80). No infectious endopthalmitis was found. 1 week after operation, the BCVA of 30 eyes (66.7%) were no less than 0.5, 13 eyes (28.9%) were 0.3~0.5, 2 eyes (4.4%) were 0.1~0.25. Anterior chamber inflammation disappeared in all cases, 4 eyes (8.9%) with iris posterior synechia couldn’t be debonded, 3 eyes (6.7%) with iris dystrophy. Average IOP was 11.27±6.81mmHg, no significance difference with preoperation IOP (t=0.46, p=0.65). 1 month after operation, the BCVA of 30 eyes (66.7%) no less than 0.5, 13 eyes (28.9%) were 0.3~0.5, 2 eyes (4.4%) were 0.1~0.25. IOP (10.92±5.94mmHg) was stable, and no significance difference with preoperation IOP (t=0.51, p=0.61). 3 months after operation, the BCVA of 33 eyes (73.3%) were no less than 0.5, 10 eyes (22.2%) were 0.3~0.5, 2 eyes (4.4%) were 0.1~0.25. IOP (11.06±5.71mmHg) was no change as preoperation (t=0.67, p=0.51). 4 (8.9%) and 3 (6.7%) eyes with iris posterior synechia and iris dystrophy respectively. Conclusion: Phacoemulsification and intraocular lens implantaion may be effective in the cataract surgery with iris posterior synechia, and timely mangement of possible complications after surgery maybe helpful for clinical outcomes.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology &amp; Visual Science","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125025749","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":"Comprehensive Foveal Avascular Zone and Retinal Evaluation with Their Correlation to Visual Acuity and Glycemic Control in Diabetics Without Macular Edema","authors":"Mohamed M. Halfawy, Abelrahman Gaber Salman, Azza M. A. Said, Tarek A El Beltagi, Marwa A. Karim","doi":"10.11648/j.ijovs.20220701.12","DOIUrl":"https://doi.org/10.11648/j.ijovs.20220701.12","url":null,"abstract":"","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology &amp; Visual Science","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116744316","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":"Nodular Posterior Scleritis: A Clinical Case Report","authors":"Armando Bautista-Barba, Erick Andres Quiroz-Gonzalez, Miguel Angel Quiroz-Reyes, Jhoana Sanchez-Ruiz, Rafael Valdez-Sosa, G. Ledesma-Gil, M. Pedroza-Seres, F. Graue-Wiechers","doi":"10.11648/j.ijovs.20220701.11","DOIUrl":"https://doi.org/10.11648/j.ijovs.20220701.11","url":null,"abstract":": Background : Scleritis is a rare inflammation of the outer coat of the eye, which is often characterized by pain and redness and may be associated with visual loss and blindness. Posterior scleritis may lead to the formation of a choroidal mass which is often confused with choroidal tumors. A delayed and an inaccurate diagnosis may lead to devastating outcomes, that including unnecessary enucleation. Therefore, a prudent clinical judgement is necessary. Objective : To report clinical characteristics of an outstanding posterior scleritis which required a multidisciplinary collaboration for its management. Method : A young man presented with redness and diminished vision in his right eye for 5 days. A detailed ophthalmological examination was completed, which suggested a final diagnosis of posterior nodular scleritis that was presumed to occur secondary to anti-neutrophil cytoplasmic antibodies-associated granulomatosis with polyangiitis. A multimodal imaging workup suggested posterior nodular scleritis and laboratory investigation confirmed positive antineutrophil cytoplasmic antibodies (C-ANCAs). All other infectious and immunological tests came negative. The patient was subsequently treated with systemic steroids and immunomodulatory therapy, with an excellent visual recovery. Best-corrected visual acuity improved from 20/200 at presentation to 20/25 at eight months after the therapy, and there was no evidence of disease recurrence. Conclusion : Nodular posterior scleritis is an important but benign disease that may mimic an intraocular tumor. Multimodal imaging studies and detailed laboratory investigations are essential for its correct diagnosis and appropriate management.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology &amp; Visual Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128682401","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 Effect of Artificial Tear Treatment on Central Corneal Thickness in Dry Eye","authors":"Al Ahmad Anas, M. Rajab","doi":"10.11648/j.ijovs.20220701.15","DOIUrl":"https://doi.org/10.11648/j.ijovs.20220701.15","url":null,"abstract":"","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology &amp; Visual Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130075573","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 Choroidal Melanoma in a Hill Population of Northern India","authors":"D. Arora, Anuj Sharma, D. Sharma, B. Tiwari, Abhishek Kumar, K. Gupta, R. Mehra, Abhinav Arora, Dinesh Sharma","doi":"10.11648/j.ijovs.20210604.19","DOIUrl":"https://doi.org/10.11648/j.ijovs.20210604.19","url":null,"abstract":"","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology &amp; Visual Science","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132262397","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}