Asian Journal of Ophthalmology最新文献_第2页

Epstein-Barr virus uveitis after intravitreal triamcinolone injection 玻璃体注射曲安奈德后出现eb病毒性葡萄膜炎

Asian Journal of Ophthalmology Pub Date : 2021-04-16 DOI: 10.35119/ASJOO.V17I4.616

J. Ong, J. Richards

引用次数: 0

Wick technique in subscleral and subconjunctival Ologen™ implantation with trabeculectomy in patients with high risk of failure 巩膜下和结膜下Ologen的Wick技术™ 小梁切除术在高失败风险患者中的应用

Asian Journal of Ophthalmology Pub Date : 2021-04-16 DOI: 10.35119/ASJOO.V17I4.600

M. Rajamani, C. Ramamurthy

{"title":"Wick technique in subscleral and subconjunctival Ologen™ implantation with trabeculectomy in patients with high risk of failure","authors":"M. Rajamani, C. Ramamurthy","doi":"10.35119/ASJOO.V17I4.600","DOIUrl":"https://doi.org/10.35119/ASJOO.V17I4.600","url":null,"abstract":"Introduction: Ologen™ is traditionally placed subconjunctivally during trabeculectomy, which limits its area of action. Subscleral implantation of Ologen has been described involving fashioning a gutter beneath the scleral flap. This, however, would not prevent fibrosis at the margins of the scleral flap. We describe a modified technique of Ologen® placement that has the potential to prevent scarring at the margins of the flap withoutthe need to fashion a gutter. \u0000Materials and methods: The study involved a retrospective review of patients who had undergone trabeculectomy with Ologen implantation by the wick technique between January 2015 and August 2016. Patients judged to be at high risk of trabeculectomy failure were operated with this technique. \u0000Results: A total of six patients with median age of 38.5 years were included in the study. The mean preoperative intraocular pressure (IOP) was 30.8 ± 7.3 mmHg, which reduced to 10.6 ± 2.2 mmHg 18 months after surgery. By 18 months postoperative, all patients had IOP in the low teens (two patients required additional topical medication). One patient had two episodes of hypotony that responded to steroids and cycloplegics. Another patient required two needlings to bring IOP under control. No other complications were noted. Ultrasound biomicroscopy done 3 months after surgery showed two pieces of Ologen in one patient. \u0000Conclusions: The results of our study show that this technique may be used effectively in patients at high risk of trabeculectomy failure. Further studies in a larger number of patients with diverse high-risk conditions are required before this technique is recommended for general use.","PeriodicalId":39864,"journal":{"name":"Asian Journal of Ophthalmology","volume":"17 1","pages":"366-374"},"PeriodicalIF":0.0,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41896388","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

Complete dislocation of the eye globe into the maxillary sinus: a rare case 眼球完全脱位进入上颌窦:罕见病例

Asian Journal of Ophthalmology Pub Date : 2021-04-16 DOI: 10.35119/ASJOO.V17I4.761

N. T. Nguyen, V. Bien, N. M. Duong

引用次数: 0

Profile of fungal keratitis in a Sub-Himalayan territory of north India 印度北部亚喜马拉雅地区真菌性角膜炎的概况

Asian Journal of Ophthalmology Pub Date : 2021-04-16 DOI: 10.35119/ASJOO.V17I4.592

A. Verma, A. Sood, Anil Chauhan, R. Tuli, S. Jaryal

{"title":"Profile of fungal keratitis in a Sub-Himalayan territory of north India","authors":"A. Verma, A. Sood, Anil Chauhan, R. Tuli, S. Jaryal","doi":"10.35119/ASJOO.V17I4.592","DOIUrl":"https://doi.org/10.35119/ASJOO.V17I4.592","url":null,"abstract":"Aim: To study the microbiological and epidemiological profile of patients with suppurative corneal ulcer presenting in a rural referral center situated in a Sub-Himalayan territory of north India. The study was conducted to evaluate the epidemiology and frequency of mycotic keratitis among the patients of suppurative corneal ulcer and to identify various fungal species as etiological agents. \u0000Methods: Corneal scrapings from 56 patients of suppurative corneal ulcers were subjected to direct microscopy and culture. \u0000Results: Of the 56 cases of suppurative corneal ulcer investigated, fungal etiology was identified in 18 (32%) cases. Most of the patients (82.1%) worked in agriculture. Trivial trauma with vegetative matter was the most common predisposing factor. Fusarium and Acremonium species were the most common fungi isolated, followed by Aspergillus. Four cases of rare mycotic keratitis caused by Paecilomyces lilacinus, Scedosporium apiospermum, Monilia sitophila, and Ulocladium species were detected. Four cases were smear positive (10% KOH wet mount) but culture negative. Analysis of KOH wet mount was done using culture as gold standard. The sensitivity and specificity of KOH wet mount was 71.43% and 90.48%, respectively. \u0000Conclusion: Direct microscopy and culture has a greater diagnostic value in the management of suppurative corneal ulcer. The authors have observed changes in the pattern of organisms identified as cause of fungal keratitis in the region. Rare species of fungi may also be detected if corneal scrapings are collected for direct microscopy and culture from all the cases of suppurative corneal ulcers greater than 2 mm.","PeriodicalId":39864,"journal":{"name":"Asian Journal of Ophthalmology","volume":"17 1","pages":"356-364"},"PeriodicalIF":0.0,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41654632","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

Comparison of clinical outcomes of implantable collamer lens versus femtosecondlaser in situ keratomileusis and small incision lenticule extraction for moderate-to-high myopia and myopic astigmatism correction 植入式晶体与飞秒激光原位角膜磨镶术及小切口晶状体摘除治疗中高度数近视和近视散光的临床效果比较

Asian Journal of Ophthalmology Pub Date : 2021-04-16 DOI: 10.35119/ASJOO.V17I4.714

Y. H. Tran, Huy D M Tran, L. T. Tran, D. Nguyen, C. N. Le, T. Bui

{"title":"Comparison of clinical outcomes of implantable collamer lens versus femtosecondlaser in situ keratomileusis and small incision lenticule extraction for moderate-to-high myopia and myopic astigmatism correction","authors":"Y. H. Tran, Huy D M Tran, L. T. Tran, D. Nguyen, C. N. Le, T. Bui","doi":"10.35119/ASJOO.V17I4.714","DOIUrl":"https://doi.org/10.35119/ASJOO.V17I4.714","url":null,"abstract":"Purpose: To compare safety, efficacy, stability, and predictability of implantable collamer lens (ICL) with femtosecond-laser in situ keratomileusis (FS-LASIK) or small incision lenticule extraction (SMILE) for the correction of moderate-to-high myopia/myopic astigmatism. \u0000Study design: We retrospectively collected data from patients with moderate-to-high myopia/myopic astigmatism (spherical equivalent [SE] ≥ −3.00 diopters [D]) who underwent ICL (48 eyes), FS-LASIK (36 eyes), or SMILE (86 eyes) at Hai Yen Eye Center from October 2016 to February 2018. \u0000Materials and methods: The Wilcoxon Mann-Whitney U test was used to compare pre- and postoperative patients’ characteristics of ICL with SMILE or FS-LASIK. Generalized linear models with unstructured correlation matrix and robust standard errors were used to analyze efficacy and safety indices; logistic regression was used for cylinder predictability. \u0000Results: After controlling for age, preoperative SE, and preoperative corrected distance visual acuity (pCDVA), SMILE had significantly lower safety indices (Coefficient = −0.04, 95% CI = −0.07–−0.01) and efficacy indices (Coefficient = −0.10, 95% CI = −0.20–−0.01) than did ICL, while FS-LASIK was not significantly different from ICL (Coefficient = −0.02, 95% CI = −0.06–0.02 and Coefficient = −0.01, 95% CI= −0.10–0.09, respectively). ICL SEswere stable over 12 months after surgery. However, in FS-LASIK and SMILE, SEs significantly decreased at 12 months compared with 6 months after surgery. The percentage of eyes that underwent FS-LASIK and had target SEs within ±0.5 D at 12 months was significantly lower than those that underwent ICL (OR = 0.14, 95% CI = 0.02–0.85), after controlling for age, preoperative SE, and pCDVA. \u0000Conclusion: For the correction of moderate-to-high myopia/myopic astigmatism, ICL seems to perform better than SMILE and FS-LASIK.","PeriodicalId":39864,"journal":{"name":"Asian Journal of Ophthalmology","volume":"17 1","pages":"400-415"},"PeriodicalIF":0.0,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47925259","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

Tocotrienol-rich vitamin E from palm oil (Tocovid) and its effects in diabetes and diabetic retinopathy: a pilot phase II clinical trial 棕榈油中富含生育三烯醇的维生素E (Tocovid)及其对糖尿病和糖尿病视网膜病变的影响:一项II期临床试验

Asian Journal of Ophthalmology Pub Date : 2021-04-16 DOI: 10.35119/ASJOO.V17I4.698

Yilynn Chiew, Suzanne May Quinn Tan, B. Ahmad, Sim Ee Khor, K. A. Kadir

{"title":"Tocotrienol-rich vitamin E from palm oil (Tocovid) and its effects in diabetes and diabetic retinopathy: a pilot phase II clinical trial","authors":"Yilynn Chiew, Suzanne May Quinn Tan, B. Ahmad, Sim Ee Khor, K. A. Kadir","doi":"10.35119/ASJOO.V17I4.698","DOIUrl":"https://doi.org/10.35119/ASJOO.V17I4.698","url":null,"abstract":"Aim: To identify the effects of tocotrienol-rich vitamin E from palm oil (Tocovid) on diabetic retinopathy (DR) in patients with type 2 diabetes. \u0000Materials and methods: The intervention group (n = 21) received 200 mg Tocovid twice daily while the control group (n = 22) received placebo twice daily for 8 weeks. Changes in retinal photography by conventional grading and novel quantification of retinal hemorrhage were assessed. Changes in serum biomarkers advanced glycation end products (AGE) general, sRAGE (soluble receptor of AGE), Ne-CML (specific type of AGE), and cystatin C were evaluated. \u0000Results: A novel technique to quantify retinal hemorrhage had a strong positive correlation with conventional grading of DR in both eyes at baseline and at the end of the study. Eight-week supplementation of Tocovid resulted in significant reduction in retinal hemorrhage in the right eye. Liver enzymes and ALT significantly reduced. No significant changes in grade of DR, serum biomarkers, HbA1c, blood pressure, renal profile, and lipid profile were observed. \u0000Conclusions: Tocovid is a potential adjunct to current treatment of DR and fatty liver disease. A novel method of quantifying retinal hemorrhage is a potential technique for assessing disease severity of DR, particularly the early changes.","PeriodicalId":39864,"journal":{"name":"Asian Journal of Ophthalmology","volume":"17 1","pages":"375-399"},"PeriodicalIF":0.0,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48994114","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: 2

Prevalence of severe visual impairment and barriers to access eye care services in the Udupi district 乌杜皮区严重视力障碍的患病率和获得眼部护理服务的障碍

Asian Journal of Ophthalmology Pub Date : 2021-04-16 DOI: 10.35119/ASJOO.V17I4.291

L. Rao, Dushyant A Sharma, S. Bhandary, Divya Handa, Y. Kamath

{"title":"Prevalence of severe visual impairment and barriers to access eye care services in the Udupi district","authors":"L. Rao, Dushyant A Sharma, S. Bhandary, Divya Handa, Y. Kamath","doi":"10.35119/ASJOO.V17I4.291","DOIUrl":"https://doi.org/10.35119/ASJOO.V17I4.291","url":null,"abstract":"Aim: To assess the prevalence of severe visual impairment (SVI) and reasons for not accessing eye care services in a field practice area of a tertiary care hospital. \u0000Study design: Cross-sectional observational study. \u0000Materials and methods: Through a cross-sectional study using simple random sampling, a total of 1510, individuals above 18 years of age, from six rural and maternity welfare centers (RMCW) within a distance of 20 km from a tertiary hospital were approached. All participants underwent basic assessment of visual acuity, anterior segment evaluation using torch light, and answered a structured questionnaire on eye care. \u0000Results: Of 1510 subjects, 267 had SVI (defined as visual acuity < 6/60 either in one or both eyes) with a prevalence of 17.7%. SVI was higher among men and those above 60 years of age (52.8%). Significant association was found between barriers to accessing eye care facilities and lack of knowledge to access health care (p = 0.004), lack of financial support (95% CI, p = 0.006), and social reasons (95% CI, p = 0.028). Prevalence of SVI among diabetics was 32.7% as compared to non-diabetics (OR: 2.630; 95% confidence interval: 1.864–3.712), and among hypertensives was 34.61% as compared to non-hypertensives (OR: 2.836; 95% confidence interval: 1.977–4.068). \u0000Conclusion: In spite of being close to a tertiary care center, a prevalence of SVI in 17.7% of this population indicates a lack of knowledge regarding the importance of self-health care in subjects. This emphasizes the need to increase the awareness among the general public to access the ophthalmic health care facilities in order to improve the ocular health of the patients.","PeriodicalId":39864,"journal":{"name":"Asian Journal of Ophthalmology","volume":"17 1","pages":"343-355"},"PeriodicalIF":0.0,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44213214","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

Editorial 社论

Asian Journal of Ophthalmology Pub Date : 2020-12-31 DOI: 10.35119/asjoo.v17i3.886

K. Ong

引用次数: 0

Assessment of quality of life in glaucoma patients using the Glaucoma Quality of Life-15 questionnaire 青光眼患者生活质量评估采用青光眼生活质量15问卷

Asian Journal of Ophthalmology Pub Date : 2020-12-31 DOI: 10.35119/ASJOO.V17I3.617

S. Bhandary, Pallak Kusumkar, L. Rao, Surabhi Abbagani, K. Addoor

{"title":"Assessment of quality of life in glaucoma patients using the Glaucoma Quality of Life-15 questionnaire","authors":"S. Bhandary, Pallak Kusumkar, L. Rao, Surabhi Abbagani, K. Addoor","doi":"10.35119/ASJOO.V17I3.617","DOIUrl":"https://doi.org/10.35119/ASJOO.V17I3.617","url":null,"abstract":"Purpose: The purpose of this study was to assess quality of life in glaucoma patients using the Glaucoma Quality of Life-15 (GQL-15) questionnaire. The GQL-15 questionnaire is a glaucoma-specific quality of life questionnaire used to assess the degree of functional disability caused by glaucoma. \u0000Design: Cross-sectional, prospective study with comparison group at a tertiary care hospital. \u0000Materials and methods: The GQL-15 questionnaire was used to evaluate the quality of 80 patients in the glaucoma group and 80 normal subjects in the control group. The data were analyzed by test of proportions and Chi-square test. A p-value of < 0.05 was considered significant. \u0000Results: Glaucoma patients (mean age: 60.5 ± 9.2 years; range: 43–86 years) and comparison group (mean age: 58.9 ± 4.5 years; 52–72 years) were matched with respect to age (p = 0.18). Glaucoma patients had significantly worse quality of life compared to the non-glaucoma group (p < 0.001). Significant differences (p < 0.05) between the scores of the mild, moderate, and severe glaucoma groups were observed, suggesting poorer quality of life as the severity of glaucoma increases. \u0000Conclusions: The GQL-15 revealed that quality of life worsens with increasing severity of glaucoma increases. This fact is important when educating patients about the disease course and its therapy.","PeriodicalId":39864,"journal":{"name":"Asian Journal of Ophthalmology","volume":"17 1","pages":"273-284"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46298996","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: 2

Policy recommendations in response to the resurgence of COVID-19 cases for institutional medical practice from an ophthalmic perspective 从眼科角度对机构医疗实践应对COVID-19病例复苏的政策建议

Asian Journal of Ophthalmology Pub Date : 2020-12-31 DOI: 10.35119/ASJOO.V17I3.888

C. Lim, B. Lim, A. Goh, D. Lim, C. Tan

引用次数: 1