{"title":"Post Penetrating Keratoplasty Glaucoma: An Overview","authors":"A. Raj","doi":"10.23880/oajo-16000183","DOIUrl":"https://doi.org/10.23880/oajo-16000183","url":null,"abstract":"Glaucoma is the leading cause of blindness after penetrating keratoplasty (PK) and its management is still controversial. Earlier diagnosis is mandatory to salvage the graft. The newer modalities like recent tonopens, ultrasound biomicroscopy (UBM), Anterior segment optic coherence tomography (ASOCT) are helpful tools for its diagnosis. Recent developments in its management includes newer drugs, surgical procedures such as trabeculectomy with mitomycin-C, glaucoma drainage devices (GDD), and cyclodestructive procedures with Nd: YAG (neodymium: yttrium-aluminium-garnet) and diode lasers. Despite all these advances the risk of graft failure continues to be high.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75076696","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":"Retinopathy Stages Detection using Circular Hough Transformation","authors":"Jyoti D. Patil","doi":"10.23880/oajo-16000179","DOIUrl":"https://doi.org/10.23880/oajo-16000179","url":null,"abstract":"Diabetic retinopathy is progressive disease that leads patients to blindness. Diabetic retinopathy is classified into two main stages, namely non-proliferative diabetes retinopathy (NPDR) and proliferative diabetes retinopathy (PDR). In realism, there is not much difference in risk between diabetic eyes with normal eye and those having mild retinopathy. Both have a very low risk of progressing to PDR; in fact, the Early Treatment of Diabetic Retinopathy Study is necessary so that ophthalmologist can avoid severe stage. In this research used Circular Hough-Transformation method in which we find that sensitivity 89.25%, specificity 97.46 and accuracy 96.62% .It is found that the rate of progression to PDR after four years was less than 1% for both young and older patients with no diabetic retinopathy, compared to 4.1% in younger patients with a rare microaneurysm and hemorrhage.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86367959","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 Report: Traumatic Isolated Medial Rectus Dehiscence and its Surgical Outcome","authors":"A. Tamhane","doi":"10.23880/OAJO-16000178","DOIUrl":"https://doi.org/10.23880/OAJO-16000178","url":null,"abstract":"","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84031371","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":"To Investigate the Morphologic Alterations in and Around the Optic Disc by Optical Coherence Tomography (OCT) in Eyes with Different Degree of Myopia","authors":"Santosh Kumar","doi":"10.23880/oajo-16000187","DOIUrl":"https://doi.org/10.23880/oajo-16000187","url":null,"abstract":"Objective: To investigate the morphologic alterations in and around the optic disc by optical coherence tomography (OCT) in eyes with different degree of myopia. Methods: This prospective study included 110 myopic subjects for evaluation of Peripapillary Retinal Nerve Fiber Layer (pRNFL) pattern in myopia. Results: In our study we observed that in SE Group 1 (-3D to -6D), the average pRNFL thickness, Mean disc area and mean CD Ratio was 87.67 μm, 1.850±0.36, 0.46±0.09 while in SE Group 2 (> -6D to -10D) it was 82.56 μm, 1.89±0.23, 0.49±0.06 and in SE Group 3 (> -10D) the thickness was found to be 67.75 μm, 2.54±0.24, 0.49±0.05 respectively. This decrease in pRNFL thickness is highly statistically significant (p < 0.001) in different groups. Similar results were seen with Al Group 1,2 and 3. Conclusion: Average pRNFL thickness clearly exhibited a decreasing pattern as spherical equivalent and Axial length increases while it is not followed in all quadrants. The average disc area increases however CD ratio remains unchanged as spherical equivalent increases.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79094606","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 Retinal Glide. A New Surgical Technique for the Myopic Traction Maculopathy Associated with Macular Retinal Detachment","authors":"Guerra Garcia Roberto A","doi":"10.23880/oajo-16000185","DOIUrl":"https://doi.org/10.23880/oajo-16000185","url":null,"abstract":"","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74989067","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":"Chlamydia Trachomatis Infections: A Hidden Cause of Meibomian Gland Dysfunction","authors":"G. Satpathy","doi":"10.23880/oajo-16000182","DOIUrl":"https://doi.org/10.23880/oajo-16000182","url":null,"abstract":"Purpose: Meibomian gland dysfunction (MGD) is a common eye problem, which is asymptomatic in the early stage, but if left untreated for a prolonged period can exacerbate to dry eye syndrome. Role of bacteria in the pathophysiology of MGD is always controversial. This pilot study was undertaken to find the association of Chlamydia trachomatis apart from the normal biota of the eyelid with MGD in a tertiary care hospital in India. Methods: A total of 112 MGD patients with follicular conjunctival inflammation with either of the symptoms such as; Meibomitis (22), Dry eye (42), Watering (19), Blepharitis (9), Chalazion/ Hardoleum (20) were referred to the Chlamydial laboratory for further investigation. Conjunctival swabs of both eyes were subjected to direct immunofluorescence assay (DFA) for C. trachomatis antigen detection. Results: Of the 112 MGD patients, 62 (55.30%) were found positive for C. trachomatis with DFA, out of which 54(87%) had good clinical response for topical azithromycin (1% eye drop), topical lubricants and warm compresses. Conclusions: We concluded from this study that, C. trachomatis is one of the causes for MGD with follicular conjunctival inflammation and topical azithromycin is a good choice for treatment and improving the signs and symptoms of the infection. As the role of chlamydia in MGD is not clear, this study will disclose an exciting fact about the pathophysiology of the disease, which will in turn improve treatment strategy to some extent to combat with the common but frustrating","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86161780","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":"Potentials of Gene Therapy for Diabetic Retinopathy: The Use of Nucleic Acid Constructs Containing a TXNIP Promoter.","authors":"P S Lalit, Y Thangal, Y Fayi, S D Takhellambam","doi":"10.23880/oajo-16000147","DOIUrl":"https://doi.org/10.23880/oajo-16000147","url":null,"abstract":"<p><p>Diabetic retinopathy (DR) is considered as a chronic eye disease leading to blindness. DR is associated with hyperglycemia-induced oxidative stress, chronic low-grade inflammation and premature cell death. DR affects retinal capillaries, neuroretina and the retinal pigment epithelium. Recently, the thioredoxin-interacting protein TXNIP has been shown as a pro-oxidative stress, pro-inflammatory and pro-apoptotic protein, highly induced by diabetes and high glucose in all cells examined including the retina. TXNIP's actions involve binding to and inhibition of anti-oxidant and thiol-reducing capacities of thioredoxins (Trx) causing cellular oxidative stress and apoptosis. Trx1 is found in the cytosol and nucleus while Trx2 is the mitochondrial isoform. Several studies provided evidence that knockdown of TXNIP by siRNA or chemical blockade ameliorates early abnormalities of DR including endothelial dysfunction, pericyte apoptosis, Müller cell gliosis and neurodegeneration. Therefore, TXNIP is considered a potential target for preventing or slowing down the progression of DR. We recently proposed that nucleic acid constructs containing a proximal TXNIP promoter linked to a redox gene or shRNA that reduces oxidative stress and inflammation may be used to treat DR. The TXNIP promoter is sensitive to hyperglycemia therefore can drive expression of the linked gene or shRNA under high glucose environment such as seen in diabetes while remaining unresponsive at physiological glucose levels. Such a TXNIP-promoter linked gene or shRNA construct can be delivered to the retina by using adeno-associated viral vectors including AAV2 and AAV2/8 or an appropriate carrier via the intravitreal or sub retinal delivery for long-term gene therapies in DR.</p>","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519956/pdf/nihms-993031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37253617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Senthil Kumar, K. Dinesh Kumar, P. Minogue, V. M. Berthoud, R. Kannan, E. Beyer, S. Santhiya
{"title":"The E368Q Mutant Allele of GJA8 is Associated with Congenital Cataracts with Intrafamilial Variation in a South Indian Family.","authors":"G. Senthil Kumar, K. Dinesh Kumar, P. Minogue, V. M. Berthoud, R. Kannan, E. Beyer, S. Santhiya","doi":"10.23880/OAJO-16000106","DOIUrl":"https://doi.org/10.23880/OAJO-16000106","url":null,"abstract":"PURPOSE To determine the basis of the autosomal dominant congenital cataracts in a three generation south Indian pedigree. METHODS The proband and several family members underwent a complete ophthalmic examination. The coding regions of eight candidate genes (CRYAA, CRYBB2, CRYGC, CRYGD, GJA3, GJA8, AQP0, and PITX3) were amplified by PCR and directly sequenced. Wild type and mutant connexin50 (Cx50) were expressed by stable transfection of HeLa cells. Their cellular distributions and function were examined by immunofluorescence microscopy and by microinjection of gap junction permeant tracers, respectively. RESULTS Congenital cataracts (with some variations in phenotype) segregated as an autosomal dominant trait within a three generation pedigree. Three affected individuals (proband, sibling and mother) showed a sequence variation in the candidate gene GJA8 encoding Cx50: a c.1102G>C transversion encoding a substitution of glutamate for glutamine at position 368 (E368Q). This substitution was absent from an unaffected family member (paternal aunt) and 100 healthy controls of the same ethnicity. In transfected HeLa cells, both wild type Cx50 and E368Q localized to gap junction plaques, and supported similar levels of intercellular transfer of Neurobiotin. CONCLUSIONS The E368Q mutant allele of GJA8 is associated with autosomal dominant congenital cataracts with phenotypic variability. E368Q forms gap junction plaques and functional channels in transfected HeLa cells.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74747225","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}
G Senthil Kumar, K Dinesh Kumar, P J Minogue, V M Berthoud, R Kannan, E C Beyer, S T Santhiya
{"title":"The E368Q Mutant Allele of <i>GJA8</i> is Associated with Congenital Cataracts with Intrafamilial Variation in a South Indian Family.","authors":"G Senthil Kumar, K Dinesh Kumar, P J Minogue, V M Berthoud, R Kannan, E C Beyer, S T Santhiya","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the basis of the autosomal dominant congenital cataracts in a three generation south Indian pedigree.</p><p><strong>Methods: </strong>The proband and several family members underwent a complete ophthalmic examination. The coding regions of eight candidate genes (<i>CRYAA, CRYBB2, CRYGC, CRYGD, GJA3, GJA8, AQP0,</i> and <i>PITX3</i>) were amplified by PCR and directly sequenced. Wild type and mutant connexin50 (Cx50) were expressed by stable transfection of HeLa cells. Their cellular distributions and function were examined by immunofluorescence microscopy and by microinjection of gap junction permeant tracers, respectively.</p><p><strong>Results: </strong>Congenital cataracts (with some variations in phenotype) segregated as an autosomal dominant trait within a three generation pedigree. Three affected individuals (proband, sibling and mother) showed a sequence variation in the candidate gene <i>GJA8</i> encoding Cx50: a c.1102G>C transversion encoding a substitution of glutamate for glutamine at position 368 (E368Q). This substitution was absent from an unaffected family member (paternal aunt) and 100 healthy controls of the same ethnicity. In transfected HeLa cells, both wild type Cx50 and E368Q localized to gap junction plaques, and supported similar levels of intercellular transfer of Neurobiotin.</p><p><strong>Conclusions: </strong>The E368Q mutant allele of <i>GJA8</i> is associated with autosomal dominant congenital cataracts with phenotypic variability. E368Q forms gap junction plaques and functional channels in transfected HeLa cells.</p>","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438206/pdf/nihms820988.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35015565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}