{"title":"Comparative Modeling and Molecular Interaction Study for the Management of AMD and CRVO Ocular Disorder","authors":"Srivastava P","doi":"10.23880/oajo-16000263","DOIUrl":"https://doi.org/10.23880/oajo-16000263","url":null,"abstract":"Age Related Macular Degeneration (AMD) and Central Retinal Vein Occlusion (CRVO) are the rare and leading cause of blindness among patients with ocular problem. Many proteins are reported in the progression of these ocular disorders. Proteins which are directly involved in the development of this disorder reported in the literature, their sequence related information retrieved from biological databases. In silico technique was implemented in order to characterize the properties and structures of the proteins using ProtParam. For studying about the potential phosphorylation sites in protein generally NetPhos server was used whereas for denoting the location of signal peptide cleavage sites and their presence the server which is used is SingalP server. For prediction of secondary structure prediction of proteins is done by using SOPMA. The SOSUI server performs the identification of trans-membrane regions. The 3D dimensional structure was modeled using Swiss Model Workspace and Modeller. Ramachandran plot was used to validate the stereochemical properties of the predicted structures because it is a very important step after 3D structure prediction. Docking of screened phytochemicals with selected proteins was performed by AutoDock. Docking study revealed that Curcumin (binding energy: -8.35) and Berberine (binding energy: -7.14) can be used as better therapeutic lead molecule for the cure of CRVO and AMD respectively.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82926207","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":"Isolated Lower Motor Neuron Facial Nerve Palsy as a Presenting Sign in COVID-19 Associated Orbital Mucormycosis Patients: A Retrospective Observational Study","authors":"A. R","doi":"10.23880/oajo-16000270","DOIUrl":"https://doi.org/10.23880/oajo-16000270","url":null,"abstract":"Purpose: The main purpose of this study is to emphasize that isolated facial nerve involvement can be the first presenting symptom in patients suspected of COVID-associated Mucormycosis (CAM). Methods: This study is a retrospective observational study conducted at a tertiary care referral center which included patients with a history of CAM, who presented with isolated facial nerve palsy as initial presentation between March 2021 to March 2022 along with their follow-up. All the patients were managed with combined modality treatment with antifungal therapy and debridement of the necrotic tissue and fungal debris. Results: There were 184 eyes of 148 patients diagnosed with CAM. All patients developed rhino-orbital mucormycosis (ROM) following the COVID-19 infection and the duration between diagnosis of COVID-19 and ROM was 36±23 days. 42(28%) patients presented with isolated Facial Nerve Palsy (FNP) as the initial presentation. The mean age was 48.5 years (range 38 to 67years) with a male predominance of 29 (69%). All were unilateral cases and were of Lower motor neuron type presentation. All the patients (100%) were treated with systemic Liposomal amphotericin-B and sinus debridement. At a mean follow-up of 13.1 months, 19 (45%) of the patients had improvement in Facial Nerve function and 23 (55%) had static functioning. None of them had worsened. With medical intervention and tarsorrhaphy, the corneal condition was improved in all patients. Conclusion: Isolated FNP is an unusual but important sign in the presentation of mucormycosis which can be misdiagnosed with a cerebrovascular accident leading to delay in the management. This is a large case series with isolated FNP in CAM cases. A high index of suspicion for mucormycosis in diabetic patients presenting with isolated facial palsy can save the life and salvage the eye.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84659313","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":"How to Safeguard Against Litigations and Consumer Cases during the Medical Practice?","authors":"S. V","doi":"10.23880/oajo-16000264","DOIUrl":"https://doi.org/10.23880/oajo-16000264","url":null,"abstract":"Medical professionals are now accountable to the public under the Consumer Protection Act (COPRA), 1986, which came into force in 1988. The act recognizes a consumer's right to safety, information, choice, redressal, consumer education and to be heard. The inclusion of medical services under COPRA has evoked scathing criticism from the medical professionals, which argues doctors will have to practice \"Defensive Medicine\" while treating/operating patients, and undertake multiple consultations. Medical professionals will also be forced to insure themselves heavily against malpractice suits.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87623870","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":"Modified Samuel Masket’s Technique","authors":"Dudani Ia","doi":"10.23880/oajo-16000258","DOIUrl":"https://doi.org/10.23880/oajo-16000258","url":null,"abstract":"","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73448099","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":"Sudden Death among Medical Professionals: How to Reverse this Trend?","authors":"Pandey Sk","doi":"10.23880/oajo-16000276","DOIUrl":"https://doi.org/10.23880/oajo-16000276","url":null,"abstract":"During the past few years, the sudden death of young medical professionals in India shocked the entire medical fraternity. Recently, the sudden demise of several young doctors due to massive myocardial infarction came as shocking sad news for medical colleagues. Similarly, few young, highly skilled and talented doctors succumbed before age of 45 years. Sudden early deaths have frequently been reported among medical professionals during the past few years. This indicates an alarming trend of the sudden death of doctors and is also closely associated with stress/burnout, a sedentary lifestyle, long working hours, and socio-economic factors.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80566819","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":"Fungal Orbital Cellulitis by Candida Albicans Following Snake Bite -A Rare Case","authors":"Seth P","doi":"10.23880/oajo-16000269","DOIUrl":"https://doi.org/10.23880/oajo-16000269","url":null,"abstract":"Fungal orbital cellulitis is extremely rare in immune-competent individuals. An ocular manifestation of snake bite is rare and orbital cellulitis following snake bite is one of the rarest entities. A 10 year old boy presented with periorbital edema with lid necrosis following snake bite on upper lid of the right eye. Patient was treated with intravenous empirical antibiotic along with anti-snake venom. The following day, the patient developed proptosis of the right eye. CT scan suggested orbital cellulitis. Microbiological examination confirmed Candida species. Patient was started on intravenous and topical antifungal agent with resultant decrease of proptosis. But, despite ocular improvement, the patient succumbed due to respiratory failure. The present case highlights fungal orbital cellulitis in immune-competent patient as one of the rarest manifestation of snake bite. Clinical suspicion and diagnosis by imaging and microbiological examination and immediate treatment are necessary while treating such patients.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81498914","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":"Impact of COVID-19 on Ophthalmic Pathology","authors":"Mehenaz Hanbazazh","doi":"10.23880/oajo-16000274","DOIUrl":"https://doi.org/10.23880/oajo-16000274","url":null,"abstract":"The Coronavirus disease-19 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) remains a significant concern to the public and a major challenge to healthcare workers. Although vaccination programs are generally regarded as successful, recent reports have shown that vaccine effectiveness is decreasing gradually, particularly as booster uptakes are low. The next pandemic is unpredictable and inevitable. Therefore, understanding the impact of COVID-19 on different aspects of healthcare will aid in adaptation to life with pandemics and enable prioritization of medical treatment. The SARS-CoV-2 outbreak significantly changed all sectors of healthcare. Ocular oncology and pathology practices were adapted to adjust to the many new challenges the COVID-19 pandemic presented. This review highlights laboratory modifications and shows how the number, type, and histology of eye oncology cases were impacted during the pandemic.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79328485","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":"Fast Food and Malnutrition can lead to Blindness and Structural Changes in the Central Nervous System (CNS)","authors":"Abdelmseih M","doi":"10.23880/oajo-16000262","DOIUrl":"https://doi.org/10.23880/oajo-16000262","url":null,"abstract":"Background: An increasing awareness regarding consumption of fast food in early childhood and blindness with serious metabolic changes combined with morphological changes in the central nervous system should be considered. Method: This study conducted a systematic search in the PubMed database for articles related to Optic Neuropathy. The only risk factor was malnutrition due to fast food consumption, which led to Blindness due to nutritional optic neuropathy. Discussion and Conclusion: Early detection and management could prevent permanent loss of vision in both eyes, or at least protect the only Seeing Eye. Educational programs are required to encourage children to follow healthy eating habits and to emphasize the serious effects of fast food on vision. Routine screening in schools and pediatric clinics including detailed dietary history is mandatory early detection and prevention of potential complications.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81639028","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 Road to Perfectionism in the Surgical Field: How Resident/ Young Ophthalmologist can become Perfect Ophthalmic Surgeon?","authors":"Pandey Suresh K","doi":"10.23880/oajo-16000248","DOIUrl":"https://doi.org/10.23880/oajo-16000248","url":null,"abstract":"Medicine is a field where one needs to consistently aim for perfection in order to build their competitive edge and retain optimum perfection. Surgery, ophthalmology and medicine all require a lifetime of learning, and learning requires repetition with aim of perfection. Entering into the surgical field (ophthalmology) is another critical stage where your life is on the verge of transformation as you make a career choice that is for the rest of your life. Moreover, ophthalmic surgery is a field that demands nothing less than perfection as even the most little mistake can lead compromised vision or even blindness. During recent years most of the ophthalmic residents are not getting sufficient surgical cases for learning/mastering the eye surgery in most of the training institutes in India. What are the qualities of perfect surgeon? How resident or young ophthalmologist can learn these qualities? Why do we need to become perfect surgeons – especially when it comes to eye surgery and ophthalmology? Ophthalmologic surgeries are very delicate, highly crucial in nature. Any minor mistake can lead the patient to irrevocable damage in form of blindness or other serious visual impairment. This makes eye surgeries riskier than any other and require perfect surgeons on the list to execute surgeries and minimize the damage risk. In this article the authors share some pearls for learning and mastering eye surgery to become a perfect ophthalmic surgeon.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81275682","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}