{"title":"Contribution of Optical Coherence Tomography in the Diagnosis of Idiopathic Polypoidal Choroidal Vasculopathy in a Young Adult at Iota-Teaching Hospital","authors":"Sidibe Km","doi":"10.23880/oajo-16000231","DOIUrl":"https://doi.org/10.23880/oajo-16000231","url":null,"abstract":"Introduction: Idiopathic polypoidal choroidal vasculopathy (IPCV) is a common cause of hemorrhage of the retinal pigmentary epithelium and neurosensory retinal detachment of oxidative origin. Its diagnosis is more easily made by Optical Coherence Tomography and Fluorescence Angiography or ICG. The aim of our work is to highlight the accuracy of OCT and AGF in the diagnosis of IPCV. We report a clinical case received in February 2019 in the vitreoretinal surgery and functional exploration of the visual apparatus department of the IOTA-Teaching Hospital. Case Report: A young man with a personal pathological history of arterial hypertension was referred to the department for macular OCT for central serous chorioretinitis. OCT and intravenous fluorescein angiography showed features of idiopathic polypoidal choroidal vasculopathy. The patient received anti-VEGF injections followed by significant visual improvement. Discussion: The pathogenesis of IPCV is not clearly elaborated, but it appears to be primarily due to an abnormality of choroidal vasculature. Conclusion: IPCV can occur in young subjects and leads to severe impairment of visual function. These severe visual impairments are resolved by the correct use of anti VEGF associated or not with the Argon laser.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72793260","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":"Ahmed Valve Implantation in Pseudophakic Refractory Paediatric Glaucoma - A Case Report","authors":"Akbar Umme Salma","doi":"10.23880/oajo-16000225","DOIUrl":"https://doi.org/10.23880/oajo-16000225","url":null,"abstract":"Purpose: To report a case of Ahmed valve implantation in pseudophakic refractory paediatric glaucoma. Case Report: A 12 year old boy came to the Glaucoma clinic of Chittagong eye infirmary and training complex with secondary glaucoma resistant to pharmacological treatment in his right eye. Five years before, he underwent cataract extraction with implantation of posterior chamber intraocular lens in his right eye. On ocular examination, his BCVA was 6/60 in the right eye and 6/6 in the left eye. His IOP was 50mmHg in right eye and 16mmHg in the left eye on maximal anti-glaucoma medication. He then underwent Ahmed valve implantation in his right eye. Following the surgery, his visual acuity in the right eye was 6/36 and IOP was 12mmHg. Conclusion: Ahmed valve implantation is a safe and effective modality of treatment for refractory glaucoma. Proper diagnosis and timely intervention can save the eye.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81114354","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":"https://medwinpublishers.com/OAJO/orbital-foreign-bodies-a-hospital-based-study-of-44-cases.pdf","authors":"Ul Kadir Syeed Mehbub","doi":"10.23880/oajo-16000226","DOIUrl":"https://doi.org/10.23880/oajo-16000226","url":null,"abstract":"Aim: To evaluate the pattern of injuries caused by orbital foreign bodies, types of orbital foreign bodies and also describe the management outline, including clinical presentation, radiological appearance, and treatment protocol. Material and Method: This observational case series study had been conducted in a tertiary eye hospital in Bangladesh from January 2013 to December 2020. Variables included demographic profile, clinical profile, and pattern of injuries, types of foreign bodies, medical and surgical treatment, and treatment outcome. Results: A total of forty-four (44) patients had been analyzed including male patients (75%) and female patients (25%) of orbital foreign body. Most of the patients (82%) were below the 40 years of age and young male patients. The mean age was 28.26 years and median age was 24 years. The patterns of injuries were Accidental trauma( 47.7%), physical assault (38.6%), iatrogenic (13.6%). The kinds of OFBs included metallic (34%), vegetative/wooden (43.2%), non-organic nonmetallic (22.7%). Orbitotomy (84%) had found as the main approach of the surgery in this study. The improvement of visual acuity after 6 weeks of treatment was highly significant (p value <0.001). Conclusion: Accidental trauma is the leading cause of OFB. Metallic foreign has reported as higher than others OFBs. The young age is preponderance for the injury. Early diagnosis, surgical exploration and extraction, when indicated greatly influence visual prognosis and final outcome.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85738125","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":"In vitro Evaluation of a Hypobromous Acid Hygiene Stabilized Solution in the Reduction of Bacterial Load Associated to Blepharitis Conditions","authors":"S. L","doi":"10.23880/oajo-16000232","DOIUrl":"https://doi.org/10.23880/oajo-16000232","url":null,"abstract":"Aims: Blepharitis is a chronic inflammation of the periocular skin area and it is characterized by eye itching, burning, dryness and irritation, with progression to chronic dry eye syndrome, where the eyelids margins of blepharitis patients are frequently colonized by bacteria. The aim of the present study was to investigate the in vitro bactericidal activity (BA) of a stabilized active bromine solution (MDI-102) at neutral pH for the potential use in the treatment and prevention of blepharitis. Methods and Results: The kinetic experiments have been conducted both in clean and in dirty conditions (by using bovine albumin solution as the interfering substance) at different ranges of concentration. The results show the topical solution to be capable of inactivating, in less than 0.5 minutes, more than 99.9% of several bacterial species involved in the clinical manifestations of blepharitis: Enterococcus hirae, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Staphylococcus epidermidis, and Serratia marcescens. Dirty condition tests confirm the results shown without albumin (clean conditions). Conclusions: MDI-102 is considered not irritating and dermatologically tested. This study demonstrates that MDI-102 active bromine solution can markedly reduce (in vitro) the bacterial activity, responsible of clinical manifestation of blepharitis. Thus, MDI-102 can be considered a promising tool for the periocular area and eyelids cleaning for blepharitis patients. Significance and Impact of the Study: The use of this formulation may contribute in the long-term prevention and hygienic treatment of blepharitis condition. Furthermore, MDI-102 can be considered as an alternative to reduce the use and the abuse of topical antibiotics in the daily practice, which may contribute to the increase of resistance to the antibiotics in the clinical setting.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77707663","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":"Visual Acuity after AcrySoft®IQ PanOptix®/PanOptix® TORIC Lens Implantation in Relation to Preoperative Pupil Size Values, Angles Alpha and Kappa Examined using the iTrace Analyzer","authors":"Cywinski A","doi":"10.23880/oajo-16000229","DOIUrl":"https://doi.org/10.23880/oajo-16000229","url":null,"abstract":"Visual acuity of 35 patients (49 eyes) implanted with AcrySoft®IQ PanOptix® spherical or toric lenses by Alcon was analyzed considering preoperative pupil size, angles alpha and kappa, the values of which were obtained in the examination using iTrace analyzer. Overall, no statistically significant changes in visual acuity were observed for changing values of the above parameters, except in the preoperative group with hyperopia, in which visual acuity to far distances improved with increasing pupil size. In some patients after refractive lens exchange, a slight deterioration in visual acuity to far distances was observed compared to preoperative values obtained with best correction; however, this did not have a significant impact on the level of patient satisfaction.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76342641","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":"Evaluation of Effectiveness of Bilamellar Tarsal Rotation Surgery in Trachomatous Trichiasis-A Study from Nepal","authors":"Bhattarai S","doi":"10.23880/oajo-16000227","DOIUrl":"https://doi.org/10.23880/oajo-16000227","url":null,"abstract":"Background: WHO has recommended Bilamellar Tarsal Rotation (BLTR) surgery for Trachomatous Trichiasis. Though, several studies have addressed the success rate of this surgery, the reported success rate shows great variation. The aim of this study was to evaluate the effectiveness of Bilamellar Tarsal Rotation (BLTR) surgery in Trachomatous Trichiasis. Methods: This hospital based, prospective and interventional study was conducted at Geta Eye Hospital, Kailali, Far West Province of Nepal from February 15, 2005 to July 31, 2006 that included patients with Trachomatous Trichiasis undergoing BLTR surgery. Preoperative, operative and postoperative details were evaluated according to proforma. Patients were examined on 1st and 10th post-operative days and later between 6-9 months after surgery (1st follow-up) and between 14-17 months after surgery (2nd follow-up). Results: Altogether 67 patients were included in this study period. Out of total 99 lids with trichiasis, 85 lids underwent BLTR surgery. Among 85 lids that underwent BLTR surgery, 67 were of minor type and 18 were of major type of trichiasis. Recurrence of trichiasis was not found at 10th post operative day. At first follow-up, 5 (5.9%) lids had recurrence and at 2nd follow-up, 13 (15.3%) lids had recurrence of trichiasis. Among minor group of trichiasis 3 (4.5%) lids had recurrence at 1st follow-up and 10 (14.9%) lids had recurrence at 2nd follow-up. Similarly among major group of trichiasis, 2 (11.1%) lids had recurrence at 1st follow-up and 3 (16.7%) lids had recurrence at 2nd follow-up. Conclusion: BLTR surgery is simple, safe and successful. Recurrence of trachomatous trichiasis is common following BLTR surgery.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85903880","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":"Usher Syndrome: A Case Report of Two Brothers","authors":"Akbar Umme Salma","doi":"10.23880/oajo-16000230","DOIUrl":"https://doi.org/10.23880/oajo-16000230","url":null,"abstract":"Purpose: To report a case of Usher’s syndrome in two brothers. Case Report: Two brothers, 24 and 26 years of age, presented to Chittagong eye infirmary and training complex with the complaints of gradual diminution of vision in both eyes, especially at night. Their ocular examination revealed best corrected visual acuity of 6/36 in right eye and 6/24 in left eye. Dilated fundus evaluation showed pigmentary retinopathy. Perimetry revealed peripheral visual field constriction. Their systemic examination revealed sensorineural hearing loss. These clinical findings supported the diagnosis of Usher syndrome Type 1. The patients were advised for low vision aids to improve their quality of life and counseling regarding the prognosis of the disease was done with the patient’s family members. Conclusion: Early detection and appropriate intervention will help preserve the residual vision.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75055475","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":"Heartfelt Stories about Doctor Patient Relationship","authors":"S. P.","doi":"10.23880/oajo-16000223","DOIUrl":"https://doi.org/10.23880/oajo-16000223","url":null,"abstract":"","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86760873","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":"Traumatic Angle Recession with Secondary Glaucoma- A Case Series Study","authors":"Noman Ms","doi":"10.23880/oajo-16000220","DOIUrl":"https://doi.org/10.23880/oajo-16000220","url":null,"abstract":"Purpose: To describe the patterns of outcomes and management approaches to patients diagnosed with angle recession glaucoma presenting at the Glaucoma Department, Chittagong Eye Infirmary & Training Complex, and Bangladesh. Design: A hospital-based prospective observational case series review. Participants: 25 patients who were diagnosed with angle recession glaucoma over a 1 year period from November 1st 2009 to October 31st 2011. Method: Patient particulars, history and mechanism of trauma were recorded. Ophthalmic examination details (including gonioscopy, intraocular pressure and fundoscopy) and management given were documented. Similar relevant details were recorded for three follow-up periods, on all patients, extending over a total period of 9 months. Results: 25 patients with angle recession glaucoma were included in the study. Twenty-two of the patients were male. The mean age of patients was 34.9±20.84 years (Range: 9-72 years). All patients had an angle cleavage of more than 180 degrees, with 68% having a recession of 360 degrees. 56% had a history of hyphaema. In 88% of patients, the intra-ocular pressure (IOP) was controlled and kept at a stable level (<21mmHg) over follow-up. Of these, 91% were controlled by conservative treatment (topical anti-glaucoma drugs or observation) and 9% was controlled after cataract surgery. Patients with uncontrolled IOP (12%) were advised for filtration surgery. The mean IOP at time of diagnosis was 29.8±9.7mmHg (Range: 14-50mmHg). The mean IOP at last follow-up was 18.4±8.4mmHg (Range: 10-50mmHg). Visual Acuity (VA) for 23 patients (92%) either remained stable or improved. Conclusion: Angle recession glaucoma can cause further loss of vision in ocular trauma patients who may already have compromised vision due to injury. Control of IOP and preservation of presenting VA was seen in most cases with conservative management with topical medications and sustained follow-up. Patients sustaining blunt ocular trauma, especially those associated with hyphaema, should be advised for future follow up and have gonioscopic evaluation of the angle.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83858986","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":"Study of Complications of Phakic Intraocular Lenses in Correction of Myopia","authors":"Mosavi Sa","doi":"10.23880/oajo-16000214","DOIUrl":"https://doi.org/10.23880/oajo-16000214","url":null,"abstract":"Objective: To evaluate the visual outcomes and complications of phakic intraocular lenses Implantation for myopia. Method: This cross sectional study included 151 myopic eyes implanted with one of the three types of phakic intraocular lenses (Artisan 83 eyes, ICL 52 eyes, and I- Care 16 eyes). Patients were followed for an average of 33±15 months. Intraoperative and postoperative complications were recorded as short- term and long-term. All patients were recalled and examined under thorough eye examination. Results: Three years after the surgery, safety index has changed significantly using the Artisan and ICL lenses respectively (P>0.001 and P 0.007=) and efficacy index in the three groups was 0.04 ± 0.91, 0.14± 1.61 and ± 0.42 0.15. Spherical Equivalent (SE) values decreased post operation that was statistically significant (P 001/0>) using Artisan and ICL lenses. Also, Astigmatism values dropped significantly using Artisan and I-care lenses (P 001/0> and P 03/0=) three years after surgery. Endothelial cell count reduction percentage was 6.1% and 5.2% in groups Arti san and ICL respectively, while it was 43.7% in Group ICare. Conclusion: No significant intraoperative complication was seen among the three groups. However, sharp decline of post operatively corneal endothelial cell count was the most important complication of I- Care lens and it is suggested to prevent implantation of this type of PIOLs for anticipation of cornea decompensation.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89833573","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}