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Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results
Shreesha Kumar Kodavoor,
Preethi Venkatesh,
Ramamurthy Dandapani,
Gitansha Shreyas Sachdev
Issue:
Volume 6, Issue 2, June 2021
Pages:
67-71
Received:
8 March 2021
Accepted:
26 March 2021
Published:
7 April 2021
Abstract: Aim: To analyze the recurrence rates and complications after extended resection and limbal conjunctival autograft in recurrent pterygium cases. Materials and methods: Retrospective analysis of 216 eyes of 214 patients was done. All the surgeries were performed under subconjuctival infiltrative anaesthesia. Extensive excision of the pterygium was done along with 1mm of normal conjunctival tissue all around and the tenons was resected all around behind and beyond the excised conjunctival margins. A large conjunctival autograft with a thin block limbal tissue in the graft was taken from the superior conjunctiva and placed on the bare sclera with proper orientation (limbal end towards the cornea) and was fixed with fibrin glue. In 6 cases the autograft with the limbal tissue was taken from the inferior conjunctiva as the superior conjunctiva was scarred due to previous surgeries No other adjuvants were used during the procedure. Results: Among the 214 patients, 212 patients had unilateral recurrent pterygium and 2 patients had bilateral recurrent pterygium. All the patients were followed up for a minimum of 6 months with an average follow up of 18 months. Recurrence was seen in 6 eyes (2.7%), out of which 2 eyes had one recurrence earlier, 3 eyes had two recurrences earlier and one eye had three recurrences before. Conclusion: Extended pterygium resection with large limbal conjunctival autograft seems to be an effective surgical procedure in recurrent pterygium with less recurrence and encouraging results.
Abstract: Aim: To analyze the recurrence rates and complications after extended resection and limbal conjunctival autograft in recurrent pterygium cases. Materials and methods: Retrospective analysis of 216 eyes of 214 patients was done. All the surgeries were performed under subconjuctival infiltrative anaesthesia. Extensive excision of the pterygium was do...
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A Rare Presentation of Bilateral Vogt-Koyanagi-Harada (VKH) Disease in a Patient with Unilateral Limbal Stem Cell Deficiency (LSCD) with Corneal Perforation
Shreesha Kumar Kodavoor,
Soundarya Balajee,
Ramamurthy Dandapani,
Muralidhar Rajamani,
Thenarasun Seethalakshmi Asaithambi
Issue:
Volume 6, Issue 2, June 2021
Pages:
72-74
Received:
8 March 2021
Accepted:
30 March 2021
Published:
16 April 2021
Abstract: Purpose-To report a rare presentation of Vogt-Koyanagi-Harada (VKH) disease in a 55 year old female patient with unilateral limbal stem cell deficiency (LSCD) with corneal perforation. Observations-Patient presented to the out patient department with recurrent episodes of watering, pain, redness in the left eye. Examination revealed LSCD with areas of pannus and infiltration. She was treated medically. Patient came back after a year with a corneal perforation in her left eye. The perforation was sealed using cyanoacrylate glue. Six weeks later, she presented with a drop in vision in both eyes. Optical Coherence Tomography (OCT) in both eyes showed multiple sub retinal fluid pockets and Fundus Fluorescein Angiography (FFA) revealed multiple pinpoint leakages typical of Harada disease. The patient was investigated for systemic associations, which were found to be normal. She was managed with tapering doses of oral steroids. OCT showed resolution of fluid pockets at one month. There was a good control of the disease, with no signs of recurrence at 6 months follow up. Conclusion-The clinical association between the two entities has not been published in literature till date. Further data or reports on such cases would help throw light on any possible association between LSCD and VKH disease.
Abstract: Purpose-To report a rare presentation of Vogt-Koyanagi-Harada (VKH) disease in a 55 year old female patient with unilateral limbal stem cell deficiency (LSCD) with corneal perforation. Observations-Patient presented to the out patient department with recurrent episodes of watering, pain, redness in the left eye. Examination revealed LSCD with areas...
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Neuroprotection in Primary Open-Angle Glaucoma: The Role of a Fixed Citicoline-Homotaurine-Vitamin E Combination
Camillo Cornelio,
Lorenzo Crisigiovanni,
Virginia Limardo,
Davide Nuzzo,
Pasquale Troiano
Issue:
Volume 6, Issue 2, June 2021
Pages:
75-79
Received:
16 March 2021
Accepted:
7 April 2021
Published:
16 April 2021
Abstract: Glaucomatous optic neuropathy is a chronic degenerative neuropathy characterized by progressive damage of the retinal ganglion cells despite good compensation of intraocular pressure. The purpose of this study was to assess the effect of oral administration of a fixed combination of citicoline 500 mg + homotaurine 50 mg + vitamin E 12 mg (CIT/HOMO) on retinal ganglion cell function as examined by pattern electroretinogram (PERG) in subjects with primary open-angle glaucoma. A prospective, randomized, single-blind, balanced, crossover study was performed on a population of 40 patients with POAG-HT and fully-compensated IOP with topical hypotensive therapy. Recruited patients were allocated by balancing randomization to two treatment groups: - group A: patients continued current hypotensive eye-drop for 4 months and subsequently took 1 tablet of CIT/HOMO each morning for 4 months; - group B: patients took 1 tablet of CIT/HOMO each morning for 4 months in addition to current hypotensive eye-drop and subsequently continued with current hypotensive eye-drop alone for 4 months. Patients were examined at baseline (T0), after 4 (T1) and 8 months (T2). At every single time was performed a whole eye examination, 3 IOP measurements, 30.2 SITA Standard Humphrey visual field test, OCT cup/disc ratio and PERG glaucoma Hemifield test with central amplitude analysis. 38 patients completed the study for a total of 76 eyes. In both groups of patients tonometry, cup/disc ratio and visual field did not reveal any statistically significant difference. In both groups, adding the CIT/HOMO at hypotensive eye-drop resulted in an improvement in PERG after 4 months of therapy that disappeared when CIT/HOMO was withdrawn. Four months supplementation with a fixed combination of citicoline, homotaurine and vitamin E was seen to significantly increase the amplitude of the PERG bioelectric potential transmitted by the optical pathway to the visual cortex in subjects with primary open-angle glaucoma with compensated IOP and initial damage of the visual field and optic disc. During this study, the IOP remained compensated with the current hypotensive therapy and no deterioration was observed in the visual field or the cup/disc ratio.
Abstract: Glaucomatous optic neuropathy is a chronic degenerative neuropathy characterized by progressive damage of the retinal ganglion cells despite good compensation of intraocular pressure. The purpose of this study was to assess the effect of oral administration of a fixed combination of citicoline 500 mg + homotaurine 50 mg + vitamin E 12 mg (CIT/HOMO)...
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Application Progress of OCTA in Retinal Diseases
Issue:
Volume 6, Issue 2, June 2021
Pages:
80-88
Received:
23 March 2021
Accepted:
7 April 2021
Published:
16 April 2021
Abstract: Optical coherence tomography angiography (OCTA), as a nascent fundus vascular angiography technique, can identify the blood flow movement information of the retina and choroid with high resolution, and imaging the microvascular circulation of the retina and choroid in living tissues. Compared to previous art dye-based imaging such as fluorescein angiography and indocyanine green angiography, it has the characteristics of fast, non-invasive, high resolution and three-dimensional imaging, as well as the ability to display retinal vascular structure and blood flow information simultaneously. OCTA is a nascent technology with a potential wide applicability for retinal vascular disease. As a part of systemic blood circulation, ocular blood flow has been affected by a variety of factors. Vascular factors play an important role in eye diseases including retinal vein occlusion, diabetic retinopathy and glaucoma, and other diseases. OCTA has special advantages in retinal choroidal vascular changes, disease management follow-up and treatment effect detection. However, OCTA suffers from disadvantages of a relatively small field of view, inability to show leakage, and proclivity for image artifact due to patient movement or blinking. This article will review the recent research of OCTA in diabetic retinopathy, retinal vein occlusion, primary glaucoma, age-related macular degeneration and high myopia fundus to understand its applicability in the research and clinical practice of retinal diseases.
Abstract: Optical coherence tomography angiography (OCTA), as a nascent fundus vascular angiography technique, can identify the blood flow movement information of the retina and choroid with high resolution, and imaging the microvascular circulation of the retina and choroid in living tissues. Compared to previous art dye-based imaging such as fluorescein an...
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Inflammatory Rhegmatogenous Retinal Detachment: Incidence and Outcome of Rhegmatogenous Retinal Detachments in Posterior Uveitis
Issue:
Volume 6, Issue 2, June 2021
Pages:
89-93
Received:
23 March 2021
Accepted:
14 April 2021
Published:
29 April 2021
Abstract: BACKGROUND: Uveitis is one of the cause for blindness in our country in all age group of patients. Various causes of uveitis have been reported in our institute. All uveitis will not cause blindness, if appropriately managed. Blindness is mainly due to complications which occur as sequalae in these patients. Blindness can be due to anterior or posterior segment involvement. Early presentation and management will help in controlling the various complications. Rhegmatogenous retinal detachment is one of the cause in posterior uveitis patients which can occur due to changes in vitreous and retina. Uveitis can be infective or non-infective. AIM: Purpose of our study is to assess the incidence, management and outcome of rhegmatogenous retinal detachment in uveitis patients. MATERIALS AND METHODS: All patients of uveitis presented to our vitreo retina department were examined in detail, underwent various investigations to know the aetiology and managed based upon the clinical presentation. Retrospective study done by collecting patient data from old medical records. Duration of the study is 5 years, from June 2014 to June 2019. No of patients presented with posterior uveitis to our department during June 2014 to June 2019 were 610. All these patients underwent BCVA, Slit lamp examination, IOP, Fundus examination, b scan, OCT and documentation. Systemic examination done in all cases and also laboratory work up like RBS, CBP, MANTOUX TEST, HIV and serological testing if required, rheumatological work up in suspected cases. Patients with inflammatory rhegmatogenous retinal detachment underwent buckling plus pars plana vitrectomy and silicone oil endo tamponade. Fellow eye if required prophylactic laser done to the necrotic areas and when necrotic or tractional retinal breaks were present. RESULTS: Patients with mild PVR changes had good anatomical outcome, patients with severe PVR changes showed poor anatomical outcome. Visual outcome was poor in almost all cases. BCVA in all cases after oil removal was CF ½ mt to CF 1mt, some cases showed very poor outcome, BCVA in those cases was only perception of light in spite of good anatomical outcome. CONCLUSSION: Inflammatory retinal detachment is very serious condition in uveitis cases, PVR is definitely a poor prognostic factor, patient requires prolong endotamponade. Cases with prolong duration of uveitis history showed poor outcome. Even early presentation of cases also showed not much favourable visual outcome.
Abstract: BACKGROUND: Uveitis is one of the cause for blindness in our country in all age group of patients. Various causes of uveitis have been reported in our institute. All uveitis will not cause blindness, if appropriately managed. Blindness is mainly due to complications which occur as sequalae in these patients. Blindness can be due to anterior or post...
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Impact of Precautionary Lockdown Measures During the COVID-19 Pandemic on the Development of Digital Eye Strain Among Contact Lens Users
Issue:
Volume 6, Issue 2, June 2021
Pages:
94-100
Received:
13 April 2021
Accepted:
24 April 2021
Published:
29 April 2021
Abstract: Strict lockdown measures were implemented to prevent the spread of COVID-19, which increased the reliance on digital electronic devices in the performance of daily living activities. The extensive use of digital devices was associated with the development of digital eye strain (DES) symptoms, which is more prevalent in contact lens (CL) wearers. This study aimed to investigate the number of hours spent on digital devices and the incidence of associated symptoms in CL wearers during a 24-h lockdown. This cross-sectional study used a self-reported questionnaire to obtain the following data: a) demographic information, b) CL wear profile, c) CL wear during the lockdown, d) total number of hours spent on digital devices, and e) 15 DES-related symptoms. A total of 82 CL wearers (29.6 ± 10.8 years; 88%, female) were recruited. The median total number of hours spent on digital devices during the lockdown was 10. The number of hours spent on smartphones significantly increased during the lockdown compared to that before the lockdown (5.5 VS 7 hours; p = 0.000). DES was reported in 83% of participants. The most common reported symptoms were eye strain (50%), dryness (48%), and headache (40%). The majority of participants (56%) continued wearing their CL during the lockdown. The incidence of DES was significantly higher in participants who were highly engaged with digital devices compared to the less engaged participants during the lockdown (p = 0.001). Prolonged use of digital devices increases the risk of DES-related symptoms in CL wearers. Intervention strategies for CL wearers may be important in optimizing the use of digital devices and decreasing the risk of DES-related symptoms.
Abstract: Strict lockdown measures were implemented to prevent the spread of COVID-19, which increased the reliance on digital electronic devices in the performance of daily living activities. The extensive use of digital devices was associated with the development of digital eye strain (DES) symptoms, which is more prevalent in contact lens (CL) wearers. Th...
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Imaging and Clinical Studies of the Choroid
Issue:
Volume 6, Issue 2, June 2021
Pages:
101-107
Received:
13 May 2021
Accepted:
25 May 2021
Published:
31 May 2021
Abstract: The choroid, as an important nutrient tissue supplying the outer retinal layer and macular region, is primarily vascular in structure. The choroid accounts for approximately 70% of the blood flow to the entire uvea and, as the vascular system supplying the outer layer of the retina and the macula, it accounts for approximately 2/3 of the blood flow to the entire eye. Because of its unique structure and function, the choroid plays a pivotal role in ocular disorders. For a long time, the study of the choroid has been in an exploratory stage due to its deep anatomical location and the limitations of the examination equipment. As research has progressed, it has become increasingly clear that choroid-related changes are a crucial factor in the pathogenesis of many ocular diseases. Qualitative changes in the choroid occur when ocular disorders occur, particularly when blood flow status is altered due to local or systemic disease, resulting in corresponding changes in choroidal blood flow, choroidal thickness, and choroidal volume. It has been shown that choroidal changes precede retinopathy in some eye diseases, for example, diabetic fundopathy: diabetic choroidopathy precedes diabetic retinopathy. In ocular disease, then, changes in choroidal structure and imaging play a prerequisite role in the early detection and treatment of the disease. This article, therefore, reviews the common clinical imaging modalities of the choroid in ophthalmology and the choroidal changes in related ocular diseases.
Abstract: The choroid, as an important nutrient tissue supplying the outer retinal layer and macular region, is primarily vascular in structure. The choroid accounts for approximately 70% of the blood flow to the entire uvea and, as the vascular system supplying the outer layer of the retina and the macula, it accounts for approximately 2/3 of the blood flow...
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Optic Neuropathy and Scleritis as the Presenting Feature of Lepra Reaction
Nishikant Borse,
Veena Borse,
Tanvi Borse,
Shiamak Cooper
Issue:
Volume 6, Issue 2, June 2021
Pages:
108-114
Received:
13 May 2021
Accepted:
1 June 2021
Published:
15 June 2021
Abstract: A major problem in the management of leprosy patients is the occurrence of "reactions". These reactions are the consequences of the dynamic nature of the immune response to Mycobacterium leprae (M. leprae) that may occur before, during, or following the completion of multi-drug therapy (MDT). They can be of two types- Type 1 lepra reaction and Type 2 lepra reaction also known as Erythema Nodosum Leprosum (ENL). We report an unusual case of a 35 year old male patient who initially presented with complaints of a central scotoma. He neither had visible skin lesion suggestive of leprosy nor a history of either completion or concurrent anti leprosy drug treatment. He was diagnosed to be a case of anterior ischemic optic neuropathy for which he was treated with intravenous injections of methylprednisolone to which he significantly responded. Two months later, he complained of diminution of vision, redness and pain in the left eye which was diagnosed as scleritis. He was managed with topical prednisolone acetate eye drops. Within a week, the patient developed skin lesions over the cheekbones, ear lobules and the back of his hands. He was referred to a rheumatologist and a dermatologist for the same. The dermatologist suspected the lesions to be a manifestation of a Lepra Reaction. The presence of lepra bacilli was confirmed after taking a biopsy from the raised lesions and he turned out to be a case of undiagnosed lepromatous leprosy. He was subsequently treated with anti-leprosy drugs according to the WHO-MDT-MB along with a cover of steroids. After three months of initiation of this treatment, his ocular and dermatological lesions completely resolved. This is a unique case in which anterior ischemic optic neuropathy and scleritis preceded the symptom of leprosy, manifested as skin lesions.
Abstract: A major problem in the management of leprosy patients is the occurrence of "reactions". These reactions are the consequences of the dynamic nature of the immune response to Mycobacterium leprae (M. leprae) that may occur before, during, or following the completion of multi-drug therapy (MDT). They can be of two types- Type 1 lepra reaction and Type...
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Bacterial Keratitis in Type 1 Diabetic Patients: Course and Consequences
Olesia Zavoloka,
Pavlo Bezditko
Issue:
Volume 6, Issue 2, June 2021
Pages:
115-121
Received:
26 May 2021
Accepted:
8 June 2021
Published:
15 June 2021
Abstract: The purpose was to define the peculiarities of the course and consequences of bacterial keratitis in patients with type 1 diabetes mellitus (DM1) depending on the stage of its severity. Methods. 34 DM1 patients (34 eyes) with bacterial keratitis whose initial bacteriological examination revealed pathogen sensitivity to the antibiotic ofloxacin participated in this study. All patients were treated topically with ofloxacin, antiseptics, repairing agents, antioxidants, mydriatics, artificial tears and systemically with anti-inflammatory agents. Patients were divided into two groups according to the severity of bacterial keratitis at the first visit. Research methods were as follows: visual acuity, tonometry, slit-lamp biomicroscopy of anterior and posterior eye segments, fluorescein dye test, non-contact corneal esthesiometry, anterior eye OCT and bacteriological studies. Results. Compared to the stage I, DM1 patients with stage II severity bacterial keratitis showed higher degree of pericorneal injection, larger and deeper corneal ulcer defect, deeper corneal infiltration and edema, higher mean corneal sensitivity threshold at all time point of the study, p<0.05. DM1 patients with stage II severity bacterial keratitis were more prone for longer duration of the disease and worse consequences. Therefore, on day 24 in 33.3% diabetic patients with stage II severity bacterial keratitis corneal ulcer was not found to be healed. Conclusions. Course and consequences of bacterial keratitis in type 1 diabetes mellitus patients depend on the stage of severity of bacterial keratitis.
Abstract: The purpose was to define the peculiarities of the course and consequences of bacterial keratitis in patients with type 1 diabetes mellitus (DM1) depending on the stage of its severity. Methods. 34 DM1 patients (34 eyes) with bacterial keratitis whose initial bacteriological examination revealed pathogen sensitivity to the antibiotic ofloxacin part...
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How to Avoid Giant Retinal Tear Slippage: New Surgical Approach
Issue:
Volume 6, Issue 2, June 2021
Pages:
122-127
Received:
30 April 2021
Accepted:
31 May 2021
Published:
16 June 2021
Abstract: Introduction: The retinal detachment (RD) by giant tear is a rare but serious clinical form. Apart from its therapeutic difficulty, during the fluid-air exchange, it poses a problem of retinal slippage which may be responsible for therapeutic failure or at best for retinal folds with serious anatomical and functional consequences. The purpose of this study is to shed light on the keys to the success of this technique. Material and methods: Retrospective study over 5 years from January 2014-December 2019 concerning 56 cases of retinal detachment by giant tear. All the patients were operated on by vitrectomy and laser endophotocoagulation of the tear edge and on 360°. The technique involved a first transient exchange of PFCL-air followed by a second exchange of silicone-air or gas-air depending on the case. Results: Intraoperatively, no cases of slipping, even in the cases of gas tamponade, have been observed. A primary retinal re-application of the RD was noticed in 87.5% of cases. The rate of retinal detachment recurrence was 12.5% (all had an advanced vitreoretinal proliferation). After recurrence surgery, the final reapplication rate was 100%. Conclusion: Mastering the PFCL-Air exchange during vitrectomy retinal detachments by giant tearing according to the technique described helps to prevent the slippage of the retina. The gas tamponade can be an alternative to silicone tamponade in some cases of giant tears selected with lower horns above the 4 – 8 meridians.
Abstract: Introduction: The retinal detachment (RD) by giant tear is a rare but serious clinical form. Apart from its therapeutic difficulty, during the fluid-air exchange, it poses a problem of retinal slippage which may be responsible for therapeutic failure or at best for retinal folds with serious anatomical and functional consequences. The purpose of th...
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To Study Presentation of Ocular Cysticercosis and Evaluate Its Demographic Data, Diagnosis, Treatment and Outcome in a Hill Population of Northern India
Deepesh Arora,
Anuj Sharma,
Ratish Raman,
Ankit Parasher,
Chinky Sharma,
Devesh Sharma,
Bhawna Tiwari,
Himanshu Arora,
Abhishek Kumar,
Kanika Gupta,
Niyaaz Ahmad,
Sulekha Nautiyal,
Surbhi Verma,
Deepak Anthwal,
Dinesh Sharma
Issue:
Volume 6, Issue 2, June 2021
Pages:
128-143
Received:
1 June 2021
Accepted:
15 June 2021
Published:
22 June 2021
Abstract: Aim: To study presentation of ocular cysticercosis and to evaluate its demographic data, diagnosis, treatment and outcome in hill population of Northern India. Materials and methods: This is a retrospective study carried out in Dehradun, Uttarakhand in a tertiary eye care hospital over 4 years from 2016-2020. The study involved 38 patients who presented with unilateral eye disease and were diagnosed to have ocular or adenexal cysticercosis. We analysed retrospectively their geographical data, clinical presentation, serology, imaging, response to treatment and clinical outcome. Results: Age of patients ranged from 16-54 years. Male to female ratio was 1:3.75. Total no. of eyes affected were 38. All were unilateral presentation. 30 eyes (78.94%) presented with extraocular cysticercosis and 8 eyes (21.05%) with intraocular cysticercosis. 27 of the patients (71.05%) were from lower socioeconomic status with poor hygiene and sanitation conditions. 32 (89.21%) patients gave history of association with non-vegetarian diet. Extraocular cysticercosis group had restriction of ocular motility as most prevalent presentation seen in 16 eyes (53.33%) and proptosis as the most prevalent sign seen in 17 eyes (56.66%). Cyst prevalence was most frequently detected in superior rectus muscle seen in 14 eyes (53.84%). Intraocular cysticercosis group had blurring of vision as the most prevalent presenting symptom in 8 eyes (100.0%). Panuveitis in 6 eyes (75%) and presence of subretinal cyst in 4 eyes (50%) was the most prevalent sign seen in intraocular cysticercosis group. Enzyme linked immunosorbent assay test confirmed serology in 35 cases (92.10%). The USG B-scan detected presence of scolex in 36 eyes (94.73%). Magnetic resonance imaging (MRI) confirmed deep seated extraocular cysticercosis lesions and neurocysticercosis (NCC) undetected by computerized tomography (CT). CT was diagnostic for NCC in 5 cases (13.15%). Oral Albendazole and prednisolone were successful in management of extraocular cysticercosis. Intraocular cysticercosis was treated well with pars plana vitrectomy surgery with good visual recovery. Conclusion: Extraocular cysticercosis was more prevalent than intraocular cysticercosis. Early diagnosis and treatment made a difference in final outcome of the two groups. Imaging studies of orbital B-scan ultrasonography (USG B scan), CT and MRI with immune serological test of enzyme linked immunosorbet assay (ELISA) and Western blot for anticysticercus antibodies helped in confirming the diagnosis. Extraocular cysticercosis can be managed well medically with good clinical outcome. Intraocular cysticercosisis is best treated surgically. Safer and modern vitreoretinal surgical techniques promise good surgical outcome and visual recovery. Timely intervention and frequent postoperative follow up would help in keeping a watch on development of complications and maintenance of good vision.
Abstract: Aim: To study presentation of ocular cysticercosis and to evaluate its demographic data, diagnosis, treatment and outcome in hill population of Northern India. Materials and methods: This is a retrospective study carried out in Dehradun, Uttarakhand in a tertiary eye care hospital over 4 years from 2016-2020. The study involved 38 patients who pres...
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Shorten Myopic Axial Length with Repeated Low-lever Laser Light Therapy
Zhou Lei,
Qiu Kaikai,
William Bruce
Issue:
Volume 6, Issue 2, June 2021
Pages:
144-149
Received:
1 May 2021
Accepted:
18 June 2021
Published:
26 June 2021
Abstract: Purpose: This study was to confirm that repeated low-lever laser light therapy (LLLT) could control myopic axial length (AL) elongation. Methods: Twenty myopia, 5 to 13 years old, were included in this study. All subjects kept daily repeated therapy with LLLT for mean 3 months; According to the baseline AL (> 24.40 mm or not), and ages (> 10 years old or not), we built two age groups and two AL groups. The AL between baseline and follow-up as well as different groups were all tested by SPSS 26.0, respectively. Results: 85% and 75% of AL were shortened for the right and left compared with those of baseline, respectively. The follow-up right and left AL were both significantly shortened (P=.002, P=.003, respectively) from baseline mean right AL 24.52 ± 1.01 mm, left AL 24.51 ± 0.96 mm, to 24.41 ± 0.98 mm (-0.11 mm right AL shortened amount) and 24.42 ± 0.93 (-0.09 mm left AL shortened amount), respectively. Long baseline AL group was significantly (P=.02, P=.03) shortened more AL than those of small baseline AL group for both right and left AL (-0.17 mm versus -0.05 mm, P <.001, respectively). From age group aspect, although it was also significant difference changed (shortened) for right AL (P=.008), but not for left AL (P=.051). Conclusions: LLLT could control myopia axial length progression.
Abstract: Purpose: This study was to confirm that repeated low-lever laser light therapy (LLLT) could control myopic axial length (AL) elongation. Methods: Twenty myopia, 5 to 13 years old, were included in this study. All subjects kept daily repeated therapy with LLLT for mean 3 months; According to the baseline AL (> 24.40 mm or not), and ages (> 10 years ...
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A Case of Bilateral Peripheral Ulcerative Keratitis
Belghmaidi Sarah,
Darfaoui Zineb,
Hajji Ibtissam,
Moutaouakil Abdeljalil
Issue:
Volume 6, Issue 2, June 2021
Pages:
150-153
Received:
31 May 2021
Accepted:
15 June 2021
Published:
30 June 2021
Abstract: Peripheral ulcerative keratitis (PUK) is an aggressive, potentially sight-threatening cause for peripheral corneal thinning. It may precede the diagnosis of the systemic condition and therefore these cases require urgent investigation. A 43-year-old woman presented with bilateral tearing and ocular pain persisting for 7 months. Visual acuity was 6/6 in both eyes. On biomicroscopic examination, presence of crescent shaped corneal ulcer with perilesional haziness. A tear film study demonstrated decreased Schirmer test results (5mm in both eyes) and tear film break-up time (5 sec in both eyes). The interrogation and the patient revealed he had recurrent skin lesions in both legs with chronic itching, and recurrent oral and genital ulcers healing spontaneously. The diagnosis of Behcet disease was proposed. Pathergy test was negative, HLA B51 was positif. Systemic therapy was started with colchicine at a dose of 2mg/day. Eye drops and systemic prednisolone at 1mg/kg/day was continued with progressive decrease. The follow up at 3 months and 6 months showed no signs of recurrence of ulceration in both eyes. Corneal manifestation has rarely been reported in Behçet’s disease. Combined intraocular anterior and posterior segment inflammation are most common features of ocular Behçet disease. Collaborative management of ophthalmic patients having systemic illness along with internists improves overall outcomes and prevents morbidity in such patients.
Abstract: Peripheral ulcerative keratitis (PUK) is an aggressive, potentially sight-threatening cause for peripheral corneal thinning. It may precede the diagnosis of the systemic condition and therefore these cases require urgent investigation. A 43-year-old woman presented with bilateral tearing and ocular pain persisting for 7 months. Visual acuity was 6/...
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