Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.049
Sumalath Sai Keerthi Mathukumalli, N. Mukkamala
: The aim of this study was to evaluate the effect of PCIOL on contrast sensitivity function in patients following Phacoemulsification surgery.This was an analytical observational study done on patients who underwent uneventful phacoemulsification with either hydrophobic or hydrophilic posterior chamber IOL's. Contrast sensitivity function (CSF) was measured preoperatively and postoperatively after 3 months with Pelli-Robson chart and compared. Normally distributed data was analysed using the independent sample t-test for intergroup comparison and for intragroup comparison before and after cataract surgery, paired t-test was used. Out of 50 patients underwent phacoemulsification surgery, 52% were females and 56% were belonged to age group of 51 to 60 years. 25 patients received hydrophobic intraocular lens and other 25 patients received hydrophilic intraocular lens.Postoperative mean contrast sensitivity (1.997 ± 0.01) was found statistically significant (p <0.01) as compared to the preoperative contrast sensitivity (1.556 ± 0.16). Significant improvement in contrast sensitivity was observed after cataract surgery in both the groups (p<0.05).: The reduced contrast sensitivity function due to cataract, improved after surgery. On the other hand, optical properties and the material of IOL has no impact on contrast sensitivity postoperatively.
{"title":"A study of contrast sensitivity in eyes with hydrophobic and hydrophilic acrylic foldable posterior chamber intraocular lens","authors":"Sumalath Sai Keerthi Mathukumalli, N. Mukkamala","doi":"10.18231/j.ijceo.2024.049","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.049","url":null,"abstract":": The aim of this study was to evaluate the effect of PCIOL on contrast sensitivity function in patients following Phacoemulsification surgery.This was an analytical observational study done on patients who underwent uneventful phacoemulsification with either hydrophobic or hydrophilic posterior chamber IOL's. Contrast sensitivity function (CSF) was measured preoperatively and postoperatively after 3 months with Pelli-Robson chart and compared. Normally distributed data was analysed using the independent sample t-test for intergroup comparison and for intragroup comparison before and after cataract surgery, paired t-test was used. Out of 50 patients underwent phacoemulsification surgery, 52% were females and 56% were belonged to age group of 51 to 60 years. 25 patients received hydrophobic intraocular lens and other 25 patients received hydrophilic intraocular lens.Postoperative mean contrast sensitivity (1.997 ± 0.01) was found statistically significant (p <0.01) as compared to the preoperative contrast sensitivity (1.556 ± 0.16). Significant improvement in contrast sensitivity was observed after cataract surgery in both the groups (p<0.05).: The reduced contrast sensitivity function due to cataract, improved after surgery. On the other hand, optical properties and the material of IOL has no impact on contrast sensitivity postoperatively.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141645855","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}
Diabetic retinopathy and retinal vein occlusion are significant causes of vision loss in patients with diabetes. Emerging evidence suggests that vitamin D deficiency and elevated homocysteine levels may play a role in the pathogenesis of these conditions. This study investigates the serum levels of vitamin D and homocysteine in patients with diabetic retinopathy and retinal vein occlusion to elucidate potential associations.: Diabetic retinopathy (DR) is a sight threatening complications associated with diabetes mellitus. To find the correlation between vitamin D level and homocysteine plasma levels in patients of DR and Retinal Vein Occlusion patients.: Study the level of serum vitamin D and Homocysteine in patients with diabetic retinopathy as well as in retinal vein occlusions. A case control type of study was conducted on 100 cases (70 diabetic retinopathy and 30 retinal vein occlusion) and age matched 100 control. Detailed relevant history and complete ocular examination was done . Serum vitamin D and homocysteine levels were noted. In our study, majority of the patients belonged to & > 60 years in the group of cases of diabetic retinopathy and most of the patients in the control group belonged to 50-60 years and & > 60 years of age group (40%). Mean age in the cases and controls was equal (58.4±8.4)Majority of the patients in both cases (68.6%) and control (67.1%) group were males. Association was found to be statistically significant when chi square test (p = 0.03). The prevalence of hyper homocysteinenemia was also higher in DR group. The prevalence of hyperhomocystinemia was more in cases of diabetic retinopathy compared to controls. The prevalence of vitamin D deficiency was more in cases of diabetic retinopathy compared to controls and the difference was significant.
糖尿病视网膜病变和视网膜静脉闭塞是导致糖尿病患者视力下降的重要原因。新的证据表明，维生素 D 缺乏和同型半胱氨酸水平升高可能在这些病症的发病机制中起作用。本研究调查了糖尿病视网膜病变和视网膜静脉闭塞患者血清中维生素 D 和同型半胱氨酸的水平，以阐明两者之间的潜在联系：糖尿病视网膜病变（DR）是一种威胁视力的糖尿病并发症。为了找出糖尿病视网膜病变患者和视网膜静脉闭塞患者血浆中维生素 D 水平和同型半胱氨酸水平之间的相关性，我们进行了以下研究：研究糖尿病视网膜病变患者和视网膜静脉闭塞患者的血清维生素 D 水平和同型半胱氨酸水平。对 100 名病例（70 名糖尿病视网膜病变患者和 30 名视网膜静脉闭塞患者）和 100 名年龄匹配的对照者进行了病例对照研究。研究人员详细询问了相关病史，并进行了全面的眼部检查。同时还检测了血清维生素 D 和同型半胱氨酸水平。在我们的研究中，糖尿病视网膜病变病例组的大多数患者年龄在 60 岁及以上，对照组的大多数患者年龄在 50-60 岁及以上（40%）。病例组和对照组的平均年龄相同（58.4±8.4），病例组（68.6%）和对照组（67.1%）的大多数患者为男性。经秩方检验（P = 0.03），两者之间的关系具有统计学意义。高同型半胱氨酸血症的发病率在 DR 组中也较高。与对照组相比，糖尿病视网膜病变患者的高同型半胱氨酸血症患病率更高。与对照组相比，糖尿病视网膜病变患者的维生素 D 缺乏症患病率更高，且差异显著。
{"title":"Study of serum vitamin D and homocysteine levels in patients with diabetic retinopathy and retinal vein occlusion","authors":"Shambhavi Sahay, Archana Tadwalkar, Priyanka Menon, Pooja Kumari","doi":"10.18231/j.ijceo.2024.065","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.065","url":null,"abstract":"Diabetic retinopathy and retinal vein occlusion are significant causes of vision loss in patients with diabetes. Emerging evidence suggests that vitamin D deficiency and elevated homocysteine levels may play a role in the pathogenesis of these conditions. This study investigates the serum levels of vitamin D and homocysteine in patients with diabetic retinopathy and retinal vein occlusion to elucidate potential associations.: Diabetic retinopathy (DR) is a sight threatening complications associated with diabetes mellitus. To find the correlation between vitamin D level and homocysteine plasma levels in patients of DR and Retinal Vein Occlusion patients.: Study the level of serum vitamin D and Homocysteine in patients with diabetic retinopathy as well as in retinal vein occlusions. A case control type of study was conducted on 100 cases (70 diabetic retinopathy and 30 retinal vein occlusion) and age matched 100 control. Detailed relevant history and complete ocular examination was done . Serum vitamin D and homocysteine levels were noted. In our study, majority of the patients belonged to & > 60 years in the group of cases of diabetic retinopathy and most of the patients in the control group belonged to 50-60 years and & > 60 years of age group (40%). Mean age in the cases and controls was equal (58.4±8.4)Majority of the patients in both cases (68.6%) and control (67.1%) group were males. Association was found to be statistically significant when chi square test (p = 0.03). The prevalence of hyper homocysteinenemia was also higher in DR group. The prevalence of hyperhomocystinemia was more in cases of diabetic retinopathy compared to controls. The prevalence of vitamin D deficiency was more in cases of diabetic retinopathy compared to controls and the difference was significant.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648319","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}
Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.047
V. Bhanvadia, Kinjalkumari Jayantibhai Patel, Pinal Patel, Hansa Goswami
: Retinoblastoma is a childhood malignant intraocular tumor, necessitates a comprehensive treatment approach. Chemotherapy plays a crucial role in managing retinoblastoma. This study aims to evaluate and analyze high-risk histopathological features (HRF) in retinoblastoma cases initially treated with enucleation and those undergoing secondary enucleation after chemotherapy in a tertiary centre in western India.: This retrospective study was carried out in the pathology department, encompassing a total of 136 cases with enucleated eyes, spanning the period from Jan 2017 to Mar 2023. In the present study, all slides were retrieved and examined to gather information on demographics, laterality, choroid invasion, optic nerve invasion, anterior chamber invasion, tumor discrimination, chemotherapy effects, and tumor regression.In this study, the predominant presenting complaint was leukocoria (90%), with a slight female preponderance (53%), in comparison to males (47%). Unilateral cases accounted for 96%, while bilateral presentations were observed in 4% of cases. The mean age was 38 months, with 43% of eyes exhibiting significant choroid invasion and 27% showing invasion beyond the post-laminar optic nerve or resection margin. 76 patients (56%) underwent primary enucleation and 60 (44%) had secondary enucleation after chemotherapy. Out of the 60 patients with secondary enucleation, only 21 patients (35%) had HRF.We found late age of presentation of retinoblastoma in developing country like India. Higher incidence of HRFs in primary enucleated eyes than secondary enucleated eyes. Higher number of cases shows complete regression of tumor after chemotherapy.
{"title":"Evaluation of high risk histopathology features in primary and secondary enucleated retinoblastoma-study of 136 cases in tertiary eye hospital","authors":"V. Bhanvadia, Kinjalkumari Jayantibhai Patel, Pinal Patel, Hansa Goswami","doi":"10.18231/j.ijceo.2024.047","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.047","url":null,"abstract":": Retinoblastoma is a childhood malignant intraocular tumor, necessitates a comprehensive treatment approach. Chemotherapy plays a crucial role in managing retinoblastoma. This study aims to evaluate and analyze high-risk histopathological features (HRF) in retinoblastoma cases initially treated with enucleation and those undergoing secondary enucleation after chemotherapy in a tertiary centre in western India.: This retrospective study was carried out in the pathology department, encompassing a total of 136 cases with enucleated eyes, spanning the period from Jan 2017 to Mar 2023. In the present study, all slides were retrieved and examined to gather information on demographics, laterality, choroid invasion, optic nerve invasion, anterior chamber invasion, tumor discrimination, chemotherapy effects, and tumor regression.In this study, the predominant presenting complaint was leukocoria (90%), with a slight female preponderance (53%), in comparison to males (47%). Unilateral cases accounted for 96%, while bilateral presentations were observed in 4% of cases. The mean age was 38 months, with 43% of eyes exhibiting significant choroid invasion and 27% showing invasion beyond the post-laminar optic nerve or resection margin. 76 patients (56%) underwent primary enucleation and 60 (44%) had secondary enucleation after chemotherapy. Out of the 60 patients with secondary enucleation, only 21 patients (35%) had HRF.We found late age of presentation of retinoblastoma in developing country like India. Higher incidence of HRFs in primary enucleated eyes than secondary enucleated eyes. Higher number of cases shows complete regression of tumor after chemotherapy.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648891","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}
Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.039
Navneet Sharma, Renu Thakur
This study is a review for the dynamic visual acuity (DVA) its various methods of assessment used in the past, at present and for the future in the clinical practice.Various previously literatures from Google Scholar, PubMed, Medline Plus, Scopus were studied and reviewed thoroughly. Different techniques and methods which are used for the assessment of the dynamic visual acuity in the past and in the current clinical practice and also the use of immersive technology like AR/VR/MR for the future scenario for DVAT also reviewed in this study.In many different environments and professions, such as driving, sports, and for special forces, the measurement of visual acuity, particularly the dynamic visual acuity, is crucial. As we all live in a three-dimensional environment, therefore, it is important to use immersive technology, such as AR, VR, and MR, to measure dynamic visual acuity since it can create a real-world environment while doing so and produce better findings.
{"title":"Dynamic & static visual acuity chart – past, present & future: A brief review","authors":"Navneet Sharma, Renu Thakur","doi":"10.18231/j.ijceo.2024.039","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.039","url":null,"abstract":"This study is a review for the dynamic visual acuity (DVA) its various methods of assessment used in the past, at present and for the future in the clinical practice.Various previously literatures from Google Scholar, PubMed, Medline Plus, Scopus were studied and reviewed thoroughly. Different techniques and methods which are used for the assessment of the dynamic visual acuity in the past and in the current clinical practice and also the use of immersive technology like AR/VR/MR for the future scenario for DVAT also reviewed in this study.In many different environments and professions, such as driving, sports, and for special forces, the measurement of visual acuity, particularly the dynamic visual acuity, is crucial. As we all live in a three-dimensional environment, therefore, it is important to use immersive technology, such as AR, VR, and MR, to measure dynamic visual acuity since it can create a real-world environment while doing so and produce better findings.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141646965","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}
To estimate the proportion of dry eye among healthcare workers (HCWs) wearing masks and to find association of dry eye disease symptoms (DEDS), Tear film break up time (TBUT) and Schirmer’s test (ST) with sociodemographic factors, duration of mask wear, ill-fitting mask, and type of mask.: This is a cross-sectional study conducted in tertiary care hospital among 384 HCW’s wearing mask. We took a detailed history, and did ocular examination, TBUT and ST.:Of the 384 HCW’s, TBUT was found to be reduced in 89 (23.2%) participants. All DEDS had a significant association with TBUT (p value for burning =0.001; p value for irritation =0.003; p value for dryness < 0.001). Among the HCWs female gender, occupation of doctors and nurses had a significant association with DEDS. One hundred and fifty (39.1%) were using combined masks. N95 was used mostly by doctors 75(81.5%). Burning sensation in the eyes was common in those wearing combined and N95 mask. Two seventy-one (70.5%) participants used masks for 8 or more hours per day and had a significant burning sensation (P=0.026). one hundred and twenty-two (68.3%) participants who were using masks for more than 12 months showed a significant dryness (P=0.00). TBUT and DEDS had a significant association with awareness of airflow.:We found 23.2% HCWs had dry eye. They are at a higher risk of developing mask associated with dry eye. Mask associated dry eye was more common in females, doctors, and nurses and with ill-fitting mask.
估计佩戴口罩的医护人员（HCWs）中干眼症患者的比例，并发现干眼症症状（DEDS）、泪膜破裂时间（TBUT）和Schirmer氏试验（ST）与社会人口学因素、佩戴口罩的时间、不合适的口罩和口罩类型之间的关联：这是一项在三级医院进行的横断面研究，研究对象是 384 名佩戴口罩的医护人员。我们详细询问了病史，并进行了眼部检查、TBUT 和 ST。所有 DEDS 均与 TBUT 有显著关联（灼热的 p 值 =0.001；刺激的 p 值 =0.003；干燥的 p 值 <0.001）。在医护人员中，女性性别、医生和护士职业与 DEDS 有显著关联。150人（39.1%）使用复合口罩。75（81.5%）名医生使用 N95 口罩。佩戴复合口罩和 N95 口罩的人普遍感到眼睛灼痛。271（70.5%）名参与者每天使用口罩 8 小时或以上，有明显的灼烧感（P=0.026）。122（68.3%）名使用口罩超过 12 个月的参与者有明显的干涩感（P=0.00）。TBUT和DEDS与气流意识有显著关联。他们患口罩相关干眼症的风险较高。女性、医生和护士以及佩戴不合适的口罩者更容易患上口罩性干眼症。
{"title":"Dry eye in mask wearers among healthcare workers during COVID-19 pandemic","authors":"Bhagwati Wadwekar, Kaaviya Asokan, Renuka Srinivasan, Kandasamy Ravichandran","doi":"10.18231/j.ijceo.2024.063","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.063","url":null,"abstract":"To estimate the proportion of dry eye among healthcare workers (HCWs) wearing masks and to find association of dry eye disease symptoms (DEDS), Tear film break up time (TBUT) and Schirmer’s test (ST) with sociodemographic factors, duration of mask wear, ill-fitting mask, and type of mask.: This is a cross-sectional study conducted in tertiary care hospital among 384 HCW’s wearing mask. We took a detailed history, and did ocular examination, TBUT and ST.:Of the 384 HCW’s, TBUT was found to be reduced in 89 (23.2%) participants. All DEDS had a significant association with TBUT (p value for burning =0.001; p value for irritation =0.003; p value for dryness < 0.001). Among the HCWs female gender, occupation of doctors and nurses had a significant association with DEDS. One hundred and fifty (39.1%) were using combined masks. N95 was used mostly by doctors 75(81.5%). Burning sensation in the eyes was common in those wearing combined and N95 mask. Two seventy-one (70.5%) participants used masks for 8 or more hours per day and had a significant burning sensation (P=0.026). one hundred and twenty-two (68.3%) participants who were using masks for more than 12 months showed a significant dryness (P=0.00). TBUT and DEDS had a significant association with awareness of airflow.:We found 23.2% HCWs had dry eye. They are at a higher risk of developing mask associated with dry eye. Mask associated dry eye was more common in females, doctors, and nurses and with ill-fitting mask.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141644542","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}
Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.040
Komal Sharma, Anjali Rawat, Sabeeha Kausar, N. Madishetti, Moin Khan
The discipline of visual bionics has seen tremendous advancements during the past ten years. The article provides a full and pertinent account of the work made thus far. The study identifies and analyses the main traits and limitations of the patient studies that have been attempted internationally. Perhaps the biggest hope in the realm of sensory is to give blind people their sight physiology back. There has been and still is significant scepticism among the vision community over the viability of a comparable & Bionic approach to vision.An artificial retina is created to restore photoreceptor function that has been impaired due to retinal degeneration. The artificial eye catches light and transforms it into a digital signal using devices like surveillance footage, desktops and laptops and electrodes. The cerebral cortex receives this electrical signal, which generates a fresh simulation of vision. This is distinct from implanted lenses or low-vision equipment, which aim to improve a person’s current eyesight.The present initiatives seek to supply enough electricity to operate several electrodes safely. New material development and manufacturing techniques will be essential in overcoming these obstacles. This requirement emphasises how interdisciplinary researches and studies are important for human vision; For instance, product researchers are equally crucial as electrical professionals, BTech Bio Tech Professionals and vision specialists in the development for the Bionic or artificial eye.
{"title":"Forensic optometry: A new era called bionic eye","authors":"Komal Sharma, Anjali Rawat, Sabeeha Kausar, N. Madishetti, Moin Khan","doi":"10.18231/j.ijceo.2024.040","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.040","url":null,"abstract":"The discipline of visual bionics has seen tremendous advancements during the past ten years. The article provides a full and pertinent account of the work made thus far. The study identifies and analyses the main traits and limitations of the patient studies that have been attempted internationally. Perhaps the biggest hope in the realm of sensory is to give blind people their sight physiology back. There has been and still is significant scepticism among the vision community over the viability of a comparable & Bionic approach to vision.An artificial retina is created to restore photoreceptor function that has been impaired due to retinal degeneration. The artificial eye catches light and transforms it into a digital signal using devices like surveillance footage, desktops and laptops and electrodes. The cerebral cortex receives this electrical signal, which generates a fresh simulation of vision. This is distinct from implanted lenses or low-vision equipment, which aim to improve a person’s current eyesight.The present initiatives seek to supply enough electricity to operate several electrodes safely. New material development and manufacturing techniques will be essential in overcoming these obstacles. This requirement emphasises how interdisciplinary researches and studies are important for human vision; For instance, product researchers are equally crucial as electrical professionals, BTech Bio Tech Professionals and vision specialists in the development for the Bionic or artificial eye.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648580","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}
Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.068
Sirisha Vinzamuri, Arun Bhatti, Samyakta Shetti
: Traumatic globe luxation is a very rare clinical condition. It usually presents after severe trauma to orbit often causing wall fracture and severe globe damage which entails enucleation. A retrospective interventional case series of three patients presenting to emergency room (ER) with globe luxation accompanied by varying clinical presentation over years 2017-23.: Globe luxation is a rare condition often requiring multidisciplinary approach. In spite of the visual prognosis being very poor appropriate management and follow-up can lead to better preservation of cosmesis.
{"title":"Traumatic globe luxation- A case series","authors":"Sirisha Vinzamuri, Arun Bhatti, Samyakta Shetti","doi":"10.18231/j.ijceo.2024.068","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.068","url":null,"abstract":": Traumatic globe luxation is a very rare clinical condition. It usually presents after severe trauma to orbit often causing wall fracture and severe globe damage which entails enucleation. A retrospective interventional case series of three patients presenting to emergency room (ER) with globe luxation accompanied by varying clinical presentation over years 2017-23.: Globe luxation is a rare condition often requiring multidisciplinary approach. In spite of the visual prognosis being very poor appropriate management and follow-up can lead to better preservation of cosmesis.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141833163","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}
Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.046
Vaishali Satyajeet Pawar, S. Patil, Ajit V Sontakke, Prajakta S Patil
: Oxidative stress plays an important role in the pathogenesis of diabetic complications including diabetic retinopathy (DR) and diabetic nephropathy (DN) as suggested by experimental and clinical studies. The study aimed to measure as well as compare total antioxidant capacity (TAC) and malondialdehyde (MDA) levels in type 2 diabetic patients (T2DM) with diabetic retinopathy and diabetic nephropathy. In this cross-sectional study we measured serum TAC, MDA, fasting plasma glucose (FPG), and HbA1c levels in 3 groups of T2DM patients with 110 cases in each group: 1st group without DR and/or DN, 2nd group with DN, and 3rd group with DR. This study was done in a tertiary care hospital from Dec 2019 to Dec 2022. Data was analyzed using version 20 of SPSS software. In DR patients, TAC levels were significantly lower (P=0.000), and FPG and HbA1c levels were significantly higher (P=0.003 & P=0.001 respectively) than in DM and DN patients. However, MDA did not show any significant difference in all groups. In the proliferative DR group, duration of diabetes, MDA levels, FPG levels, and HbA1c levels were significantly high (P=0.027, P=0.033, P=0.014 & P=0.000 respectively) and TAC levels were significantly low (P=0.033) as compared to non-proliferative DR group.: Weakening of the antioxidant defence system with increased oxidative stress in DM is associated with complications like DR and DN and also with the progression of DR to its vision-threatening proliferative stage.
{"title":"Oxidative stress in diabetic retinopathy and diabetic nephropathy","authors":"Vaishali Satyajeet Pawar, S. Patil, Ajit V Sontakke, Prajakta S Patil","doi":"10.18231/j.ijceo.2024.046","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.046","url":null,"abstract":": Oxidative stress plays an important role in the pathogenesis of diabetic complications including diabetic retinopathy (DR) and diabetic nephropathy (DN) as suggested by experimental and clinical studies. The study aimed to measure as well as compare total antioxidant capacity (TAC) and malondialdehyde (MDA) levels in type 2 diabetic patients (T2DM) with diabetic retinopathy and diabetic nephropathy. In this cross-sectional study we measured serum TAC, MDA, fasting plasma glucose (FPG), and HbA1c levels in 3 groups of T2DM patients with 110 cases in each group: 1st group without DR and/or DN, 2nd group with DN, and 3rd group with DR. This study was done in a tertiary care hospital from Dec 2019 to Dec 2022. Data was analyzed using version 20 of SPSS software. In DR patients, TAC levels were significantly lower (P=0.000), and FPG and HbA1c levels were significantly higher (P=0.003 & P=0.001 respectively) than in DM and DN patients. However, MDA did not show any significant difference in all groups. In the proliferative DR group, duration of diabetes, MDA levels, FPG levels, and HbA1c levels were significantly high (P=0.027, P=0.033, P=0.014 & P=0.000 respectively) and TAC levels were significantly low (P=0.033) as compared to non-proliferative DR group.: Weakening of the antioxidant defence system with increased oxidative stress in DM is associated with complications like DR and DN and also with the progression of DR to its vision-threatening proliferative stage.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141644406","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}
Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.045
P. Sharma, Kavita Kumar, Aditi Dubey, Nitin Kushwaha, Pooja Maravi
Patients with diabetic retinopathy (DR) have a greater risk of blindness compared to those without diabetes. HbA1c is a valuable indicator used to assess the long-term management of diabetes mellitus. Hence, the main objective of this study was to explore the relationship between HbA1c levels and the severity of diabetic retinopathy.This one-year prospective observational clinical study was conducted at the Department of Ophthalmology and Diabetic Clinic, Gandhi Medical College, Bhopal, involving 100 diabetic patients. Detailed medical histories related to their diabetes were recorded. The diabetic retinopathy status of each patient was assessed through a comprehensive ophthalmologic examination and classified according to the early treatment diabetic retinopathy study (ETDRS) system. Clinical data of the patients, including HbA1c levels, were gathered during the study period.Among the 100 patients, 29% were females, while the remaining 71% were males. A notable finding emerged, revealing a significant link between the severity of diabetic retinopathy and HbA1c levels. Additionally, the duration of diabetes and lipid levels also demonstrated a significant association with the severity of retinopathy (P value < 0.05). However, the age and gender of the patients did not exhibit a significant correlation when compared across different grades of diabetic retinopathy (P value > 0.05). ROC analysis revealed that an HbA1c cutoff of 7.6% was the most effective in detecting both the presence of any diabetic retinopathy and its grades. A strong statistical relationship was found between HbA1c levels and the severity of diabetic retinopathy. Patients with higher HbA1c levels, indicating poorer blood sugar control, showed more severe grades of diabetic retinopathy. HbA1c levels emerged as a reliable predictor for both the presence and severity of diabetic retinopathy.
{"title":"Clinical study on association of diabetic retinopathy severity with HbA1c level","authors":"P. Sharma, Kavita Kumar, Aditi Dubey, Nitin Kushwaha, Pooja Maravi","doi":"10.18231/j.ijceo.2024.045","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.045","url":null,"abstract":"Patients with diabetic retinopathy (DR) have a greater risk of blindness compared to those without diabetes. HbA1c is a valuable indicator used to assess the long-term management of diabetes mellitus. Hence, the main objective of this study was to explore the relationship between HbA1c levels and the severity of diabetic retinopathy.This one-year prospective observational clinical study was conducted at the Department of Ophthalmology and Diabetic Clinic, Gandhi Medical College, Bhopal, involving 100 diabetic patients. Detailed medical histories related to their diabetes were recorded. The diabetic retinopathy status of each patient was assessed through a comprehensive ophthalmologic examination and classified according to the early treatment diabetic retinopathy study (ETDRS) system. Clinical data of the patients, including HbA1c levels, were gathered during the study period.Among the 100 patients, 29% were females, while the remaining 71% were males. A notable finding emerged, revealing a significant link between the severity of diabetic retinopathy and HbA1c levels. Additionally, the duration of diabetes and lipid levels also demonstrated a significant association with the severity of retinopathy (P value < 0.05). However, the age and gender of the patients did not exhibit a significant correlation when compared across different grades of diabetic retinopathy (P value > 0.05). ROC analysis revealed that an HbA1c cutoff of 7.6% was the most effective in detecting both the presence of any diabetic retinopathy and its grades. A strong statistical relationship was found between HbA1c levels and the severity of diabetic retinopathy. Patients with higher HbA1c levels, indicating poorer blood sugar control, showed more severe grades of diabetic retinopathy. HbA1c levels emerged as a reliable predictor for both the presence and severity of diabetic retinopathy.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141645321","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}
Pub Date : 2024-07-15DOI: 10.18231/j.ijceo.2024.050
Tsering Lamu Shongmu, Zeeshan Akhtar
: To report the clinical profile of Non-Strabismic Binocular Vision Anomalies (NSBVA) among university students in North India.: A cross-sectional study was performed among 180 students of the university between the age of 17-35 years attending Sushant vision care center (SVCC), Gurugram from October 2017- February 2020. A comprehensive eye examination and a detailed orthoptic evaluation for binocular and accommodative dysfunctions was carried out, including sensory and motor examinations. : 102 of the 180 patients were women and 78 were men. The mean age of the sample was found to be 21.8±2.3 years (mean±SD) with an age range of 17-35 years. The prevalence of NSBVA was found to be 62.2%, of which Convergence Insufficiency was found to be most prevalent (37.2%), followed by Accommodative Insufficiency (12.2%), Accommodative Infacility (7.2%), and Accommodative excess (5.5%). Out of the total, 89 students (49%) exhibited ocular symptoms, while the remaining 91 (51%) were asymptomatic; prevalent symptoms included eyestrain, headaches, and watering of the eyes. The study reveals prevalent non-strabismic binocular anomalies among university students, with vergence dysfunctions being more prevalent than accommodating dysfunctions. Convergence Insufficiency is the most common. While some of these anomalies might lead to noticeable symptoms, others remain asymptomatic, potentially contributing to delayed diagnosis. Comprehensive eye exams are essential for university students, encompassing evaluation of accommodative and binocular functions alongside refraction to timely detection and treatment, including lenses, prisms, and vision therapy to enhance visual performance
{"title":"Prevalence of non-strabismic binocular vision anomalies (NSBVA) among university students of North India","authors":"Tsering Lamu Shongmu, Zeeshan Akhtar","doi":"10.18231/j.ijceo.2024.050","DOIUrl":"https://doi.org/10.18231/j.ijceo.2024.050","url":null,"abstract":": To report the clinical profile of Non-Strabismic Binocular Vision Anomalies (NSBVA) among university students in North India.: A cross-sectional study was performed among 180 students of the university between the age of 17-35 years attending Sushant vision care center (SVCC), Gurugram from October 2017- February 2020. A comprehensive eye examination and a detailed orthoptic evaluation for binocular and accommodative dysfunctions was carried out, including sensory and motor examinations. : 102 of the 180 patients were women and 78 were men. The mean age of the sample was found to be 21.8±2.3 years (mean±SD) with an age range of 17-35 years. The prevalence of NSBVA was found to be 62.2%, of which Convergence Insufficiency was found to be most prevalent (37.2%), followed by Accommodative Insufficiency (12.2%), Accommodative Infacility (7.2%), and Accommodative excess (5.5%). Out of the total, 89 students (49%) exhibited ocular symptoms, while the remaining 91 (51%) were asymptomatic; prevalent symptoms included eyestrain, headaches, and watering of the eyes. The study reveals prevalent non-strabismic binocular anomalies among university students, with vergence dysfunctions being more prevalent than accommodating dysfunctions. Convergence Insufficiency is the most common. While some of these anomalies might lead to noticeable symptoms, others remain asymptomatic, potentially contributing to delayed diagnosis. Comprehensive eye exams are essential for university students, encompassing evaluation of accommodative and binocular functions alongside refraction to timely detection and treatment, including lenses, prisms, and vision therapy to enhance visual performance","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141647662","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}
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