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An ophthalmologic overview of pituitary adenoma 垂体腺瘤的眼科概述
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.012
A. Suman, Suyash Singh, Shruti Gupta, Arijit Jotdar, Dhruv Kapoor
Pituitary adenomas are the most common tumours of the sellar region. They generally have a slow but severe impact on vision due to compression of the optic nerves, optic chiasm and cavernous sinus. They can have varied presentation depending on the size, location and extension of the mass and its relation to the surrounding structures. This 8 case series reviews the clinical presentation, varied visual field defects, histopathological and neuroimaging findings and the management of the pituitary adenomas.
垂体腺瘤是蝶鞍区最常见的肿瘤。由于压迫视神经、视交叉和海绵窦,它们通常会对视力产生缓慢但严重的影响。根据肿块的大小、位置、范围及其与周围结构的关系,它们会有不同的表现。这 8 例系列病例回顾了垂体腺瘤的临床表现、各种视野缺损、组织病理学和神经影像学检查结果以及治疗方法。
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引用次数: 0
Does addition of intravitreal bevacizumab confer additional benefit in management of proliferative diabetic retinopathy? 在增殖性糖尿病视网膜病变的治疗中加入玻璃体内贝伐单抗是否会带来额外的益处?
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.005
Natasha Radhakrishnan, GopalS Pillai, Pooja Kandula, Mira Nair
To evaluate visual outcome and complications of PDR after treatment with Intravitreal Bevacizumab followed by Pan Retinal Photocoagulation A hospital based retrospective study was done in the Department of Ophthalmology, to evaluate visual outcome and complications of PDR after treatment with intravitreal Bevacizumab followed by Pan Retinal Photocoagulation. Visual Acuity, Dilated fundus examination, OCT macula were done on subsequent follow ups 135 eyes of 133 patients were included in the study.The mean pre procedure visual acuity is 0.639±0.5327 which improved to 0.451±0.4089 post procedure. P value is <0.001 which is statistically significant.i.e, 94 (69.62%) eyes had improved vision, 21(15.55%) had stable vision and 20(14.81%) eyes had decreased vision. After injection followed by PRP out of 135 eyes,4(2.96%) eyes developed vitreous hemorrhage which resolved with repeat intravitreal anti-VEGF injection, 6(4.44%) eyes developed diabetic macular edema,3(2.2%) eyes developed Neovascularisation of iris and 4(2.96%)eyes developed vitreous hemorrhage with traction retinal detachment.From our study it appears that addition of intravitreal anti VEGF to Pan Retinal Photocoagulation for PDR confers the additional benefit of less incidence of vitreous hemorrhage and less incidence of traction retinal detachment requiring surgery in the 1 one year of follow up. This amounts to more compliance by the patient for taking the treatment as well as better visual outcome
评估玻璃体内贝伐单抗治疗后泛视网膜光凝的视觉疗效和并发症 眼科进行了一项基于医院的回顾性研究,评估玻璃体内贝伐单抗治疗后泛视网膜光凝的视觉疗效和并发症。研究纳入了 133 名患者的 135 只眼睛,在随后的随访中进行了视力、散瞳眼底检查和 OCT 黄斑检查。术前平均视力为 0.639±0.5327,术后视力提高到 0.451±0.4089。P值小于0.001,具有统计学意义,即94只眼睛(69.62%)视力提高,21只眼睛(15.55%)视力稳定,20只眼睛(14.81%)视力下降。在注射 PRP 后,135 只眼睛中有 4(2.96%)只眼睛出现玻璃体出血,再次进行玻璃体内抗血管内皮生长因子注射后,出血症状消失;6(4.44%)只眼睛出现糖尿病性黄斑水肿;3(2.2%)只眼睛出现虹膜血管新生;4(2.96%)只眼睛出现玻璃体出血并伴有牵引性视网膜脱离。从我们的研究中可以看出,在泛视网膜光凝治疗 PDR 的基础上加用玻璃体内抗血管内皮生长因子可带来额外的益处,即在一年的随访期间,玻璃体出血的发生率和需要手术的牵引性视网膜脱离的发生率较低。这就意味着患者更愿意接受治疗,视觉效果也会更好。
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引用次数: 0
A systematic review on prosthodontic rehabilitation of hemimandibulectomy patients 关于半侧颌骨切除术患者义齿修复的系统性综述
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.002
Aishwarya Soni, Shreyansh Damade, Swapnil Parlani, Aishwarya Bisen
To restore oral function after tumor excision, practitioners must undertake the enormous challenge of restoring hemimandibulectomy deficits. Depending on the type and extent of mandibular reconstruction (Cantor-Curtis classification), there are many prosthetic treatment options available for the rehabilitation of acquired hemimandibulectomy abnormalities. The objective of this systematic study is to evaluate the range of prosthodontic rehabilitation techniques in relation to the kind of repair and severity of mandibular surgical abnormalities. The databases incorporated for literature search were Google Scholar and Medline (PubMed). Relevant search terms for hemimandibulectomy and reconstruction with prosthetic rehabilitation were used. Two reviewers independently assessed the articles using eligibility criteria; published case reports and case series in the English language and depicting prosthodontic treatment modality of patients greater than 13 years were included. A total of 212 records were identified from the database search of which 29 duplicates were removed.The remaining articles were assessed for eligibility, and 50 articles (comprising 50 cases) were finally included in the study. This review identified a number of prosthetic options, including some novel prosthetic techniques, guiding flange, twin occlusion, palatal ramp, conventional to hybrid partial and complete dentures, and implant-supported prosthesis.The prosthetic options covered in this review included implant-supported prosthesis, guide flange, dual occlusion, palatal ramp, conventional, hybrid, and full dentures, as well as a few cutting-edge prosthetic techniques.As they plan and manage sequential therapy for hemimandibulectomy cases in their daily practice, practitioners and prosthodontists will find this helpful.
要在肿瘤切除术后恢复口腔功能,医生必须面对恢复半下颌骨切除术缺陷的巨大挑战。根据下颌骨重建的类型和程度(Cantor-Curtis 分类),有许多修复治疗方案可用于后天性半下颌骨切除术后畸形的康复。本系统性研究的目的是评估与下颌骨手术畸形的修复类型和严重程度相关的修复治疗技术的范围。用于文献检索的数据库包括谷歌学术和 Medline (PubMed)。使用了半下颌骨切除术和修复重建的相关检索词。两名审稿人使用资格标准对文章进行了独立评估;纳入了以英语发表的病例报告和系列病例,并描述了 13 岁以上患者的修复治疗方式。通过数据库搜索,共发现了 212 条记录,其中删除了 29 条重复记录。对其余文章进行了资格评估,最终有 50 篇文章(包括 50 个病例)被纳入研究范围。本综述确定了多种修复方案,包括一些新型修复技术、引导凸缘、双咬合、腭坡道、传统至混合型局部和全口义齿以及种植体支持修复。本综述中涉及的修复方案包括种植体支持修复、导引凸缘、双咬合、腭坡道、传统、混合和全口义齿,以及一些前沿修复技术。在日常工作中计划和管理半侧乳突切除术病例的序列治疗时,执业医师和口腔修复医师会发现这对他们很有帮助。
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引用次数: 0
Oxidative stress and antioxidants in ocular disorders 眼部疾病中的氧化应激和抗氧化剂
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.001
R. P. Maurya, Kokil Tiwari
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引用次数: 0
Intraocular lacrimal gland choristoma 眼内泪腺绒毛膜瘤
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.008
Sandra E. Staffieri, Olivia Rolfe, Anu Matthew, James Elder, John McKenzie, Colleen D’Arcy, Roderick O’Day
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引用次数: 0
Scleral contact lens for severe keratoconus with corneal hydrops: A case report 严重角膜炎伴角膜水肿的巩膜接触镜:病例报告
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.011
Manoj Sah
We describe a case of fitting a scleral contact lens for keratoconus management. A 37-year-old female has came for the keratoconus management opinion. She was using glasses for the last 20 years. She was presented with bilateral severe keratoconus with corneal hydrops, and it show high myopic. A standardized eye examination was thoroughly done in the hospital visual acuity, corneal oculyzer and slit lamp examination with IOP measurement. . The best spectacle corrected visual acuity was Right eye 6/60 with pinhole no improvement with the correction of -13.75/-2.00 x 35 and Left eye having best spectacle corrected visual acuity of counting finger- finger counting with pinhole no improvement with the correction of -14.00 dsph. Optimal fitting characteristics were found in terms of vault, centration and landing and coverage the final parameter that we selected base curve, diameter, power and sag value RE 7.34, 16.40 mm, -15.25/-1.00 X 40, 5.41; LE 6.75, 16.40, -19.25/-1.50 X 110, 5.68 respectively. With over refraction of this power visual acuity was 6/6p and 6/9 in right eye and left eye respectively. In this case we were fit the patient with miniscleral lens which are more comfortable, and the visual acuity was also improved and in the follow up of 3 months no ocular adverse effects were seen. This case report shows that in this patient a Maxim Scleral Lens could be fitted successfully for keratoconus management, providing good visual quality.
我们描述了一个配戴巩膜接触镜治疗角膜炎的病例。一位 37 岁的女性前来寻求角膜塑形镜治疗意见。在过去的 20 年中,她一直佩戴眼镜。她患有双侧严重角膜炎,伴有角膜水肿,并显示高度近视。医院为她进行了全面的标准化眼科检查,包括视力、角膜屈光度、裂隙灯检查和眼压测量。.最佳眼镜矫正视力为右眼 6/60,针孔矫正-13.75/-2.00 x 35,无改善;左眼最佳眼镜矫正视力为数手指-数手指,针孔矫正-14.00 dsph,无改善。在穹窿、中心和着陆方面找到了最佳的验配特性,我们最终选择了基弧、直径、功率和下垂值,分别为 RE 7.34、16.40 mm、-15.25/-1.00 X 40、5.41;LE 6.75、16.40、-19.25/-1.50 X 110、5.68。在此屈光度数下,右眼和左眼的视力分别为 6/6p 和 6/9。在这个病例中,我们为患者配戴了更舒适的微型巩膜晶体,视力也得到了改善,在 3 个月的随访中,没有发现任何眼部不良反应。本病例报告表明,为这名患者成功配戴了马克西姆巩膜透镜,用于角膜病的治疗,提供了良好的视觉质量。
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引用次数: 0
Intraoperative partial thickness compression suturing for descemet’s membrane detachment: A Novel technique 术中部分厚度加压缝合治疗去层膜脱落:一项新技术
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.006
Anuradha Raj, Rajnish Raj
: To evaluate the efficacy of partial thickness transcorneal compression suturing with air desmetopexy in descemet’s membrane detachment (DMD) during cataract surgery: This is a retrospective review of records of patients who were managed for non-planar DMDs during phacoemulsification or small incision cataract surgery with partial thickness suturing with air descemetopexy in virgin eyes. : A total of fifteen cases were identified including 11 females and 4 males with average age of 67 years. All patients involved in the study underwent uneventful cataract surgery. All 15 cases involved in the study with DMD during cataract surgery were caused by intra-operative trauma during different instrumentations. Five cases had peripheral DMDs and ten cases had central DMDs. The average size of non-planar DMD was 4 mm. Ten cases had DMDs with scrolled margins. Eight patients achieved the best corrected visual acuity (BCVA) of 6/6 at the end of one month with clear corneas. Descemet’s membrane (DM) got completely attached at two weeks follow-up. The suture removal was done approximately after one month of follow-up. : Partial thickness transcorneal compression suturing with air desmetopexy in non-planar DMD is very helpful in recovering traumatic corneal edema during cataract surgery.
:目的:评估在白内障手术中采用部分厚度经角膜压迫缝合术和空气脱膜术治疗脱落膜脱落(DMD)的疗效:这是一项回顾性研究,研究对象是在白内障超声乳化或小切口白内障手术中,因非平面性脱膜而接受部分厚度经角膜加压缝合术和空气脱膜术的原眼患者。 共发现 15 例病例,其中女性 11 例,男性 4 例,平均年龄 67 岁。所有参与研究的患者均顺利接受了白内障手术。15 例白内障手术中出现 DMD 的病例均由术中使用不同器械时造成的外伤引起。其中 5 例为周边型 DMD,10 例为中心型 DMD。非平面 DMD 的平均大小为 4 毫米。10例患者的DMD边缘呈卷曲状。八个患者在一个月后达到最佳矫正视力(BCVA)6/6,角膜清晰。随访两周时,德斯梅特膜(DM)完全附着。大约在一个月后进行了拆线。结论:在非平面 DMD 角膜上进行部分厚度的经角膜压迫缝合和空气脱膜术,对恢复白内障手术中的外伤性角膜水肿很有帮助。
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引用次数: 0
Approach towards typical and atypical optic neuritis 治疗典型和非典型视神经炎的方法
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.003
Shrinkhal, Pragati Garg, S. P. Singh, Ruchi Shukla
Optic neuritis (ON) is a visually disabiliting disease, characterized by acute or sub-acute loss of vision due to inflammation of the optic nerve. When it is associated with a swollen optic disc, it is called papillitis. When the optic disc appears normal due to involvement of the retro-bulbar portion, the term retro-bulbar optic neuritis is used. ON can be broadly classified as typical and atypical. The diagnosis and management of these two types are very different and needs aggressive approach. This article focuses mainly on the approach towards a case of ON.
视神经炎(ON)是一种视力障碍性疾病,其特征是由于视神经发炎而导致急性或亚急性视力丧失。如果伴有视盘肿胀,则称为视乳头炎。如果视盘因球后部分受累而显得正常,则称为球后视神经炎。视神经亢进大致可分为典型和非典型两种。这两种类型的诊断和处理方法截然不同,需要采取积极的方法。本文主要介绍如何处理 ON 病例。
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引用次数: 0
Retinopathy of prematurity in multiple births versus single births preterm, extremely preterm infants 多胎早产儿与单胎早产儿、极早产儿的早产儿视网膜病变
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.004
Syeda Sadiya Ikram, Soumiya N, S. Puri
The purpose of the study was to compare the retinopathy of prematurity in preterm, extremely preterm infants between multiple and single births.It was a hospital – based cross sectional comparative study conducted among preterm 28 - ≤37 weeks of gestational age, extremely preterm ≤ 28 weeks of gestational age at delivery of multiple and single births. Data on Gestational age, birth weight, birth order (single/multiple), Risk factors, Refractive status, and Treatment type were noted. Ophthalmological findings were performed routinely at 4 weeks and repeated later depending upon the severity. 49 infants were involved in this study; 22 were born as singletons and 27 as multiples. Our results show 2.0% of subject in stage 1, 18.4% in stage 2, 8.2% in stage 3, 2.0% in stage 4 substantially corresponds with the severity of retinopathy of prematurity due to lower gestational week and lower birth weight. Multiple birth infants statistically had 6.1% in stage 1, 18.4% in stage 2, 8.2% in stage 3, 2.0% in stage 4 retinopathy of prematurity than single birth infants. Risk factor results indicates necrotizing enterocolitis (33.3% in stage 2), oxygen (35.5% in stage 2 and 16.1% in stage 3), sepsis (37.9%, and 20.7% in stage 3), and continuous positive airway pressure (44.4% in stage 2 and 11.1% in stage 3) Compound hyperopic astigmatism was the most typical refractive error in both births. Laser treatment accounts for 18.1% in both groups. This study showed a significant correlation with ROP development in multiple births.
该研究是一项基于医院的横断面比较研究,对象是胎龄 28 - ≤37 周的早产儿、胎龄≤28 周的极早产儿、多胎妊娠婴儿和单胎妊娠婴儿。记录了胎龄、出生体重、出生顺序(单胎/多胎)、风险因素、屈光状态和治疗类型等数据。眼科检查在 4 周时常规进行,之后根据严重程度重复检查。本研究共涉及 49 名婴儿,其中 22 名为单胎,27 名为多胎。我们的结果显示,2.0%的受试者处于第一阶段,18.4%处于第二阶段,8.2%处于第三阶段,2.0%处于第四阶段,这与胎周较低和出生体重较轻导致的早产儿视网膜病变的严重程度密切相关。据统计,与单胎婴儿相比,多胎婴儿的早产儿视网膜病变第一阶段为 6.1%,第二阶段为 18.4%,第三阶段为 8.2%,第四阶段为 2.0%。风险因素结果显示,坏死性小肠结肠炎(第 2 阶段占 33.3%)、吸氧(第 2 阶段占 35.5%,第 3 阶段占 16.1%)、败血症(第 2 阶段占 37.9%,第 3 阶段占 20.7%)和持续气道正压(第 2 阶段占 44.4%,第 3 阶段占 11.1%)是两胎婴儿中最典型的屈光不正。激光治疗在两组中均占 18.1%。这项研究表明,多胎妊娠与早产儿视网膜病变的发生有明显的相关性。
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引用次数: 0
Eyes of empowerment: A case study on the impact of custom ocular prosthesis in restoring quality of life 增强能力的眼睛:关于定制义眼对恢复生活质量的影响的案例研究
Pub Date : 2024-05-15 DOI: 10.18231/j.ijooo.2024.010
Aishwarya Bisen, Swapnil Parlani, Shreyansh Damade, Mineshor Samom, Palak Telang
Ocular prostheses serve as invaluable tools in restoring both visual symmetry and psychological well-being for individuals who have experienced ocular defects. This article presents a comprehensive overview of the fabrication and placement of custom acrylic ocular prosthesis in a 39-year-old male patient who suffered left eye loss following a traumatic accident. The patient's history underscores the profound impact of ocular trauma on self-image and quality of life, highlighting the importance of prosthetic rehabilitation. Meticulous attention was paid to every step of the fabrication process, including impression taking, color matching, and fitting, to ensure optimal aesthetic outcome and functionality. The successful placement of the prosthesis resulted in significant improvements in the patient's confidence and overall well-being. This case report emphasizes the approach required for successful ocular prosthetic rehabilitation and underscores the transformative impact of custom ocular prostheses in restoring quality of life for individuals with ocular defects.
眼球义眼是恢复视觉对称和心理健康的重要工具。本文全面概述了一名因外伤事故导致左眼缺失的 39 岁男性患者的定制丙烯酸眼球义眼的制作和植入过程。患者的病史强调了眼外伤对自我形象和生活质量的深远影响,突出了义眼康复的重要性。制作过程中的每一步都一丝不苟,包括取模、配色和安装,以确保最佳的美学效果和功能。假体的成功安装极大地改善了患者的自信心和整体健康。本病例报告强调了成功的眼部义眼康复所需的方法,并强调了定制眼部义眼在恢复眼部缺陷患者生活质量方面的变革性影响。
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引用次数: 0
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IP International Journal of Ocular Oncology and Oculoplasty
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