1. To analyse the visual outcome in patients of paediatric uveitis who underwent cataract surgery; 2. To analyse the post-operative complications of cataract surgery in paediatric uveitis.Retrospective observational study was done on patients of uveitis who underwent cataract surgery. Patients who were under 18 years and co-operative for examination were included.They underwent Phacoaspiration with posterior chamber IOL implantation by a single surgeon after 3 months of activity free interval, BCVA(in Log MAR) in every follow up, anterior segment examination using slit lamp and posterior segment examination using IDO, post-operative complications and Intra ocular pressure was recorded using Noncontact tonometer.Uveitis was classified using the SUN classification of uveitis. Use of corticosteroids, biologics and immunosuppressive drug were collected at each visit. Total of 18 subjects diagnosed with cataract as a complication of uveitis & undergone cataract surgery were studied (6 were females, 12 were males) 9 had anterior uveitis, 1had intermediate uveitis and 5 had pan uveitis. JRA (66.7%) was the most common cause identified. Improvement in vision from baseline was observed post-surgery at the end of first, third and 6th month which was statistically significant (P- Value <0.05). Average duration of disease before they underwent surgery was 18 months. Most common post op complication was posterior capsular opacification (50 %), others include secondary glaucoma (38.9), exudative retinal detachment (5.6%) and Vitritis (22.2%)Unlike adult uveitic patients, the surgical management of paediatric uveitic cataract is both challenging and controversial, and the surgery itself has been associated with poor visual outcomes. However, our study had shown that with implantation of IOL, good immunosuppressants and control of the disease can give these children a good visual outcome.
{"title":"Visual outcome of cataract surgery in paediatric uveitis","authors":"Natasha Radhakrishnan, Anil Radhakrishnan, Suma Balan, Pooja Kandula","doi":"10.18231/j.ijooo.2024.007","DOIUrl":"https://doi.org/10.18231/j.ijooo.2024.007","url":null,"abstract":"1. To analyse the visual outcome in patients of paediatric uveitis who underwent cataract surgery; 2. To analyse the post-operative complications of cataract surgery in paediatric uveitis.Retrospective observational study was done on patients of uveitis who underwent cataract surgery. Patients who were under 18 years and co-operative for examination were included.They underwent Phacoaspiration with posterior chamber IOL implantation by a single surgeon after 3 months of activity free interval, BCVA(in Log MAR) in every follow up, anterior segment examination using slit lamp and posterior segment examination using IDO, post-operative complications and Intra ocular pressure was recorded using Noncontact tonometer.Uveitis was classified using the SUN classification of uveitis. Use of corticosteroids, biologics and immunosuppressive drug were collected at each visit. Total of 18 subjects diagnosed with cataract as a complication of uveitis & undergone cataract surgery were studied (6 were females, 12 were males) 9 had anterior uveitis, 1had intermediate uveitis and 5 had pan uveitis. JRA (66.7%) was the most common cause identified. Improvement in vision from baseline was observed post-surgery at the end of first, third and 6th month which was statistically significant (P- Value <0.05). Average duration of disease before they underwent surgery was 18 months. Most common post op complication was posterior capsular opacification (50 %), others include secondary glaucoma (38.9), exudative retinal detachment (5.6%) and Vitritis (22.2%)Unlike adult uveitic patients, the surgical management of paediatric uveitic cataract is both challenging and controversial, and the surgery itself has been associated with poor visual outcomes. However, our study had shown that with implantation of IOL, good immunosuppressants and control of the disease can give these children a good visual outcome.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"69 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140973886","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}
Sturge–Weber syndrome (SWS) is a rare congenital neurocutaneous disorder characterized by facial port-wine stain, leptomeningeal hemangiomas, and ocular manifestations such as glaucoma and diffuse choroidal hemangioma (DCH). DCH is a benign vascular lesion characteristically seen in up to 50% of patients affected with SWS. Diffuse choroidal hemangioma can cause refractive error, foveal distortion, and exudative retinal detachment and contribute to vision loss. We report a case of a young male with SWS and a unilateral DCH with characteristic imaging features.
{"title":"Imaging signatures in diffuse choroidal hemangioma in a case of sturge weber syndrome","authors":"Rinal Pandit, Dhaivat Shah, Deepanshu Agrawal, Sukanya Gorhe, Neha Sharma","doi":"10.18231/j.ijooo.2023.047","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.047","url":null,"abstract":"Sturge–Weber syndrome (SWS) is a rare congenital neurocutaneous disorder characterized by facial port-wine stain, leptomeningeal hemangiomas, and ocular manifestations such as glaucoma and diffuse choroidal hemangioma (DCH). DCH is a benign vascular lesion characteristically seen in up to 50% of patients affected with SWS. Diffuse choroidal hemangioma can cause refractive error, foveal distortion, and exudative retinal detachment and contribute to vision loss. We report a case of a young male with SWS and a unilateral DCH with characteristic imaging features.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"48 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139775591","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}
Visual rehabilitation following cataract surgery with compromised capsular bag includes various options like anterior chamber (ACIOL), fixation to the iris (Iris claw IOL), or fixation to the sclera (SFIOL), as a primary or secondary procedure. We studied the clinical outcome in patients who underwent 4- point fixation of SFIOLs. Retrospective data analysis of fourteen patients who underwent sclera fixated intraocular lens implantation from 2016 to 2018 at our institute under standard operative conditions was done. The postoperative vision by three months ranged from LogMAR 1.0 – 0.2, out of fourteen patients, BCVA in 60 % of the patients ranged from LogMAR 0.3-0.2 which was maintained at six months follow up with minimal complications. 4- point fixation of scleral fixated IOL is a good option with favourable outcome, in aphakics who are not ideal candidates for iris claw lens.
{"title":"Clinical outcome in patients with 4- point scleral fixated intraocular lens: Our experience","authors":"Kaiyoor Surya Divyalakshmi, Chaithanya Blevender Singh, Rashmi Shambu","doi":"10.18231/j.ijooo.2023.040","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.040","url":null,"abstract":"Visual rehabilitation following cataract surgery with compromised capsular bag includes various options like anterior chamber (ACIOL), fixation to the iris (Iris claw IOL), or fixation to the sclera (SFIOL), as a primary or secondary procedure. We studied the clinical outcome in patients who underwent 4- point fixation of SFIOLs. Retrospective data analysis of fourteen patients who underwent sclera fixated intraocular lens implantation from 2016 to 2018 at our institute under standard operative conditions was done. The postoperative vision by three months ranged from LogMAR 1.0 – 0.2, out of fourteen patients, BCVA in 60 % of the patients ranged from LogMAR 0.3-0.2 which was maintained at six months follow up with minimal complications. 4- point fixation of scleral fixated IOL is a good option with favourable outcome, in aphakics who are not ideal candidates for iris claw lens.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"425 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139834252","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 : 2024-02-15DOI: 10.18231/j.ijooo.2023.036
Anuradha Raj, Pratibha Sahu
The majority of ocular tumors in children are benign, but specific malignant neoplasms pose a risk to both life and vision. It's indeed crucial for pediatricians to be aware of ocular tumors in children, as early detection and proper management can significantly impact the child's health and vision. As a result, swift recognition and timely referral of patients to an ocular oncologist are imperative for effective clinical management. This article provides an overview of general concepts surrounding ocular tumors in the pediatric age group, offering brief insights into the clinical features and management of significant tumors affecting the eyelids, conjunctiva, intraocular structures, and orbit.
{"title":"Pediatric ocular tumors: An overview","authors":"Anuradha Raj, Pratibha Sahu","doi":"10.18231/j.ijooo.2023.036","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.036","url":null,"abstract":"The majority of ocular tumors in children are benign, but specific malignant neoplasms pose a risk to both life and vision. It's indeed crucial for pediatricians to be aware of ocular tumors in children, as early detection and proper management can significantly impact the child's health and vision. As a result, swift recognition and timely referral of patients to an ocular oncologist are imperative for effective clinical management. This article provides an overview of general concepts surrounding ocular tumors in the pediatric age group, offering brief insights into the clinical features and management of significant tumors affecting the eyelids, conjunctiva, intraocular structures, and orbit.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"690 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139835277","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 : 2024-02-15DOI: 10.18231/j.ijooo.2023.038
S. Kadir, Sunanda Sarkhel, Sayantan Chakraborty, R. P. Maurya, Nilufa Akter, Masihuzzaman, Gaurav Kumar Bhardwaj, Mastura Khatun
To compare reading performance in children with and without visual function anomalies. This cross-sectional study was carried out from May 2021 to April 2022 in a tertiary eye hospital of Bangladesh. This study included patients with 6-15 years of age who visited at Vision Therapy clinic. CISS-score was used to identify the asthenopia complaints and reading difficulties while having a normal vision and normal retinal function only selected for recruitment. Reading error, accuracy and reading speed were assessed with an N-notation chart with an N6 target size and the time taken to complete the task was recorded with a stopwatch. Both univariate and bivariate tables are used for analysis. Statistics analysis was performed accordingly, and the level of significance used was at 0.05. Out of 200 subjects, 46.5% boys and 53.5% girls. Of the total, 15.5% had NVF. The mean age of the participants was 12.04 (±2.44) years. Children with AVF had a higher number of reading errors and non-significant negative correlation (AVF=7.64 (±5.19); NVF 6.55 (±3.67); (r = -1.00, p=0.157). Lower Reading accuracy was noted in AVF as correlated to NVF and non-significant negative correlation (AVF=86.11 (±14.84); NVF=86.43 (±13.12); (r= -0.008, p=0.912). Similarly, lower reading speed was noted in AVF as correlated to NVF and non-significant negative correlation (AVF=79.47 (±39.20) wpm; NVF=84.51±36.84 wpm; (r= -0.047, p=0.507). A statistically significant difference was seen between AVF and NVF (p=0.001 at a 95% Confidence Interval of the differences). Children in the 1 to 5 grades presented a higher risk of reading impairment than the 6 to 10grades. Higher reading speed (112±20.69wpm) was noted in 10 grade. In this study, it was observed that poor reading performance is linked to abnormal visual function in school-aged children, but visual function and reading performance are not positively related.
{"title":"Reading performance in school going children with visual function anomalies","authors":"S. Kadir, Sunanda Sarkhel, Sayantan Chakraborty, R. P. Maurya, Nilufa Akter, Masihuzzaman, Gaurav Kumar Bhardwaj, Mastura Khatun","doi":"10.18231/j.ijooo.2023.038","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.038","url":null,"abstract":"To compare reading performance in children with and without visual function anomalies. This cross-sectional study was carried out from May 2021 to April 2022 in a tertiary eye hospital of Bangladesh. This study included patients with 6-15 years of age who visited at Vision Therapy clinic. CISS-score was used to identify the asthenopia complaints and reading difficulties while having a normal vision and normal retinal function only selected for recruitment. Reading error, accuracy and reading speed were assessed with an N-notation chart with an N6 target size and the time taken to complete the task was recorded with a stopwatch. Both univariate and bivariate tables are used for analysis. Statistics analysis was performed accordingly, and the level of significance used was at 0.05. Out of 200 subjects, 46.5% boys and 53.5% girls. Of the total, 15.5% had NVF. The mean age of the participants was 12.04 (±2.44) years. Children with AVF had a higher number of reading errors and non-significant negative correlation (AVF=7.64 (±5.19); NVF 6.55 (±3.67); (r = -1.00, p=0.157). Lower Reading accuracy was noted in AVF as correlated to NVF and non-significant negative correlation (AVF=86.11 (±14.84); NVF=86.43 (±13.12); (r= -0.008, p=0.912). Similarly, lower reading speed was noted in AVF as correlated to NVF and non-significant negative correlation (AVF=79.47 (±39.20) wpm; NVF=84.51±36.84 wpm; (r= -0.047, p=0.507). A statistically significant difference was seen between AVF and NVF (p=0.001 at a 95% Confidence Interval of the differences). Children in the 1 to 5 grades presented a higher risk of reading impairment than the 6 to 10grades. Higher reading speed (112±20.69wpm) was noted in 10 grade. In this study, it was observed that poor reading performance is linked to abnormal visual function in school-aged children, but visual function and reading performance are not positively related.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"183 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139835993","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 : 2024-02-15DOI: 10.18231/j.ijooo.2023.042
Lessitha N K, Haleema A, Mohammed Haneef, Shalet Paul
Diabetes mellitus (DM) is becoming increasingly and seriously prevalent lifestyle health problem worldwide. Up to 70% of diabetic patients can develop corneal changes and are also difficult to manage. Several studies were done to find out the morphological changes in cornea in type 2 DM, but the results are highly variable. Central corneal thickness (CCT) is widely considered as a constant parameter, so are measured only once during follow up in our daily clinical practice. Here we study the effect of diabetes over CCT, for a better understanding of the impact of diabetes over CCT.A comparative observational study of one and half years done among 106 diabetes and 106 non diabetic patients between 35 to 75 years old, attending ophthalmology OPD. CCT of both eyes was measured and mean CCT and was compared between diabetic and non-diabetic groups, among different subgroups of diabetic subjects and other parameters.CCT was thicker among diabetic groups (553.4434um) than non-diabetic groups (549.8491) but was not statistically significant according to our study. But there was statistically significant (p value 0.000165) thickening with increasing grades of diabetic retinopathy (DR) (mild DR (535.4524), moderate DR (543) and PDR (591.5)). Our study concludes that DM is associated with thicker cornea; hence CCT values can vary with time in DM. So repeated CCT measurements for corrected IOP values is advised and warranted in DM patients for proper management of IOP.
{"title":"A comparative study of central corneal thickness in patients with diabetes and without diabetes mellitus","authors":"Lessitha N K, Haleema A, Mohammed Haneef, Shalet Paul","doi":"10.18231/j.ijooo.2023.042","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.042","url":null,"abstract":" Diabetes mellitus (DM) is becoming increasingly and seriously prevalent lifestyle health problem worldwide. Up to 70% of diabetic patients can develop corneal changes and are also difficult to manage. Several studies were done to find out the morphological changes in cornea in type 2 DM, but the results are highly variable. Central corneal thickness (CCT) is widely considered as a constant parameter, so are measured only once during follow up in our daily clinical practice. Here we study the effect of diabetes over CCT, for a better understanding of the impact of diabetes over CCT.A comparative observational study of one and half years done among 106 diabetes and 106 non diabetic patients between 35 to 75 years old, attending ophthalmology OPD. CCT of both eyes was measured and mean CCT and was compared between diabetic and non-diabetic groups, among different subgroups of diabetic subjects and other parameters.CCT was thicker among diabetic groups (553.4434um) than non-diabetic groups (549.8491) but was not statistically significant according to our study. But there was statistically significant (p value 0.000165) thickening with increasing grades of diabetic retinopathy (DR) (mild DR (535.4524), moderate DR (543) and PDR (591.5)). Our study concludes that DM is associated with thicker cornea; hence CCT values can vary with time in DM. So repeated CCT measurements for corrected IOP values is advised and warranted in DM patients for proper management of IOP.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"6 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774317","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 : 2024-02-15DOI: 10.18231/j.ijooo.2023.035
R. P. Maurya, Sneha Gupta, Shalini Ranjan
{"title":"Biomarkers of oxidative stress and inflammation in dry eye disease","authors":"R. P. Maurya, Sneha Gupta, Shalini Ranjan","doi":"10.18231/j.ijooo.2023.035","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.035","url":null,"abstract":"","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"289 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139833867","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 : 2024-02-15DOI: 10.18231/j.ijooo.2023.042
Lessitha N K, Haleema A, Mohammed Haneef, Shalet Paul
Diabetes mellitus (DM) is becoming increasingly and seriously prevalent lifestyle health problem worldwide. Up to 70% of diabetic patients can develop corneal changes and are also difficult to manage. Several studies were done to find out the morphological changes in cornea in type 2 DM, but the results are highly variable. Central corneal thickness (CCT) is widely considered as a constant parameter, so are measured only once during follow up in our daily clinical practice. Here we study the effect of diabetes over CCT, for a better understanding of the impact of diabetes over CCT.A comparative observational study of one and half years done among 106 diabetes and 106 non diabetic patients between 35 to 75 years old, attending ophthalmology OPD. CCT of both eyes was measured and mean CCT and was compared between diabetic and non-diabetic groups, among different subgroups of diabetic subjects and other parameters.CCT was thicker among diabetic groups (553.4434um) than non-diabetic groups (549.8491) but was not statistically significant according to our study. But there was statistically significant (p value 0.000165) thickening with increasing grades of diabetic retinopathy (DR) (mild DR (535.4524), moderate DR (543) and PDR (591.5)). Our study concludes that DM is associated with thicker cornea; hence CCT values can vary with time in DM. So repeated CCT measurements for corrected IOP values is advised and warranted in DM patients for proper management of IOP.
{"title":"A comparative study of central corneal thickness in patients with diabetes and without diabetes mellitus","authors":"Lessitha N K, Haleema A, Mohammed Haneef, Shalet Paul","doi":"10.18231/j.ijooo.2023.042","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.042","url":null,"abstract":" Diabetes mellitus (DM) is becoming increasingly and seriously prevalent lifestyle health problem worldwide. Up to 70% of diabetic patients can develop corneal changes and are also difficult to manage. Several studies were done to find out the morphological changes in cornea in type 2 DM, but the results are highly variable. Central corneal thickness (CCT) is widely considered as a constant parameter, so are measured only once during follow up in our daily clinical practice. Here we study the effect of diabetes over CCT, for a better understanding of the impact of diabetes over CCT.A comparative observational study of one and half years done among 106 diabetes and 106 non diabetic patients between 35 to 75 years old, attending ophthalmology OPD. CCT of both eyes was measured and mean CCT and was compared between diabetic and non-diabetic groups, among different subgroups of diabetic subjects and other parameters.CCT was thicker among diabetic groups (553.4434um) than non-diabetic groups (549.8491) but was not statistically significant according to our study. But there was statistically significant (p value 0.000165) thickening with increasing grades of diabetic retinopathy (DR) (mild DR (535.4524), moderate DR (543) and PDR (591.5)). Our study concludes that DM is associated with thicker cornea; hence CCT values can vary with time in DM. So repeated CCT measurements for corrected IOP values is advised and warranted in DM patients for proper management of IOP.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"351 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139834011","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 : 2024-02-15DOI: 10.18231/j.ijooo.2023.037
Sunil Kumar
Ophthalmoplegia syndrome or Tolosa Hunt syndrome (THS) is a rare severe unilateral periorbital headache associated with painful and restricted eye movements (ophthalmoplegia) with no visual deterioration. It is associated with choric inflammation with granulomatous deposition in cavernous sinus and at superior orbital fissure. This article provides a detail outlook of this syndrome that along with pathophysiology, the present diagnostic considerations and management insights on Tolosa-Hunt syndrome through review of published article.
{"title":"Ophthalmoplegia syndrome or tolosa hunt syndrome – A review","authors":"Sunil Kumar","doi":"10.18231/j.ijooo.2023.037","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.037","url":null,"abstract":"Ophthalmoplegia syndrome or Tolosa Hunt syndrome (THS) is a rare severe unilateral periorbital headache associated with painful and restricted eye movements (ophthalmoplegia) with no visual deterioration. It is associated with choric inflammation with granulomatous deposition in cavernous sinus and at superior orbital fissure. This article provides a detail outlook of this syndrome that along with pathophysiology, the present diagnostic considerations and management insights on Tolosa-Hunt syndrome through review of published article.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"20 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139776320","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 : 2024-02-15DOI: 10.18231/j.ijooo.2023.045
Sreeja Sreenivasan, Anjali Shaji, S. Thulaseedharan
Conjunctival chemosis is a common ocular sign in clinical practice and is a non-specific clinical entity. We report a case of a 53-year-old male who presented with bilateral conjunctival edema due to adrenocortical carcinoma. Adrenocortical carcinoma is a very rare adrenal gland tumor with an annual global incidence of about 1- 2 per million population. The definitive diagnosis was made by detailed ophthalmic and systemic evaluation, imaging techniques, histopathological examination (HPE) and immunohistochemistry (IHC). This case report emphasizes the significance of complete evaluation of a patient, even in a specialty clinic.
{"title":"Conjunctival chemosis unfolding to adrenocortical carcinoma: A case report","authors":"Sreeja Sreenivasan, Anjali Shaji, S. Thulaseedharan","doi":"10.18231/j.ijooo.2023.045","DOIUrl":"https://doi.org/10.18231/j.ijooo.2023.045","url":null,"abstract":"Conjunctival chemosis is a common ocular sign in clinical practice and is a non-specific clinical entity. We report a case of a 53-year-old male who presented with bilateral conjunctival edema due to adrenocortical carcinoma. Adrenocortical carcinoma is a very rare adrenal gland tumor with an annual global incidence of about 1- 2 per million population. The definitive diagnosis was made by detailed ophthalmic and systemic evaluation, imaging techniques, histopathological examination (HPE) and immunohistochemistry (IHC). This case report emphasizes the significance of complete evaluation of a patient, even in a specialty clinic.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"428 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139834134","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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