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Bilateral choroidal haemangioma in an otherwise normal middle aged female 正常中年女性双侧脉络膜血管瘤
Pub Date : 2023-11-15 DOI: 10.18231/j.ijooo.2023.031
Surabhi Kumari
Circumscribed choroidal hemangioma is a rare benign vascular tumor. It is of two types, circumsribed and diffuse. Circumscribed choroidal hemangioma is a well demarcated solitary lesion, usually situated posterior to equator, while diffuse have ill defined thickening of choroid involving more than one zone or quadrant. Patient may present with progressive diminution of vision, metamorphopsia, floaters and visual field defect. The visual symptoms are because of associated subretinal fluid, cystoid macular edema, and in long standing cases, retinal pigment epithelium changes, subretinal fibrosis and retinoschisis. It must be distinguished from amelanotic melanoma and choroidal metastasis. Investigation such as ultrasound, optic coherence tomography, fundus fluorescein angiography, indocyanin green angiography can be used to confirm the diagnosis. Multiple treatment options like transpupillary thermotherapy, photodynamic therapy, plaque brachytherapy and external beam radiotherapy.
限定脉络膜血管瘤是一种罕见的良性血管肿瘤。它有两种类型,有限制的和扩散的。界限分明的脉络膜血管瘤是一种界限清晰的孤立性病变,通常位于赤道后方,而弥漫性脉络膜增厚界限不清,累及多个区域或象限。患者可表现为视力进行性下降、变形、飞蚊和视野缺损。视觉症状是由于相关的视网膜下积液、囊样黄斑水肿,在长期病例中,视网膜色素上皮改变、视网膜下纤维化和视网膜裂。它必须与无色素黑色素瘤和脉络膜转移区分开来。检查如超声、光学相干断层扫描、眼底荧光素血管造影、吲哚菁素绿色血管造影可用于确诊。多种治疗选择,如经腋窝热疗、光动力治疗、斑块近距离治疗和外束放疗。
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引用次数: 0
Evisceration with primary orbital implant in endophthalmitis/ panophthalmitis 眼内炎/全眼炎伴原发性眼眶植入物剜出
Pub Date : 2023-11-15 DOI: 10.18231/j.ijooo.2023.028
Syeed Mehbub Ul Kadir, Mohammad Abid Akbar, Shah Muhammad Aman Ullah, Md. Amiruzzaman, Narayon Chandra Bhowmik, Rajendra Prakash Maurya, Md. Golam Haider
To describe the outcome of Evisceration with the primary orbital implant in non-seeing eyes with and without ocular infection (endophthalmitis/panophthalmitis). A prospective, nonrandomized comparative case series research was performed from 2019 to 2022. Patients with the least postoperative follow-up of 6 months were included in the study. One seventy-three eyes of one seventy-three patients were included. Group A involved the infective patients, and Group B included all noninfective blind eyes. Nonporous PMMA implants were used for all cases, and the main outcome measure was the successful retention of the primary implant. All types of complications and satisfactory prosthesis fitting were also observed. The mean (±SD) age was 45.689 ± 11.34 years, with males (53.2%) predominant. All except 11 cases could retain the primary implant successfully. Primary orbital implants were exposed in nine (5.2%) cases (four in Group A and five in Group B), and Extrusion of the primary orbital implant occurred in two (1.1%) cases, and all extrusion occurred in Group A. One hundred fifty-six (90.2%) patients underwent successful prosthesis fitting with better cosmesis. The difference in major complications like implant exposure and implant extrusion between the groups was not statistically significant (P value equals 0.0879, Fisher exact test). Evisceration with a primary orbital implant is feasible in both infective (endophthalmitis/ panophthalmitis) and noninfective blind eyes. It provides a better postoperative cosmesis to the anophthalmic socket.
目的:探讨有无眼内感染(眼内炎/眼全炎)的无视力眼内剜出合并初级眼窝植入物的结果。在2019年至2022年期间进行了前瞻性、非随机比较病例系列研究。术后随访时间最少6个月的患者纳入研究。纳入了73名患者的73只眼睛。A组为感染性患者,B组为所有非感染性盲眼。所有病例均使用无孔PMMA种植体,主要观察指标是原生种植体的成功固位。所有并发症及假体安装均满意。平均(±SD)年龄为45.689±11.34岁,男性占53.2%。除11例外,其余均能成功保留原植体。A组4例(5.2%),B组5例(5.2%),A组2例(1.1%),全部为A组(90.2%),56例(90.2%)患者假体安装成功,美观性较好。种植体暴露、种植体挤压等主要并发症组间差异无统计学意义(P值= 0.0879,Fisher精确检验)。在感染性(眼内炎/全眼炎)和非感染性失明的眼睛中,原发性眼窝植入术是可行的。它提供了一个更好的术后美容无眼窝。
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引用次数: 0
Comparison of Goldmann applanation tonometer with Huvitz non-contact tonometer Goldmann压扁眼压计与Huvitz非接触式眼压计之比较
Pub Date : 2023-11-15 DOI: 10.18231/j.ijooo.2023.026
Kanav Gupta, None Kritika, BK Gupta, Soni Tarun
: Glaucoma has been established as the second leading cause of blindness as blindness due to glaucoma is untreatable. Glaucoma screening is very important step to prevent visual loss and for screening intraocular pressure measurement plays an important role. : The study aims to compare the Goldmann applanation tonometer with Huvitz non-contact tonometer. : This was a cross-sectional study conducted for a period of 3 months March 2023 to May 2023. 200 patients were included in the study taking care of exclusion criteria. The study was started after getting permission from the institutional ethics committee. Patients were randomly taken and they underwent NCT and GAT. The values of both were compared and analysis was done using STATA and SPSS software. : The study includes 200 patients who underwent GAT and NCT. The age group ranges from 21-45 years. The IOP values showed that the mean value in the GAT group was 15.54 mmHg and that in the NCT group was 17.255 mmHg. So, the mean value shows that the values obtained from NCT are higher than those obtained from GAT. The mean IOP in the NCT group is 1.715 mmHg higher than that in the GAT group. The study has a p-value of 0.001. : Both the above methods are frequently used for the measurement of IOP. NCT is an easy and less time-consuming method that is used more frequently. But the study concludes that the results of NCT are not as accurate and should be rechecked with those of GAT in cases with borderline values before starting workup of glaucoma.
由于青光眼导致的失明是无法治愈的,因此青光眼已被确定为致盲的第二大原因。青光眼筛查是预防视力丧失的重要步骤,眼压测量在筛查中起着重要作用。本研究旨在比较Goldmann眼压计与Huvitz非接触式眼压计。这是一项横断面研究,为期3个月,2023年3月至2023年5月。200例患者被纳入研究,符合排除标准。该研究是在获得机构伦理委员会的许可后开始的。随机选取患者进行NCT和GAT检查。采用STATA和SPSS软件对两者数值进行比较和分析。本研究包括200例接受GAT和NCT治疗的患者。年龄从21岁到45岁不等。IOP值显示,GAT组平均为15.54 mmHg, NCT组平均为17.255 mmHg。因此,平均值表明NCT得到的值高于GAT得到的值。NCT组平均眼压比GAT组高1.715 mmHg。该研究的p值为0.001。:以上两种方法是测量眼压的常用方法。NCT是一种使用更频繁的简单、省时的方法。但该研究得出结论,NCT的结果不那么准确,在开始青光眼检查之前,对于有边缘性值的病例,应与GAT的结果重新检查。
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引用次数: 0
The distribution of near point of convergence, near point of accommodation and their association with interpupillary distance in young adults- A cross sectional study 青年人近汇聚点、近调节点的分布及其与瞳孔间距的关系——一项横断面研究
Pub Date : 2023-11-15 DOI: 10.18231/j.ijooo.2023.027
Seema Dutt Bandhu, Smita Atul Pawar, Sahil Garg, None Yukta, Mohammad Hifz Ur Rahman
Vergence dysfunctions and accommodation anomalies are the main causes of asthenopic symptoms. These may be related to differences in the anthropometric measurements. The anthropometric measurements have a significance in understanding human physical and physiological variations. This study was carried out with the purpose of measuring the near point of convergence (NPC), near point of accommodation (NPA) and to determine their association with interpupillary distance (IPD) in a population of North-western India. This was a cross sectional study carried out on young adults of 18-22 years age group. The NPC and NPA were measured with a Royal Air Force (RAF) scale. Distance IPD was measured with a ruler and autorefractometer. The results were analysed statistically to study the relation of the variables with each other. The average IPD of the study population was 62.18 mm, IICD was 29.65, NPC was 6.55 cm, NPA was 9.42 cm. The correlation between IPD and IICD was 0.15 (weak). The correlation between IPD and NPC was found to be 0.18, correlation between IPD and NPA OD was 0.35 and the correlation between IPD and NPA OS was 0.30, which all were statistically weak. The anthropometric measurements of the study population were similar to those reported by other studies on the Indian population. The correlation between NPA and IPD and that between NPC and IPD was found to be weak.
辐辏功能障碍和调节异常是无力症状的主要原因。这可能与人体测量的差异有关。人体测量对了解人体生理变化具有重要意义。本研究的目的是测量近收敛点(NPC),近适应点(NPA),并确定它们与印度西北部人口的瞳孔间距(IPD)的关系。这是一项对18-22岁年龄组的年轻人进行的横断面研究。NPC和NPA用英国皇家空军(RAF)量表测量。用直尺和自动折光计测量距离IPD。对结果进行统计分析,研究各变量之间的关系。研究人群平均IPD为62.18 mm, IICD为29.65,NPC为6.55 cm, NPA为9.42 cm。IPD与IICD的相关性为0.15(弱)。IPD与NPC的相关系数为0.18,IPD与NPA OD的相关系数为0.35,IPD与NPA OS的相关系数为0.30,均具有较弱的统计学意义。研究人群的人体测量值与其他关于印度人口的研究报告相似。NPA与IPD、NPC与IPD的相关性较弱。
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引用次数: 0
Screening saves sight: An unusual case of type-1 neurofibromatosis 筛检可保视力:1型神经纤维瘤病罕见病例
Pub Date : 2023-11-15 DOI: 10.18231/j.ijooo.2023.030
Kale Satya Geethika, Hannah Ranjee Prasanth, Karthik Kumar Arumugam, Rohitha Kuppusamy
Neurofibromatosis (NF), described by von Recklinghausen in 1882, consists of at least two distinct disorders: NF1 (von Recklinghausen's or peripheral neurofibromatosis) and NF2, formerly known as 'central neurofibromatosis." The prevalence of NF is approximately 1 in 4,000, and of NF2, 1 in 50,000. Neurofibromatosis type 1 is a multisystemic neurocutaneous disorder with an autosomal dominant hereditary pattern. Ocular manifestations include plexiform neurofibroma of eyelid, Lisch nodules in iris, optic nerve glioma, glaucoma, sphenoid wing dysplasia. Retinal and choroidal involvement are encountered less frequently. Unusual ocular findings include multiple choroidal nevi, combined hamartoma, choroidal Schwannoma, choroidal melanoma and vaso proliferative retinal tumors. Here we report a case of an 18 year old girl diagnosed with neurofibromatosis type 1 who on routine ocular examination was found to have high myopia in both eyes and on fundus examination had a macula ‘on’ inferior retinal detachment with retinal hole in right eye. Inferior retinal detachment is rarely reported in neurofibromatosis type 1. This case emphasizes the importance of conducting ocular examination even in asymptomatic patients with neurofibromatosis, so that early detection and treatment can prevent vision loss secondary to retinal detachment.
神经纤维瘤病(NF)由von Recklinghausen于1882年描述,由至少两种不同的疾病组成:NF1 (von Recklinghausen's或周围神经纤维瘤病)和NF2(以前称为“中枢神经纤维瘤病”)。NF患病率约为1 / 4,000,NF2患病率为1 / 50,000。1型神经纤维瘤病是一种常染色体显性遗传的多系统神经皮肤疾病。眼部表现包括眼睑丛状神经纤维瘤、虹膜李氏结节、视神经胶质瘤、青光眼、蝶翼发育不良。视网膜和脉络膜受累较少。不寻常的眼部表现包括多发性脉络膜痣、合并错构瘤、脉络膜神经鞘瘤、脉络膜黑色素瘤和血管增殖性视网膜肿瘤。我们在此报告一例18岁的女孩,诊断为1型神经纤维瘤病,她在常规眼科检查中发现双眼高度近视,眼底检查发现右眼黄斑下视网膜脱离并视网膜孔。下视网膜脱离在1型神经纤维瘤病中很少报道。本病例强调即使无症状的神经纤维瘤病患者也应进行眼部检查,以便早期发现和治疗,防止视网膜脱离继发性视力丧失。
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引用次数: 0
Solitary fibrous tumor of the lacrimal sac mimicking lacrimal sac mucocele: A case report with review of literature 模拟泪囊黏液囊肿的泪囊孤立性纤维性肿瘤1例并文献复习
Pub Date : 2023-11-15 DOI: 10.18231/j.ijooo.2023.034
Aparna K S, Maneksha Velu
Solitary fibrous tumors (SFT) are benign neoplasms, composed of spindle-shaped cells. It has been reported in numerous locations in the body, but SFT of lacrimal sac is very rare. A 67 year old man clinically diagnosed as lacrimal sac mucocoele. During DCR, there was a yellowish mass with vascularisation on the surface. The mass was removed in-toto. Histopathology and immune-histochemisty confirmed SFT of lacrimal sac. Patient was followed up for 6 months without any recurrence.
孤立性纤维性肿瘤(SFT)是由梭形细胞组成的良性肿瘤。据报道,在身体的许多部位,但泪囊的SFT是非常罕见的。67岁男性,临床诊断为泪囊黏液膨出。在DCR期间,表面有一个带有血管化的淡黄色肿块。肿块全部切除了。组织病理学和免疫组织化学证实泪囊SFT。随访6个月,无复发。
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引用次数: 0
Unusual presentation of epidermal inclusion CYST: A case report 表皮包涵性囊肿的异常表现:1例报告
Pub Date : 2023-11-15 DOI: 10.18231/j.ijooo.2023.032
Vijay Kumar Maurya, Aparajita Chaudhary, Kriti Bhatt
We report a case of a 8 year old girl who presented with painless progressive mass of the right upper lid that had been present after having a trauma at the age of 1 year with cricket ball and had slowly enlarged over period of 7 years. The mass had no signs of inflammation, tissue breach or central punctum. The mass was of cystic consistency with sharp well defined margin and freely movable not adherent to underlying structure measuring about 1-1.5cm in size. The mass was initially at centre of upper lid and had gradually moved to superotemporal region of upper lid that was completely excised and found to be a Epidermal Inclusion Cyst on histopathological examination. The presence of Epidermal Inclusion cyst at a site with no breach of tissue at the time of trauma and no punctum over the mass at the time of presentation is unusual, hence the purpose of our case report. Therefore it is important to consider Epidermal Inclusion Cyst in the differential diagnosis of eyelid lesions in children with atypical presentation.
我们报告一例8岁的女孩谁提出了无痛进行性肿块的右上眼睑后,有一个创伤,在1岁与板球和已经慢慢扩大了7年的时间。肿块没有炎症、组织破裂或中心穿刺的迹象。肿块呈囊性一致性,边缘清晰,可自由移动,不依附于下卧结构,大小约1-1.5cm。肿块最初位于上眼睑中心,逐渐移至上眼睑颞上区,完全切除,组织病理学检查为表皮包体囊肿。表皮包涵性囊肿出现在创伤时没有组织破坏的部位,在肿块出现时没有点状点是不寻常的,因此我们的病例报告的目的。因此,考虑表皮包涵囊肿在不典型儿童眼睑病变的鉴别诊断中是很重要的。
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引用次数: 0
Case of inverted papilloma of nasal cavity with malignant transformation involving both orbits 鼻腔内翻性乳头状瘤伴双眼眶恶性转化1例
Pub Date : 2023-08-15 DOI: 10.18231/j.ijooo.2023.019
Fauzia Ara, K. B, Sneha Kr
Inverted papilloma is an interesting benign tumour arising from lining epithelium of paranasal sinuses which most commonly involves nasal cavity and paranasal sinuses. Extension to orbit is a rare presentation. It is an uncommon intermediate grade epithelial tumour of the nasal cavity, with tendency to recur and associated with malignancy, arising from Schneiderian membrane of paranasal sinuses. Reporting a case of inverted papilloma of right nasal cavity with well differentiated squamous cell carcinoma, invading to both orbits.
内翻性乳头状瘤是一种有趣的良性肿瘤,起源于鼻窦内壁上皮,最常累及鼻腔和鼻窦。延伸到轨道是一种罕见的表现。它是一种罕见的鼻腔中级上皮性肿瘤,有复发倾向,并伴有恶性肿瘤,起源于鼻窦炎的施耐德膜。报告1例右鼻腔内翻性乳头状瘤合并高分化鳞状细胞癌,侵犯双眼眶。
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引用次数: 0
Conjunctival autograft with fibrin glue in primary pterygium Demographic profile, visual, refractive and surgical outcome 自体结膜纤维蛋白胶移植治疗原发性翼状胬肉的人口统计资料、视力、屈光和手术结果
Pub Date : 2023-08-15 DOI: 10.18231/j.ijooo.2023.015
S. Roy, S. Biswas, Fahmida Huque, Md. Sazzad Kader
: To compare the pre and post-operative visual, refractive and surgical outcome. It was a prospective interventional study of 56 primary pterygium patients with 12 months follow up. All patients underwent surgery with pterygium excision and conjunctival autograft fixation with fibrin glue without any fixating suture and adjuvant. Pre and post- operative visual acuity, spherical equivalent was compared and surgical outcome were evaluated. All patients were followed up to 12 months. The mean age was 42.43 ±13.38 years with male predominance. Seventy five percent (n=42) patients with normal vision (6/5 to 6/12, according to WHO) became 96% (n=54), 4 week post-operatively. Preoperatively, 42.8% (n=24) patients had spherical equivalent up to 1 D followed by 25% (n=14) Plano, 17.9% (n=10) up to 2 D, 5.4% (n=3) up to 3 D, 3.6% (n=2) had more than 3D which post operatively became 57.1% (n=32) up to 1D, 26.8% (n=15) Plano, 12.5% (n=7) up to 2D and there was no patients more than 2D with pre and post-operative comparison, p value of 0.000. There were no recurrence in 12 months follow up. Fibrin glue is very much effective in reducing recurrence rate and minimizes the complication with a very good visual outcome within 4 week postoperatively if surgery done carefully.
目的:比较手术前后视力、屈光及手术效果。这是一项前瞻性介入研究,对56例原发性翼状胬肉患者进行了12个月的随访。所有患者均行翼状胬肉切除和自体结膜纤维蛋白胶固定手术,无任何固定缝线和辅助。比较术前、术后视力、球面等效性及手术效果。所有患者随访12个月。平均年龄42.43±13.38岁,男性居多。术后4周,75% (n=42)视力正常的患者(根据WHO, 6/5 ~ 6/12)视力恢复为96% (n=54)。术前有42.8% (n=24)的患者球形等效达1D,其次是25% (n=14)的Plano, 17.9% (n=10)的Plano, 5.4% (n=3)的Plano, 3.6% (n=2)的大于3D,术后达到1D的患者为57.1% (n=32),达到1D的患者为26.8% (n=15),达到2D的患者为12.5% (n=7),术前和术后比较无超过2D的患者,p值为0.000。随访12个月无复发。纤维蛋白胶在降低复发率和减少并发症方面非常有效,术后4周内如果手术做得很仔细,视力效果很好。
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引用次数: 0
Survey on health and fitness among ophthalmologists in India 印度眼科医生的健康状况调查
Pub Date : 2023-08-15 DOI: 10.18231/j.ijooo.2023.016
Zaunu Shams, S. Kota
This work studies various factors related to health and fitness among the ophthalmologists in India. A multi-dimensional study using a comprehensive questionnaire which addressed the areas of work patterns, fitness activity patterns, food consumption patterns, the prevalence of occupation-related musculoskeletal disorders and other health hazards, the impact of COVID-19, and career satisfaction. A total of 537 Ophthalmologists from across the country participated in the survey. Considerable number of respondents (21.34 %) reported that they do not get at least one off day per week. Majority of respondents (84.99%) gets at least 6 hours of sleep per day. Only 49.16% of ophthalmologists exercise regularly, out of which 51.77% exercise for at least 30 minutes per day, where the majority prefers walking, yoga or gym as their preferred fitness activity. Majority of respondents (67.59 %) find it difficult to spend time for fitness, majorly due to work pressure, lack of motivation and inflexible workplace. A significant number of Ophthalmologists (57.16 %) suffered from occupation-related neck and back pain. The major occupational hazards reported were psycho-social stress, injury from sharp and verbal abuse. A significant number of respondents (48.29 %) suffered from a salary cut due to COVID-19. 64.04% Ophthalmologists reported that they were content with their career with good confidence. Majority of ophthalmologists suffer from occupational health hazards. Even though there is a strong desire to spend time on fitness activities, the majority find it difficult. COVID-19 hurt Ophthalmologists due to salary cuts and contraction of the disease.
这项工作研究了与印度眼科医生的健康和健身有关的各种因素。这是一项多维度研究,采用全面的问卷调查,涉及工作模式、健身活动模式、食物消费模式、与职业相关的肌肉骨骼疾病和其他健康危害的患病率、COVID-19的影响以及职业满意度。全国共有537名眼科医生参与了调查。相当多的受访者(21.34%)表示,他们每周至少没有休息一天。大多数受访者(84.99%)每天至少睡眠6小时。只有49.16%的眼科医生经常运动,其中51.77%的医生每天至少运动30分钟,其中大多数人更喜欢散步、瑜伽或健身房作为他们最喜欢的健身活动。大多数受访者(67.59%)发现很难花时间健身,主要原因是工作压力大、缺乏动力和工作场所不灵活。相当多的眼科医生(57.16%)患有职业性颈背痛。报告的主要职业危害是心理社会压力、锐器和言语虐待造成的伤害。受新冠疫情影响减薪的企业占48.29%。64.04%的眼科医生对自己的职业感到满意,并有良好的信心。大多数眼科医生都面临职业健康危害。尽管人们很想花时间参加健身活动,但大多数人还是觉得很难。由于工资减少和疾病收缩,COVID-19伤害了眼科医生。
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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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