Pub Date : 2023-02-15DOI: 10.18231/j.ijooo.2022.061
Dheerendra Singh, Manisha Singh
Paediatric onset multiple sclerosis (POMS) patients usually present with a diminution of vision pertaining to optic neuritis and experience a more aggressive disease onset with disabling clinical symptoms, a polyfocal presentation at disease onset, and a higher relapse rate early in the disease course. We are reporting a unique presentation of bilateral ptosis with external ophthalmoplegia in a patient of a 17-year-old female patient who came with chief complaint of drooping of lids in both eyes for 3 years. Complete ophthalmic and systemic examination was done. Patient was diagnosed as MS according to the revised Mcdonald criteria and was given Methylprednisolone Pulse therapy. We concluded that acquired bilateral ptosis with ophthalmoplegia externa should be given special attention to rule out systemic associations. Timely diagnosis and early management of multiple sclerosis in the pediatric age group with DMT may reduce relapse frequency and functional disability.
{"title":"Bilateral ptosis with ophthalmoplegia externa in paediatric onset multiple sclerosis: A case report","authors":"Dheerendra Singh, Manisha Singh","doi":"10.18231/j.ijooo.2022.061","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.061","url":null,"abstract":"Paediatric onset multiple sclerosis (POMS) patients usually present with a diminution of vision pertaining to optic neuritis and experience a more aggressive disease onset with disabling clinical symptoms, a polyfocal presentation at disease onset, and a higher relapse rate early in the disease course. We are reporting a unique presentation of bilateral ptosis with external ophthalmoplegia in a patient of a 17-year-old female patient who came with chief complaint of drooping of lids in both eyes for 3 years. Complete ophthalmic and systemic examination was done. Patient was diagnosed as MS according to the revised Mcdonald criteria and was given Methylprednisolone Pulse therapy. We concluded that acquired bilateral ptosis with ophthalmoplegia externa should be given special attention to rule out systemic associations. Timely diagnosis and early management of multiple sclerosis in the pediatric age group with DMT may reduce relapse frequency and functional disability.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79265424","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.057
K. Kalaivani
Dry eye is often an under diagnosed condition of the eye that can cause discomfort, burning sensation and blurred vision. These symptoms are related to the alterations in the layers of tear film, insufficient production or excessive evaporation of tear film. The primary aim of this study is to diagnose and to find out the incidence of dry eye in patients presenting with symptoms of ocular irritation. A total number of 225 patients of both sexes aged between 20 and 80 years with complaints of ocular irritation were included in this study. Detailed history taking, slit lamp examination of the anterior segment, tear film breakup time (TBUT), Schirmer’s test, Fluorescein stain score and Rose Bengal stain score was done for all patients. Data was presented only for the worst eye of each patient. Dry eye was found in 46.67% of patients. Among symptomatic patients, 24% had TBUT value < 10 sec. Fluorescein score was ≥ 1 in 6.6% of symptomatic patients. RB score ≥3 was found in 28.4%. Both Schirmer test and TBUT were positive in 22.7% of the symptomatic patients. Only 4.9% of symptomatic patients were positive for all 3 tests including staining. This study firmly concludes that the Schirmer’s test, TBUT and staining should be done routinely for patients with ocular irritation for the early diagnosis of dry eye.
{"title":"Diagnosis of dry eye patients with ocular irritation","authors":"K. Kalaivani","doi":"10.18231/j.ijooo.2022.057","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.057","url":null,"abstract":"Dry eye is often an under diagnosed condition of the eye that can cause discomfort, burning sensation and blurred vision. These symptoms are related to the alterations in the layers of tear film, insufficient production or excessive evaporation of tear film. The primary aim of this study is to diagnose and to find out the incidence of dry eye in patients presenting with symptoms of ocular irritation. A total number of 225 patients of both sexes aged between 20 and 80 years with complaints of ocular irritation were included in this study. Detailed history taking, slit lamp examination of the anterior segment, tear film breakup time (TBUT), Schirmer’s test, Fluorescein stain score and Rose Bengal stain score was done for all patients. Data was presented only for the worst eye of each patient. Dry eye was found in 46.67% of patients. Among symptomatic patients, 24% had TBUT value < 10 sec. Fluorescein score was ≥ 1 in 6.6% of symptomatic patients. RB score ≥3 was found in 28.4%. Both Schirmer test and TBUT were positive in 22.7% of the symptomatic patients. Only 4.9% of symptomatic patients were positive for all 3 tests including staining. This study firmly concludes that the Schirmer’s test, TBUT and staining should be done routinely for patients with ocular irritation for the early diagnosis of dry eye.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75470001","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.053
D. Kumar, Amar
: To report the role of optical biopsy where the preoperative spectral domain optical coherence tomography (SD OCT) features were used for surgical margin clearance in ocular surface squamous neoplasia (OSSN) excision.In this prospectiveinterventional studypatients with clinically diagnosed OSSNundergopreoperative SD OCT and mass was excised with 3mm clearance with respect to the extent on OCT. Corneal, conjunctival margins and lamellar sclera was evaluated histopathologically. Twelve eyes of 11 patients with mean age of 59.2 ± 12.2 were studied. Hyper reflective epithelium, increased thickness, abrupt transition of corneal epithelium and increase back shadow were the features of OSSN noted. The mean functional epithelial thickness and epithelial thickness were 137.5± 60.6µm and 58.5±10.8 µm respectively. The histopathology confirmed as squamous cell carcinoma (SCC) (n=4, 33.3%), carcinoma in situ (CIN) (n=8, 66.6%). In CIN 2 eyes were severe dysplasia and 6 were moderate dysplasia. Corneal clearance was noted as 100 %. Of 36 conjunctival margins, the positive margin noted in 6 eyes (50%). Nasal margin (n=3) and temporal (n=3) were the common margins. There was no difference in clearance between CIN (50%) or SCC (50%) on conjunctival side. Two eyes with recurrence required and revision excision subsequent topical chemotherapyOptical biopsy by SD OCT though is an effective method for OSSN removal. Corneal margins showed better margin clearance than conjunctival.
{"title":"Optical biopsy – Optical coherence tomography guided excision of ocular surface squamous neoplasia","authors":"D. Kumar, Amar","doi":"10.18231/j.ijooo.2022.053","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.053","url":null,"abstract":": To report the role of optical biopsy where the preoperative spectral domain optical coherence tomography (SD OCT) features were used for surgical margin clearance in ocular surface squamous neoplasia (OSSN) excision.In this prospectiveinterventional studypatients with clinically diagnosed OSSNundergopreoperative SD OCT and mass was excised with 3mm clearance with respect to the extent on OCT. Corneal, conjunctival margins and lamellar sclera was evaluated histopathologically. Twelve eyes of 11 patients with mean age of 59.2 ± 12.2 were studied. Hyper reflective epithelium, increased thickness, abrupt transition of corneal epithelium and increase back shadow were the features of OSSN noted. The mean functional epithelial thickness and epithelial thickness were 137.5± 60.6µm and 58.5±10.8 µm respectively. The histopathology confirmed as squamous cell carcinoma (SCC) (n=4, 33.3%), carcinoma in situ (CIN) (n=8, 66.6%). In CIN 2 eyes were severe dysplasia and 6 were moderate dysplasia. Corneal clearance was noted as 100 %. Of 36 conjunctival margins, the positive margin noted in 6 eyes (50%). Nasal margin (n=3) and temporal (n=3) were the common margins. There was no difference in clearance between CIN (50%) or SCC (50%) on conjunctival side. Two eyes with recurrence required and revision excision subsequent topical chemotherapyOptical biopsy by SD OCT though is an effective method for OSSN removal. Corneal margins showed better margin clearance than conjunctival.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"266 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90767960","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.054
Shrithi Das Shetty, S. P
To analyze accuracy in clinical diagnosis of peri-ocular benign lesions. A prospective, interventional study of 279 clinically diagnosed and or histo-pathologically confirmed eyelid mass lesions. At presentation, detailed demographic data, symptoms, duration since the mass noted, it’s location, size & physical appearance, progression/regression/recurrence of the lid mass if any and associated systemic ailments were noted. Then, a pre-treatment clinical diagnosis (PTCD) was made. The treatment given, its outcome and histo-pathological examination (HPE) report were noted. Results then analysed in terms of how many cases needed HPE and in how many did PTCD match with HPE reports. Commonest lesions were of infective type (64.5%) followed by cysts and neoplastic which together contributed for 26.9% cases and others like congenital, traumatic, depositive etc., contributed for 8.6%. Totally, 25.8% sent for HPE; 94.4% did match with PTCD. Accuracy in clinical diagnosis is good with a thorough understanding of physical characteristics of lid mass lesions. Studies on a large scale would be extremely beneficial for the practicing ophthalmologists and the training residents and also for public health-care planning.
{"title":"Accuracy in clinical diagnosis of benign peri-ocular mass lesions","authors":"Shrithi Das Shetty, S. P","doi":"10.18231/j.ijooo.2022.054","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.054","url":null,"abstract":"To analyze accuracy in clinical diagnosis of peri-ocular benign lesions. A prospective, interventional study of 279 clinically diagnosed and or histo-pathologically confirmed eyelid mass lesions. At presentation, detailed demographic data, symptoms, duration since the mass noted, it’s location, size & physical appearance, progression/regression/recurrence of the lid mass if any and associated systemic ailments were noted. Then, a pre-treatment clinical diagnosis (PTCD) was made. The treatment given, its outcome and histo-pathological examination (HPE) report were noted. Results then analysed in terms of how many cases needed HPE and in how many did PTCD match with HPE reports. Commonest lesions were of infective type (64.5%) followed by cysts and neoplastic which together contributed for 26.9% cases and others like congenital, traumatic, depositive etc., contributed for 8.6%. Totally, 25.8% sent for HPE; 94.4% did match with PTCD. Accuracy in clinical diagnosis is good with a thorough understanding of physical characteristics of lid mass lesions. Studies on a large scale would be extremely beneficial for the practicing ophthalmologists and the training residents and also for public health-care planning.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78958441","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.052
M. Masihuzzaman, Smita Kunwar, G. Bhardwaj
The systematic review attempts to examine all the data concerning digital screen use's influence on myopia development in a COVID-19 epidemic.: The literature was searched on PubMed and Science Direct from December 2019 to September 2022. Using the Preferred Reporting Item for Systematic Review and Meta-Analyses (PRISMA) criteria, a total of 12 research papers were chosen for thorough evaluation after the exclusion criteria. Spherical equivalent refraction and axial length were outcomes of myopia progression. Time spent using digital devices and time spent exercising outside were examined as factors. Greater stress, increased use of electronic gadgets like laptops, tablets, and cell phones, as well as less time spent outside, have all been linked to an increase in the prevalence of myopia. Additionally, we discovered that the COVID-19 pandemic's commencement significantly changed children's behaviors since there was a switch from in-person instruction to online learning and a decline in outdoor activities because of home quarantine. : In children who participated in remote learning during the COVID-19 lockdown, increased reliance on digital devices for online classes has either caused or worsened visual disturbances like the rapid progression of myopia, symptoms of dry eye and visual fatigue, and vergence and accommodation disturbances. The outcomes of this methodical study show that myopia development is significantly impacted using digital screens during the COVID-19 pandemic.
{"title":"Progression of myopia in school-aged children after COVID-19 home confinement: A systematic review","authors":"M. Masihuzzaman, Smita Kunwar, G. Bhardwaj","doi":"10.18231/j.ijooo.2022.052","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.052","url":null,"abstract":"The systematic review attempts to examine all the data concerning digital screen use's influence on myopia development in a COVID-19 epidemic.: The literature was searched on PubMed and Science Direct from December 2019 to September 2022. Using the Preferred Reporting Item for Systematic Review and Meta-Analyses (PRISMA) criteria, a total of 12 research papers were chosen for thorough evaluation after the exclusion criteria. Spherical equivalent refraction and axial length were outcomes of myopia progression. Time spent using digital devices and time spent exercising outside were examined as factors. Greater stress, increased use of electronic gadgets like laptops, tablets, and cell phones, as well as less time spent outside, have all been linked to an increase in the prevalence of myopia. Additionally, we discovered that the COVID-19 pandemic's commencement significantly changed children's behaviors since there was a switch from in-person instruction to online learning and a decline in outdoor activities because of home quarantine. : In children who participated in remote learning during the COVID-19 lockdown, increased reliance on digital devices for online classes has either caused or worsened visual disturbances like the rapid progression of myopia, symptoms of dry eye and visual fatigue, and vergence and accommodation disturbances. The outcomes of this methodical study show that myopia development is significantly impacted using digital screens during the COVID-19 pandemic.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"2010 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86300310","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.060
M. Israel, Sunil Biradar, M. Kuruvila, N. Sankolli
A elderly male presented with painful loss of vision in the left eye for 20 days with expulsion of intra-ocular content following a blunt trauma. The best corrected visual acuity was counting fingers close to face (CF-CF). Slit lamp examination revealed ciliary tissue prolapse with gaping of incision scar along with a posterior synechia, iris pigments, vitreous in Anterior chamber, cells and flare. Patients presented aphakic and had the extruded rigid PMMA IOL with a broken haptic with him. Fundoscopic examination and B scan imaging were suggestive of vitreous haemorrhage. Pseudophacocele happens following blunt trauma leading to dehiscence of the corneo-scleral wound scar. Subconjunctival dislocation is the most common type, however sub-choroidal dislocation has also been seen. Our case is an extreme one where the IOL is completely extruded from the eye.An early diagnosis can help prevent serious infective complications and have good visual outcomes.
{"title":"Traumatic pseudophacocele: A case report with review of literature","authors":"M. Israel, Sunil Biradar, M. Kuruvila, N. Sankolli","doi":"10.18231/j.ijooo.2022.060","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.060","url":null,"abstract":"A elderly male presented with painful loss of vision in the left eye for 20 days with expulsion of intra-ocular content following a blunt trauma. The best corrected visual acuity was counting fingers close to face (CF-CF). Slit lamp examination revealed ciliary tissue prolapse with gaping of incision scar along with a posterior synechia, iris pigments, vitreous in Anterior chamber, cells and flare. Patients presented aphakic and had the extruded rigid PMMA IOL with a broken haptic with him. Fundoscopic examination and B scan imaging were suggestive of vitreous haemorrhage. Pseudophacocele happens following blunt trauma leading to dehiscence of the corneo-scleral wound scar. Subconjunctival dislocation is the most common type, however sub-choroidal dislocation has also been seen. Our case is an extreme one where the IOL is completely extruded from the eye.An early diagnosis can help prevent serious infective complications and have good visual outcomes.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85213073","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.059
K. Damodaran, Vijay Chopra
Dermoid cyst is a common ocular tumour, it accounts for 3-9% of paediatic ocular tumour. Childers with dermoid tumour persent with other congenital abnormality 13 year old girl presented to our OPD, with complains of swelling in her left eye upperlid since birth, patient has multiple facial anomalies. On ocular examination, her vision in both eyes were 6/6. A 3*3cm noted in the left upper lid near the lateral canthus. Clinical diagnosis of Dermoid cyst left eye upperlid made. A surgical excision biopsy was planned under General anaesthesia. Intraoperatively the cyst removed with the cyst wall intact. Cut section revealed cystic lesion with tangle of hair follicles. Specimen sent for histopathology. HPE confirmed the diagnosis of teratomatous dermoid cyst. Dermoid cysts account for 5% of all orbital lesions and are among the most common orbital tumors of childhood. Ophthalmologist should be aware to surgically excise these cyst meticulously so as to provide good cosmetic result to the patient.
{"title":"A case of dermoid cyst","authors":"K. Damodaran, Vijay Chopra","doi":"10.18231/j.ijooo.2022.059","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.059","url":null,"abstract":"Dermoid cyst is a common ocular tumour, it accounts for 3-9% of paediatic ocular tumour. Childers with dermoid tumour persent with other congenital abnormality 13 year old girl presented to our OPD, with complains of swelling in her left eye upperlid since birth, patient has multiple facial anomalies. On ocular examination, her vision in both eyes were 6/6. A 3*3cm noted in the left upper lid near the lateral canthus. Clinical diagnosis of Dermoid cyst left eye upperlid made. A surgical excision biopsy was planned under General anaesthesia. Intraoperatively the cyst removed with the cyst wall intact. Cut section revealed cystic lesion with tangle of hair follicles. Specimen sent for histopathology. HPE confirmed the diagnosis of teratomatous dermoid cyst. Dermoid cysts account for 5% of all orbital lesions and are among the most common orbital tumors of childhood. Ophthalmologist should be aware to surgically excise these cyst meticulously so as to provide good cosmetic result to the patient.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77924222","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.055
Muliha Rahman, Ashim Kumar Paul, S. Kadir, Mohamed Abdus Salam, Md. Abdul Muyeed, Chandana Sultana, M. Mujtaba, Asm Moin Uddin, T. Rahman
To describe the baseline characteristics, microbiological spectrum, therapy and assess the visual outcome in patients proven with fungal keratitis following standard treatment protocol. This longitudinal study was reviewed all patients with culture-proven fungal keratitis over a year at a tertiary referral facility in Bangladesh. All of the patients who had corneal stromal infiltrates had their corneal scrapings subjected to the normal microbiologic examination process, as well as a smear and culture-guided antimicrobial medication. Epidemiological features of patients (n=100), the mean age of patients was 55.6±9.8 years. More in the age group 51 to 60 years (28%). Males were more predominant (67%), commonly come from rural areas (59%). More were agriculture in workers (57%). Predisposing factors in fungal keratitis were trauma with vegetative matter (58%), herpetic keratitis (16%), penetrating keratoplasty (10%), extended wear of contact lens(12%), LASIK(4%). Treatment taken by another ophthalmologist before the presentation (46%). Low vision (20/50 to 20/160) was found in 58% cases and legal blindness (20/200 to worse ) was 40% of cases on visual acuity test at presentation. Filamentous Aspergillus (68%), Fusarium (2%), Scedosporium species (6%) and Candida(20%) were found by doing culture. Surgical intervention was needed in 36% of cases with topical and systemic anti fungal medications for management. Visual acuity after treatment was 20/40 or better in 16% of cases, low vision (20/50 to 20/160) in 39% of cases and legal blindness (20/200 to worse) in 45% of cases. Fungal keratitis causes irreparable vision damage. Yeast infections were less common than infections with filamentous fungus, which were typically treated more aggressively through both medicinal and surgical means. Similar durations of infections and visual results were observed in filamentous and yeast keratitis. In 80% of the cases where it was done, antifungal susceptibility testing had an impact on the course of treatment.
{"title":"The outcome of microbiologically proven fungal keratitis following standard treatment protocol","authors":"Muliha Rahman, Ashim Kumar Paul, S. Kadir, Mohamed Abdus Salam, Md. Abdul Muyeed, Chandana Sultana, M. Mujtaba, Asm Moin Uddin, T. Rahman","doi":"10.18231/j.ijooo.2022.055","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.055","url":null,"abstract":"To describe the baseline characteristics, microbiological spectrum, therapy and assess the visual outcome in patients proven with fungal keratitis following standard treatment protocol. This longitudinal study was reviewed all patients with culture-proven fungal keratitis over a year at a tertiary referral facility in Bangladesh. All of the patients who had corneal stromal infiltrates had their corneal scrapings subjected to the normal microbiologic examination process, as well as a smear and culture-guided antimicrobial medication. Epidemiological features of patients (n=100), the mean age of patients was 55.6±9.8 years. More in the age group 51 to 60 years (28%). Males were more predominant (67%), commonly come from rural areas (59%). More were agriculture in workers (57%). Predisposing factors in fungal keratitis were trauma with vegetative matter (58%), herpetic keratitis (16%), penetrating keratoplasty (10%), extended wear of contact lens(12%), LASIK(4%). Treatment taken by another ophthalmologist before the presentation (46%). Low vision (20/50 to 20/160) was found in 58% cases and legal blindness (20/200 to worse ) was 40% of cases on visual acuity test at presentation. Filamentous Aspergillus (68%), Fusarium (2%), Scedosporium species (6%) and Candida(20%) were found by doing culture. Surgical intervention was needed in 36% of cases with topical and systemic anti fungal medications for management. Visual acuity after treatment was 20/40 or better in 16% of cases, low vision (20/50 to 20/160) in 39% of cases and legal blindness (20/200 to worse) in 45% of cases. Fungal keratitis causes irreparable vision damage. Yeast infections were less common than infections with filamentous fungus, which were typically treated more aggressively through both medicinal and surgical means. Similar durations of infections and visual results were observed in filamentous and yeast keratitis. In 80% of the cases where it was done, antifungal susceptibility testing had an impact on the course of treatment.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85822051","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.056
Syeda Sadiya Ikram, N. R., S. Puri
To compare accommodation facility and vergence facility in eyes with myopia and emmetropia.It was a hospital-based comparative study conducted in the Outpatient Department of Ophthalmology. Accommodative and vergence facility measurements were taken with accommodative and vergence flippers.This study was done on 50 subjects, age group between 18-30 Years and it was approved by the IRB committee. This study has done to compare the values of accommodative facility and vergence facility between myopic emmetropic patients. The accommodative facility was measured using accommodative flippers. It was done both monocularly and binocularly for each subject at 3m and 40cm. Vergence facility was measured using vergence flippers. It was confirmed that Accommodative facility [Distance and Near] in right eye, left eye, and botheye was observed as significantly lesser in Myopic patients than Emmetropia. Also, the Vergence facility wasobserved as significantly lesser in Myopic patients than the Emmetropic patients.A reduced accommodative facility and vergence facility was found in myopes in comparison to emmetropia. At both distance and near, the mean facility was less for myopic eyes in comparison with emmetropic eyes.
{"title":"Comparison of accommodative facility and vergence facility with and without myopia","authors":"Syeda Sadiya Ikram, N. R., S. Puri","doi":"10.18231/j.ijooo.2022.056","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.056","url":null,"abstract":"To compare accommodation facility and vergence facility in eyes with myopia and emmetropia.It was a hospital-based comparative study conducted in the Outpatient Department of Ophthalmology. Accommodative and vergence facility measurements were taken with accommodative and vergence flippers.This study was done on 50 subjects, age group between 18-30 Years and it was approved by the IRB committee. This study has done to compare the values of accommodative facility and vergence facility between myopic emmetropic patients. The accommodative facility was measured using accommodative flippers. It was done both monocularly and binocularly for each subject at 3m and 40cm. Vergence facility was measured using vergence flippers. It was confirmed that Accommodative facility [Distance and Near] in right eye, left eye, and botheye was observed as significantly lesser in Myopic patients than Emmetropia. Also, the Vergence facility wasobserved as significantly lesser in Myopic patients than the Emmetropic patients.A reduced accommodative facility and vergence facility was found in myopes in comparison to emmetropia. At both distance and near, the mean facility was less for myopic eyes in comparison with emmetropic eyes.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"86 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91509834","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 : 2023-02-15DOI: 10.18231/j.ijooo.2022.051
R. P. Maurya, Kajal Pal, S. Kadir, Murtuza Nuruddin, Aalok Kumar, V. Singh, Kokil Tiwari, Vibha Singh
An orbital apex syndrome (OAS) has been described previously as a syndrome involving damage to the ocular motor and sensory nerves in association with optic nerve dysfunction. Patients usually present with signs and symptoms derived from the involvement of structures within the orbital apex, the superior orbital fissure, and the cavernous sinus. Visual loss from optic neuropathy and ophthalmoplegia involving multiple cranial nerves are the hallmarks of orbital apex syndrome. Historically, superior orbital fissure, orbital apex, and cavernous sinus are being used to define the anatomical locations of a disease process. However, the diagnostic evaluation and management are similar for each of these entities. The authors reviewed the literature on evaluating disorders involving the orbital apex and it’s diagnosis.
{"title":"Orbital apex syndrome: A review","authors":"R. P. Maurya, Kajal Pal, S. Kadir, Murtuza Nuruddin, Aalok Kumar, V. Singh, Kokil Tiwari, Vibha Singh","doi":"10.18231/j.ijooo.2022.051","DOIUrl":"https://doi.org/10.18231/j.ijooo.2022.051","url":null,"abstract":"An orbital apex syndrome (OAS) has been described previously as a syndrome involving damage to the ocular motor and sensory nerves in association with optic nerve dysfunction. Patients usually present with signs and symptoms derived from the involvement of structures within the orbital apex, the superior orbital fissure, and the cavernous sinus. Visual loss from optic neuropathy and ophthalmoplegia involving multiple cranial nerves are the hallmarks of orbital apex syndrome. Historically, superior orbital fissure, orbital apex, and cavernous sinus are being used to define the anatomical locations of a disease process. However, the diagnostic evaluation and management are similar for each of these entities. The authors reviewed the literature on evaluating disorders involving the orbital apex and it’s diagnosis.","PeriodicalId":14485,"journal":{"name":"IP International Journal of Ocular Oncology and Oculoplasty","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90700199","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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