{"title":"Immunosuppressive Agents In Uveitis – My Experience","authors":"J. Biswas","doi":"10.7869/DJO.347","DOIUrl":"https://doi.org/10.7869/DJO.347","url":null,"abstract":"","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85471892","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}
Proptosis is one of the commonest clinical manifestations of orbital pathology. Apart from orbital pathology, paranasal sinus mucocele could be a cause of progressive, unilateral, and gradual onset of proptosis. Herein, we discuss a case of sudden onset of non axial unilateral proptosis with diminution of vision. CECT showed heterogeneous enhancing mass lesions causing expansion and destruction of roof of the left orbit and inferomedial displacement of eyeball. Endoscopic sinus surgery was done under general anaesthesia, followed by reduction in proptosis and normalization of eyeball position 4
{"title":"Sudden Onset Proptosis: Frontal Sinus Mucocele Could Be a Cause","authors":"J. Salam, S. Kujur, S. Sachdeo, M. Garg","doi":"10.7869/DJO.344","DOIUrl":"https://doi.org/10.7869/DJO.344","url":null,"abstract":"Proptosis is one of the commonest clinical manifestations of orbital pathology. Apart from orbital pathology, paranasal sinus mucocele could be a cause of progressive, unilateral, and gradual onset of proptosis. Herein, we discuss a case of sudden onset of non axial unilateral proptosis with diminution of vision. CECT showed heterogeneous enhancing mass lesions causing expansion and destruction of roof of the left orbit and inferomedial displacement of eyeball. Endoscopic sinus surgery was done under general anaesthesia, followed by reduction in proptosis and normalization of eyeball position 4","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81891754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To report satisfactory outcome in a patient with scleral abscess at scleral incision cataract surgery wound site, along with endophthalmitis. Simple adjunctive measures enhance the success of conservative management for such cases. Method: Seventy-year-old female was diagnosed as scleral abscess with acute post operative endophthalmitis after one week of an uneventful scleral incision cataract surgery. The patient was managed with surgical wound debridement adjunctive to topical, intravitreal and systemic antibiotics. Results: Satisfactory final best corrected visual acuity of 20/40 was achieved at the last follow-up at 20 weeks. Conclusion: Post cataract surgery scleral abscess and endophthalmitis pose a significant management challenge. This condition may respond favourably with adjunctive meticulous surgical wound debridement.
{"title":"Simple Technique For The Management Of A Cataract Surgery Wound Site Scleral Abscess and Endophthalmitis","authors":"M. Kaur, T. Singh, Manoj Gupta","doi":"10.7869/DJO.343","DOIUrl":"https://doi.org/10.7869/DJO.343","url":null,"abstract":"To report satisfactory outcome in a patient with scleral abscess at scleral incision cataract surgery wound site, along with endophthalmitis. Simple adjunctive measures enhance the success of conservative management for such cases. Method: Seventy-year-old female was diagnosed as scleral abscess with acute post operative endophthalmitis after one week of an uneventful scleral incision cataract surgery. The patient was managed with surgical wound debridement adjunctive to topical, intravitreal and systemic antibiotics. Results: Satisfactory final best corrected visual acuity of 20/40 was achieved at the last follow-up at 20 weeks. Conclusion: Post cataract surgery scleral abscess and endophthalmitis pose a significant management challenge. This condition may respond favourably with adjunctive meticulous surgical wound debridement.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72765967","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}
{"title":"Essentials of Biostatistics","authors":"J. Bali, R. Bali, Y. K. Gupta","doi":"10.7869/djo.339","DOIUrl":"https://doi.org/10.7869/djo.339","url":null,"abstract":"","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73070377","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}
S. Mahajan, O. V. Patel, Rahul Sharma, Vivek Kumar
the telangiectatic vessels along with capillary non perfusion areas. A provisional diagnosis of Coats’ disease was made. The lesion responded well to focal laser photocoagulation.
毛细血管扩张沿毛细血管非灌注区。科茨的病被临时诊断出来了。病灶对聚焦激光光凝反应良好。
{"title":"A Rare Case Of Unilateral Adult Onset Coats’ Disease","authors":"S. Mahajan, O. V. Patel, Rahul Sharma, Vivek Kumar","doi":"10.7869/DJO.341","DOIUrl":"https://doi.org/10.7869/DJO.341","url":null,"abstract":"the telangiectatic vessels along with capillary non perfusion areas. A provisional diagnosis of Coats’ disease was made. The lesion responded well to focal laser photocoagulation.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87609954","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}
injury may cause various ocular complications. The severity of the complications depends on the voltage and site of passage of electric shock. The probability of ocular involvement rises more if the injury occurs at the scalp or face. Electric shock induced cataract is usually bilateral. The exact pathogenesis of cataract development is unknown. Direct coagulation of lens proteins and the osmotic changes following damage to the subcapsular epithelium are thought to be responsible. Other ocular complications like conjunctival hyperemia, interstitial corneal opacities, uveitis, miosis, spasm of accommodation etc may occur. Some rare complications like optic nerve coagulation, necrosis of retina, choroid and optic atrophy have been reported. Macular oedema may lead to the development of macular cysts or holes. Paresis of extraocular muscles have been frequently observed. We report two rare cases of high voltage electric injury in two young male patients resulting in bilateral cataract. No other ocular complications were encounterd. Entry and exit wounds were present in both the patients. Fundoscopy, Ultrasound B – scan and OCT were done to evaluate the posterior segment which were normal . Patients underwent manual small incision cataract surgery (MSICS) with posterior chamber intra ocular lens implantation with good post operative visual recovery. The study concludes that the degree of lenticular change seems to bear no definite relation to the strength of the current and with proper evaluation of posterior segment we can predict the post operative visual recovery.
{"title":"Bilateral Electric Shock Induced Cataract","authors":"A. Chandak, A. Kochar, Poonam Bhargava","doi":"10.7869/djo.342","DOIUrl":"https://doi.org/10.7869/djo.342","url":null,"abstract":"injury may cause various ocular complications. The severity of the complications depends on the voltage and site of passage of electric shock. The probability of ocular involvement rises more if the injury occurs at the scalp or face. Electric shock induced cataract is usually bilateral. The exact pathogenesis of cataract development is unknown. Direct coagulation of lens proteins and the osmotic changes following damage to the subcapsular epithelium are thought to be responsible. Other ocular complications like conjunctival hyperemia, interstitial corneal opacities, uveitis, miosis, spasm of accommodation etc may occur. Some rare complications like optic nerve coagulation, necrosis of retina, choroid and optic atrophy have been reported. Macular oedema may lead to the development of macular cysts or holes. Paresis of extraocular muscles have been frequently observed. We report two rare cases of high voltage electric injury in two young male patients resulting in bilateral cataract. No other ocular complications were encounterd. Entry and exit wounds were present in both the patients. Fundoscopy, Ultrasound B – scan and OCT were done to evaluate the posterior segment which were normal . Patients underwent manual small incision cataract surgery (MSICS) with posterior chamber intra ocular lens implantation with good post operative visual recovery. The study concludes that the degree of lenticular change seems to bear no definite relation to the strength of the current and with proper evaluation of posterior segment we can predict the post operative visual recovery.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80262979","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}
S. Ramchandani, Prajakta Paritekar, P. Patkar, Neha Dhiware
We report a unique case of unilateral optic nerve aplasia in an otherwise normally developed child. It was an incidental finding in a preterm child who was being screened for retinopathy of prematurity. Anterior segment of the affected eye was normal. However pupillary light reflexes- direct and consensual were absent. Ultrasound B scan and MRI confirmed the absence of optic nerve, in an otherwise normally developed eye.
{"title":"Unilateral Optic Nerve Aplasia In An Otherwise Normally Developed Eye","authors":"S. Ramchandani, Prajakta Paritekar, P. Patkar, Neha Dhiware","doi":"10.7869/DJO.340","DOIUrl":"https://doi.org/10.7869/DJO.340","url":null,"abstract":"We report a unique case of unilateral optic nerve aplasia in an otherwise normally developed child. It was an incidental finding in a preterm child who was being screened for retinopathy of prematurity. Anterior segment of the affected eye was normal. However pupillary light reflexes- direct and consensual were absent. Ultrasound B scan and MRI confirmed the absence of optic nerve, in an otherwise normally developed eye.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81093062","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}
Navneet S. Mehrotra, M. Nagpal, Hardik A. Jain, A. Jain
To report a case of spontaneous resolution of a serous macular detachment associated with an optic disc pit, leading to significant visual improvement. A 17 years old male presented to the outpatient department with chief complaints of blurring of vision in the left eye for 13 days, with some improvement in last 3 days. The patient had consulted elsewhere 10 days back and was noted to have a visual acuity of 6/60 in the left eye and was diagnosed to have an Optic disc pit with serous retinal detachment involving the macula. He was advised pars plana vitrectomy with gas tamponade but he preferred to wait for some time. The patient presented to us with improvement of the visual acuity to 6/9 in the left eye. Detailed fundus examination showed a large disc with a pit at the temporal disc margin with serous detachment seen temporal to the fovea. The patient was advised against any intervention and asked for regular follow up. We report a exhibited spontaneous regression of serous macular detachment in a case of optic disc pit within 13 days with significant improvement in visual acuity in a 17 year old patient.
{"title":"Early Spontaneous Reduction of Subsensory Fluid in A Case of Optic Disc Pit: A Rare Entity","authors":"Navneet S. Mehrotra, M. Nagpal, Hardik A. Jain, A. Jain","doi":"10.7869/DJO.333","DOIUrl":"https://doi.org/10.7869/DJO.333","url":null,"abstract":"To report a case of spontaneous resolution of a serous macular detachment associated with an optic disc pit, leading to significant visual improvement. A 17 years old male presented to the outpatient department with chief complaints of blurring of vision in the left eye for 13 days, with some improvement in last 3 days. The patient had consulted elsewhere 10 days back and was noted to have a visual acuity of 6/60 in the left eye and was diagnosed to have an Optic disc pit with serous retinal detachment involving the macula. He was advised pars plana vitrectomy with gas tamponade but he preferred to wait for some time. The patient presented to us with improvement of the visual acuity to 6/9 in the left eye. Detailed fundus examination showed a large disc with a pit at the temporal disc margin with serous detachment seen temporal to the fovea. The patient was advised against any intervention and asked for regular follow up. We report a exhibited spontaneous regression of serous macular detachment in a case of optic disc pit within 13 days with significant improvement in visual acuity in a 17 year old patient.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74763982","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}
A 9 year old girl presented with decreased vision and whiteness on the cornea 9 months after a chemical injury induced after burst chuna packet. Total unilateral limbal stem cell deficiency was managed by performing single stage simple limbal stem cell transplantation (SLET) combined with large graft penetrating keratoplasty, cataract surgery and posterior chamber intra-ocular lens implantation. She regained 20/80 vision at 3 months. The ocular surface was stable and the cornea was clear. Further visual gain was limited due to anterior capsular opacification and amblyopia. Treatment of unilateral corneal blindness following ocular surface burns, once considered incurable, gives rewarding results. Early visual rehabilitation is essential to prevent amblyopia. and expansion of
{"title":"Ocular Surface Burn – Can it be Cured?","authors":"R. Jain, N. Mohan, V. Sangwan","doi":"10.7869/DJO.332","DOIUrl":"https://doi.org/10.7869/DJO.332","url":null,"abstract":"A 9 year old girl presented with decreased vision and whiteness on the cornea 9 months after a chemical injury induced after burst chuna packet. Total unilateral limbal stem cell deficiency was managed by performing single stage simple limbal stem cell transplantation (SLET) combined with large graft penetrating keratoplasty, cataract surgery and posterior chamber intra-ocular lens implantation. She regained 20/80 vision at 3 months. The ocular surface was stable and the cornea was clear. Further visual gain was limited due to anterior capsular opacification and amblyopia. Treatment of unilateral corneal blindness following ocular surface burns, once considered incurable, gives rewarding results. Early visual rehabilitation is essential to prevent amblyopia. and expansion of","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77896319","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}
Eyelid and periocular reconstructions are often required for the defects due to trauma or following excision of neoplasms. Reconstruction of the eyelids poses a significant challenge to the budding ophthalmoplastic surgeons. A variety of techniques have been described for the repair of these defects. This comprehensive review outlines the basic principles of eyelid reconstruction and the range of surgical techniques available.
{"title":"Eyelid Reconstruction Techniques : An Overview","authors":"Maya Hada","doi":"10.7869/DJO.337","DOIUrl":"https://doi.org/10.7869/DJO.337","url":null,"abstract":"Eyelid and periocular reconstructions are often required for the defects due to trauma or following excision of neoplasms. Reconstruction of the eyelids poses a significant challenge to the budding ophthalmoplastic surgeons. A variety of techniques have been described for the repair of these defects. This comprehensive review outlines the basic principles of eyelid reconstruction and the range of surgical techniques available.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73400483","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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