M. Patil, Ravindra Banakar, B. Manjunath, M. Gupta
Background: Dry eye disease (DED) is a multifactorial disease commonly encountered in ophthalmology clinics. Omega-3 fatty acid has been proved to be effective in improving the symptoms of DED. Flax seed being the richest plant source of alpha-linolenic acid can be effective in DED. Aims: To evaluate the efficacy and tolerability of flax seed supplementation in comparison with omega-3 fatty acid capsules in DED. Setting and Design: Single-center randomized open-label clinical trial done at tertiary care hospital. Subjects and Methods: Two hundred sixty-eight subjects with clinically diagnosed mild dry eye received either flax seed supplementation daily for 3 months or omega-3 fatty acid capsule once daily for 3 months. Patients were evaluated at baseline, week 4, week 8, and week 12. On each visit subjects filled ocular surface disease index (OSDI) questionnaire and underwent Schirmer test, tear break up time (TBUT) and ocular staining. Results: One hundred thirty-three patients received flax seeds and 135 received omega-3 fatty acid. Schirmer test and TBUT showed increase in scores at each visit. OSDI scores reduced at subsequent visit and were statistically significant. Two factor repeated measures analyses of variances showed no statistically significant difference between the groups in terms of OSDI scores (P = 0.018). Conclusion: Our study demonstrated a rapid response to nutritional therapy (with flax seeds and omega-3 fatty acid capsules) in alleviating the signs and symptoms of dry eyes in both the groups. Flaxseeds supplementation is comparable to omega-3 fatty acid supplementation in DED and thus forms the cost-effective treatment for dry eyes and can be considered as an adjunctive therapy for the same.
{"title":"An open-label randomized clinical trial to evaluate the efficacy and tolerability of flax seed nutritional supplementation in comparison with omega-3 fatty acid capsule in mild dry eye disease","authors":"M. Patil, Ravindra Banakar, B. Manjunath, M. Gupta","doi":"10.4103/jcor.jcor_24_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_24_23","url":null,"abstract":"Background: Dry eye disease (DED) is a multifactorial disease commonly encountered in ophthalmology clinics. Omega-3 fatty acid has been proved to be effective in improving the symptoms of DED. Flax seed being the richest plant source of alpha-linolenic acid can be effective in DED. Aims: To evaluate the efficacy and tolerability of flax seed supplementation in comparison with omega-3 fatty acid capsules in DED. Setting and Design: Single-center randomized open-label clinical trial done at tertiary care hospital. Subjects and Methods: Two hundred sixty-eight subjects with clinically diagnosed mild dry eye received either flax seed supplementation daily for 3 months or omega-3 fatty acid capsule once daily for 3 months. Patients were evaluated at baseline, week 4, week 8, and week 12. On each visit subjects filled ocular surface disease index (OSDI) questionnaire and underwent Schirmer test, tear break up time (TBUT) and ocular staining. Results: One hundred thirty-three patients received flax seeds and 135 received omega-3 fatty acid. Schirmer test and TBUT showed increase in scores at each visit. OSDI scores reduced at subsequent visit and were statistically significant. Two factor repeated measures analyses of variances showed no statistically significant difference between the groups in terms of OSDI scores (P = 0.018). Conclusion: Our study demonstrated a rapid response to nutritional therapy (with flax seeds and omega-3 fatty acid capsules) in alleviating the signs and symptoms of dry eyes in both the groups. Flaxseeds supplementation is comparable to omega-3 fatty acid supplementation in DED and thus forms the cost-effective treatment for dry eyes and can be considered as an adjunctive therapy for the same.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"92 - 96"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43293111","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 : 2023-05-01DOI: 10.4103/jcor.jcor_106_22
A. Joshi, V. Ramya, Sakshi Patil
A prospective study was conducted on 46 eyes of 46 patients having white cataracts, who underwent manual small incision cataract surgery and were followed up on the 1st, 7th, and 30th postoperative days. Intraoperative and postoperative complications were noted, and postoperative visual outcomes were assessed. Of 46 patients with white cataracts, mature cataract constitutes 30 (65.4%) patients, hypermature cataracts – 8 (17.3%) patients, and intumescent cataracts – 8 (17.3%) patients. The most common intraoperative complications were extension of continuous curvilinear capsulorhexis (CCC) (30.4%), Argentinian flag sign (4.34%), hyphema (4.34%), iris prolapse (4.34%), posterior capsular rupture, and vitreous loss (2.17%). The most common postoperative complications were corneal edema (36.9%), striate keratopathy (34.7%), residual cortex (13.04%), and rise in intraocular pressure (6.52%). Visual outcome on day 30 showed vision >6/9 in 67.3%, 6/12–6/9 in 17.3%, and 6/60–6/18 in 6.5%. Patients having a poor vision had moderate nonproliferative diabetic retinopathy (NPDR) with diabetic macular edema in 6.5%, age-related macular degeneration – 4.2%, severe NPDR – 2.1%, and optic atrophy – 2.1%.We conclude that modified techniques such as use of trypan blue, high-density ophthalmic viscosurgical device, mini-rhexis (two-staged CCC), and aspiration of cortical fluid using a 26G needle during CCC can decrease ocular morbidity and achieve a good postoperative visual outcome.
{"title":"Trypan blue-assisted modified closed circular capsulorhexis in white cataracts: A prospective study of intraoperative and postoperative complications and visual outcome","authors":"A. Joshi, V. Ramya, Sakshi Patil","doi":"10.4103/jcor.jcor_106_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_106_22","url":null,"abstract":"A prospective study was conducted on 46 eyes of 46 patients having white cataracts, who underwent manual small incision cataract surgery and were followed up on the 1st, 7th, and 30th postoperative days. Intraoperative and postoperative complications were noted, and postoperative visual outcomes were assessed. Of 46 patients with white cataracts, mature cataract constitutes 30 (65.4%) patients, hypermature cataracts – 8 (17.3%) patients, and intumescent cataracts – 8 (17.3%) patients. The most common intraoperative complications were extension of continuous curvilinear capsulorhexis (CCC) (30.4%), Argentinian flag sign (4.34%), hyphema (4.34%), iris prolapse (4.34%), posterior capsular rupture, and vitreous loss (2.17%). The most common postoperative complications were corneal edema (36.9%), striate keratopathy (34.7%), residual cortex (13.04%), and rise in intraocular pressure (6.52%). Visual outcome on day 30 showed vision >6/9 in 67.3%, 6/12–6/9 in 17.3%, and 6/60–6/18 in 6.5%. Patients having a poor vision had moderate nonproliferative diabetic retinopathy (NPDR) with diabetic macular edema in 6.5%, age-related macular degeneration – 4.2%, severe NPDR – 2.1%, and optic atrophy – 2.1%.We conclude that modified techniques such as use of trypan blue, high-density ophthalmic viscosurgical device, mini-rhexis (two-staged CCC), and aspiration of cortical fluid using a 26G needle during CCC can decrease ocular morbidity and achieve a good postoperative visual outcome.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"125 - 128"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47835211","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 : 2023-05-01DOI: 10.4103/jcor.jcor_112_22
A. Rao, S. Senthil
Purpose: To report the effect of COVID-19 pandemic on the glaucoma surgical practice in India. Methods: A retrospective chart review of the hospital database of cases that underwent glaucoma surgery during March 2020–September 2020 was compared to surgeries done during the same months in 2017–2018 and 2019–2021. The clinical diagnosis, demographic details, type of surgeries, clinical details (intraocular pressure [IOP] at the time of surgery and IOP at 1 month of surgery, medications, and time from advice to date of surgery) at the time of surgery, and time from surgery-last hospital visit were compared between pre-COVID and post-COVID times. Results: Of a total of 8296 glaucoma surgeries during the study period, secondary glaucoma formed the majority of type of glaucoma requiring surgery (62.5%) during COVID. Of all surgeries, trabeculectomy and bleb-related procedures were the most common surgeries during all study periods, including the COVID times (42.6% in pre-COVID, 30% in COVID 39.8% in post-COVID period, respectively). Minimally invasive glaucoma surgeries (MIGS) increased during the post-COVID period with reduced trabeculectomy procedures paralleled with an increase in the number of implant procedures during COVID time 11.7% (pre-COVID), 15% (COVID), and 10.8% (post-COVID) study periods, correlating with increase in secondary glaucoma. The surgical outcomes were similar in pre-COVID and post-COVID times. Conclusion: COVID-19 provided a fresh direction to glaucoma surgical practice toward increasing implants and MIGS in the post-COVID phase. Despite changes in the surgical trend, there were similar overall surgical outcomes in glaucoma patients undergoing surgery, this provided similar overall surgical outcome in glaucoma patients undergoing surgery during or immediately after active COVID phase compared to pre-COVID times.
{"title":"Effect of COVID-19 on glaucoma surgical practice in India: The challenges faced and the outcomes","authors":"A. Rao, S. Senthil","doi":"10.4103/jcor.jcor_112_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_112_22","url":null,"abstract":"Purpose: To report the effect of COVID-19 pandemic on the glaucoma surgical practice in India. Methods: A retrospective chart review of the hospital database of cases that underwent glaucoma surgery during March 2020–September 2020 was compared to surgeries done during the same months in 2017–2018 and 2019–2021. The clinical diagnosis, demographic details, type of surgeries, clinical details (intraocular pressure [IOP] at the time of surgery and IOP at 1 month of surgery, medications, and time from advice to date of surgery) at the time of surgery, and time from surgery-last hospital visit were compared between pre-COVID and post-COVID times. Results: Of a total of 8296 glaucoma surgeries during the study period, secondary glaucoma formed the majority of type of glaucoma requiring surgery (62.5%) during COVID. Of all surgeries, trabeculectomy and bleb-related procedures were the most common surgeries during all study periods, including the COVID times (42.6% in pre-COVID, 30% in COVID 39.8% in post-COVID period, respectively). Minimally invasive glaucoma surgeries (MIGS) increased during the post-COVID period with reduced trabeculectomy procedures paralleled with an increase in the number of implant procedures during COVID time 11.7% (pre-COVID), 15% (COVID), and 10.8% (post-COVID) study periods, correlating with increase in secondary glaucoma. The surgical outcomes were similar in pre-COVID and post-COVID times. Conclusion: COVID-19 provided a fresh direction to glaucoma surgical practice toward increasing implants and MIGS in the post-COVID phase. Despite changes in the surgical trend, there were similar overall surgical outcomes in glaucoma patients undergoing surgery, this provided similar overall surgical outcome in glaucoma patients undergoing surgery during or immediately after active COVID phase compared to pre-COVID times.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"114 - 118"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70784563","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}
Amit S. Nene, Megha Patel, Onkar H. Pirdankar, Pratik Shenoy, Pushpanjali Badole, Smitesh Shah
We report a case of sympathetic ophthalmitis (SO) post scleral buckling and vitrectomy. A 24-year-old young male underwent retinal detachment surgery followed by silicone oil removal in the left eye. At 2-week follow-up, post oil removal, the patient was diagnosed with SO in the contralateral eye and was treated with bolus intravenous methylprednisolone and oral azathioprine which resulted in resolution of symptoms and best-corrected visual acuity improved to 20/20. Although rare, SO has a poor visual prognosis, if untreated, hence it is important to monitor the contralateral eye post vitreoretinal surgery. The presence of any inflammation in the fellow eye following vitreoretinal surgery should be treated as emergency.
{"title":"Sympathetic ophthalmitis post retinal detachment surgery","authors":"Amit S. Nene, Megha Patel, Onkar H. Pirdankar, Pratik Shenoy, Pushpanjali Badole, Smitesh Shah","doi":"10.4103/jcor.jcor_10_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_10_23","url":null,"abstract":"We report a case of sympathetic ophthalmitis (SO) post scleral buckling and vitrectomy. A 24-year-old young male underwent retinal detachment surgery followed by silicone oil removal in the left eye. At 2-week follow-up, post oil removal, the patient was diagnosed with SO in the contralateral eye and was treated with bolus intravenous methylprednisolone and oral azathioprine which resulted in resolution of symptoms and best-corrected visual acuity improved to 20/20. Although rare, SO has a poor visual prognosis, if untreated, hence it is important to monitor the contralateral eye post vitreoretinal surgery. The presence of any inflammation in the fellow eye following vitreoretinal surgery should be treated as emergency.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"132 - 133"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49530490","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 : 2023-05-01DOI: 10.4103/jcor.jcor_124_22
C. Bindra, Parminder Bindra, Preeti Bindra, F. Khan
A 31-year-old female reported with unilateral serous retinal detachment (SRD) with subretinal fibrin-like material (SRFM) following pre-eclampsia, placental abruption, and intrauterine fetal death. The best-corrected visual acuity was 20/40 in the affected eye. Fundus angiography and optical coherence tomography revealed choroidal ischemia with SRD and SRFM which resolved gradually over 4 weeks posttreatment. The presence of SRFM with SRD could be due to intense ischemia and inflammation following transient disseminated intravascular coagulation, hypovolemia, and hypertension. Multimodal imaging modalities can help in the early diagnosis and prompt management.
{"title":"A rare case of serous retinal detachment with subretinal fibrin-like material associated with pre-eclampsia, abruptio placentae, and intrauterine fetal death","authors":"C. Bindra, Parminder Bindra, Preeti Bindra, F. Khan","doi":"10.4103/jcor.jcor_124_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_124_22","url":null,"abstract":"A 31-year-old female reported with unilateral serous retinal detachment (SRD) with subretinal fibrin-like material (SRFM) following pre-eclampsia, placental abruption, and intrauterine fetal death. The best-corrected visual acuity was 20/40 in the affected eye. Fundus angiography and optical coherence tomography revealed choroidal ischemia with SRD and SRFM which resolved gradually over 4 weeks posttreatment. The presence of SRFM with SRD could be due to intense ischemia and inflammation following transient disseminated intravascular coagulation, hypovolemia, and hypertension. Multimodal imaging modalities can help in the early diagnosis and prompt management.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"123 - 125"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45818193","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 : 2023-05-01DOI: 10.4103/jcor.jcor_118_22
Seema Channabasappa, Sheetal V Girimallanavar, Balasubramanyam Aluri, Aiswarya Jose, G. Reddy
Background: This is the first study to see the effects of COVID-19 pandemic still persisting even after lockdown restrictions were relaxed on ocular health. Aims: To evaluate the presence and severity of ocular surface disease due to digital media usage in COVID-19 pandemic and to assess the severity with comorbidities such as refractive error, diabetes mellitus, and hypertension. Settings and Design: This is a cross-sectional study conducted via an online survey. Materials and Methods: An online survey was conducted among 217 individuals using ocular surface disease index (OSDI) questionnaire to assess the severity of dry eye disease due to digital media usage during the COVID-19 pandemic. Based on the OSDI score, ocular symptoms were classified into normal, mild, moderate, and severe. Statistical Analysis: Continuous variables were presented as mean ± standard deviation or median (Q1, Q3). The categorical variables were presented as frequency and percentage. Results: We included 217 respondents with 55 with mild (25.3%), 25 with moderate (11.5%) and 23 with severe dry eye (10.5%). The average number of hours spent on digital media was between 4 and 5 h before the pandemic and 6–8 h after the pandemic. The dry eye disease was also found to be associated with refractive errors, diabetes mellitus, and hypertension. Conclusion: The COVID-19 pandemic has affected the ocular health in general and had an impact on the dry eye disease in particular due to increase in the digital media usage and other associated risk factors, which has affected the work performance and efficiency was reduced.
{"title":"Evaluation of ocular surface disease due to digital usage during COVID-19 pandemic: A cross-sectional study","authors":"Seema Channabasappa, Sheetal V Girimallanavar, Balasubramanyam Aluri, Aiswarya Jose, G. Reddy","doi":"10.4103/jcor.jcor_118_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_118_22","url":null,"abstract":"Background: This is the first study to see the effects of COVID-19 pandemic still persisting even after lockdown restrictions were relaxed on ocular health. Aims: To evaluate the presence and severity of ocular surface disease due to digital media usage in COVID-19 pandemic and to assess the severity with comorbidities such as refractive error, diabetes mellitus, and hypertension. Settings and Design: This is a cross-sectional study conducted via an online survey. Materials and Methods: An online survey was conducted among 217 individuals using ocular surface disease index (OSDI) questionnaire to assess the severity of dry eye disease due to digital media usage during the COVID-19 pandemic. Based on the OSDI score, ocular symptoms were classified into normal, mild, moderate, and severe. Statistical Analysis: Continuous variables were presented as mean ± standard deviation or median (Q1, Q3). The categorical variables were presented as frequency and percentage. Results: We included 217 respondents with 55 with mild (25.3%), 25 with moderate (11.5%) and 23 with severe dry eye (10.5%). The average number of hours spent on digital media was between 4 and 5 h before the pandemic and 6–8 h after the pandemic. The dry eye disease was also found to be associated with refractive errors, diabetes mellitus, and hypertension. Conclusion: The COVID-19 pandemic has affected the ocular health in general and had an impact on the dry eye disease in particular due to increase in the digital media usage and other associated risk factors, which has affected the work performance and efficiency was reduced.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"109 - 113"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42259239","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}
Introduction: Ocular trauma is a preventable cause of monocular blindness that results in morbidity and sight loss. In this study, we evaluated the impact of ocular trauma on the quality of life. Materials and Methods: In this prospective cohort study, we included all ocular trauma cases presented at Drashti Netralaya enrolled between August 2019 and August 2020. Demographic, clinical, and trauma documentation were done using a pretested online format for all the enrolled cases with specified inclusion and exclusion criteria. The life quality score was recorded using the Indian Version of Visual Function Questionnaire (VFQ). The VFQ scores were recorded before and after treatment. All data were exported into Excel sheets and analyzed with SPSS 22 using descriptive and cross-tabulation. The numerical variables were tested using one-sample t-test. P < 0.05 was considered statistically significant. Results: Our study cohort consisted of 284 patients, of which 211 (68.1%) were adults and 85 (39.9%) were children. Furthermore, 199 (70.1%) were men, and 93 (30%) were women. The mean age of the patients was 29.36 ± 17.38 years. On a comparative study, a significant difference was found between the pretreatment and posttreatment vision as well as VFQ score. Conclusion: Ocular trauma can cause sight loss and morbidity and affect the quality of life. Successful management of ocular trauma can cause a significant difference in the vision as well as quality of life.
{"title":"Impact of ocular trauma on vision-related quality of life","authors":"M. Shah, Shreya Shah, Pradeep Chandana","doi":"10.4103/jcor.jcor_56_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_56_22","url":null,"abstract":"Introduction: Ocular trauma is a preventable cause of monocular blindness that results in morbidity and sight loss. In this study, we evaluated the impact of ocular trauma on the quality of life. Materials and Methods: In this prospective cohort study, we included all ocular trauma cases presented at Drashti Netralaya enrolled between August 2019 and August 2020. Demographic, clinical, and trauma documentation were done using a pretested online format for all the enrolled cases with specified inclusion and exclusion criteria. The life quality score was recorded using the Indian Version of Visual Function Questionnaire (VFQ). The VFQ scores were recorded before and after treatment. All data were exported into Excel sheets and analyzed with SPSS 22 using descriptive and cross-tabulation. The numerical variables were tested using one-sample t-test. P < 0.05 was considered statistically significant. Results: Our study cohort consisted of 284 patients, of which 211 (68.1%) were adults and 85 (39.9%) were children. Furthermore, 199 (70.1%) were men, and 93 (30%) were women. The mean age of the patients was 29.36 ± 17.38 years. On a comparative study, a significant difference was found between the pretreatment and posttreatment vision as well as VFQ score. Conclusion: Ocular trauma can cause sight loss and morbidity and affect the quality of life. Successful management of ocular trauma can cause a significant difference in the vision as well as quality of life.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"87 - 91"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48499034","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 : 2023-05-01DOI: 10.4103/jcor.jcor_121_22
M. Nada, Rohan Madan, J. Phogat, Surender Kumar
Morning glory disc anomaly (MGDA), commonly seen in females, is a congenital, funnel-shaped staphylomatous excavation of peripapillary retina and optic nerve involving the second cranial nerve head. The anomaly gets its name owing to its resemblance to a flower with the same name. We report a rare case of congenital papilla anomaly in a 21-year-old female patient who presented with diminution of vision and ocular deviation. The objective was to analyze and report functional impairment caused by the anomaly to the patient and its rare association with salt-and-pepper-like retinopathy. After thorough examination and investigations, a diagnosis of MGDA with salt-and-pepper pigmentary retinopathy associated with strabismus was made. Owing to the long-standing strabismus reported in the case, treatment included parental counseling about guarded visual prognosis and cosmetic surgical correction for strabismus.
{"title":"Morning glory disc anomaly of the second cranial nerve with salt-and-pepper-like retinopathy","authors":"M. Nada, Rohan Madan, J. Phogat, Surender Kumar","doi":"10.4103/jcor.jcor_121_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_121_22","url":null,"abstract":"Morning glory disc anomaly (MGDA), commonly seen in females, is a congenital, funnel-shaped staphylomatous excavation of peripapillary retina and optic nerve involving the second cranial nerve head. The anomaly gets its name owing to its resemblance to a flower with the same name. We report a rare case of congenital papilla anomaly in a 21-year-old female patient who presented with diminution of vision and ocular deviation. The objective was to analyze and report functional impairment caused by the anomaly to the patient and its rare association with salt-and-pepper-like retinopathy. After thorough examination and investigations, a diagnosis of MGDA with salt-and-pepper pigmentary retinopathy associated with strabismus was made. Owing to the long-standing strabismus reported in the case, treatment included parental counseling about guarded visual prognosis and cosmetic surgical correction for strabismus.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"134 - 136"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44345327","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 : 2023-05-01DOI: 10.4103/jcor.jcor_122_22
Enakshi Bose, S. Majumdar, S. Sarkar
Background: Glaucoma is one of the most common causes of irreversible blindness. Neuroinflammation has a role in the pathogenesis of glaucoma and this inflammatory activity has been found in the brains of patients with depression. The need for prolonged treatment and follow-up and the fear of permanent loss of vision in glaucoma imposes economic and psychological burden. Aims: This study aims to assess the magnitude of anxiety and depression in patients with and without primary glaucoma and compare. Setting and Design: Cross-sectional observational study carried out in a tertiary care institute. Materials and Methods: Sixty-five patients with primary glaucoma (primary open-angle glaucoma, primary angle closure glaucoma as cases) and 65 without glaucoma (controls) were selected after institutional ethics committee approval and consent for participation. Detailed ocular examination for glaucoma diagnosis and screening by Patient Health Questionnaire 9 (PHQ-9) Depression scale and Generalized Anxiety Disorder 7 (GAD-7) anxiety scale done for the assessment of depression and anxiety, respectively. Logistic regression analysis with anxiety, depression, and glaucoma was conducted and adjusted for sociodemographic factors. Results: Mean PHQ (for depression) score (19.3231 ± 5.3564) and mean GAD-7 (for anxiety) score (12.1231 ± 4.1098) were significantly higher in glaucoma patients compared to controls (P < 0.0001). The association between PHQ scale score and GAD-7 score with the type of glaucoma was not significant (P = 0.983). Likewise, gender and the magnitude of depression and anxiety (measured by PHQ-9 scale and GAD-7 scale) were not statistically significant. Conclusion: Moderate and severe anxiety and depression were significantly associated with primary glaucoma when compared to controls.
{"title":"A comparative study of anxiety and depression in primary glaucoma patients","authors":"Enakshi Bose, S. Majumdar, S. Sarkar","doi":"10.4103/jcor.jcor_122_22","DOIUrl":"https://doi.org/10.4103/jcor.jcor_122_22","url":null,"abstract":"Background: Glaucoma is one of the most common causes of irreversible blindness. Neuroinflammation has a role in the pathogenesis of glaucoma and this inflammatory activity has been found in the brains of patients with depression. The need for prolonged treatment and follow-up and the fear of permanent loss of vision in glaucoma imposes economic and psychological burden. Aims: This study aims to assess the magnitude of anxiety and depression in patients with and without primary glaucoma and compare. Setting and Design: Cross-sectional observational study carried out in a tertiary care institute. Materials and Methods: Sixty-five patients with primary glaucoma (primary open-angle glaucoma, primary angle closure glaucoma as cases) and 65 without glaucoma (controls) were selected after institutional ethics committee approval and consent for participation. Detailed ocular examination for glaucoma diagnosis and screening by Patient Health Questionnaire 9 (PHQ-9) Depression scale and Generalized Anxiety Disorder 7 (GAD-7) anxiety scale done for the assessment of depression and anxiety, respectively. Logistic regression analysis with anxiety, depression, and glaucoma was conducted and adjusted for sociodemographic factors. Results: Mean PHQ (for depression) score (19.3231 ± 5.3564) and mean GAD-7 (for anxiety) score (12.1231 ± 4.1098) were significantly higher in glaucoma patients compared to controls (P < 0.0001). The association between PHQ scale score and GAD-7 score with the type of glaucoma was not significant (P = 0.983). Likewise, gender and the magnitude of depression and anxiety (measured by PHQ-9 scale and GAD-7 scale) were not statistically significant. Conclusion: Moderate and severe anxiety and depression were significantly associated with primary glaucoma when compared to controls.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"119 - 122"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43466426","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":"Modernizing ophthalmology: The transformative role of artificial intelligence","authors":"R. Joshi","doi":"10.4103/jcor.jcor_49_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_49_23","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"11 1","pages":"75 - 76"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48401337","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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