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Indian Journal of Ophthalmology

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https://www.readbyqxmd.com/read/29941773/comments-on-bilateral-medial-rectus-palsy-due-to-midbrain-infarction-following-concussion-head-injury
#1
LETTER
Pramod Kumar Pandey, Annu Joon, Divya Kishore, Mainak Bhattacharyya
No abstract text is available yet for this article.
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941772/commentary-on-intravitreal-dexamethasone-implant-for-management-of-treatment-na%C3%A3-ve-retinal-vein-occlusion
#2
LETTER
Mayank Bansal
No abstract text is available yet for this article.
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941771/5-cefuroxime-as-an-alternative-to-5-cefazolin-in-the-treatment-of-gram-positive-bacterial-keratitis
#3
LETTER
Samrat Chatterjee, Deepshikha Agrawal
No abstract text is available yet for this article.
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941770/july-1-is-national-doctors-day-how-to-regain-the-lost-public-trust-in-healthcare
#4
LETTER
Suresh K Pandey, Vidushi Sharma
No abstract text is available yet for this article.
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941769/endocrine-mucin-producing-sweat-gland-carcinoma-of-the-eyelid-a-clinical-and-histological-conundrum
#5
Akshay Gopinathan Nair, Ratika Bhargava, Amjad Umer Furniturewala
A 60-year-old male presented with a 6-month-old history of a left upper lid mass. The mass was excised, and histopathological evaluation showed a well-circumscribed, multinodular, intradermal tumor consisting of round-to-oval cells with round nuclei and mucin filled cysts. On immunohistochemical analysis, the tumor cells stained positively for cytokeratin (CK)-7, CK-8, estrogen receptor (ER), progesterone receptor (PR), mucicarmine, synaptophysin, gross cystic disease fluid protein-15 (GCDFP-15), and neuron-specific enolase (NSE)...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941768/optic-nerve-avulsion-associated-with-central-retinal-artery-occlusion-following-rotational-globe-injury
#6
Isha Lohmror, Maya Hada, Vishal Agarwal, Kamlesh Khilnani
Avulsion of the optic nerve head is a rare and severe complication of ocular blunt trauma. Herein, we describe a case of 16-year-old boy, who presented with a rare combination of optic nerve avulsion associated with central retinal artery occlusion, following blunt trauma with a leather ball. This report highlights the potential blinding complication following rotational injury.
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941767/weber-syndrome-secondary-to-brain-stem-tuberculoma
#7
Sucheta Parija, C S Lalitha, Suprava Naik
This case report describes a rare presentation of presumed brain stem tuberculoma in a 28-year-old male who presented with acute onset of third cranial nerve palsy with contralateral hemiparesis (Weber syndrome) and upgaze palsy. Isolated midbrain tuberculoma is rare, presenting with varied clinical manifestations and radiological findings posing as a diagnostic dilemma. Weber syndrome is commonly caused by midbrain infarct secondary to occlusion of branches of the posterior cerebral artery and rarely from a tuberculoma...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941766/pars-plana-vitrectomy-and-re-directing-a-dexamethasone-implant-into-vitreous-cavity-following-misdirected-entry-into-the-crystalline-lens
#8
Partha Biswas, Krishnendu Nandi, Sneha Batra, Aniket Ginodia, Preeyam Biswas
A known diabetic patient presented with diabetic macular edema (DME) and nonproliferative diabetic retinopathy in both eyes with a vision of 6/18, N12 in the right eye and 4/60, N36 in the left eye (LE). The patient had undergone injection of dexamethasone implant in the LE which got misdirected into the crystalline lens. The patient was taken up for phacoemulsification with intraocular lens implantation along with vitrectomy and posterior vitreous detachment induction, and redirection of the dexamethasone implant into the vitreous cavity...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941765/frosted-branch-angiitis-with-penetrating-ocular-trauma-and-retained-intraocular-foreign-body
#9
V G Madanagopalan, C K Nagesha, Girish Velis, Santosh Devulapally, S Balamurugan
A 54-year-old male sustained ocular trauma with a projectile. Examination of the right eye revealed an intraocular foreign body (IOFB) adjacent to the optic nerve head, vitritis, vitreous hemorrhage, and translucent perivascular sheathing of the retinal vessels in all quadrants suggesting frosted branch angiitis (FBA). The patient underwent vitrectomy with removal of the IOFB and silicone oil tamponade under steroid cover. With continued use of systemic and topical steroids after surgery, complete resolution of FBA and improvement in vision were noted in a week...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941764/intercalary-membrane-as-the-inner-wall-overlying-optic-and-chorio-retinal-colobomas-deep-penetration-swept-source-oct-study
#10
Jorge Ruiz-Medrano, Ignacio Flores-Moreno, Javier A Montero, Jose M Ruiz-Moreno
Five eyes of four patients were studied to analyze the structure of the inner wall of optic and chorioretinal colobomas using swept-source optical coherence tomography (SS-OCT). The colobomatous cavities and their relationship with adjacent structures were examined. SS-OCT permitted the study of the colobomatous cavities in all cases. In four of those cases, a Y-shaped intercalary membrane (ICM) was identified, with an origin in the retinal nerve fiber layer (RNFL), which covered the coloboma and in one case the coloboma was in contact with the vitreous cavity...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941763/multimodal-imaging-of-bietti-s-crystalline-dystrophy
#11
Vinod Kumar, Amit Gadkar
Bietti's crystalline dystrophy (BCD) is a rare autosomal recessive retinal dystrophy characterized by deposition of crystals in the retina. The purpose of this article is to describe retinal abnormalities in BCD using multimodal imaging. An 18-year-old girl presented with decrease of vision and nyctalopia. She was assessed with color fundus picture, red-free photographs, short-wave autofluorescence, spectral-domain optical coherence tomography (OCT) and en face OCT and was diagnosed to have BCD based on typical presentation...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941762/validating-the-pachychoroid-disease-spectrum-using-multimodal-imaging
#12
Guruprasad Ayachit, Apoorva Ayachit, Harsha Nadgir, Shrinivas Joshi
Pachychoroid disease spectrum has garnered considerable interest and has been discussed in detail in recent literature. It refers to a group of retinal and choroidal disorders, namely pigment epitheliopathy, central serous chorioretinopathy, neovasculopathy, and polypoid choroidal vasculopathy, all arising from a thickened choroid and hyperpermeable large choroidal vessels. We describe a case which had simultaneous presentation of multiple disorders on the pachychoroid spectrum. Multimodal findings in this patient have been described in this report...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941761/central-retinal-arterial-occlusion-in-a-patient-with-pyoderma-gangrenosum
#13
Koushik Tripathy, Shahana Mazumdar, Barsha Sarma
A 74-year-old male presented to us with a history of vision loss for 36 hours in the right eye (RE). The RE had a visual acuity of hand movements. The fundus revealed a pale retina, cattle tracking in the retinal vessels, and a cherry-red spot at the macula. The patient was a known case of pyoderma gangrenosum (PG) and had received intravenous methylprednisolone and cyclophosphamide at the onset of visual symptoms. An emergency anterior chamber paracentesis was performed following unsuccessful attempts of ocular massage...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941760/culture-positive-unilateral-panophthalmitis-in-a-serology-positive-case-of-dengue-hemorrhagic-fever
#14
Richa Kamal, Dhaivat Shah, Satish Sharma, Madharuvasal Krishnan Janani, Arindam Kar, Kumar Saurabh, Rupak Roy, Hajib Narahari Rao Madhavan
Dengue fever, a mosquito-borne disease commonly found in the tropics, is one of the most prevalent forms of Flavivirus infection in humans. Symptomatically, it is characterized by fever, arthralgia, headache, and rash. Ophthalmic manifestations can involve both the anterior and posterior segment. Panophthalmitis is rare in dengue hemorrhagic fever, and there is no report of culture-positive panophthalmitis in this setting. Here, we report a case of a serology-positive 33-year-old male patient of dengue hemorrhagic fever who developed sudden onset pain, redness, and proptosis in the right eye...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941759/endogenous-cryptococcus-neoformans-endophthalmitis-with-subretinal-abscess-in-a-hiv-infected-man
#15
Joveeta Joseph, Savitri Sharma, Raja Narayanan
To report a rare case of Cryptococcus neoformans endogenous endophthalmitis with subretinal abscess in a 36-year-old HIV-positive man, referred with progressive blurred vision in his right eye for the last 6 months. Vitreous biopsy followed by intravitreal ganciclovir did not result in significant improvement. Microbiology revealed the presence of C. neoformans, and intravitreal amphotericin B was then administered. The patient was treated aggressively with systemic and intravitreal antifungals but had a poor visual and anatomical outcome...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941758/management-of-candida-glabrata-infectious-crystalline-keratopathy-with-endophthalmitis-following-penetrating-keratoplasty
#16
Ritu Nagpal, Sunita Chaurasia, Joveeta Joseph, Mudit Tyagi, Padmaja Kumari Rani, Muralidhar Ramappa, Rikin Shah
A 33-year-old male underwent an optical keratoplasty elsewhere in the right eye following which he developed endophthalmitis and subsequently underwent a pars plana vitrectomy and lensectomy. At presentation, he had a deep stromal crystalline infiltration along the graft-host junction. A large therapeutic keratoplasty was performed, and the excised corneal button was evaluated. Histopathology revealed gram-positive round-to-oval budding structures and microbiology identified the organism as Candida glabrata...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941757/commentary-on-misplaced-capsule-tension-ring-in-anterior-chamber-a-unique-way-of-explantation
#17
COMMENT
Sagar Bhargava, Maneesh Singh, Lav Kochgaway
No abstract text is available yet for this article.
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941756/misplaced-capsule-tension-ring-in-anterior-chamber-a-unique-way-of-explantation
#18
Jignesh Manshibhai Gala, Rohit C Khanna
We report a patient who presented with endocapsular capsule tension ring (CTR) in iridocorneal angle leading to secondary angle closure glaucoma (ACG) and subsequent removal of the CTR from trabeculectomy ostium. Secondary ACG was diagnosed 2 years and 6 months after cataract surgery in which a CTR was used for zonular instability. CTR removal with trabeculectomy was performed, after which there was the resolution of symptoms. To the best of our knowledge, this is the first case report in which CTR was removed from trabeculectomy ostium...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941755/a-case-of-human-leukocyte-antigen-b-27-associated-ocular-hypotony-successfully-treated-with-golimumab
#19
Parthopratim Dutta Majumder, Ruchika Lakra, G Yamuna, Anindya Kishore Majumder, Viswanath Kaushik
A 42-year-old male presented to us after an episode of acute anterior human leukocyte antigen (HLA)-B27-associated uveitis, and intraocular pressure (IOP) in the right eye was 4 mmHg. Ultrasound biomicroscopy revealed ciliary body edema with supraciliary effusion. He was on a frequent topical corticosteroid, and oral steroid in addition to receiving a periocular injection depot corticosteroid 20 days back. He was started on treatment with subcutaneous golimumab (GLM). After a month, his IOP in the right eye was 14 mm of Hg with UBM showing resolution of ciliary body edema...
July 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29941754/vernal-keratoconjunctivitis-in-human-immunodeficiency-virus-the-possible-role-of-t-helper-1-t-helper-2-shift
#20
Shweta Agarwal, Bhaskar Srinivasan, Geetha Iyer, Sridharan Sudharshan, Kavita Kalaivani
Human immunodeficiency virus infection (HIV) is associated with a reduced T-helper (Th) 1 response, and vernal keratoconjunctivitis (VKC) occurs secondary to a heightened Th2 response. VKC has been reported to occur in patients with HIV. In all probability, a Th1-Th2 shift occurs in the immune response in progressive HIV patients with a decreasing CD4 count. This shift could be the probable cause for the initiation and gradual worsening of the VKC in our patient that corresponded to the dropping CD4 counts...
July 2018: Indian Journal of Ophthalmology
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