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Nepalese Journal of Ophthalmology

Ajai Agrawal
Clinical teaching in Ophthalmology is a big challenge. In the words of a senior professor, "I still remember those days when I used to be an undergraduate student of medicine in 1964-67 and later on as a post graduate in 1968-71, there used to be a batch of twenty to twenty-five students for OPD or indoor clinics for case presentations. The case was being shown on the indirect ophthalmoscope or slitlamp or in the operation theatre. Since it was not possible that all the students could see the patients individually by torch or on slitlamp or on any other device, therefore we had to rely most of the time on the statements of our teachers...
July 2016: Nepalese Journal of Ophthalmology
Amrit Pokharel, Himal Kandel, Priyanka Shrestha
Blindness, which is a major burden on the individual and the society, was observed to be pervasively present in a region inhabited by an undermined, disadvantaged ethnic people, the Chepang (Köberlein et al., 2013). Such a plight heralds escalating, already- fragile eye health care in the remote region of Nepal (Ghimire, 2015).
July 2016: Nepalese Journal of Ophthalmology
Javed Hussain Farooqui, Thanh Huy Thiên Hà, Ahmed Gomaa
Cryptophthalmos is a rare congenital anomaly, characterized by extension of the skin continuously from forehead onto the cheeks and covering eyeballs. Although cryptophthalmos, as a part of Fraser syndrome, has been reported many times, isolated cryptophthalmos without systemic associations is very rare. We present a 6-month- old child with isolated bilateral complete cryptophthalmos, which to the best of our knowledge, is the first case of cryptophthalmos being reported from Vietnam.
July 2016: Nepalese Journal of Ophthalmology
Raman Mehta, Ganesh Suma, Reena Gupta
INTRODUCTION: Moebius syndrome is a rare disease characterized by unilateral or bilateral congenital nonprogressive facial nerve palsy along with limitation of ocular abductions. Vertical Rectus Transpositions with posterior fixation suture is known to correct abduction deficiencies in case of Moebius syndrome. Traditionally both superior and inferior rectus transposition are done to prevent any post operative vertical imbalance. The purpose of reporting this case is to evaluate superior rectus transposition augmented with posterior fixation suture along with bilateral recession of medial rectus as a useful and safe alternative for treating large esotropia and abduction limitation with a significant vertical deviation in patients of Moebius syndrome...
July 2016: Nepalese Journal of Ophthalmology
Asik Pradhan, Sanjeeb Bhandari, Purushottam Dhungana, Raju Kaiti
BACKGROUND: Nanophthalmos is an uncommon developmental ocular disorder characterized by a small eye with short axial length, high hyperopia and high lens to eye volume ratio due to arrested development of the globe in all directions. Different types of fundus changes can rarely occur with nanophthalmos. OBSERVATIONS: This is a case report of a 17 years old female who presented with bilateral gradual progressive visual loss and photophobia at Tilganga Institute of Ophthalmology on 3rd July 2015...
July 2016: Nepalese Journal of Ophthalmology
Marco Abbondanza, Valentina De Felice, Gabriele Abbondanza
BACKGROUND: Keratoconus is a corneal dystrophy characterized by progressive thinning, conical shape of the cornea and irregular astigmatism. It is particularly insidious when it occurs in very young patients. CASE: We report the case of a 10-year-old child with an aggressive stage III keratoconus, who was suggested to undergo a Penetrating Keratoplasty. We performed Corneal Collagen Cross-linking with epithelium removal instead, which was successful in arresting the rapid progression of keratoconus...
July 2016: Nepalese Journal of Ophthalmology
Pradnya Kamat, Pratik Doshi, Manasi Prabhudesai, Srishti Prabhudesai
BACKGROUND: Vitelliform macular dystrophy is an autosomal-dominant disease and has two clinical variants: Best's (VMD2) and adult onset vitelliform macular dystrophy (AOVMD). We report an atypical presentation of VMD2. CASE: A 50-year-old male presented with history of blurring of vision in left eye since two year. On fundus examination, left eye revealed a single, circular, yellow-opaque egg yolk-like macular lesion with no other abnormality. Fundus examination of right eye was unremarkable...
July 2016: Nepalese Journal of Ophthalmology
David J Mathew, Satheesh Solomon T Selvin, Shilpa E Kuruvilla, Thomas Kuriakose
BACKGROUND: Ocular myiasis though rare, is usually found in association with basal cell carcinoma. It is rarer still in tumors other than basal cell carcinoma. We report a case of ocular myiasis in a glioma which is hitherto unreported to the best of our knowledge. CASE: A 50 year old male presented with bleeding and maggots emanating from a tumourous outgrowth which had replaced his right eye. He complained of swelling and pain in his right eye for the last 2 years...
July 2016: Nepalese Journal of Ophthalmology
Rakshya Pant Sitoula, Indrajit Sarkar, Devdutta Nayak, Sanjay Kumar Singh
INTRODUCTION: Lens Induced Glaucoma (LIG), is one of commonest cause of secondary glaucoma due to senile cataracts. The purpose of this study was to see the outcome of cataract surgery in patients with LIG. METHODS: This was a prospective case series of 40 patients with LIG who presented to our hospital between April to June 2014. The purpose of this study was to look into the age and sex distribution, causes for delayed presentation, immediate post-operative visual outcome and the reasons for poor visual outcome...
July 2016: Nepalese Journal of Ophthalmology
Diwa Hamal, Sanjay Kumar Singh, Binaya Lamichhane, Archana Sharma, Afaque Anwar, Vijay Mahaseth
INTRODUCTION: Amniotic membrane has unique properties that can be helpful to treat different ocular surface diseases. OBJECTIVES: To report our experience with 100% glycerol preserved amniotic membrane at 4°C and fresh amniotic membrane transplantation (AMT) with and without limbal graft for ocular surface reconstruction. MATERIALS AND METHODS: Retrospective case study of 211 eyes of 211 patients was conducted at Biratnagar Eye Hospital from June 2008 to March 2014...
July 2016: Nepalese Journal of Ophthalmology
Anmol Bansal, K Ps Malik, V K Malik, Kriti Jain
INTRODUCTION: Pseudoexfoliation syndrome is a common clinically important systemic condition characterized by the pathological production and accumulation of an abnormal fibrillar extracellular material in many intraocular and extra ocular tissues. Many studies have shown that pseudoexfoliation syndrome patients have higher rates of intraoperative complications during cataract surgery compared to the patients without it. OBJECTIVES: To compare Phaco-chop and Divide and Conquer techniques of phacoemulsification, in the management of pseudoexfoliation syndrome in terms of intraoperative complications...
July 2016: Nepalese Journal of Ophthalmology
S Singh, R Byanju, S Pradhan, G Lamichhane
INTRODUCTION: Macular hole is a common and treatable cause of central visual loss. Classic macular hole surgery consists of vitrectomy, posterior vitreous cortex removal and intraocular gas tamponade, but during the past decade focus has especially been on internal limiting membrane (ILM) peeling as adjuvant therapy for increasing closure rates. OBJECTIVE: To determine and evaluate anatomical and visual outcome of macular hole surgery. MATERIALS AND METHODS: Retrospective analysis of all cases of macular hole surgery done by single surgeon between 2014 -2015...
July 2016: Nepalese Journal of Ophthalmology
Pooja Gautam Rai, Meenu Chaudhary, Ananda Kumar Sharma, Vijay Gautam
INTRODUCTION: Infective keratitis is an ocular emergency that requires prompt diagnosis for appropriate management. This study was done todetermine the sensitivity, specificity and predictive values of Gram stain and potassium hydroxide (KOH) wet mount in the diagnosis of suppurative keratitis. MATERIALS AND METHODS: A prospective hospital based study of all patients with clinically diagnosed suppurative keratitis presenting between January 2011 and June 2012 was carried out...
July 2016: Nepalese Journal of Ophthalmology
R Goel, S Nagpal, S Kamal, S Kumar, B Mishra, P S Loomba
INTRODUCTION: Intubation in primary transcanalicular laser assisted dacryocystorhinostomy (TCLADCR) is performed to increase the success rates. However, the associated inflammation and infection can have adverse effects. OBJECTIVE: To study the microbial infection and drug susceptibility of extubated silicone tubes and final anatomical patency in patients undergoing TCLADCR. MATERIALS AND METHODS: A non-randomised prospective interventional study was conducted in a tertiary care eye centre...
July 2016: Nepalese Journal of Ophthalmology
Mita Saha, Sabyasachi Bandyopadhyay, Debabrata Das, Sourav Ghosh
INTRODUCTION: Peripapillary retinal nerve fiber layer (RNFL) thickness analysis is a subjective method of analysis of glaucomatous damage. As almost 50% of retinal ganglion cells are located in the macula, assessment of macular thickness can be an alternative method for diagnosis of glaucoma. OBJECTIVES: To evaluate the changes in macular and retinal nerve fiber layer thickness in controls, glaucoma suspects and glaucoma patients using time domain optical coherence tomography (TD-OCT)...
July 2016: Nepalese Journal of Ophthalmology
Eli Pradhan
Ocular trauma is an important cause of unilateral visual impairment worldwide. According to Nepal blindness survey (Brillinat et al, 1985), it accounted for 2.4% of blindness, and in another community based study (Upadhyay M et al, 2001), the prevalence of ocular trauma was observed to be 0.7%. The Bhaktapur Eye Study confirms that "corneal trauma leading to ulceration" is the second most common cause of blindness after cataract in Nepal.
July 2016: Nepalese Journal of Ophthalmology
Zvi Gur, Erez Tsumei, Asaf Achiron
After 20 years of catarct surgery, a 66 years old man has found to have subluxtaed intraocular lens with satbilizing haptic protuding through the pupil.
January 2016: Nepalese Journal of Ophthalmology
Sangeeta Shah
According to the author Amniotic membrane was prserved in 100% glycerol for 3 months in whatman filter paper at the temperature of 4 degree.
January 2016: Nepalese Journal of Ophthalmology
Syed Wajahat Ali Rizvi, Sardar Mohd Akram, Humayoun Ashraf, Mohammed Azfar Siddiqui
BACKGROUND: Ophthalmomyiasis is a rare entity seen mainly in immunocompromised host with neglected wounds under poor hygienic conditions. CASE: We report a case of extreme ophthalmomyiasis with extensive facial and scalp involvement in an old rural inhabitant following evisceration. CONCLUSION: Proper wound care and personal hygiene are of paramount importance for good wound healing.
January 2016: Nepalese Journal of Ophthalmology
Rajesh S Joshi
BACKGROUND: Posterior capsular clarity is important for long-term visual gain. Postoperative visual acuity could be reduced due to posterior capsular or intraocular lens opacification, which occur months or years after cataract surgery. We report early occurrence of posterior capsular calcification without opacification of intraocular lens. CASE: We report the case of a 78-year-old male who had undergone phacoemulsification with implantation of hydrophilic intraocular lens (IOL) in the left eye for cataract...
January 2016: Nepalese Journal of Ophthalmology
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