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Nepalese Journal of Ophthalmology

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https://www.readbyqxmd.com/read/27363971/orbital-cysticercosis-masquerading-as-preseptal-cellulitis-with-ptosis
#1
LETTER
Amit Raj, Sudesh Kumar Arya, Pratik Topiwala, Panchmi Gupta, Sunandan Sood
We are sharing a case of orbital cysticercosis,which presented to us initially with simple ptosis and later on with upper lid inflammation and restricted ocular motility in upgaze. Human cysticercosis, a parasitic infection caused by Cysticercus cellulosae, the larval form of the cestode, Taenia solium, is a benign infection of the subcutaneous tissues, inter-muscular fascia, muscles and other organs. Though it exists worldwide, it is more prevalent in the developing countries of Latin America, Asia and Africa, especially in areas where under-cooked pork is consumed regularly (Pushker et al, 2001)...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363970/dynamic-magnetic-resonance-imaging-a-sensitive-tool-in-managing-consecutive-exotropia
#2
Rajan Kumar Labh, T D Ghose, S Ganesh
BACKGROUND: Proper evaluation and accurate diagnosis are crucial in managing a case of strabismus. OBJECTIVE: Report a case of prolonged large angle complicated consecutive exotropia where dynamic Magnetic Resonance Imaging helped us to diagnose and simplify the management plan. CASE: A 19-year-old male presented with outward deviation of both eyes for last 16 years with right face turn, without diplopia and trauma. However, he had history of two consecutive squint surgeries, a month apart, at the age of 3 years...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363969/penetrating-ocular-fish-hook-injury-a-case-report
#3
Chandana Chakraborti, Udayaditya Mukhopadhya, Dayal Bandhu Mazumder, Partha Tripathi, Swapan Kumar Samanta
BACKGROUND: Fishing is a popular rural recreational activity. Fortunately, penetrating ocular injuries with fish hooks are rare. These injuries are usually caused by fish hook prongs penetrating the ocular tissues. We report a rare case of penetrating fish hook injury to the globe and its successful surgical management. CASE: A 12- year-old female child was referred to the causality with a fish hook embedded in her right eye. She sustained the injury while fishing with her father...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363968/management-of-childhood-glaucoma-in-sturge-weber-syndrome-a-challenge
#4
Poonam Lavaju, Pawan Mahat
BACKGROUND: Sturge-Weber syndrome (SWS) is a rare congenital neuro- oculo- cutaneous disorder. Glaucoma is one of the ocular abnormalities associated with it. Management of glaucoma in SWS is challenging. OBJECTIVE: To report surgical and visual outcome of trabeculectomy in bilateral glaucoma in Sturge-Weber syndrome and the challenges encountered in its management. CASE DESCRIPTION: A six-year-old girl presented with gradually progressive increase in size of both the eyes associated with watering, photophobia and diminution of vision since birth...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363967/unilateral-visual-loss-due-to-central-retinal-artery-occlusion-with-total-ophthalmoplegia-following-cervical-spine-surgery-in-prone-position
#5
Amit Raj, Sudesh Kumar Arya, Sunandan Sood
BACKGROUND: Blindness after spinal surgery is a rare complication, but it is serious, irreversible and incurable. Central retinal artery occlusion (CRAO) is rare after spinal surgery and ophthalmoplegia is even rarer. CASE: A 52-year-old male patient complained of loss of vision in right eye immediately after cervical spine surgery. On examination, the patient's visual acuity in right eye was absent perception of light. Right eye pupil was dialated and relative afferent pupillary defect (RAPD) was present...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363966/a-case-of-transorbital-intracranial-injury-presenting-with-subtle-neurological-deficit
#6
Anil Parajuli, Jyoti Bastola, Gulshan Bahadur Shrestha, Jyoti Baba Shrestha
BACKGROUND: Ocular trauma is a major cause of visual morbidity. OBJECTIVE: To present a rare case of transorbital intracranial injury extending up to the left internal carotid artery (ICA) with no other systemic neural deficit except for the ocular manifestations. CASE: A 14-year-old female presented to our out-patient department (OPD) with the history of trauma to her left eye with stumps of bamboo shoots secondary to a fall injury. Examination and investigations revealed a foreign body extending from left inferior conjunctival fornix into the intracranial cavity, occluding the various segments of left ICA...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363965/isolated-rectus-muscle-rupture-following-trauma
#7
Halil Hüseyin Çağatay, Metin Ekinci, Şendoğan Ulusal, Mehmet Ersin Oba, Zeliha Yazar
BACKGROUND: Isolated rectus muscle ruptures are rare ophthalmic emergencies which may result in permanent diplopia. OBJECTIVE: To highlight updates on clinical features, surgical treatment options and potential complications for isolated inferior rectus ruptures. CASE: A 39-year-old man came to our emergency department complaining of diplopia and upward deviation of the right eye after experiencing an animal injury. Extraocular movements were limited in the right eye in the downgaze position...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363964/occult-intraocular-foreign-body-presenting-as-squint
#8
Brijesh Takkar, Anubha Rathi, Shorya Azad
BACKGROUND: We report a case of an occult retained intraocular foreign body detected four years after "forgotten" trauma. CASE: A 23-year-old male presented with exodeviation and was referred as a case of epiretinal membrane. The anterior segment and adnexa were normal. Fundus examination revealed macular epiretinal membrane. An occult foreign body was localized in the retinal periphery. Imaging confirmed the diagnosis. OBSERVATION: Squint and epiretinal membrane may develop in cases of occult foreign bodies and may be the presenting sign years after trauma...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363963/amniotic-membrane-transplantation-amt-without-the-use-of-sutures-fibrin-glue
#9
Ajai Agrawal, V B Pratap
INTRODUCTION: Amniotic membrane transplantation (AMT) has been used for a wide variety of ocular surface problems. Current techniques for the AMT involve suturing of the graft or patch over the ocular surface or use of fibrin glue. OBJECTIVE: To describe a new sutureless technique of amniotic membrane transplantation (AMT) without the use of sutures/fibrin glue. MATERIALS AND METHODS: Amniotic membrane transplantation as overlay or patch was done in fourteen eyes of eight patients with severe dry eye due to Stevens Johnson syndrome for ocular surface reconstruction, promotion of epithelization, reduction of inflammation and symptomatic relief from dry eye...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363962/outcomes-of-implantable-collamer-lens-v4-and-v4c-for-correction-of-high-myopia-a-case-series
#10
Smita Karandikar, Vipul Bhandari, Jagdeesh Reddy
OBJECTIVE: To evaluate the visual outcomes and intraocular pressure changes after Visian Implantable Collamer Lens (ICL) implantation V4b and V4c (with centraflow technology) for correction of myopia. MATERIALS AND METHODS: A prospective, consecutive, comparative interventional case series of V4b and V4c ICL implantation done for correction of high myopia (>-6 diopter D) in patients unsuitable for laser vision correction. The outcome measures that were evaluated included preoperative and postoperative uncorrected distant visual acuity (UDVA), best spectacle corrected distant visual acuity (CDVA), endothelial cell count (ECC), presence of lens opacification, intraocular pressure (IOP) and ICL vaulting...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363961/the-indications-for-and-the-diagnostic-yield-of-imaging-in-neuro-ophthalmic-and-orbital-disorders
#11
Eli Pradhan, Sanjeeb Bhandari, Yajati Kumar Ghosh
UNLABELLED: Correction: On 7th June, the first author's name was changed FROM Eli Ranjitkar Pradan TO Eli Pradhan Introduction: Neuro-imaging is an important method of investigation in neuro- ophthalmic and orbital conditions. These investigations are expensive and time consuming. This study describes the diagnostic yield of neuroimaging in patients referred from neuro-ophthalmic services. OBJECTIVE: To evaluate the diagnostic yield of neuroimaging in patients with neuro-ophthalmic and orbital disorders...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363960/cycloplegic-influence-on-the-accuracy-of-autorefractometer-in-myopic-and-hyperopic-children
#12
S K Prabhakar, K S Prathibha, Pooja A Angadhi, Anuj Kumar Singhal, Raghavender Reddy Ara, A Shamsiya Naaz
OBJECTIVE: To investigate the cycloplegic effect on the accuracy of TOPCON AR RM-8000B autorefractometer in children. MATERIALS AND METHODS: This study included 219 children of age 3 to 16 years. Topical 1% cyclopentolate hydrochloride was instilled for attaining cycloplegia. The children with the refractive error of -0.75 Diopter or more were grouped as myopic and more than +1.00 Diopter as hyperopic. Autorefraction was performed in addition to manual refraction...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363959/diabetic-retinopathy-with-or-without-clinically-significant-macular-edema-the-influencing-factors
#13
Barsha Suwal, Jeevan Kumar Shrestha, Sagun Narayan Joshi, Ananda Kumar Sharma
INTRODUCTION: Diabetic retinopathy is the commonest micro vascular complication in patients with diabetes and remains a leading cause of blindness in people of working age group. OBJECTIVE: to determine the prevalence of clinically significant macular edema (CSME) and the influence of systemic risk factors Materials and methods: It is a hospital based comparative study conducted in 220 eyes of 110 diabetic patients. DR was graded according to International Clinical Diabetic Retinopathy Severity Scale and CSME was defined according to Early Treatment Diabetic Retinopathy Study (ETDRS) system...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363958/neurocysticercosis-a-window-to-intraocular-involvement
#14
B N Kalpana, H R Samhitha, Kailash P Chhabria, Sonali Muralidhar, Kirti Raj
OBJECTIVE: To analyse the clinical characteristics of intraocular cysticercosis and the association of neurocysticercosis with intraocular involvement in these patients Materials and methods: Retrospective case series of records of patients managed at a Tertiary Care Hospital in South India. Case records of patients managed at a Tertiary Care Hospital in South India over two years (October 2012 - October 2014) were reviewed and cases reported with intraocular cysticercosis were included in the study and results analyzed...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363957/comparison-of-endothelial-cell-loss-and-complications-between-phacoemulsification-and-manual-small-incision-cataract-surgery-sics-in-uveitic-cataract
#15
Rahul Bhargava, Shiv Kumar Sharma, Mini Chandra, Prachi Kumar, Yogesh Arora
INTRODUCTION: Endothelial cell loss and complications after cataract surgery may be higher when cataract is complicated by uveitis. OBJECTIVE: To compare endothelial cell damage and complication rates after phacoemulsification and manual small incision cataract surgery (SICS) in patients with uveitis. MATERIALS AND METHODS: Patients with uveitic cataract were randomly allocated for phacoemulsification (n=75) or manual SICS (n=80) in a double blind prospective study...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363956/ischemia-modified-albumin-ima-and-albumin-adjusted-ima-aaima-as-biomarkers-for-diabetic-retinopathy
#16
Varikasuvu Seshadri Reddy, Sumita Sethi, Poonam Agrawal, Navdeep Gupta, Renu Garg
INTRODUCTION: Oxidative stress has important role in the pathophysiology of diabetic retinopathy (DR). Ischemia modified albumin (IMA) has been recently considered as a marker of oxidative damage in diabetes. However, there is scarcity of published information about both IMA and albumin adjusted-IMA (AAIMA) in DR patients. OBJECTIVES: To evaluate the serum levels of IMA and AAIMA in patients with DR and in healthy controls. MATERIAL AND METHODS: This was a cross sectional study...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363955/comparing-biometry-in-normal-eyes-of-children-with-unilateral-cataract-corneal-disease-to-age-matched-controls
#17
Adem Gul, Adnan Cinal, Cagatey Caglar, Tekin Yasar, Adil Kilic
OBJECTIVE: To compare ocular biometry and central corneal thickness of unaffected healthy eyes of pediatric patients with monocular cataracts/corneal opacities and age- matched controls. MATERIALS AND METHODS: We studied 329 eyes of 329 children who were between 1 and 12 years old. The study group (n: 164) consisted of healthy fellow eyes of children operated for unilateral congenital/traumatic cataract and corneal laceration. Axial length, anterior chamber depth, lens thickness, vitreous chamber depth, and central corneal thickness were measured by ultrasound biometry/ pachymetry...
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363954/diabetic-macular-edema
#18
EDITORIAL
Steven J Marks, Benjamin P Hale
No abstract text is available yet for this article.
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27363953/neovascular-amd-where-do-we-go-from-here
#19
EDITORIAL
Mark R Barakat, Pravin U Dugel
No abstract text is available yet for this article.
July 2015: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27479993/perfluoropropane-c3f8-injection-for-descemet-s-membrane-detachment-in-cataract-surgery
#20
A Sharma, S K Singh, P L Bhutia, R Pant
BACKGROUND: Descemet's membrane (DM) detachment is an important cause of surgery related corneal edema that may lead to corneal decompensations and marked reduction in visual acuity if not identified and treated promptly. We prescent a case of postoperative Descemet's membrane detachment that occurred after complicated manual small incisional cataract surgery. Descemetopexy in post-cataract surgery descemet's membrane detachment has not yet been reported in Nepal. CASE: A 45 year old female underwent manual small incision cataract surgery of the right eye...
January 2015: Nepalese Journal of Ophthalmology
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