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Oman Journal of Ophthalmology

Jagdish Bhatia, Bindu Narayanadas, Mathew Varghese, Mohamed Faruk, Albert Alfy Hafez, Neha Bhatia, Arti Bhatia
No abstract text is available yet for this article.
May 2018: Oman Journal of Ophthalmology
Reem Al Motaem, Mohammed Al Abri
No abstract text is available yet for this article.
May 2018: Oman Journal of Ophthalmology
Alok Sati, Somasheila I Murthy, S Arjun, Varsha M Rathi
We report two cases of anterior megalophthalmos with cataract. Both cases have megalocornea, cavernous anterior chamber, enlarged iris-lens diaphragm, and normal axial length. The vision was less due to cataract. To restore vision, phacoemulsification was performed in each eye in both cases. Intraoperatively, to overcome anatomical challenges, we made scleral tunnel incision, stained anterior capsule, and fixated intraocular lens (IOL) by different techniques. In thefirst case, IOL was fixated through the sclera, whereas in the second case, IOL stabilization was achieved by capturing the optic in anterior capsulorhexis margin and placing the haptics in sulcus...
May 2018: Oman Journal of Ophthalmology
Shachi Rohan Desai, Omar Abdel Dayem, Arindam Chakravarti, Sundaram Natarajan
Surgical management of advanced coats' disease has always been a challenge to a surgeon. Various different techniques have been tried. With the advancement in surgical instruments and machines, surgeons are now modifying older surgical techniques. We have tried a novel minimally invasive surgical technique for the management of advanced coats' disease patient having high bullous exudative retinal detachment. Intravitreal injection of Bevacizumab at the end of the surgery has a role in such cases.
May 2018: Oman Journal of Ophthalmology
Craig Wilde, Marco U Morales, Dharmalingham Kumudhan, Justin Sim, Winfried Amoaku
Malignant glaucoma (MG), also known as aqueous misdirection and cilio-vitreo-lenticular block, is an infrequent cause of secondary angle closure glaucoma. Despite conventional treatment, it often has a poor visual outcome. It is recognized clinically by raised intraocular pressure associated with shallowing of the peripheral and central anterior chamber in the presence of a patent peripheral iridotomy/iridectomy. Despite being known to occur after a variety of surgical procedures, it most commonly presents following filtration surgery in hypermetropic eyes with angle closure glaucoma...
May 2018: Oman Journal of Ophthalmology
Aditya Bansal, Pukhraj Rishi, Swakshyar Saumya Paul, Kumar Saurabh
Pseudomelanoma is a condition that mimics a uveal melanoma. Various methods are used to differentiate between uveal melanoma and mimicking conditions, but none is definitive. We report a case of localized hemorrhagic choroidal detachment in monocular middle-aged Asian lady of Indian origin with opaque media secondary to failed corneal graft. An ultrasound scan revealed a mass lesion suspected to be choroidal melanoma. After 10 weeks of observation and follow-up, lesion showed complete regression as seen with serial ultrasound scans...
May 2018: Oman Journal of Ophthalmology
Bhuvan Chanana, Garima Kajla, Sudhank Bharti
Glaucoma drainage devices are mostly used for refractory glaucoma. Early postoperative complications include flat anterior chamber, choroidal effusion, and suprachoroidal hemorrhage. An 8-year-old male patient with a prior history of vitreous surgery for traumatic vitreous hemorrhage, presented to us with angle recession glaucoma in his right eye. His intraocular pressure (IOP) was 44 mmHg despite maximum antiglaucoma medication. Ahmed glaucoma valve (AGV) surgery was performed to control his IOP. In the early postoperative period, the patient developed premacular subinternal limiting membrane (ILM) hemorrhage, which did not resolve even after 4 weeks...
May 2018: Oman Journal of Ophthalmology
Valerie Menezes, Ugam P S Usgaonkar
Ocular Trauma by the peck of a hen can cause grievious eye injuries. We report a rare case of uniocular blindness in a 5 year old girl ,following a hen peck which caused a penetrating eye injury along with a total retinal detachment.
May 2018: Oman Journal of Ophthalmology
Kanika Jain, Manav Deep Singh
Von Hipple-Lindua (VHL) syndrome is an autosomal dominant neoplastic disorder in which multiple benign or malignant tumours and cysts develop in central nervous system and visceral organs. Retinal capillary hemangioma is the most frequent and often the earliest manifestation of VHL syndrome. We report a case with multisystemic involvement diagnosed as a case of multiple endocrine neoplasia (MEN) syndrome but the presence of multiple, unilateral peripheral and juxtapapillary retinal capillary hemangioma was able to clinche the definative diagnosis of VHL and thus helped in appropriate management of the patient...
May 2018: Oman Journal of Ophthalmology
Deependra Vikram Singh, Raja Rami Reddy, Gaurav Mathur, Yog Raj Sharma
We report a 78 year old male with acute RPE tear with sudden vision loss, who underwent intravitreal C3F8 injection for reattaching the RPE. The impact of gas on detached RPE was studied by serial OCTs and Fundus pictures.
May 2018: Oman Journal of Ophthalmology
Eileen L Mayro, Thamolwan Surakiatchanukul, Jerry A Shields, Carol L Shields
A 49-year old male with corrected visual acuity of 20/25 OD and 20/20 OS was found to have an asymptomatic dark iris mass OD with suspicion for ciliary body melanoma. Predilation slit-lamp biomicroscopy revealed a well-circumscribed brown round mass arising posterior to the iris, presumably from the ciliary body; however, postdilation demonstrated an extended fusiform mass of the iris pigment epithelium (IPE). By anterior segment imaging, the well-circumscribed IPE mass was cystic and measured 1440 microns in thickness peripherally predilation and 300 microns in thickness postdilation...
May 2018: Oman Journal of Ophthalmology
Shivlal M Rawlani, Roshani Ramtake, Ajab Dhabarde, Sudhir S Rawlani
Waardenburg Syndrome is a rare disorder of neural crest cell development. It is genetically inherited. Varying in prevalence from 1:42000 to 1:50,000, it compromises approximately 2-5% of congenital deaf children. The syndrome is not expressed in its complete form, in about 20% cases, which adds for its heterogenisity . Even among people affected in the same family,the features do vary. Unilateral heterochromia that manifests as lighter pigmentation of one iris is associated with Waardenburg syndrome and Parry-Romberg syndrome and less commonly with Hirschsprung disease...
May 2018: Oman Journal of Ophthalmology
Dhanashree Ratra, Durgasri Jaishankar, Ramya Sachidanandam, Hatim Yusufali, Vineet Ratra
BACKGROUND: Stargardt disease, a juvenile retinal dystrophy, may show secondary changes in the choroid which may have importance while considering future treatments such as stem cell transplant. OBJECTIVE: To evaluate the choroidal and retinal morphology in patients with Stargardt disease and compare with age-matched normals. SETTING AND DESIGN: This was a case-control study at a tertiary level eye care institute. METHODS: Twenty-six patients (52 eyes) clinically diagnosed with Stargardt disease underwent detailed evaluation with swept-source optical coherence tomography...
May 2018: Oman Journal of Ophthalmology
Efstathios Vounotrypidis, Carlo Lackerbauer, Daniel Kook, Martin Dirisamer, Siegfried Priglinger, Wolfgang J Mayer
CONTEXT: Intraocular lenses with variable total diameter are supposed to fit better in the capsular bag and lead to fewer complications. AIMS: This study aims to investigate the efficacy and the safety of an intraocular lens model with variable total diameter. SETTINGS AND DESIGN: Prospective randomized intraindividual study. SUBJECTS AND METHODS: Thirty-two eyes of sixteen patients with bilateral age-related cataract received standard cataract surgery with implantation of an intraocular lens with a standard diameter in one eye (Quatrix®, Group A) and with a variable total diameter in the fellow eye (Quatrix Evolutive®, Group B)...
May 2018: Oman Journal of Ophthalmology
Anubha Bhatti, Gursatinder Singh
BACKGROUND: To compare the intraocular pressure (IOP)-lowering efficacy and safety of brimonidine (0.2%), brimonidine purite (0.15%), and brimonidine purite (0.1%) in patients of primary open-angle glaucoma (POAG). MATERIALS AND METHODS: Sixty patients of POAG with IOP >21 mmHg were enrolled into this study for 6-week duration. The patients were randomly divided into three groups with 20 patients in each group. Group A instilled brimonidine 0.2%, Group B instilled brimonidine purite 0...
May 2018: Oman Journal of Ophthalmology
Swati Singh, Swathi Kaliki, Vijay Anand Reddy Palkonda, Milind N Naik
BACKGROUND: Langerhans cell histiocytosis (LCH) of the orbit is a rare clinical entity with a diagnostic and therapeutic dilemma. MATERIALS AND METHODS: This was a retrospective study of eight patients with orbital LCH. RESULTS: All eight patients in our series were male, and the mean age at presentation was 8 years (median 6 years; range, 7 months-23 years). All of them had unilateral disease, and the most common presenting complaint was upper eyelid swelling ( n = 6)...
May 2018: Oman Journal of Ophthalmology
Layali Ibrahim Hassan, Samira Mohamed Ibrahim, Mustafa Abdu, Asma MohamedSharif
BACKGROUND: Few studies have examined the prevalence of convergence insufficiency (CI) in a school-based population in Sudan. This study sought to determine the prevalence of CI and its related clinical characteristics among Sudanese secondary school students. MATERIALS AND METHODS: A descriptive cross-sectional survey was conducted in Central Khartoum North, Sudan, in the academic year 2013/2014. A total of 4211 secondary school students, with a mean age of 15...
May 2018: Oman Journal of Ophthalmology
Santosh Kumar, Roohie Singh
BACKGROUND: Use of conjunctival autograft following excision has reduced the recurrence rate of primary pterygium. This study compares the use of fibrin glue, autologous blood, and sutures in placing the conjunctival autograft in reference to surgical time taken, postoperative discomfort, and recurrence during follow-up. MATERIALS AND METHODS: Sixty patients with primary pterygium were included in the study and divided into three groups. In Group I, autograft was attached in place with help of 10-0 polyamide monofilament suture; in Group II, with autologous blood; and in Group III, with fibrin glue...
May 2018: Oman Journal of Ophthalmology
Sanjiv Kumar Gupta, Ajai Kumar, Arun Sharma
CONTEXT: Topical anesthesia has been used for pars plana vitrectomy (PPV) with limited patient comfort. Thus, augmenting topical anesthesia with intracameral anesthesia (Trojan horse anesthesia) will provide pain-free experience during PPV. AIMS: This study was undertaken to evaluate the patient comfort and surgical safety using 2% lignocaine jelly augmented with intracameral 1.0% lignocaine solution for anesthetizing the eyes undergoing PPV. SETTINGS AND DESIGN: This was a prospective interventional case series at tertiary care hospital...
May 2018: Oman Journal of Ophthalmology
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