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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 1)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 12, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 5)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 12, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 5, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access  
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 7)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 8, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 3)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 2)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 7, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 2)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 9)

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Journal Cover Indian Journal of Ophthalmology
  [SJR: 0.536]   [H-I: 34]   [5 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0301-4738
   Published by Medknow Publishers Homepage  [355 journals]
  • How good a surgeon are you? - Standardized formative assessment of
           surgical competence for ophthalmology residents in training

    • Authors: Santosh G Honavar
      Pages: 777 - 778
      Abstract: Santosh G Honavar
      Indian Journal of Ophthalmology 2017 65(9):777-778

      Citation: Indian Journal of Ophthalmology 2017 65(9):777-778
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_849_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Practice patterns in pediatric cataract management: Time for real world
           data

    • Authors: Ken Kanwal Nischal
      Pages: 779 - 781
      Abstract: Ken Kanwal Nischal
      Indian Journal of Ophthalmology 2017 65(9):779-781

      Citation: Indian Journal of Ophthalmology 2017 65(9):779-781
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_816_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Retinopathy of Prematurity: An emerging and evolving challenge

    • Authors: Mangat Ram Dogra, Deeksha Katoch
      Pages: 782 - 784
      Abstract: Mangat Ram Dogra, Deeksha Katoch
      Indian Journal of Ophthalmology 2017 65(9):782-784

      Citation: Indian Journal of Ophthalmology 2017 65(9):782-784
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_783_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Plication: How apt in application?

    • Authors: Pradeep Sharma, Nripen Gaur
      Pages: 785 - 786
      Abstract: Pradeep Sharma, Nripen Gaur
      Indian Journal of Ophthalmology 2017 65(9):785-786

      Citation: Indian Journal of Ophthalmology 2017 65(9):785-786
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_702_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Recent advances in corneal collagen cross-linking

    • Authors: Gitansha Shreyas Sachdev, Mahipal Sachdev
      Pages: 787 - 796
      Abstract: Gitansha Shreyas Sachdev, Mahipal Sachdev
      Indian Journal of Ophthalmology 2017 65(9):787-796
      Corneal collagen cross-linking has become the preferred modality of treatment for corneal ectasia since its inception in late 1990s. Numerous studies have demonstrated the safety and efficacy of the conventional protocol. Our understanding of the cross-linking process is ever evolving, with its wide implications in the form of accelerated and pulsed protocols. Newer advancements in technology include various riboflavin formulations and the ability to deliver higher fluence protocols with customised irradiation patterns. A greater degree of customisation is likely the path forward, which will aim at achieving refractive improvements along with disease stability. The use of cross-linking for myopic correction is another avenue under exploration. Combination of half fluence cross-linking with refractive correction for high errors to prevent post LASIK regression is gaining interest. This review aims to highlight the various advancements in the cross-linking technology and its clinical applications.
      Citation: Indian Journal of Ophthalmology 2017 65(9):787-796
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_648_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Update on conjunctival pathology

    • Authors: Hardeep Singh Mudhar
      Pages: 797 - 807
      Abstract: Hardeep Singh Mudhar
      Indian Journal of Ophthalmology 2017 65(9):797-807
      Conjunctival biopsies constitute a fairly large number of cases in a typical busy ophthalmic pathology practice. They range from a single biopsy through multiple mapping biopsies to assess the extent of a particular pathological process. Like most anatomical sites, the conjunctiva is subject to a very wide range of pathological processes. This article will cover key, commonly encountered nonneoplastic and neoplastic entities. Where relevant, sections will include recommendations on how best to submit specimens to the ophthalmic pathology laboratory and the relevance of up-to-date molecular techniques.
      Citation: Indian Journal of Ophthalmology 2017 65(9):797-807
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_364_16
      Issue No: Vol. 65, No. 9 (2017)
       
  • Higher-order aberration 4 years after corneal collagen cross-linking

    • Authors: Mohammad Naderan, Ali Jahanrad
      Pages: 808 - 812
      Abstract: Mohammad Naderan, Ali Jahanrad
      Indian Journal of Ophthalmology 2017 65(9):808-812
      Purpose: Corneal collagen cross-linking (CXL) is a treatment strategy used in keratoconic eyes. Evaluation of long-term changes of higher-order aberrations (HOAs) after CXL is useful in understanding the efficacy of this procedure in improving optical, refractive, and visual acuity. This study aims to investigate the long-term effect of CXL on ocular HOA in patients with progressive keratoconus (KC). Methods: Using an OPD-Scan II aberrometer, ocular HOAs measurements of 56 eyes of 56 patients that underwent CXL was evaluated at the baseline, 1, 2, and 4 years after the procedure. All OPD-Scan measurements were decomposed into Zernike coefficients from 3rd to 6th order. Results: The results revealed that except for a few parameters, most of the aberration parameters continuously decreased during the study. In the 4-year postoperative period, a statistically significant improvement in all HOA parameters except 5th order Zernike polynomials (Z51, Z5−1, Z53, Z5−3, Z55, and Z5−5) was observed. All the values significantly decreased compared to the preoperative measurements (P < 0.05). The mean ± standard deviation (SD) root mean square of the 3rd, 4th, and the 5th order as well as coma, coma like, and total HOA parameters were significantly decreased compared to both preoperative and previous visits (P < 0.001). There were significant correlations between preoperative measurements of HOAs parameters with best-corrected visual acuity (BCVA) including Z31, Z3−1, Z40, Z51, and Z42. Moreover, all the HOAs parameters in 4 years after the CXL were significantly correlated with BCVA (P < 0.05). Conclusion: CXL is effective in improving HOA parameters in eyes with progressive KC during a long-term follow-up.
      Citation: Indian Journal of Ophthalmology 2017 65(9):808-812
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_21_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Refractive outcomes of intraoperative wavefront aberrometry versus optical
           biometry alone for intraocular lens power calculation

    • Authors: Zina Zhang, Logan William Thomas, Szu-Yen Leu, Steven Carter, Sumit Garg
      Pages: 813 - 817
      Abstract: Zina Zhang, Logan William Thomas, Szu-Yen Leu, Steven Carter, Sumit Garg
      Indian Journal of Ophthalmology 2017 65(9):813-817
      Purpose: To compare the outcomes of intraoperative wavefront aberrometry versus optical biometry alone for intraocular lens (IOL) power calculation in eyes undergoing cataract surgery with monofocal IOL implantation. Methods: Preoperative data were obtained with the IOLMaster. Intraoperative aphakic measurements and IOL power calculations were obtained in some patients with the optiwave refractive analysis (ORA) system. Analysis was performed to determine the accuracy of monofocal IOL power prediction and postoperative manifest refraction at 1 month of the ORA versus IOLMaster. Results: Two hundred and ninety-five eyes reviewed, 61 had only preoperative IOLMaster measurements and 234 had both IOLMaster and ORA measurements. Of these 234 eyes, 6 were excluded, 107 had the same recommended IOL power by ORA and IOLMaster. Sixty-four percent of these eyes were within ±0.5D. 95 eyes had IOL power implantation based on ORA instead of IOLMaster. Seventy percent of these eyes were within ±0.5D of target refraction. 26 eyes had IOL power chosen based on IOLMaster predictions instead of ORA. Sixty-five percent were within ±0.5D. In the group with IOLMaster without ORA measurements, 80% of eyes were within ±0.5D of target refraction. The absolute error was statistically smaller in those eyes where the ORA and IOLMaster recommended the same IOL power based on preoperative target refraction compared to instances in which IOL selection was based on ORA or IOLMaster alone. Neither prediction errors were statistically different between the ORA and IOLMaster alone. Conclusion: Intraoperative wavefront aberrometry with the ORA system provides postoperative refractive results comparable to conventional biometry with the IOLMaster for monofocal IOL selection.
      Citation: Indian Journal of Ophthalmology 2017 65(9):813-817
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_163_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Management of cataracts and ectopia lentis in children: Practice patterns
           of pediatric ophthalmologists in India

    • Authors: Vasudha Kemmanu, Pragnya Rathod, Harsha L Rao, Sumitha Muthu, Chaitra Jayadev
      Pages: 818 - 825
      Abstract: Vasudha Kemmanu, Pragnya Rathod, Harsha L Rao, Sumitha Muthu, Chaitra Jayadev
      Indian Journal of Ophthalmology 2017 65(9):818-825
      Purpose: To analyze the current practice patterns of Indian pediatric ophthalmologists in the management of lens anomalies. This study was conducted in a tertiary eye care hospital and involved an online questionnaire survey for practicing pediatric ophthalmologists in India. Methods: A questionnaire was devised by the authors, which included the various options available for the management of lens anomalies in children. The questionnaire was sent to each of them using an online portal. Commercial software (Stata ver. 13.1; StataCorp, College Station, TX, USA) was used for statistical analysis. Results: In unilateral cataracts in children aged <6 months, 85.42% of surgeons did not prefer to insert an intraocular lens (IOL). In the age group of 6–12 months, almost half of them preferred to insert an IOL. In the age group of 12–24 months and >24 months, 92.63% and 88.54%, respectively, preferred to insert an IOL. In bilateral cataracts, in children aged <6 months, 91.84% of surgeons did not prefer to insert an IOL, whereas in the age group of 6–12 months, 69.39% did not prefer to insert an IOL. In the age group of 12–24 months and >24 months, 80.61% and 90.82%, respectively, preferred to insert an IOL. Seventy-four percent of surgeons preferred to use a single-piece hydrophobic acrylic IOL. Conclusion: The management of lens anomalies by pediatric ophthalmologists in India varies with laterality and appears to be comparable to that followed worldwide.
      Citation: Indian Journal of Ophthalmology 2017 65(9):818-825
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_896_16
      Issue No: Vol. 65, No. 9 (2017)
       
  • Intraocular pressure and its correlation with midnight plasma cortisol
           level in Cushing's disease and other endogenous Cushing's syndrome
           

    • Authors: Priyadarshini Mishra, Alok Pratap Singh, Vikas Kanaujia, Rachna Agarwal, Prabhaker Mishra, Ashwani Guleria, Alka Tripathi
      Pages: 826 - 829
      Abstract: Priyadarshini Mishra, Alok Pratap Singh, Vikas Kanaujia, Rachna Agarwal, Prabhaker Mishra, Ashwani Guleria, Alka Tripathi
      Indian Journal of Ophthalmology 2017 65(9):826-829
      Purpose: The purpose of this study is to measure intraocular pressure (IOP) and evaluate the correlation between IOP and midnight plasma cortisol (MPC) level in patients with Cushing's disease (CD) and other endogenous Cushing's syndrome (ECS). Methods: This is a cross-sectional study from a single center including newly diagnosed patients with CD or ECS. All patients underwent detailed ophthalmological evaluation. IOP was measured by Goldmann applanation tonometry in the morning and evening on two consecutive days. MPC value was obtained for each patient. The data were compared using paired and unpaired t-test, Mann–Whitney U-test, and Spearman's rank correlation coefficient. Results: Among 32 patients, 22 were CD (68.75%) and 10 patients were other ECS (31.25%). A total of 25 patients (78.12%) in our study group had normal IOP (<22 mmHg), and seven patients (21.88%) had increased IOP (≥22 mmHg). The percentage of patients with normal IOP was found to be significantly higher compared to percentage of patients with high IOP (P = 0.001) using one-sample Chi-square test. Mean MPC value was 468.6 ± 388.3 nmol/L in patients having IOP ≥22 mmHg and 658.5 ± 584 nmol/L in those with IOP <22 mmHg from both CD and ECS groups, but the difference was not statistically significant. No correlation was found between IOP and MPC (Spearman's rank correlation rho = −0.16 [P = 0.38]). Conclusion: In CD and ECS patients, IOP elevation is an uncommon feature, and high IOP in either group does not correlate with MPC level.
      Citation: Indian Journal of Ophthalmology 2017 65(9):826-829
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_684_15
      Issue No: Vol. 65, No. 9 (2017)
       
  • Risk factors in patients with macular telangiectasia 2A in an Asian
           population: A case–control study

    • Authors: Anna Elias, Mahesh Gopalakrishnan, Giridhar Anantharaman
      Pages: 830 - 834
      Abstract: Anna Elias, Mahesh Gopalakrishnan, Giridhar Anantharaman
      Indian Journal of Ophthalmology 2017 65(9):830-834
      Purpose: The aim of this study was to evaluate risk factors in patients with macular telangiectasia (MacTel) 2A in an Asian population. This was a hospital-based case–control study. Methods: We reviewed the case records of patients in our hospital, diagnosed as MacTel 2A over a 3-year period from April 2011 to March 2014. Controls were selected from patients seen in the hospital at the same time for visual defects after matching for age and sex. A multivariate logistic regression model was constructed using the variables that showed a statistically significant association (P < 0.05) with MacTel 2A in the univariate analysis. Results: The mean age of the patients with MacTel 2A was 58.63 years. A majority (76; 73.8%) of the patients were female. Of the patients with MacTel 2A, 61 (59.2%) patients had diabetes mellitus, and 50 (48.5%) revealed hypertension. Multivariate logistic regression analysis revealed the presence of diabetes mellitus to be the risk factor with the highest odds ratio (OR) of 5.7 followed by hypertension with an OR of 2.6. Binary logistic regression showed hypermetropia to have a greater risk factor compared to emmetropia, OR 2.64. Conclusion: Our case–control study revealed that MacTel 2A is significantly associated with systemic diseases. Diabetes mellitus was found to have the strongest association with MacTel 2A, showing a high OR of 5.7. Systemic hypertension followed by an OR of 2.6. Compared to emmetropia, hypermetropia was significantly associated with MacTel 2A. There could be a genetic link between the two. Determining risk factors draws us close to the goal of identifying the etiopathogenesis of MacTel 2A.
      Citation: Indian Journal of Ophthalmology 2017 65(9):830-834
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_85_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Refractive and ocular biometric profile of children with a history of
           laser treatment for retinopathy of prematurity

    • Authors: Savleen Kaur, Jaspreet Sukhija, Deeksha Katoch, Mansi Sharma, Ramanuj Samanta, Mangat R Dogra
      Pages: 835 - 840
      Abstract: Savleen Kaur, Jaspreet Sukhija, Deeksha Katoch, Mansi Sharma, Ramanuj Samanta, Mangat R Dogra
      Indian Journal of Ophthalmology 2017 65(9):835-840
      Purpose: Indian children belong to a diverse socioeconomic strata with retinopathy of prematurity (ROP) developing in mature, higher birth weight babies as well. The purpose of our study is to analyze the long-term status of refractive errors and its relationship with ocular biometry in children with ROP who were laser treated at a tertiary center in North India. Methods: Cross sectional study. Children (<16 years) enrolled from January 2014 to December 2014 with a history of laser treatment for ROP and examined for refractive and biometric status. Results: Thirty-six children presenting to us at the mean age of 7.37 ± 3.07 years (6–15 years) were included. Mean spherical equivalent (SE) was −4.05 D ± 5.10. 75% were myopic, with high astigmatism in 31%. Higher lens thickness (P = 0.03) and higher SE (P = 0.002) at 1 year postnatal age were predictors of larger SE. 79.4% achieved a favorable functional outcome (visual acuity ≥20/40). 5.88% achieved unsatisfactory outcome (<20/200) despite having a favorable structural outcome. Conclusion: There are a substantial number of children who develop myopia and high astigmatism while undergoing laser treatment for ROP. We found myopia in our cohort to be lenticular and greater axial length contributing to the development of high myopia. An initial large refractive error predicts the future development of myopia in these children. Nearly 6% of patients with good structural outcome have unexplained subnormal vision. Our threshold for prescribing glasses in these children should be low.
      Citation: Indian Journal of Ophthalmology 2017 65(9):835-840
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_872_16
      Issue No: Vol. 65, No. 9 (2017)
       
  • Influence of laser versus lens-sparing vitrectomy on myopia in children
           with retinopathy of prematurity

    • Authors: Sumita Agarkar, Roshani Desai, Sumeer Singh, Durgasri Jaisankar, Pramod Bhende, Rajiv Raman
      Pages: 841 - 845
      Abstract: Sumita Agarkar, Roshani Desai, Sumeer Singh, Durgasri Jaisankar, Pramod Bhende, Rajiv Raman
      Indian Journal of Ophthalmology 2017 65(9):841-845
      Purpose: The purpose of this study is to compare the refractive error outcomes in the eyes of premature babies with retinopathy of prematurity (ROP) who underwent laser plus lens-sparing vitrectomy (LSV) in one eye and laser alone in the fellow eye. Methods: This is a retrospective study. Fourteen babies with Stage 4A of ROP or worse who underwent laser plus LSV in one eye (Group 1) and laser alone in the fellow eye (Group 2) were followed at 2 months, 6 months, 1 year, one and a half year, and 2 years. The main outcome variable studied was cycloplegic refraction at the baseline and follow-up visits. The change in spherical and cylindrical power at each visit was compared in Groups 1 and 2. The changes in spherical equivalent in subgroups were analyzed. Results: Mean gestational age at birth was 29.43 ± 2.10 weeks (range 26–32 weeks). Mean chronological age at the time of surgery was 4.11 ± 3.00 months (range 2–10 months). Mean postmenstrual age was 45.86 ± 12.13 weeks (range 39–75 weeks). Mean birth weight was 1340.71 ± 361.59 g (range 860–1980 g). All the babies in both groups had progressive myopia till 2 years follow-up; laser group had less myopia than LSV group till 1 year, thereafter, there was no difference in median till 2-year follow-up. The mean ± standard deviation of spherical equivalent in LSV versus laser group was: −4.36 ± 5.52 versus −3.21 ± 4.59 at 2 months; −5.09 ± 5.82 versus −4.04 ± 4.68 at 6 months; −7.14 ± 5.36 versus −5.36 ± 5.09 at 1 year; and −7.47 ± 1.38 versus −6.41 ± 1.91 at 2 years. Spherical equivalent difference across the visits did not differ significantly between Groups 1 and Group 2 in children whose birth weight was <1500 g (P = 0.247) and those who had more than 1500 g (P = 0.748), in those with gestational age between 20 and 30 weeks (P = 0.215) compared to those >30 weeks (P = 0.602). Conclusion: No difference in the progression of myopia was noted in eyes that underwent additional LSV following laser photocoagulation in one eye and laser alone in the fellow eye.
      Citation: Indian Journal of Ophthalmology 2017 65(9):841-845
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_165_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Variation in the vitreoretinal configuration of Stage 4 retinopathy of
           prematurity in photocoagulated and treatment naive eyes undergoing
           vitrectomy

    • Authors: Salil Sharad Gadkari, Madan Deshpande
      Pages: 846 - 852
      Abstract: Salil Sharad Gadkari, Madan Deshpande
      Indian Journal of Ophthalmology 2017 65(9):846-852
      Purpose: We sought to document the difference in the vitreoretinal configuration of Stage 4 retinopathy of prematurity (ROP) in photocoagulated and treatment naive eyes undergoing vitrectomy and to correlate it with surgical complexity. Methods: Consecutive eyes posted for vitrectomy with Stage 4 ROP were documented preoperatively using a RetCam for the presence of peripheral traction (PT), presence of central traction just outside the arcades, and presence of traction extending to the lens. A note was made of the following intraoperative events: lensectomy, intraoperative bleeding, and iatrogenic breaks. Wilcoxon rank-sum test was used for analysis. Results: From a total of 46 eyes, 16 and 30 eyes were from the treated and treatment naive group, respectively. More eyes in the treated group had central (P < 0.0001) and lenticular traction (P = 0.022). More eyes in the untreated group had PT (P < 0.0001). A significant number of eyes without photocoagulation needed lensectomy (P = 0.042), and no difference in intraoperative bleeding (P = 0.94) was demonstrable. Iatrogenic retinotomy occurred in three eyes, all naive. Notably, age at surgery was more in the untreated group (P = 0.00008). Conclusion: Vasoproliferative activity in all retinopathies occurs at the junction of the ischemic and nonischemic retina. In the natural course of ROP, this takes place peripherally, at the ridge. In photocoagulated eyes, this junction is displaced posteriorly due to peripheral ablation. Treated eyes manifested with posterior proliferative changes and were more amenable to lens-sparing vitrectomy. Naive eyes were older when they underwent surgery to relieve PT with greater chances of lensectomy and iatrogenic breaks.
      Citation: Indian Journal of Ophthalmology 2017 65(9):846-852
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_1_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Plication as an alternative to resection in horizontal strabismus: A
           randomized clinical trial

    • Authors: Prabha Sonwani, Abadan Khan Amitava, Adeeb Alam Khan, Shalini Gupta, Shivani Grover, Namita Kumari
      Pages: 853 - 858
      Abstract: Prabha Sonwani, Abadan Khan Amitava, Adeeb Alam Khan, Shalini Gupta, Shivani Grover, Namita Kumari
      Indian Journal of Ophthalmology 2017 65(9):853-858
      Purpose: Resections and plications tighten recti although the latter are less traumatic, potentially reversible, quicker, and vascularity preserving. To compare inflammation, scarring, and alignment in horizontal strabismus, operated uniocularly by either resections or plications (with recessions): recession and resection (R&R) or recession and plication (R&P) groups. This was a prospective, patient and assessor blind, randomized trial. Methods: All consenting strabismus patients qualifying for the first-time uniocular horizontal rectus surgeries underwent detailed ocular examination and were randomized into standard R&R or R&P groups. For the latter, we folded the tendon-muscle strap the desired amount using 6-0 polyglactin, suturing it to its insertion, entailing no disinsertion. We compared the groups for inflammatory grades (individually for congestion, chemosis, discharge, foreign-body sensation, and drop intolerance and aggregated to a total inflammatory score (TIS), scar visibility (SV) at 1 m, and successful alignment (≤10 prism diopter of orthotropia). We used Mann–Whitney and Fisher's exact tests, with significance at P ≤ 0.05. Results: We randomized 40 patients: 22 to R&R and 18 to R&P. The groups were comparable in age, strabismus onset and duration, and strabismus amount. The inflammatory scores, both individual and TIS, were comparable at all time-points: all P > 0.05. SV proportions were not significantly different: 16/22 in R&R versus 9/18 in R&P; P = 0.19. There were no significant differences in success rates: 14/22 versus 10/18, P = 0.74. Conclusion: Our study shows that plication is similarly effective as resection, when combined with recession in horizontal strabismus, and should be resorted to more frequently.
      Citation: Indian Journal of Ophthalmology 2017 65(9):853-858
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_968_16
      Issue No: Vol. 65, No. 9 (2017)
       
  • Primary prevention of ocular injury in agricultural workers with safety
           eyewear

    • Authors: Samrat Chatterjee, Deepshikha Agrawal
      Pages: 859 - 864
      Abstract: Samrat Chatterjee, Deepshikha Agrawal
      Indian Journal of Ophthalmology 2017 65(9):859-864
      Purpose: The purpose of this study was to determine the effectiveness of preventing eye injury with the use of safety eyewear in agriculture workers. Methods: A sample group of 575 agricultural workers (Group A) engaged in harvesting paddy were provided with goggles with side covers. Following harvesting, a questionnaire-based survey was carried out to determine the frequency of their eye injuries. Workers with goggles were asked about the duration for which they used the goggles and also list barriers or difficulties with the same. The frequency of eye injuries in this group was compared with another group of agriculture workers (Group B) who did not use any safety eyewear. Results: The frequency of eye injuries in Group A was 4 (0.7%) and Group B was 61 (11.3%) which was highly significant (P = 0.0001). The relative risk calculated was 0.06 (95% confidence interval: 0.02–0.2). Agricultural workers in Group A had 94% less risk of ocular trauma compared to those in Group B. Injuries in both groups were caused by parts of the paddy plant. A significant number (76.2%) of workers used the goggles all or most of the time during work. Impaired vision when wearing goggles was the most frequent barrier reported by the workers. Other barriers were discomfort, shyness, forgetfulness, apathy, slowing of work pace, awkward appearance, and breakages. Conclusion: Safety eyewear conferred significant protection against work-related eye injuries in agriculture. Although safety eyewear was widely adopted by the workers, barriers reported by them will need to be addressed to make such programs more effective.
      Citation: Indian Journal of Ophthalmology 2017 65(9):859-864
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_334_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Multimodal imaging in dominant cystoid macular dystrophy

    • Authors: Rupak Roy, Kumar Saurabh, Sourav Bhattacharyya, Nicey Roy Thomas, Kaustav Datta
      Pages: 865 - 866
      Abstract: Rupak Roy, Kumar Saurabh, Sourav Bhattacharyya, Nicey Roy Thomas, Kaustav Datta
      Indian Journal of Ophthalmology 2017 65(9):865-866

      Citation: Indian Journal of Ophthalmology 2017 65(9):865-866
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_328_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Unusual case of vitiligo reversal in
           Vogt&#8211;Koyanagi&#8211;Harada syndrome

    • Authors: Praveen Subudhi, Zahiruddin Khan, B Nageswar Rao Subudhi, Silla Sitaram
      Pages: 867 - 868
      Abstract: Praveen Subudhi, Zahiruddin Khan, B Nageswar Rao Subudhi, Silla Sitaram
      Indian Journal of Ophthalmology 2017 65(9):867-868

      Citation: Indian Journal of Ophthalmology 2017 65(9):867-868
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_336_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Microsporidial infection masquerading as graft rejection
           post-Descemet's stripping automated endothelial keratoplasty

    • Authors: Lumbini Devi, N Venkatesh Prajna, Muthiah Srinivasan, Naveen Radhakrishnan, Manoranjan Das
      Pages: 869 - 871
      Abstract: Lumbini Devi, N Venkatesh Prajna, Muthiah Srinivasan, Naveen Radhakrishnan, Manoranjan Das
      Indian Journal of Ophthalmology 2017 65(9):869-871
      A 51-year-old immunocompetent male with a history of Fuchs' endothelial dystrophy and immature cataract who underwent Descemet's stripping automated endothelial keratoplasty with intraocular lens implantation in both eyes presented with redness and defective vision of 1-day duration in his left eye. Slit lamp examination revealed coarse superficial punctate lesions with graft edema. He was diagnosed with acute graft rejection and treated with topical steroids. Two days later, symptoms worsened in his left eye with the involvement of his right eye showing a similar clinical picture. An infectious etiology was suspected and in vivo confocal microscopy ordered, which revealed hyperreflective dots, highly suggestive of microsporidial spores. The patient was prescribed topical fluconazole 0.3% in both eyes. This unique presentation of bilateral graft edema following microsporidial keratoconjunctivitis in postgraft patients requires a high index of suspicion as it can be easily be mistaken for and mismanaged as acute graft rejection.
      Citation: Indian Journal of Ophthalmology 2017 65(9):869-871
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_295_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Corneal ulcer due to a rare coelomycetes fungus Chaetomium strumarium:
           Case report and global review of Chaetomium keratomycosis

    • Authors: Mamatha Reddy, Ramya Venugopal, Peralam Yegneswaran Prakash, Yogish Subraya Kamath
      Pages: 871 - 874
      Abstract: Mamatha Reddy, Ramya Venugopal, Peralam Yegneswaran Prakash, Yogish Subraya Kamath
      Indian Journal of Ophthalmology 2017 65(9):871-874
      We present a rare case of corneal ulcer caused by a species of a coelomycetes fungus, Chaetomium strumarium. This fungal genus is a rare causative agent of keratomycosis, with only a handful of cases reported. The clinical presentation, investigative techniques, and preliminary management of our patient are reported. The cases reported in global literature are also summarized in a tabular form in the discussion.
      Citation: Indian Journal of Ophthalmology 2017 65(9):871-874
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_254_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Rare ocular manifestations in keratosis follicularis
           (Darier&#8211;White disease)

    • Authors: Savitha H Kanakpur, Divya Upendra Caculo
      Pages: 874 - 876
      Abstract: Savitha H Kanakpur, Divya Upendra Caculo
      Indian Journal of Ophthalmology 2017 65(9):874-876
      Keratosis follicularis (Darier's disease) is a rare (1 in 30,000–100,000) genetic autosomal-dominant predominantly dermatological disorder characterized by hyperkeratosis and acantholysis due to a defective calcium transport in the cells. Ocular findings, if present, are very rare in this condition. Here, we are reporting a case of keratosis follicularis (Darier's disease) with ocular manifestations that have not been reported so far to the best of our knowledge.
      Citation: Indian Journal of Ophthalmology 2017 65(9):874-876
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_852_16
      Issue No: Vol. 65, No. 9 (2017)
       
  • En face optical coherence tomography findings in a case of Alport syndrome

    • Authors: In Hwan Cho, Hoon Dong Kim, Sang Joon Jung, Tae Kwann Park
      Pages: 877 - 879
      Abstract: In Hwan Cho, Hoon Dong Kim, Sang Joon Jung, Tae Kwann Park
      Indian Journal of Ophthalmology 2017 65(9):877-879
      Alport syndrome is a rare hereditary disease that is associated with retinal abnormalities such as dot-and-fleck retinopathy and temporal macular thinning. The main pathophysiological process of Alport syndrome is loss of the collagen network in the basement membrane. However, the alterations in each retinal layer have not been fully evaluated. In the case presented here, we evaluated the retina of a patient with Alport syndrome using en face optical coherence tomography (OCT). The findings suggested that the primary alterations occur in the internal limiting membrane and the retinal pigment epithelium basement membrane which is a part of the Bruch's membrane. The adjacent retinal layers are damaged subsequently. In conclusion, en face OCT could be useful in evaluating retinal abnormalities and understanding their underlying pathophysiology in Alport syndrome.
      Citation: Indian Journal of Ophthalmology 2017 65(9):877-879
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_303_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Retinal meteor

    • Authors: Ramesh Venkatesh, Prachi Gurav, Prachi Abhishek Dave, Sankhadeep Roy
      Pages: 879 - 881
      Abstract: Ramesh Venkatesh, Prachi Gurav, Prachi Abhishek Dave, Sankhadeep Roy
      Indian Journal of Ophthalmology 2017 65(9):879-881
      We describe a case of a 65-year old man diagnosed with retinal vasoproliferative tumour secondary to posterior uveitis. The fluorescein angiography shows an interesting meteor-like leak emanating from the tumour and rising towards the superior retina in the later frames of the angiogram. Pictorially, we call it the “Retinal Meteor” and also describe the possible mechanism for this pattern of leakage.
      Citation: Indian Journal of Ophthalmology 2017 65(9):879-881
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_68_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Postvitrectomy macular hole undergoing delayed closure after 28 months

    • Authors: Rutul Patel, Mahesh Gopalakrishnan, Bindu Rajesh, Anantharaman Giridhar
      Pages: 882 - 884
      Abstract: Rutul Patel, Mahesh Gopalakrishnan, Bindu Rajesh, Anantharaman Giridhar
      Indian Journal of Ophthalmology 2017 65(9):882-884
      Case report of a 70-year-old male who developed full thickness macular hole (MH) following vitrectomy for vitreomacular traction syndrome. The further intervention was deferred due to the unwillingness of the patient for the second surgery. Periodic follow up of the patient, revealed improvement in visual acuity with the closure of the MH after 28 months.
      Citation: Indian Journal of Ophthalmology 2017 65(9):882-884
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_426_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood

    • Authors: Dhivya Ashok Kumar, Amar Agarwal
      Pages: 884 - 886
      Abstract: Dhivya Ashok Kumar, Amar Agarwal
      Indian Journal of Ophthalmology 2017 65(9):884-886
      An upper lid eccrine hidrocystoma presenting as early childhood progressive ptosis is very rare. We present a 9-year-old female child with droopy right upper lid since birth and progressive increase in symptoms. She had right upper lid ptosis (marginal reflex distance 1 of −1 mm) with fair levator function (8 mm) and abnormal cystic change on the conjunctival side. Computerized tomography imaging delineated the well-defined cystic lesion with homogeneous cavity with no contrast enhancement. Following the cyst excision, a giant eccrine hidrocystoma measuring 25 mm × 15 mm was removed, the largest reported in pediatric eyes. The case demonstrates the possibility of giant lid eccrine hidrocystomas presenting as progressive ptosis at a pediatric age and the need for early surgical intervention to prevent amblyopia.
      Citation: Indian Journal of Ophthalmology 2017 65(9):884-886
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_78_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Lacrimal gland myxoma

    • Authors: Drushti Parikh, Bipasha Mukherjee
      Pages: 887 - 889
      Abstract: Drushti Parikh, Bipasha Mukherjee
      Indian Journal of Ophthalmology 2017 65(9):887-889
      Myxomas are rare neoplasms of mesenchymal origin. Cases of conjunctival, corneal, and orbital myxomas have been reported in the literature; however, to the best of our knowledge, there is no report of a lacrimal gland myxoma. We report a case of an orbital myxoma involving the lacrimal gland and its management.
      Citation: Indian Journal of Ophthalmology 2017 65(9):887-889
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_226_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Malignant perivascular epithelioid cell tumor of the orbit: Report of a
           case and review of literature

    • Authors: Md Shahid Alam, Bipasha Mukherjee, S Krishnakumar, Jyotirmay Biswas
      Pages: 889 - 891
      Abstract: Md Shahid Alam, Bipasha Mukherjee, S Krishnakumar, Jyotirmay Biswas
      Indian Journal of Ophthalmology 2017 65(9):889-891
      Perivascular epithelioid cell tumor (PEComa) is a rare neoplasm considered to arise from myomelanocytic cell lineage. The uterus is reportedly the most common site to be involved. Orbital PEComa is extremely rare with only two cases reported till date. A 5-year-old male presented with a right medial orbital mass for the last 6 months. The patient was diagnosed with alveolar soft part sarcoma elsewhere. Magnetic resonance imaging features were suggestive of lymphangioma with bleeding. The excision biopsy revealed multiple tumor cells comprising epithelioid cells with clear cytoplasm, along with nuclear atypia and mitosis. Immunohistochemistry was positive for HMB-45, smooth muscle actin, vimentin, and CD-34. It was negative for cytokeratin, S-100, and synaptophysin, which clinched the diagnosis of malignant orbital PEComa. Neoadjuvant chemotherapy was administered. There was no recurrence at 24 months of follow-up. At present, there is no consensus on management protocol for malignant PEComa. Complete surgical excision with chemotherapy appears to offer the best prognosis.
      Citation: Indian Journal of Ophthalmology 2017 65(9):889-891
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_331_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Orbital dermatofibrosarcoma protuberans with frontal and ethmoid sinus
           involvement: A case report and brief review of literature

    • Authors: Deepti Sharma, Garima Singh, Neha Kakkar, Vidya Jha
      Pages: 892 - 894
      Abstract: Deepti Sharma, Garima Singh, Neha Kakkar, Vidya Jha
      Indian Journal of Ophthalmology 2017 65(9):892-894
      Dermatofibrosarcoma protuberans is a soft tissue sarcoma that is dermal in origin. The incidence is <0.1% of all malignancies and 1% of soft tissue sarcoma. Most commonly, it involves trunk (62%) followed by extremities (25%) and head and neck (13%). It is a slow growing tumor with locally aggressive behavior. Here, a 50-year-old female diagnosed with orbital dermatofibrosarcoma developed extra-axial component in right frontal region even on chemotherapy. Hence, the bad prognostic factors are yet to be established in dermatofibrosarcoma protuberans.
      Citation: Indian Journal of Ophthalmology 2017 65(9):892-894
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_770_16
      Issue No: Vol. 65, No. 9 (2017)
       
  • Metastatic renal cell carcinoma presenting as one-and-a-half syndrome

    • Authors: Mukesh Patil, Anita Ganger, Sanjay Sharma, Rohit Saxena
      Pages: 895 - 897
      Abstract: Mukesh Patil, Anita Ganger, Sanjay Sharma, Rohit Saxena
      Indian Journal of Ophthalmology 2017 65(9):895-897
      We report a case of 43-year-old male, presented with sudden onset binocular diplopia on lateral gazes. Ocular examination showed features of ipsilateral one-and-a-half syndrome. Comprehensive systemic work in conjunction with magnetic resonance imaging of the brain illustrated irregular mixed solid and cystic lesions in the brainstem, possibly indicative of brain metastases. Further imaging revealed hidden renal cell carcinoma as a primary neoplasm, which led to secondary manifestations.
      Citation: Indian Journal of Ophthalmology 2017 65(9):895-897
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_347_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Use of modified international council of ophthalmology- ophthalmology
           surgical competency assessment rubric (ICO- OSCAR) for
           phacoemulsification- wet lab training in residency program

    • Authors: Javed Hussain Farooqui, Antonio Jaramillo, Mansi Sharma, Ahmed Gomaa
      Pages: 898 - 899
      Abstract: Javed Hussain Farooqui, Antonio Jaramillo, Mansi Sharma, Ahmed Gomaa
      Indian Journal of Ophthalmology 2017 65(9):898-899

      Citation: Indian Journal of Ophthalmology 2017 65(9):898-899
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_73_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Comment: Allergen-specific exposure associated with high immunoglobulin E
           and eye rubbing predisposes to progression of keratoconus

    • Authors: Yogita Gupta
      Pages: 899 - 900
      Abstract: Yogita Gupta
      Indian Journal of Ophthalmology 2017 65(9):899-900

      Citation: Indian Journal of Ophthalmology 2017 65(9):899-900
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_517_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Reply: Allergen-specific exposure associated with high immunoglobulin E
           and eye rubbing predisposes to progression of keratoconus

    • Authors: Rohit Shetty, Shraddha Sureka, Pallak Kusumgar, Swaminathan Sethu, Kanchan Sainani
      Pages: 900 - 901
      Abstract: Rohit Shetty, Shraddha Sureka, Pallak Kusumgar, Swaminathan Sethu, Kanchan Sainani
      Indian Journal of Ophthalmology 2017 65(9):900-901

      Citation: Indian Journal of Ophthalmology 2017 65(9):900-901
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_616_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Comment: Intra-arterial chemotherapy for retinoblastoma

    • Authors: Savleen Kaur, Usha Singh, Vivek Gupta, Deepak Bansal
      Pages: 901 - 902
      Abstract: Savleen Kaur, Usha Singh, Vivek Gupta, Deepak Bansal
      Indian Journal of Ophthalmology 2017 65(9):901-902

      Citation: Indian Journal of Ophthalmology 2017 65(9):901-902
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_476_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Reply: Intra-arterial chemotherapy for retinoblastoma: 2-year results from
           tertiary eye-care center in India

    • Authors: Pukhraj Rishi, Tarun Sharma, Minal Sharma, Aditya Maitray, Abhinav Dhami, Vishvesh Aggarwal, M Saravanan, R Ravikumar, Satheesh Ramamurthy
      Pages: 902 - 903
      Abstract: Pukhraj Rishi, Tarun Sharma, Minal Sharma, Aditya Maitray, Abhinav Dhami, Vishvesh Aggarwal, M Saravanan, R Ravikumar, Satheesh Ramamurthy
      Indian Journal of Ophthalmology 2017 65(9):902-903

      Citation: Indian Journal of Ophthalmology 2017 65(9):902-903
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/ijo.IJO_555_17
      Issue No: Vol. 65, No. 9 (2017)
       
  • Erratum: A cross-sectional study to compare intraocular pressure
           measurement by sequential use of Goldman applanation tonometry, dynamic
           contour tonometry, ocular response analyzer, and Corvis ST

    • Pages: 904 - 904
      Abstract:
      Indian Journal of Ophthalmology 2017 65(9):904-904

      Citation: Indian Journal of Ophthalmology 2017 65(9):904-904
      PubDate: Thu,14 Sep 2017
      DOI: 10.4103/0301-4738.214668
      Issue No: Vol. 65, No. 9 (2017)
       
 
 
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