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  Most popular articles (Since October 30, 2020)

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Snowflake cataract: Diabetic cataract
D Bala Saraswathy, Kalpana Narendran
October-December 2021, 1(4):808-809
  5,958 95 -
Corneal ring infiltrate in fungal keratitis
Manokamna Agarwal, Appakkudal R Anand, Meena Lakshmipathy
July-September 2021, 1(3):391-392
  2,935 256 -
Photo Essay - The Moving Image and the Stirring Words
Santosh G Honavar
October-December 2021, 1(4):613-614
  2,706 246 -
Ocular changes after accidental exposure to distilled water: A case series
Pooja Karki, Chandra M Gurung, Archana Sharma, Ayush Joshi, Priya Bajgai
April-June 2022, 2(2):348-352
We report ocular changes following accidental injection of distilled water into the anterior chamber during cataract surgery. We have documented eight eyes that had an accidental distilled water exposure in the anterior chamber following which they developed corneal edema, raised intraocular pressure (IOP), and pigment dispersion into the anterior chamber. We treated all the patients with topical steriods and sodium chloride 5% solution and anti-glaucoma medications as required. All of them had pigment dispersion and deposition into the anterior chamber and onto the corneal endothelium and the intraocular lens surface. All the patients had resolution of edema and good vision postoperatively after a month. Thus, patients who were exposed to accidental injection of distilled water into the anterior chamber during cataract surgery had a toxic reaction in the postoperative period. However, the corneal transparency was restored completely without complications with adequate treatment. A strict protocol must be followed by the OT staff and the members at various stages of surgery to prevent such mishaps from happening.
  2,703 142 -
Rubella eye disease: A clinicopathological case report
Dipankar Das, Jayanta Kumar Das, Balmukund Agarwal, Harsha Bhattacharjee, Gayatri Bharali, Debajit Deka, Deb Kumar Mahato, Saurabh Deshmukh, Apurba Deka
April-June 2021, 1(2):317-319
Rubella is a viral disease that affects human particularly pregnant females and causes transplacental spread to affect the fetus in utero. Congenital rubella in a child can manifest from mild to severe involvement. We report a case of a young boy with bilateral blindness and sensorineural deafness. Enucleated eye revealed the evidence of rubella eye disease. TORCH titer showed increase of IgG antibody in the serum. An extensive systemic examination and investigations by physician did not show any other signs of extended rubella syndrome.
  2,445 102 1
Unveiling a rare aetiology of secondary acquired nasolacrimal duct obstruction: A case of morning glory syndrome with contralateral naso-ethmoidal encephalocele
Muthukrishnan Vallinayagam, Shravya C Balla, Anujeet Paul, Srikanth Krishnagopal
April-June 2021, 1(2):373-375
Morning Glory Syndrome (MGS) is a well-established association of basal encephalocele and usually presents with midline cranio-facial anomalies. 45-year-old female presented with Secondary Acquired Nasolacrimal Duct Obstruction (SANDO) in left eye. She had a broad nasal bridge, hypertelorism and a swelling inferomedial to medial canthus. Fundus examination in right eye showed Morning Glory disc anomaly. CT of the orbit and brain disclosed left naso-ethmoidal encephalocele. CT Dacryocystography showed partial dehiscence of nasolacrimal duct bilaterally. The patient underwent surgical repair of encephalocele followed by resolution of epiphora. The association of MGS with contralateral naso-ethmoidal encephalocele and SANDO is presented for its rarity.
  2,439 88 -
Massage gun-induced ocular injury – A case report
Anthony Chuk-Him Lai, Eva Wai Nam Wong, Frank Hiu Ping Lai
October-December 2021, 1(4):702-703
A 30-year-old man presented to the ophthalmology clinic with a 1-week history of right eye blurred vision. He reported application of massage gun over bilateral periocular regions for 3 months. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Slit-lamp examination revealed bilateral iris atrophy at the inferonasal region. In the right eye, there was anterior subcapsular and cortical cataract at the visual axis, associated with mild phacodonesis. There were dot opacities in the left eye lens without lens subluxation. The patient received right phacoemulsification with a multifocal intraocular lens implanted. To the best of our knowledge, this is the first case of bilateral traumatic cataract with symmetrical iris atrophy after repetitive periocular massage with a massage gun reported in the literature.
  2,371 104 -
Feathery cataract
Syed Mohideen Abdul Khadar, Smital M Metange
April-June 2021, 1(2):162-162
  2,167 224 -
A picture is worth a thousand words
Santosh G Honavar
April-June 2021, 1(2):159-159
  2,102 267 -
Cyclodamia fogging technique for unilateral accommodative spasm: A case study
Devanshi M Dalal, Dhaivat Shah
October-December 2022, 2(4):875-876
Cyclodamia is a technique used for the determination of accommodative spasms. A 20-year-old healthy female presented a complaint of frontal headache for 1 month. In a previous checkup performed elsewhere, she was diagnosed with unilateral high myopia associated with amblyopia. In routine practice, the classic fogging technique is performed during the procedure of subjective correction. In the case of accommodative spasms, there are different techniques of fogging that can be used. The cyclodamia fogging technique should be used in routine practice to differentiate between the cases of excessive accommodation.
  2,118 185 -
Treatment of 0.01% atropine eye drops induced convergence excess esotropia and rebound myopia managed with 1% atropine eye drops
Shairin Jahan, Mihir Kothari, Meghna Solanki
January-March 2021, 1(1):140-141
We report a case of progressive childhood myopia who developed rebound myopia and convergence excess esotropia after switching from 1% atropine eye drops to 0.01% atropine eye drops. The esotropia recovered and myopia progression was arrested after stopping 0.01% atropine drops and resuming 1% atropine eye drops.
  2,116 112 -
Birefringence in ophthalmic lenses
Neelima Manchikanti, Srikanth Maseedupalli
July-September 2021, 1(3):455-455
  2,128 91 -
Middle limiting membrane sign in detecting early ischemic central retinal vein occlusion
Subhakar Reddy, Avantika Dogra, Mudit Tyagi
April-June 2021, 1(2):217-218
  2,081 98 -
Cataract secondary to iatrogenic iron overload in a severely anemic patient
Mehmet Akif Erol, Onur Ozalp, Eray Atalay
April-June 2021, 1(2):259-261
High levels of iron may be toxic and cause various pathologies in the human body, including the eye. Studies have shown increased iron concentration in certain subtypes of senile cataracts. High serum levels of its non-reactive depot form, ferritin, has also been associated with juvenile cataracts in hereditary hyperferritinemia-cataract syndrome. Whereas this form of hyperferritinemia is inherited, there is no report on cataract formation in iatrogenic hyperferritinemia. Herein, we report a 43-year-old case who was diagnosed with bilateral cataracts a few years after she received intensive intravenous iron replacement therapy for severe iron deficiency anemia.
  2,059 73 1
Ota with Ito: An unusual concurrence
Muthukrishnan Vallinayagam, Juhi Sahu, Anujeet Paul, Krishnagopal Srikanth
January-March 2021, 1(1):13-13
  2,016 110 -
Beauty and the beam: Slit-lamp photography essentials
Santosh G Honavar, Mrittika Sen
July-September 2022, 2(3):643-646
  1,825 248 -
True muscle transplantation surgery for large angle exotropia: A case series
Sonali Rao, Atulyakruti Gupta
July-September 2021, 1(3):577-579
Managing large-angle exotropia (>70 PD) can be challenging with the various techniques available. In this case series, we present “True Muscle Transplantation"––a simple technique––to manage large-angle sensory exotropia as a possible alternative. Seven patients (four women and three men) of mean age 39.71 ± 17.38 years with sensory large-angle exotropia (>70 PD) underwent proposed surgery after detailed preoperative workup. The stump resected from MR was transplanted to LR and recessed. The mean preoperative deviation of 77.14 ± 4.52 PD base-in reduced to mean postoperative angle of 4.71 ± 4.42 PD at 6 months with good ocular alignment, no lateral incommittance, and no limitation of ductions in all patients. Stable results were maintained beyond 6 months. True Muscle Transplantation, therefore, has the potential of being a possible alternative.
  1,857 110 -
Bilateral preexisting posterior capsular dehiscence in an infant
Surbhi Khurana, Parul C Gupta, Jagat Ram
April-June 2021, 1(2):166-166
  1,849 92 -
Goblet cell anatomy visualization by scanning electron microscopy
Carlos Rocha de Lossada, Rahul Rachwani Anil, Javier Lacorzana Rodríguez, Davide Borroni, Jorge Peraza-Nieves
April-June 2021, 1(2):161-161
  1,730 204 -
Iceberg phenomenon of striate keratopathy
A Arut Priya, Bala Saraswathy, Kalpana Narendran
April-June 2022, 2(2):563-564
  1,874 54 -
Isolated conjunctival lichen planus: A rare cause of cicatrizing conjunctivitis
Diego Paredes, Arturo Grau, Silviana Barroso, Juan Manríquez, Pablo Zoroquiain
October-December 2021, 1(4):615-618
A 58-year-old female diabetic patient with keratinization of the gray line, areas of linear scar traction, and forniceal shortening was evaluated. Cicatrizing conjunctivitis was diagnosed. Conjunctival biopsy was performed and the histopathological study revealed a prominent band-like lymphocytic infiltrate. Direct immunofluorescence (DIF) showed a heavy fibrinogen deposition which was irregular in the basement membrane consistent with lichen planus (LP). A full dermatological evaluation was unremarkable. The final clinicopathologic diagnosis was isolated conjunctival lichen planus. As cicatrizing conjunctivitis may have different etiologies with differing treatment strategies, it is important to diagnose this entity and start treatment with anti-inflammatory drugs to avoid vision loss.
  1,652 236 -
CARE – The clinical case report checklist
Santosh G Honavar
July-September 2021, 1(3):389-390
  1,669 211 -
No-touch management in tick infestation of periocular skin
Vaisna Gopi, Lathika V Kamaladevi, Charles K Skariah
April-June 2022, 2(2):341-342
Ixodidae ticks are vectors of Lyme borreliosis, Rocky Mountain spotted fever, tick-borne encephalitis, and relapsing fever. We present a case of eyelid tick infestation in a 49-year-old patient for 1 week. A slit-lamp examination suggested it to be a tick tethered on the patient's skin. Complete removal of the tick was done with 2% lignocaine infiltration locally around the swelling. The tick fell off from the periocular skin without any further manipulation. On entomology evaluation, it was categorized to be a hard tick Rhipicephalus sanguineus belonging to the Ixodes family. The patient was put on topical moxifloxacin and chloramphenicol eye ointment. The patient was followed up after 5 days and after 2 weeks and was found to be normal.
  1,650 213 -
Objective Scheimpflug imaging of the healing cascade and repair process of striate keratopathy with the concept of optical blooming
Prasanna V Ramesh, Shruthy V Ramesh, K Aji, Prajnya Ray, Meena K Ramesh, Ramesh Rajasekaran
January-March 2022, 2(1):3-5
To our knowledge, assessment of striate keratopathy (SK) is subjectively done with slit-lamp bio-microscopic examination, which is the most common practice. In this manuscript, we have reported the role of objective scheimpflug imaging modality, in decoding the healing and repair process of SK, post prolonged cataract surgery. The quantitative and qualitative framing of this pathology with hyperreflective and hyporeflective hot spots (optical blooming) has never been reported in the literature before. In addition to the imaging of the cascadic events of SK in default colour, the role of digital calipers in the measurement of corneal thickness in SK (in inverse colour) is also highlighted. This manuscript throws light on the unique features of scheimpflug imaging technology, for the possible consideration of it as a routine post-operative investigation in patients undergoing prolonged or complicated cataract surgery, in quantifying their SK.
  1,592 203 -
Indian Journal of Ophthalmology Case Reports – A year old and thriving!
Santosh G Honavar
January-March 2022, 2(1):1-2
  1,570 219 -