Orbital foreign bodies are not only difficult to detect but if retained for a long time can cause... more Orbital foreign bodies are not only difficult to detect but if retained for a long time can cause drastic complications such as orbital cellulitis, damage to extra ocular muscles and optic nerve injury. A prompt diagnosis and earlier removal can minimize the complication rate. Complications vary according to size, site and type of foreign body. Retained foreign bodies are very difficult to diagnose especially of wooden type even with advanced imaging techniques. We report a case of intra orbital wooden foreign body which was present for three months in a young boy.
Purpose: To observe efficacy of Virtual reality technology as a potential treatment for improving... more Purpose: To observe efficacy of Virtual reality technology as a potential treatment for improving vision in anisometropic amblyopia without the need of occlusion or penalization. Study design: Experimental case series Place and Duration of study: Isra University Hospital, Hyderabad, from Nov 2020 to Oct 2021. Methods: Patients (more than 12 years of age), with Anisometropic amblyopia, were included in this study. Patients with history of strabismus, cataract or any active ocular surface disease were excluded. Unaided visual acuity, pinhole test and best-corrected visual acuity were recorded, before and after treatment. LogMAR chart was used for this purpose. Crowding phenomenon was also checked. Anterior segment and posterior segment examination was done to rule out any organic cause of disease. A head mounted device-virtual reality glasses (HMD-VR) was used 40 min daily for 03 months to improve visual acuity. All the data was recorded on a proforma. SPSS version 22.0 was used for d...
Objectives: To review the visual outcomes after cataract surgery in a tertiary care teaching hosp... more Objectives: To review the visual outcomes after cataract surgery in a tertiary care teaching hospital, Isra University Hyderabad. Methods: This retrospective clinical study was carried out for six months at Isra University Hyderabad from December 2020-May 2021. Total patients included were 982. The data comprised of patients who underwent cataract surgery from Sept 2018 – Aug 2020. Individuals over 40 years were included and who returned for out-patient appointments. Visual acuity before and six weeks after cataract surgery were noted and categorized according to World Health Organization criteria (i-e Good, Moderate and Poor).. Data analysis was done with the help of SPSS version 22.0. Results: Out of 982 patients who underwent Phacoemulsification at Isra University Hospital, the operated eyes were 483 right and 499 left respectively. Meanwhile, 966 had good visual acuity six weeks after the surgery, while 16 had moderate visual acuity noted after six weeks. Conclusion: Clinical au...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2017
Oculodermal melanocytosis, also known as Nevus of Ota, is a hamartomatous melanocytic nevus of de... more Oculodermal melanocytosis, also known as Nevus of Ota, is a hamartomatous melanocytic nevus of dermal melanocytes. It presents as a bluish grey patch on the face, which may be congenital or acquired involving the area of distribution of the ophthalmic and maxillary branches of the trigeminal nerve. The nevus can be unilateral or bilateral, and, in addition to skin, it may involve ocular and oral mucosal surfaces. It is a rare disorder and the ocular complications, such as glaucoma and melanoma, may be vision or life-threatening. Here, we report a 26-year male who presented with decreased vision in his left eye. On detailed examination, he turned out to be a case of nevus of Ota.
Vogt-Koyanagi-Harada syndrome is a rare multiorgan inflammatory disorder characterized by bilater... more Vogt-Koyanagi-Harada syndrome is a rare multiorgan inflammatory disorder characterized by bilateral uveitis with serous retinal detachment and is often associated headache, hearing loss, vitiligo, and poliosis. Here we present a case of 37 years old female who presented with chronic photophobia, redness and progressive decreased vision in both eyes for 5 years along with cutaneous and hearing symptoms. On Ocular examination her best-corrected visual acuity was 6/60 OD and perception of light OS, while the intraocular pressure was 16 mm Hg OD and 18 mm Hg OS, measured with Goldmann applanation tonometer. The slit-lamp examination of right anterior segment showed diffuse Keratic precipitates along with diffuse iris atrophy and seclusion pupillae (360 degree). On detailed examination she found to be a case of VKH syndrome. This case is presentedto familiarize ophthalmologists and health care professionals about its findings and complications that are usually found in such patients. Key...
Objective: To observe efficacy of Timolol maleate 0.5% by topical and surface application in infa... more Objective: To observe efficacy of Timolol maleate 0.5% by topical and surface application in infantile superficial capillary hemangioma of eyelid. Methods: This multi-centered clinical case series was carried out at Ophthalmology Department of Bilawal Medical College and Institute of Ophthalmology, LUMHS, Jamshoro from November 2019 to May 2020. We included 14 subjects. All the patients were subjected to detailed clinical examination. Before starting the topical beta blockers, the enrolled subjects had obtained the expert opinion by pediatrician to rule out any preexisting developmental cardio vascular disease. Topical beta blockers 0.5% drops were thus started with, against the ongoing finding of superficial capillary hemangioma of eyelid. Results: There was significant regression in size of infantile hemangioma after treating with topical timolol maleate 0.5%. We included 14 subjects in this study. Mean±SD age of patients was 4.94. Complete regression was seen in 08 subjects at th...
A case of 46-year-old male is presented who came with complaints of painless, progressive deter... more A case of 46-year-old male is presented who came with complaints of painless, progressive deterioration of vision in both eyes and he was using Latanoprost and Cosopt eye drops in both eyes. His visual acuity was 6/60 in right eye and perception of light in left eye. The intraocular pressures were 28 mm Hg (OD) and 18 mm Hg (OS). There was iridocorneal adhesion and posterior embryotoxon in his right eye and leucoma in left eye. Cup-disc ratio was 0.7. He had hypodontia, midface hypoplasia, hypertelorism, and telecanthus. Family history was also positive. His sister also had iris stromal hypoplasia along with posterior embryotoxon. A diagnosis of Axenfeld Rieger Syndrome was made The patient underwent glaucoma drainage devise (AGV) surgery in his right eye. Post operative pressures were 10mm Hg. He was later referred to maxillofacial surgeon, cardiologist and counseled for avoiding cross marriages to prevent this inherited disease
Orbital foreign bodies are not only difficult to detect but if retained for a long time can cause... more Orbital foreign bodies are not only difficult to detect but if retained for a long time can cause drastic complications such as orbital cellulitis, damage to extra ocular muscles and optic nerve injury. A prompt diagnosis and earlier removal can minimize the complication rate. Complications vary according to size, site and type of foreign body. Retained foreign bodies are very difficult to diagnose especially of wooden type even with advanced imaging techniques. We report a case of intra orbital wooden foreign body which was present for three months in a young boy.
Purpose: To observe efficacy of Virtual reality technology as a potential treatment for improving... more Purpose: To observe efficacy of Virtual reality technology as a potential treatment for improving vision in anisometropic amblyopia without the need of occlusion or penalization. Study design: Experimental case series Place and Duration of study: Isra University Hospital, Hyderabad, from Nov 2020 to Oct 2021. Methods: Patients (more than 12 years of age), with Anisometropic amblyopia, were included in this study. Patients with history of strabismus, cataract or any active ocular surface disease were excluded. Unaided visual acuity, pinhole test and best-corrected visual acuity were recorded, before and after treatment. LogMAR chart was used for this purpose. Crowding phenomenon was also checked. Anterior segment and posterior segment examination was done to rule out any organic cause of disease. A head mounted device-virtual reality glasses (HMD-VR) was used 40 min daily for 03 months to improve visual acuity. All the data was recorded on a proforma. SPSS version 22.0 was used for d...
Objectives: To review the visual outcomes after cataract surgery in a tertiary care teaching hosp... more Objectives: To review the visual outcomes after cataract surgery in a tertiary care teaching hospital, Isra University Hyderabad. Methods: This retrospective clinical study was carried out for six months at Isra University Hyderabad from December 2020-May 2021. Total patients included were 982. The data comprised of patients who underwent cataract surgery from Sept 2018 – Aug 2020. Individuals over 40 years were included and who returned for out-patient appointments. Visual acuity before and six weeks after cataract surgery were noted and categorized according to World Health Organization criteria (i-e Good, Moderate and Poor).. Data analysis was done with the help of SPSS version 22.0. Results: Out of 982 patients who underwent Phacoemulsification at Isra University Hospital, the operated eyes were 483 right and 499 left respectively. Meanwhile, 966 had good visual acuity six weeks after the surgery, while 16 had moderate visual acuity noted after six weeks. Conclusion: Clinical au...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2017
Oculodermal melanocytosis, also known as Nevus of Ota, is a hamartomatous melanocytic nevus of de... more Oculodermal melanocytosis, also known as Nevus of Ota, is a hamartomatous melanocytic nevus of dermal melanocytes. It presents as a bluish grey patch on the face, which may be congenital or acquired involving the area of distribution of the ophthalmic and maxillary branches of the trigeminal nerve. The nevus can be unilateral or bilateral, and, in addition to skin, it may involve ocular and oral mucosal surfaces. It is a rare disorder and the ocular complications, such as glaucoma and melanoma, may be vision or life-threatening. Here, we report a 26-year male who presented with decreased vision in his left eye. On detailed examination, he turned out to be a case of nevus of Ota.
Vogt-Koyanagi-Harada syndrome is a rare multiorgan inflammatory disorder characterized by bilater... more Vogt-Koyanagi-Harada syndrome is a rare multiorgan inflammatory disorder characterized by bilateral uveitis with serous retinal detachment and is often associated headache, hearing loss, vitiligo, and poliosis. Here we present a case of 37 years old female who presented with chronic photophobia, redness and progressive decreased vision in both eyes for 5 years along with cutaneous and hearing symptoms. On Ocular examination her best-corrected visual acuity was 6/60 OD and perception of light OS, while the intraocular pressure was 16 mm Hg OD and 18 mm Hg OS, measured with Goldmann applanation tonometer. The slit-lamp examination of right anterior segment showed diffuse Keratic precipitates along with diffuse iris atrophy and seclusion pupillae (360 degree). On detailed examination she found to be a case of VKH syndrome. This case is presentedto familiarize ophthalmologists and health care professionals about its findings and complications that are usually found in such patients. Key...
Objective: To observe efficacy of Timolol maleate 0.5% by topical and surface application in infa... more Objective: To observe efficacy of Timolol maleate 0.5% by topical and surface application in infantile superficial capillary hemangioma of eyelid. Methods: This multi-centered clinical case series was carried out at Ophthalmology Department of Bilawal Medical College and Institute of Ophthalmology, LUMHS, Jamshoro from November 2019 to May 2020. We included 14 subjects. All the patients were subjected to detailed clinical examination. Before starting the topical beta blockers, the enrolled subjects had obtained the expert opinion by pediatrician to rule out any preexisting developmental cardio vascular disease. Topical beta blockers 0.5% drops were thus started with, against the ongoing finding of superficial capillary hemangioma of eyelid. Results: There was significant regression in size of infantile hemangioma after treating with topical timolol maleate 0.5%. We included 14 subjects in this study. Mean±SD age of patients was 4.94. Complete regression was seen in 08 subjects at th...
A case of 46-year-old male is presented who came with complaints of painless, progressive deter... more A case of 46-year-old male is presented who came with complaints of painless, progressive deterioration of vision in both eyes and he was using Latanoprost and Cosopt eye drops in both eyes. His visual acuity was 6/60 in right eye and perception of light in left eye. The intraocular pressures were 28 mm Hg (OD) and 18 mm Hg (OS). There was iridocorneal adhesion and posterior embryotoxon in his right eye and leucoma in left eye. Cup-disc ratio was 0.7. He had hypodontia, midface hypoplasia, hypertelorism, and telecanthus. Family history was also positive. His sister also had iris stromal hypoplasia along with posterior embryotoxon. A diagnosis of Axenfeld Rieger Syndrome was made The patient underwent glaucoma drainage devise (AGV) surgery in his right eye. Post operative pressures were 10mm Hg. He was later referred to maxillofacial surgeon, cardiologist and counseled for avoiding cross marriages to prevent this inherited disease
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