Open Access Case study

Fuch’s Uveitis: A Case Report

I. Coutinho, C. Pedrosa, M. Ramalho, A. Lopes, P. Pêgo, M. Bernardo, F. Vaz, M. Lisboa

Ophthalmology Research: An International Journal, Page 1-5
DOI: 10.9734/OR/2016/25341

Introduction: Fuchs’ Uveitis (FU) is a chronic nongranulomatous anterior uveitis that accounts for 3% of all uveitis cases. Usually is asymptomatic but occasionally can cause floaters and decrease in visual acuity secondary mainly to complications like vitreous opacities, cataract and glaucoma. The diagnosis is clinic and treatment includes correction of complications.

Presentation of Case: 40-year-old woman presented with a complaint of progressive decreased vision in the right eye (OD). Slit lamp evaluation revealed in OD multiple stellate keratic precipitates, slight iris atrophy and hypochromia, a white cataract and no anterior chamber inflammatory reaction. Intraocular pressure in OD was high and was controlled with timolol. 

On the basis of these findings and after excluding other aetiologies, a diagnosis of Fuchs’ uveitis was made. Cataract surgery was performed.

Conclusion: This clinical case enhances the need of integration of clinical signs to don’t sub diagnosis Fuch’s uveitis and not overvalue the presence of iris heterochromia. This cases also reflect the good results obtained with cataract surgery associated with few complications in this type of uveitis.

Open Access Case study

Ocular Ischemic Syndrome Associated with Primary Hyperparathyroidism

Zihret Abazi, Lidija Magarasevic, Verica Jovanovic, Svetlana Sukalo, Aleksandra Radosavljevic

Ophthalmology Research: An International Journal, Page 1-7
DOI: 10.9734/OR/2016/25632

Aim: To present a case of bilateral ocular ischemic syndrome associated with severe carotid artery occlusive disease and to discuss any possible etiological factors, including parathyroid adenoma.

Case Presentation: We report a rare and unusual case of bilateral ocular ischemic syndrome, secondary to internal carotid artery atherosclerosis, occurring as a result of primary hyperparathyroidism.

Discussion: A significant decrease in the visual acuity may be an early sign of PH. Considering calcium homeostasis in the eye is useful in establishing the right diagnosis of PH.

Conclusion: To our knowledge, this is the first report of bilateral ocular ischemic syndrome associated with primary hyperparathyroidism.


Open Access Original Research Article

Barriers to the Second Eye Cataract Surgery Amongst the Rural Population of Western Maharashtra, India

Shruti Mahajan, Somen Misra

Ophthalmology Research: An International Journal, Page 1-7
DOI: 10.9734/OR/2016/24946

Aim: To identify the barriers which prevent the uptake for the second eye cataract surgery (SECS), amongst the rural population.

Study Design: A hospital based observational study.

Place and Duration of Study: Department of Ophthalmology, Pravara institute of medical sciences, Loni, Maharashtra, India, from September 2013 to August 2015.

Methodology: 100 patients who had age related senile cataract in second eye and had undergone first eye cataract surgery in past were included in this study. They were clinically examined and interviewed to determine the reasons for delay in seeking SECS.

Results: Amongst the 100 patients, majority were female (65%), farmers (60%) and illiterate (78%). Most common age group involved was 61-70 (44%) years. Visual Acuity in the non-operated fellow eye was <6/60 or worse in 84% patients. 60% patients presented with advanced stages of cataract (mature and hypermature cataract) in the second eye, and 12% patients had hypermaturity related complications. The major barriers to the uptake of SECS were ‘can see with other eye’ in 66% patients and ‘cost of surgery’ in 54% patients.

Conclusion: Can see with other eye and cost of surgery are important barriers that prevent the uptake for SECS. Dedicated modifications in ongoing cataract surgery programmes and eye care education camps will be of immense help in overcoming the barriers associated with the second eye cataract surgery.


Open Access Original Research Article

Long-Term Results of Symmetrical and Asymmetrical Surgery for Basic-type Intermittent Exotropia in Turkish Patient

Berkay Kızıltaş, Rahmi Duman, Ayşe Gul Koçak Altıntaş, Özlem Kızıltaş, Faruk Öztürk

Ophthalmology Research: An International Journal, Page 1-7
DOI: 10.9734/OR/2016/25271

Aim: To evaluate the long-term results of symmetrical (i.e., bilateral lateral rectus recession) (BLR rec) and asymmetrical (i.e., unilateral medial rectus resection and lateral rectus recession) (R-R) surgical treatment of patients with a diagnosis of basic-type intermittent exotropia (X(T)).

Methods: The patient folders of a total of 65 patients with basic-type X(T) who visited the Ankara Ulucanlar Eye Education and Research Hospital Eye Clinic Strabismus Unit between January 2004 and January 2013 and underwent strabismus surgery were analyzed retrospectively. The patients were evaluated according to the applied surgical method: patients treated using the BLR rec method (Group 1= 25) and patients treated using the R-R method (Group 2= 40). During the last examination after the first postoperative year, a deviation ±10 prism diopters (PD) was defined as successful. A 10-20 PD deviation was considered partially successful, and a PD of 20 or higher was considered unsuccessful. Controls were completed postoperatively after the 1st week, the 1st month, the 3rd month, and the 6th month and at 6-month intervals thereafter.

Results: The success rates were found to be 80.0% successful, 17.5% partially successful, and 2.5% unsuccessful in the R-R group and 44% successful, 32% partially successful, and 24% unsuccessful in the BLR rec group. The difference between the success rates of the groups was statistically significant (p=0.04).

Discussion: We found that the R-R method achieves more successful results than the BLR rec method in patients with basic-type X(T).


Open Access Original Research Article

My Experience with Levator Resection Surgery in Congenital Ptosis

Shubha Ghonsikar/Jhavar, Ranjana Bindu, Vilas Wangikar

Ophthalmology Research: An International Journal, Page 1-6
DOI: 10.9734/OR/2016/24972

Aims: To assess the effectiveness of Levator resection surgery in patients with moderate to severe congenital ptosis with poor Levator function.

Materials and Methods: Settings and Design: A prospective, observational, single institutional study done in 2003-2010 at a referral Government College draining poor patients.

52 eyes of 49 pts with moderate to severe ptosis were selected. All had poor Levator Palpebrae Superioris (LPS) action. Marcus Gunn ptosis and Acquired Ptosis were excluded. These underwent Levator resection surgery through skin approach. LPS was resected according to severity of ptosis.

Postoperative ptosis correction, lid position, contour, lid lag and any other complications were noted. Results of ptosis correction were  grouped as:

1.     Good if postop. Lid height was within 1 mm of the desired height or with respect to the opposite lid.

2.     Satisfactory if 1-2 mm undercorrection was seen.

3.     Poor if > 2 mm undercorrection occurred or any other cosmetic blemish like lagophthalmos, notching of lid border or abnormal lid fold.

Follow up was done at 1 wk, 6 wks, 6 mths, then yearly till 5 years.

Results: 43 eyes (82.69%) showed good correction, with good primary eye lid position and no corneal complications.

7 eyes (13.46%) showed satisfactory correction.

2 eyes (3.84%) showed poor correction. 1- overcorrection, 1- undercorrection

Conclusions: Levator resection surgery is an effective procedure of choice even for congenital ptosis with poor LPS action.