Open Access Case study

Neovascular Glaucoma Secondary to Bloch-Sulzberger Syndrome Documented by Retinography and Wide Field Angiography

Thiago Sande Miguel, Vinicius Sande Miguel, Bruna Sande Miguel, Rafaela Pereira Neiva, Daniel Almeida da Costa, Maurício Bastos Pereira

Ophthalmology Research: An International Journal, Page 7-13
DOI: 10.9734/or/2022/v17i230252

Aims: To describe a Neovascular Glaucoma Secondary to Bloch-Sulzberger Syndrome.

Presentation of Case: A.B.F. female, 23 years old, claimed significant pain sensation and hyperemia in the left eye (LE) for 45 days, without triggering factors. She came to the consultation with a previous diagnosis of Bloch-Sulzberger Syndrome with pigmented lesions in the lower limbs since childhood, being followed up by dermatology since then.

Discussion: The diagnosis of IP (Incontinentia Pigmenti) is complex because it mimics other dermatoses. The impairment in other systems, such as the ophthalmic system, with the possibility of loss of vision and functional disability is a reality. The natural history of retinal lesions is not fully understood. Vascular changes seem to start in the first weeks of life and progress after birth for weeks or months, and may stabilize at any stage, leaving numerous sequelae.

Conclusions: Incontinentia pigmenti is difficult to diagnose and, at each evolutionary stage, presents many differential diagnoses. Eye injuries can lead to blindness as a consequence of ischemic events that can start soon after birth.

Open Access Case study

Chemical Injury Due to Pain Balm: Case Series

Neha Namdeo, Nikhilesh Wairagade, Pradeep Tekade

Ophthalmology Research: An International Journal, Page 14-17
DOI: 10.9734/or/2022/v17i230253

Ocular chemical injuries accounts for 11.5% to 22.1% of ocular injuries. Ocular chemical burns are an ophthalmic emergency and requires immediate treatment. We report a series of three cases of chemical injury secondary to accidental exposure to red balm used as local application for headache. In our cases menthol, cajuput oil and capsaicin might have contributed to chemical injury and nerve damage. Nerve damage might have lead to delayed epithelial healing. All three patients improved completely within 1 to 3 week.

Open Access Original Research Article

Study of Clinical and Etiological Pattern of Anterior Uveitis in Western Odisha

M. Nivetha

Ophthalmology Research: An International Journal, Page 1-6
DOI: 10.9734/or/2022/v17i230251

Background and Objectives: Uveitis is a potentially sight-threatening disease affecting people from all over the world. It attributes to 5-20% of legal blindness in developed countries and 25% of blindness in the developing world. Uveitis includes a varied group of intraocular inflammatory conditions that may occur at any age but affect mostly working-age people. The average annual incidence of uveitis has been reported as approximately 14- 17/1,00,000. Aim is to study the clinical and etiological pattern of anterior uveitis. Objectives are to evaluate the clinical pattern of anterior uveitis, to study the etiological pattern of anterior uveitis, to identify the complications of anterior uveitis, to assess the treatment outcome. Methods: A prospective clinical study was done in the Department of Ophthalmology, Rourkela, Odisha during September 2019 - March 2021 (18 months)between the age group of 20-80 years. Each patient was called for follow up on 1st day, 2nd day, 1 week, 3 weeks, 6 weeks from the day of presentation The complications like posterior synechiae, complicated cataract, raised IOP, macular edema were noted and the response to treatment was recorded and evaluated in each patient. Results and conclusion: Despite all efforts to identify the cause, the most common cause of anterior uveitis remained idiopathic (48.6% ) followed by immune related cause (20.3%). Visual acuity was 6/12 or worse in majority of the patients at presentation and following medical line of treatment most patients regained visual acuity of 6/9 or better after 6 weeks, which was statistically significant (p<0.0001).

Open Access Original Research Article

Comparison of the OSDI Questionnaire, the Tear Film Break-up Time and Schirmer Tests for the Evaluation of Tear Film in Computer users and Contact Lenses without Dry Eye Symptoms

Themistoklis K. Gialelis, Aikaterini E. Mouzaka, Michail Chouzouris

Ophthalmology Research: An International Journal, Page 18-24
DOI: 10.9734/or/2022/v17i230254

Aims: To compare the diagnostic values of the OSDI, the Schirmer’s and tear film breakup time test to check for dry eye in healthy adult students using computers and contact lenses.

Methodology: Our sample consisted of hundred (100) eyes from fifty (50) healthy adults aged 18-24 years students at the University of West Attica (25 participants were contact lens wearers, while the remaining 25 were not). All participants were exposed to a computer screen or a mobile screen. Qualitative tear measurement was performed with Tear Break-Up Time Test (TBUT), quantitative measurement of tears with Schirmer Test and use of the Ocular Surface Disease Index (OSDI).

Results: During the analysis of the results, it was found that OSDI was inversely proportional to the TBUT test and the Schirmer test. 60% did not have dry eye, 34% had a mild dry eye, 4% had moderate dry eye and 2% had severe dry eye. Α statistically significant relationship  existed between OSDI and the other variables as well as the TBUT test with Schirmer test (p-value <0.05).

Conclusion: The OSDI questionnaire, used in conjunction with the TBUT test, was easy to perform and could be helpful in supporting the diagnosis of dry eye syndrome.

Open Access Original Research Article

Demographic Profile & Pattern of Ocular and Adnexal Injuries from Sloth Bear Maul: a Study in Tertiary Centre of Bilaspur District, Chhattisgarh

Prabha Sonwani, Suchita Singh

Ophthalmology Research: An International Journal, Page 25-32
DOI: 10.9734/or/2022/v17i230255

This study was done in all cases of bear attacked patSients admitted in our tertiary centre Chhattisgarh institute of medical science (CIMS) who suffered ocular and adnexal injuries. Sloth bear (Melursus ursinus) is found to be native in many forest areas of the state of Chhattisgarh including North Bilaspur Forest Division (NBFD). The study was conducted in the department of ophthalmology, Chhattisgarh institute of medical science (CIMS) Bilaspur Chhattisgarh for the duration of 3 years (January 2018 to December 2020).  All patients who were admitted in our institute with ocular and/or adnexal injuries from bear attack have been included in this study. 27 patients were attacked by sloth bear in the forest areas of Bilaspur division and referred to our tertiary centre. These patients had ocular and adnexal injuries.  These bears were found roaming in the forest areas and also at places of human and animal habitats. 67% (18 of 27) patients were attacked in the forest areas, while some were attacked in the crop fields (15%), home courtyard (7%) and near water bodies (11%).  Sloth bears are one of the most aggressive bears who have attacked human populations. The injuries cause severe visual loss and disfigurement to eyeball and adnexa. Proper measures are needed to be implemented to prevent such cases in future.