Long-term outcome of custom toric intraocular lens for treating high astigmatism in case of cataract associated with pellucid marginal corneal degeneration
Himanshu Matalia, Chinnappaiah Nandini, Jyoti MataliaIndian Journal of Ophthalmology 2020 68(12):3082-3084 Pellucid marginal corneal degeneration (PMCD) is a progressive corneal ectasia that ultimately results in high regular astigmatism and correction of this astigmatism is always challenging. However, when a PMCD patient develops a cataract, it provides a golden opportunity to treat this coexisting astigmatism with toric intraocular lens (IOL) implantation. Regular toric IOLs would correct astigmatism only up to 6 diopters in the IOL plane but higher astigmatism would require customization of such IOLs. Our case report ...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Himanshu Matalia Chinnappaiah Nandini Jyoti Matalia Source Type: research

Pregnancy-induced keractesia & #8211; A case series with a review of the literature
We report a case series of patients who developed post-laser-assisted in situ keratomileusis (LASIK) ectasia or had a progression of keractesia during pregnancy. We reviewed the medical records of 12 patients (20 eyes) who had reported deterioration of vision during their pregnancy and were diagnosed with keractesia. All 12 patients had experienced symptoms of deterioration of vision between 2 months to 1 year of onset of their pregnancies. A total of 17 eyes of 10 patients had developed post-refractive surgery keractesia. Sixteen of these had undergone LASIK and one had undergone femtosecond lenticule extraction (FLEX). T...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Mukesh Taneja Pravin K Vadavalli Vikas Veerwal Ruchi Gour Jagadesh Reddy Varsha M Rathi Source Type: research

Coincident keratoconus and Fuchs & #39; endothelial dystrophy: Dual dystrophies mask progression
We present an interesting case of a 58-year-old woman who presented coincident keratoconus and Fuchs' endothelial dystrophy. During the 7months following initial presentation, a decline in visual acuity was associated with an apparent improvement in keratoconus, as characterized by corneal tomography parameters, while an increase in corneal pachymetry was also observed. The patient has been managed with left endothelial keratoplasty. This case poses the interesting question of how to classify coincident corneal disease, as traditional parameters for grading the severity of KC are altered by the presence of Fuchs' E...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Nancy Wang James McKelvie Source Type: research

Traumatic dislocation of an implantable phakic contact lens
Ravi K Kanaradi, Namrata Bhuta, Naren Shetty, Rohit Shetty, Chaitra JayadevIndian Journal of Ophthalmology 2020 68(12):3072-3074 Ocular trauma can range from trivial to significant, with varying implications on the visual acuity and prognosis. A 32-year-old woman presented with complaints of blurring of vision following blunt ocular trauma with a previous history of having undergone implantable phakic contact lens (IPCL V2.0) implantation 2 years back. The corrected distance visual acuity (CDVA) was 20/20 in the right eye and 20/30 in the left eye. Slit-lamp examination revealed a prolapse of inferonasal IPCL footplate in...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Ravi K Kanaradi Namrata Bhuta Naren Shetty Rohit Shetty Chaitra Jayadev Source Type: research

Management of anisocoria and high vault in an eye with implantable collamer lens
Arjun Srirampur, Tarannum Mansoori, Pasyanthi Balijepalli, Aruna Kumari GaddeIndian Journal of Ophthalmology 2020 68(12):3070-3072 A young lady presented with very high vault and fixed dilated pupil along with optic capture of the implantable collamer lens (ICL). After thorough evaluation and ruling out the ICL sizing error, the optic capture was relieved and the ICL was rotated into vertical position. Single-pass four throw pupilloplasty was performed for the fixed dilated pupil. Postoperatively the ICL vault and the pupil size decreased and patient was asymptomatic. This case highlights a successful outcome of rotation ...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Arjun Srirampur Tarannum Mansoori Pasyanthi Balijepalli Aruna Kumari Gadde Source Type: research

Commentary: Infectious keratitis after small incision lenticule extraction
Uma Sridhar, Koushik TripathyIndian Journal of Ophthalmology 2020 68(12):3066-3070 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Uma Sridhar Koushik Tripathy Source Type: research

Management of infectious keratitis following uneventful small-incision lenticule extraction using a multimodal approach & #8211; A case report
Sri Ganesh, Sheetal Brar, BN NageshIndian Journal of Ophthalmology 2020 68(12):3064-3066 A 42-year-old female presented with pain, photophobia, and superficial corneal infiltrates in mid-periphery in the left eye, after 2 days of uneventful bilateral SMILE procedure. Inspite of the medical treatment with fortified antibiotics, the infection spread to the interface, close to visual axis reducing UDVA from 20/16 to 20/80. Immediate surgical intervention in the form of scraping of interface lesions with 26G needle, interface wash with antibiotics and photoactivated chromophore for keratitis (PACK-CXL) was performed. After 24...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Sri Ganesh Sheetal Brar BN Nagesh Source Type: research

Epithelial ingrowth following small incision lenticule extraction
Sanjana Srivatsa, Shana SoodIndian Journal of Ophthalmology 2020 68(12):3062-3064 A 27-year-old female patient came for a routine postoperative check-up, with a history of bilateral ReLEx small incision lenticule extraction (SMILE) surgery done 1.5 years back. On examination, epithelial ingrowth was noticed in the left eye at 8–9'o'clock position. Topography showed excess flattening in the area of ingrowth. Anterior Segment OCT showed hyper-reflectivity and was measured to be at a depth of 120 microns from the corneal surface. As the ingrowth appeared non-progressive, with no involvement of the pupillary axi...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Sanjana Srivatsa Shana Sood Source Type: research

Management of cap striae following challenging small incision lenticule extraction surgery & #8211; A case report
Sri Ganesh, Skanda Sri Ganesh, Ronald Gaster, Sheetal BrarIndian Journal of Ophthalmology 2020 68(12):3060-3061 A 24-year-old female underwent small incision lenticule extraction (SMILE) for myopic astigmatism OU. In the left eye, cap-lenticular adhesion along with tearing of the cap occurred, resulting in a gaped incision and transverse striae involving the visual axis on the first post op day. Uncorrected distance visual acuity (UDVA) was 20/32. The case was managed with interface wash and stretching of the cap, in order to iron out the striae. Post intervention, the UDVA improved to 20/20, striae resolved, and interfac...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Sri Ganesh Skanda Sri Ganesh Ronald Gaster Sheetal Brar Source Type: research

Long-term viability of allogenic donor stroma
This report affirms the potential long-term clarity and resilience of allogenic stromal cornea and supports its use as a potential stabilizing option in cornea allogenic intrastromal ring segments for keratoconus and variations thereof for other cornea disorders. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Emmett F Carpel Christopher Santilli Amanda Maltry Source Type: research

Epithelial remodelling masquerading as keratoconus progression: An interesting case report
Krati Gupta, Vaitheeshwaran Ganeshan Lalgudi, Vishal Arora, Sneha Gupta, Pooja KhamarIndian Journal of Ophthalmology 2020 68(12):3053-3057 A 25-year-old male patient presented with chief complaints of itching in both eyes (OU) for the past one month. Detailed ophthalmic examination showed best-corrected visual acuity of 6/6 OU. On slit-lamp examination of the left eye, Vogt's striae were documented and rest of the anterior segment was normal OU. Pentacam-HR and ASOCT confirmed the diagnosis of keratoconus. The patient was started on Trehalose containing preparation for both eyes. On follow-up visit at 8 months, progre...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Krati Gupta Vaitheeshwaran Ganeshan Lalgudi Vishal Arora Sneha Gupta Pooja Khamar Source Type: research

Case report of a uniocular topography guided laser-assisted in situ keratomileusis enhancement following an incorrectly treated astigmatic axis
Hitendra Ahooja, Sridhar Prasad, Kaushal Gautam, Bikram GhimireIndian Journal of Ophthalmology 2020 68(12):3050-3053 A 23-year-old male presented to us wanting spectacle removal for cosmetic purposes. He underwent bilateral wavefront optimized (WFO) laser-assisted in situ keratomileusis (LASIK) on the Alcon Wavelight ® EX-500 excimer laser with an incorrectly treated astigmatism axis for left eye due to a manual data entry error in the laser. WFO LASIK treats the sphere and cylinder only. LASIK enhancement with topographic-guided ablation resulted in the elimination of all refractive errors and gave excellent results...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Hitendra Ahooja Sridhar Prasad Kaushal Gautam Bikram Ghimire Source Type: research

Recurrent refractive error after myopic laser-assisted in situ keratomileusis & #8211; What could be the reason ?
Radhika Natarajan, Raj S PaulIndian Journal of Ophthalmology 2020 68(12):3048-3050 Recurrence of myopia after myopic LASIK reduces the outcome of the procedure. Important causes include post-LASIK ectasia, regression of myopia, accommodative strain, and lens or axial length changes. Herein, we present a case of myopia recurring after LASIK and try to arrive at the possible diagnosis among these, as the treatment differs for each. The detailed evaluation showed that our patient had regression of myopia after LASIK. Of the multiple causes for recurrence of refractive error after myopic laser vision correction, it is importa...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Radhika Natarajan Raj S Paul Source Type: research

Non adherence of flap following microkeratome-assisted laser-assisted in situ keratomileusis: A case report and review of literature
Ashok Sharma, Rajan SharmaIndian Journal of Ophthalmology 2020 68(12):3045-3047 A 28-year-old male underwent microkeratome assisted Laser-assisted in situ keratomileusis (LASIK) for, myopia. On postoperative day 1, patient had a large epithelial defect in OD. The corneal epithelial defect healed within 72 hours, but sub-optimal vision persisted. The patient was referred for further management to us. On evaluation, patient had non-healing of flap margin at 5 o'clock. Fluoroscein stain revealed no corneal epithelial defect, but a large pool of dye beneath the LASIK flap. A clinical diagnosis of non-adherence of LASIK fl...
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Ashok Sharma Rajan Sharma Source Type: research

Infectious keratitis after transepithelial photorefractive keratectomy: A case report
We present a case of a 22-year-old man with infectious keratitis in his left eye 8 days after an uneventful bilateral tPRK. A 2 mm × 5 mm anterior stromal area of corneal infiltration with a same sized overlying epithelial defect was noted at the time of presentation. His uncorrected distance visual acuity was 20/63 in his left eye. Corneal scrapings showed Bordetella bronchiseptica. The infection responded to intensive treatment with topical levofloxacin 0.5% eye drops. The final visual acuity was 20/20 in the left eye. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Suoqing Zhuang Vishal Jhanji Lixia Sun Jinyu Li Jingjing Jiang Riping Zhang Source Type: research

Pigment dispersion syndrome diagnosed after photorefractive keratectomy & #8212;A case report
We report a case of a young myopic male who presented with bilateral pigment dispersion syndrome 9 months after an uneventful photorefractive keratectomy. A meticulous ocular examination is the cornerstone of a successful refractive surgery. Through this report, we highlight the need for gonioscopy to be included as a routine examination in screening for refractive surgery. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Tulika Chauhan Sanchi Vohra Sagarika Patyal Source Type: research

Repeated phototherapeutic keratectomy (PTK) followed by PTK with photorefractive keratectomy for anterior granular corneal dystrophy
Uma Sridhar, Koushik Tripathy, Yogeshwari BansalIndian Journal of Ophthalmology 2020 68(12):3038-3040Two preteen siblings with the anterior-stromal variant of granular corneal dystrophy type 1 underwent multiple phototherapeutic keratectomies (PTK) (due to recurrences of the dystrophy) with progressively increasing hyperopia after each procedure. The last procedure performed was an additional photorefractive keratectomy along with the PTK which led to a decrease in the hyperopia with better refractive outcomes. The addition of mitomycin C may have led to a delay in the recurrence of the dystrophy. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Uma Sridhar Koushik Tripathy Yogeshwari Bansal Source Type: research

Spoons in the eye
Surbhi Khurana, Parul Chawla Gupta, Jagat RamIndian Journal of Ophthalmology 2020 68(12):3037-3037 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Surbhi Khurana Parul Chawla Gupta Jagat Ram Source Type: research

Epithelial ingrowth & #8212;Islands in the clear sea
Pavani M Penugondla, Srinivasa S Sastry, Sreenivasa P RaoIndian Journal of Ophthalmology 2020 68(12):3036-3036 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Pavani M Penugondla Srinivasa S Sastry Sreenivasa P Rao Source Type: research

Clear crescent: Laser-assisted in situ keratomileusis flap displacement
Rahul K Bafna, Namrata Sharma, Karthikeyan MahalingamIndian Journal of Ophthalmology 2020 68(12):3035-3035 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Rahul K Bafna Namrata Sharma Karthikeyan Mahalingam Source Type: research

Recurrent late onset diffuse lamellar keratitis
Sushmita G Shah, Gaurav Y ShahIndian Journal of Ophthalmology 2020 68(12):3033-3034 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Sushmita G Shah Gaurav Y Shah Source Type: research

Inadvertent inversion of corneal flap following microkeratome-assisted laser-assisted in situ keratomileusis
Ashok Sharma, Rajan SharmaIndian Journal of Ophthalmology 2020 68(12):3031-3032 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Ashok Sharma Rajan Sharma Source Type: research

Excimer laser phototherapeutic keratectomy with mitomycin C application to treat haze after myopic photorefractive keratectomy
Priyanka Sudanaboina, Somasheila I Murthy, Varsha M RathiIndian Journal of Ophthalmology 2020 68(12):3030-3031 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Priyanka Sudanaboina Somasheila I Murthy Varsha M Rathi Source Type: research

Comparison of an aspheric monofocal intraocular lens with the new generation monofocal lens using defocus curve
Conclusion: Tecnis Eyhance IOL with its better defocus curve, not only provides good distance, but intermediate vision as well. With significantly better visual acuity across the range of near and intermediate vision, Tecnis Eyhance IOL can prove to be a viable and reasonable option for patients who are more dependent on intermediate vision in daily activities. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Sonam Yangzes Neha Kamble Sartaj Grewal Satinder P S Grewal Source Type: research

Randomized trial comparing visual outcomes of toric intraocular lens implantation using manual and digital marker
Conclusion: Accurate manual marking and digital marking are equally effective guides for toric IOL alignment, intraoperatively. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Shreesha K Kodavoor J Divya Ramamurthy Dandapani Chitra Ramamurthy Shreyas Ramamurthy Gitansha Sachdev Source Type: research

Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery
Conclusion: Accurate measurement of parameters and proper calculation reduce the postoperative residual astigmatism after toric IOL. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Mayuri Sh Patil Archana S Nikose Shadwala Bharti Source Type: research

Pupillodynamics and corneal spherical aberrations in a set of Indian cataract patients and its implications for aberrometric customisation of intraocular lenses
Conclusion: The mean corneal spherical aberration corresponding to the average mesopic pupil size of our patient population was substantially lower than that of the scotopic pupil size and also less than the amount corrected by most of the negative aspheric IOLs. This perhaps indicates the need for customising IOLs based on the spherical aberrations of cornea at the zone corresponding to the mesopic pupil diameter for optimal residual total postoperative spherical aberrations. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Mukesh J Paryani Varun Kharbanda Mathew Kurian Kummelil Kareeshma Wadia Ambarish B Darak Source Type: research

Safety and efficacy of toric implantable collamer lens V4c model & #8211; A retrospective South Indian study
Conclusion: V4c TICL is a highly effective, safe, and predictable option in treating myopic astigmatism with excellent improvement in vision and spectacle independence. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: S Ravi Chaitanya Venugopal Anitha Meenakshi Ravindran Aditya Ghorpade Ramakrishnan Rengappa Mahammed Sithiq Uduman Source Type: research

Clear lens extraction for patients who are unfit for laser-assisted in situ keratomileusis and implantable contact lenses in central Indian population
Conclusion: CLE with implantation of IOL is the safe procedure for correcting high myopia in patients who are unfit for ICL. None of the patient had eye loss in the follow-up period of 5 years. The low incidence of complications can be attributable to the closed chamber lens removal and implantation of IOL and prophylactic retinal treatment. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Rajesh Subhash Joshi Source Type: research

The effect of refractive surgery on blur thresholds
Conclusion: All three blur thresholds showed an insignificant minimal increase at 1 month post-operatively suggesting that patients adapt to the induced blur following refractive surgery. A longer follow up would reveal how the adaptation to blur would change with time. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Rachapalle Reddi Sudhir Hadiya Farhath Pattan Mehal Rathore Mohana Kuppuswamy Parthasarathy Prema Padmanabhan Vasudevan Lakshminarayanan Source Type: research

Validity of percentage tissue altered as a screening formula for post laser-assisted in-situ keratomileusis ectasia in Indian eyes
Conclusion: Careful selection of patients is mandatory before proceeding for LASIK. Factors like corneal thickness, RSB, degree of myopia, and AD are more important. The role of mPTA >0.4 as an independent risk factor for post LASIK ectasia is questionable in Indian eyes. Other factors or a modified formula suitable for Indian eyes needs to be investigated. A larger follow-up period is also required as ectasia has been known to develop even after 2 years. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Karan Bhatia Aniket Shastri Deepak Mishra KV Satyamurthy Ruchita Manaktala Renuka Rati Source Type: research

Effect of timolol maleate (0.5 & #37;) in the management of myopic regression post laser-assisted in-situ keratomileusis: Clinical and topographical outcomes
Conclusion: Timolol maleate (0.5%) eyedrop is an effective modality for the treatment of refractive regression post LASIK circumventing the need for laser re-treatment in such patients. The most probable mechanism is reversal of the anterior bowing of the cornea in response to intraocular pressure changes. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Aastha Singh Abha Gour Abhishek Dave Lokesh Chouhan Arjun Buckshey Umang Mathur Source Type: research

Comparative analysis of predictability and accuracy of American Society of Cataract and Refractive Surgery online calculator with Haigis-L formula in post-myopic laser-assisted in-situ keratomileusis refractive surgery eyes
Conclusion: ASCRS method can be considered as an equally efficient method of IOL power calculation as the Haigis-L method in eyes which have undergone post myopic LASIK refractive surgery. ASCRS maximum & average values gave better emmetropic results. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: P Ramya Menon Madhu Shekhar R Sankarananthan Neha Agarwal CA Dhanya Hiruni K Wijesinghe Source Type: research

Long-term course of contrast sensitivity in eyes after laser-assisted in-situ keratomileusis for myopia
Conclusion: Our findings show that CS does not clinically change post LASIK. Although we were unable to identify the specific mechanism, we theorize that after LASIK there is a possibility for the compensation of HOA. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Osamu Hieda Yo Nakamura Koichi Wakimasu Kiyoshi Yamamura Shigeru Kinoshita Chie Sotozono Source Type: research

Study of change in contrast sensitivity in relation to depth of ablation after wavefront optimized myopic laser-assisted in situ keratomileusis
Conclusion: There was a significant improvement in CS after WFO myopic LASIK in all patients irrespective of ablation depth (up to 94.62 μ). (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Mallikarjun M Heralgi V Kavitha Manisha Dwivedi V Preethi BV Roopasree J Rajashekar Ankit Deokar Source Type: research

Study on change in corneal biomechanics and effect of percent tissue altered in myopic laser-assisted in situ keratomileusis
Conclusion: Myopic FS LASIK causes a decrease in corneal biomechanics with a significant negative correlation with PTA indicating a greater decrease in corneal biomechanics with higher PTA. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Murugesan Vanathi Suresh Azimeera Noopur Gupta Radhika Tandon Source Type: research

Post laser-assisted in-situ keratomileusis dry eye disease and temporary punctal plugs
Conclusion: Preventative temporary punctal plug placement during LASIK appears to reduce dry eye disease in the short term, without affecting visual acuity outcomes. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Achia Nemet Michael Mimouni Idan Hecht Negme Assad Igor Kaiserman Source Type: research

Visual outcomes of sterile corneal infiltrates after photorefractive keratectomy
Conclusion: Sterile infiltrates following PRK can be effectively treated with aggressive topical steroids. The outcome is generally favorable and does not require surgical intervention if treatment is instituted early. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Pratik Gogri Mubashir Parkar Sushank A Bhalerao Source Type: research

Photorefractive keratectomy (PRK) Prediction, Examination, tReatment, Follow-up, Evaluation, Chronic Treatment (PERFECT) protocol - A new algorithmic approach for managing post PRK haze
Conclusion: Thus identifying and treating risk factors of haze in patients undergoing PRK could improve surgical outcomes and patient satisfaction. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Gairik Kundu Sharon D ' Souza Vaitheeswaran Ganesan Lalgudi Vishal Arora Aishwarya Chhabra Kalyani Deshpande Rohit Shetty Source Type: research

Corneal curvature, asphericity, and aberrations after transepithelial photorefractive keratectomy and femtosecond laser-assisted in situ keratomileusis for myopia: A prospective comparative study
Conclusion: TPRK changes the corneal curvature to a greater extent and the visual quality (Q-value, aberrations) to a lesser extent than FS-LASIK. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Ya-Li Zhang Xiang-Hui Xu Li-Jun Cao Lei Liu Source Type: research

Prognostic factors of visual quality after transepithelial photorefractive keratectomy in patients with low-to-moderate myopia
Conclusion: Postoperatively induced corneal HOAs may affect patients' scotopic vision (night time driving, cinema) when the pupils get larger. The relationship between patient age, preoperative MSE, Km, CAD, TZ, OZ, AZ, and postoperative corneal HOAs underlines the need to consider the effects of these parameters on the final vision quality. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Buse Guneri Beser Elvin Yildiz Ece Turan Vural Source Type: research

Topical vitamin C, vitamin E, and acetylcysteine as corneal wound healing agents: A comparative study
Conclusion: The three trial drugs with different mechanism of action showed similar effect on healing of the experimentally created corneal wounds in rabbits, with comparison showing statistical insignificance. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Gaganjeet S Gujral SN Askari Shamim Ahmad Shaik M Zakir Komal Saluja Source Type: research

Inter-observer agreement and sensitivity of Optomap images for screening peripheral retinal lesions in patients undergoing refractive surgery
Conclusion: The Optomap 200Tx showed a high sensitivity and moderate specificity for identifying peripheral retinal lesions in eyes undergoing refractive surgery. The Optomap examination is a convenient, fast and feasible method for detecting the pathological fundus changes in myopic eyes. The reliability of the examination improves when the images are interpreted by a reader with prior retinal training. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Ramesh Venkatesh Jophy Philips Cherry Nikitha Gurram Reddy Aaditi Anilkumar Akhila Sridharan Sajjan Sangai Rohit Shetty Naresh Kumar Yadav Chaitra Jayadev Source Type: research

Age-related variation in corneal biomechanical parameters in healthy Indians
Conclusion: Corneal biomechanical parameters are affected by age as cornea becomes progressively stiffer. The information reported here would serve as a reference for future corneal biomechanical researches and would help in differentiating the abnormal eyes from normal healthy eyes. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Vaishal P Kenia Raj V Kenia Onkar H Pirdankar Source Type: research

Variations in the central corneal thickness during the menstrual cycle in Indian women
Conclusion: The CCT value was significantly (P < 0.001) higher during ovulation compared to the beginning and end of the menstrual cycle. Our study recommends adding menstrual history in the workup of women undergoing refractive surgery as physiological variations in the CCT may result in unexpected surgical outcomes. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Deepak Mishra Prashant Bhushan Shikha Sachan MK Singh Chaitra Jayadev Pallak Kusumgar Source Type: research

Short-term changes in topometric indices after discontinuation of rigid gas permeable lens wear in keratoconic eyes
Conclusion: Maximum changes in keratometry and pachymetry values following discontinuation of RGP lens wear stabilize within the 1st week of cessation of rigid lens wear in a keratoconic cornea. These changes were more pronounced in patients with severe keratoconus and those with an apical bearing fit. This information would be useful for practitioners to assess the progression of keratoconus in RGP lens users before collagen cross-linking. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Preetam Kumar Mohd Hasnat Ali Jagadesh C Reddy Pravin K Vaddavalli Source Type: research

Long-term changes in contrast-sensitivity, corneal topography and higher-order aberrations after upper eyelid blepharoplasty: A prospective interventional study
Conclusion: The UEB may produce long-term, visually-beneficial, optical, and corneal changes. The patients undergoing cataract surgery aiming for spectacle independence may gain additional visual benefits with UEB. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Kasturi Bhattacharjee Divakant Misra Manpreet Singh Nilutparna Deori Source Type: research

Repeatability of Orbscan III for anterior segment parameters in normal eyes
Conclusion: Orbscan III provides repeatable measurements of Sim-k, anterior chamber depth, thinnest corneal thickness, 3 mm and 5 mm zonal irregularity and white-to-white diameter in healthy eyes. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Mohita Sharma Neha Jain Ann S Koshy Vishal Arora Vaitheeswaran G Lalgudi Source Type: research

Study of tear film optics and its impact on quality of vision
Conclusion: Tear film optics can have an important bearing on the quality of vision and quality of life. A detailed assessment preoperatively will help improve surgical outcomes and patient satisfaction. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Sharon D ' Souza Sriram Annavajjhala Prashansa Thakur Ritika Mullick SJ Tejal Naren Shetty Source Type: research

Screening and prophylaxis of retinal degenerations prior to refractive surgery
This article aims to provide a set of guidelines for the management of retinal degenerations in eyes undergoing refractive surgeries. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Ramesh Venkatesh Edwin James Chaitra Jayadev Source Type: research