COVID-19-associated papilledema secondary to cerebral venous thrombosis in a young patient
Shruthy V Ramesh, Prasanna V Ramesh, Meena K Ramesh, Veenashankari Padmanabhan, Ramesh RajasekaranIndian Journal of Ophthalmology 2021 69(3):770-772 The severity of coronavirus disease 2019 (COVID-19) has been frequently associated with acute respiratory distress syndrome. In this case report, an atypical presentation of COVID-19 in young with a thromboembolic event is reported. The patient initially presented with fever of unknown origin not responding to therapy. On examination, visual acuity was 20/20 in both eyes with bilateral disc oedema and disc haemorrhage in the right eye. Erythrocyte sedimentation rate, C-reacti...
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Shruthy V Ramesh Prasanna V Ramesh Meena K Ramesh Veenashankari Padmanabhan Ramesh Rajasekaran Source Type: research

Blurring of vision as the only symptom in an undiagnosed case of chronic myeloid leukemia in the COVID-19 era
Priyanka Gumaste, Rajalingam VairagyamIndian Journal of Ophthalmology 2021 69(3):768-769 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Priyanka Gumaste Rajalingam Vairagyam Source Type: research

Modified inexpensive needle for suprachoroidal triamcinolone acetonide injections in pseudophakic cystoid macular edema
Avadhesh Oli, Shrikant WaikarIndian Journal of Ophthalmology 2021 69(3):765-767 Pseudophakic cystoid macular edema (PCME) is one of the leading causes of reduced vision, after cataract surgery. Topical steroids and nonsteroidal anti-inflammatory drops are frequently used in the management; however, intravitreal injections may be required for chronic cases. Suprachoroidal injection of preservative free Triamcinolone acetonide is a recent addition to the therapeutic armamentarium of ophthalmologists for treatment of cystoid macular edema of varied etiology. Though the drug is commercially available at a reasonable cost, the...
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Avadhesh Oli Shrikant Waikar Source Type: research

Modified balanced two-string technique of internal scleral fixation of posteriorly dislocated intraocular lens
We describe a modified balanced two-string technique of internally fixing a posteriorly dislocated rigid IOL using the pars plana approach in eyes which lack adequate capsular support. Five eyes of five patients underwent the procedure. All eyes had successful IOL refixation. One eye had mild temporal decentration. BCVA improved in all patients. Our technique is an alternate method of scleral fixation of posteriorly dislocated IOL with advantages of minimal postoperative astigmatism, minimal anterior segment manipulation, and good IOL centration. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: R Madhu Kumar Vinaya Kumar Konana Ashok Kanakamedla Jayamadhury Gudimetla Swarnalatha Poluri Sudhakar Potti Source Type: research

Scleral tunnel with conjunctival autograft for rescue management of extruded haptic: Surgical technique and review of literature
Rinky Agarwal, Vishnu Todi, Rahul Kumar Bafna, Md Ibrahime Asif, Namrata SharmaIndian Journal of Ophthalmology 2021 69(3):758-761 Extrusion of haptic is a rare complication after intra-scleral haptic fixation of intraocular lens (SF-IOL). Various techniques described for its management such as autologous scleral patch, cauterization of exposed haptic, reattempting the glued IOL and IOL explant have their own limitations. Presently, we describe a simple rescue technique for management of such situations. In this method, after performing localized conjunctival peritomy, 2 mm long partial-thickness scleral tunnel is fashione...
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Rinky Agarwal Vishnu Todi Rahul Kumar Bafna Md Ibrahime Asif Namrata Sharma Source Type: research

Intraocular lens scaffold pupilloplasty: A novel technique for pupilloplasty in phakic eyes
We describe a novel technique for pupilloplasty in phakic eyes, wherein a plate haptic intraocular lens or phakic intraocular lens provides a scaffold and protects the anterior crystalline lens from subsequent surgical manoeuvres. The technique is demonstrated in a 24-year-old male who presented four months following blunt trauma to his left eye, with complaints of glare and difficulty in near activities secondary to traumatic mydriasis. The use of an intraocular lens scaffold allowed successful pupilloplasty without iatrogenic tissue trauma or subsequent crystalline lens opacification up to one-year follow-up. Our techniq...
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Mahipal S Sachdev Ritesh Narula Nirmala Sudhamala Gitansha S Sachdev Source Type: research

Long-term outcomes of revision endoscopic dacryocystorhinostomy aided by 4-mm coronary balloon catheter dacryoplasty
Mohammad Javed Ali, Nandini BothraIndian Journal of Ophthalmology 2021 69(3):751-754 Our purpose was assess the long-term efficacy of 4-mm coronary balloon catheter dacryoplasty in revision endoscopic dacryocystorhinostomy (RevEnDCR). This retrospective interventional case-series was performed for patients who underwent RevEnDCR aided by a 4-mm coronary balloon catheter (CBC) dacryoplasty. The indications for the surgery were previously failed DCRs by external or endoscopic approach where the ostium showed near total cicatrization with or without the presence of organized granuloma threatening the internal common opening ...
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Mohammad Javed Ali Nandini Bothra Source Type: research

Optometric education in the post-COVID-19 era: A time of forced change!
This article uses an inductive approach and outlines the existing challenges, impact of COVID-19 era, the need for a mindset reframe, and the potential opportunities for innovations that underlie during these challenging times. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Krishna Kumar Ramani Jameel Rizwana Hussaindeen Source Type: research

Aerosol containment box for laser treatment of retinopathy of prematurity in COVID-19 pandemic
Parveen Sen, VV Jaichandran, Janani SreenivasanIndian Journal of Ophthalmology 2021 69(3):743-745 Type 1 retinopathy of prematurity (ROP) requires emergency intervention and laser is an established modality of treatment. Laser treatment for ROP under topical anesthesia can be considered as an aerosol-generating procedure due to crying that puts health care workers at high risk of COVID-19 transmission. Aerosol containment box (ACB) is known to minimize aerosol transmission and there are reports of ROP laser done through incubator. Combining these two ideas, we describe a new application of ACB with suction for laser treat...
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Parveen Sen VV Jaichandran Janani Sreenivasan Source Type: research

Tele-health in pediatric ophthalmology: Promises and pitfalls
Rahul Chakrabarti, Louis J Stevenson, Susan CardenIndian Journal of Ophthalmology 2021 69(3):740-742 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Rahul Chakrabarti Louis J Stevenson Susan Carden Source Type: research

Commentary: Propensity of aerosol and droplet creation during oculoplastic procedures: A risk assessment with high-speed imaging amidst COVID-19 pandemic
Mohammad Javed AliIndian Journal of Ophthalmology 2021 69(3):739-739 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Mohammad Javed Ali Source Type: research

Propensity of aerosol and droplet creation during oculoplastic procedures: A risk assessment with high-speed imaging amidst COVID-19 pandemic
Conclusion: The quantification of the aerosol generation will help surgeons take practical decisions in their surgical techniques in the pandemic era. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Roshmi Gupta Khushboo Pandey Rwituja Thomas Saptarshi Basu Bhujang Shetty Rohit Shetty Abhijit Sinha Roy Source Type: research

Profile of patients receiving intravitreal anti-vascular endothelial growth factor injections during COVID-19-related lockdown
Conclusion: The COVID-19 pandemic has led to a delay in patients receiving anti-VEGF injections. The visual acuity is worse in both treatment naïve as well as those requiring retreatment. This could have long-term impact on vision of patients requiring this vision preserving treatment. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Manavi D Sindal Kanika Chhabra Vaibhav Khanna Source Type: research

Commentary: Conquering insurmountable challenges: The importance of tele-rehabilitation
Anthony Vipin Das, Beula ChristyIndian Journal of Ophthalmology 2021 69(3):729-729 (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Anthony Vipin Das Beula Christy Source Type: research

Tele-rehabilitation for visually challenged students during COVID-19 pandemic: Lesson learned
Conclusion: Telerehabilitation provides valuable insights and has the potential to address various concerns, uncertainty, anxiety, and fear among VCS during the pandemic. (Source: Indian Journal of Ophthalmology)
Source: Indian Journal of Ophthalmology - February 17, 2021 Category: Opthalmology Authors: Suraj Singh Senjam Souvik Manna Praveen Vashist Vivek Gupta Sara Varughese Radhika Tandon Source Type: research