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Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report
Juan Gonzalo Sanchez,
Milagros Guerra,
Maria Carolina Sardi,
Maria Adelaida Piedrahita,
Claudia Patricia Acosta
Issue:
Volume 8, Issue 1, March 2023
Pages:
1-4
Received:
27 November 2022
Accepted:
30 December 2022
Published:
17 January 2023
Abstract: Background: It is described as a unilateral acute idiopathic maculopathy (UAIM) case, including spectral domain optical coherence tomography angiography (SD-OCTA) features and follow-up. Case information: the 24-week follow-up description by SD-OCTA of a 39-year-old woman with an episode of UAIM. SD-OCT showed at the beginning an upper yuxtafoveal diffuse hyperreflectivity of the outer nuclear layer (ONL), associated with a slight underlying serous detachment, and a choroidal thickness increase was observed too. Results: In SD-OCTA, a dark pattern was observed at the level of the choriocapillaris, with a progressive decrease in the size of this area with an almost complete resolution of the dark pattern during image follow-up a few weeks later. Conclusions: In the follow-up with SD-OCTA of a Unilateral Acute Idiopathic Maculopathy case, an impairment of the choriocapillaris was demonstrated that affected the outer retina with the spontaneous recovery of both. SD-OCTA can be a helpful tool to evaluate the recovery of choroidal flow for a longer time, knowing that the resolution of the changes evidenced at the choriocapillaris occurs more slowly, and complement the evaluation of these patients, with other tools that allow to accurately measure the choroidal blood flow to determine the etiology of this disease that remains controversial finally.
Abstract: Background: It is described as a unilateral acute idiopathic maculopathy (UAIM) case, including spectral domain optical coherence tomography angiography (SD-OCTA) features and follow-up. Case information: the 24-week follow-up description by SD-OCTA of a 39-year-old woman with an episode of UAIM. SD-OCT showed at the beginning an upper yuxtafoveal ...
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Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series
Pallavi Pawar,
Diwakar Pawar,
Sandeep Anjankar
Issue:
Volume 8, Issue 1, March 2023
Pages:
5-9
Received:
16 December 2022
Accepted:
11 January 2023
Published:
14 February 2023
Abstract: Diabetes Mellitus (DM, Type I and II included) are prevalent metabolic disorders that cause high blood sugar levels over an extended period of time due to unhealthy lifestyle modifications. Diabetic retinopathy (DR) is a complication that causes abnormalities in the retina to be seen as early as 10 years after the onset of DM or even earlier. The DR is main cause of visual impairment in patients with DM. Considering the limitations of standard treatments for DR there is a need for complementary medicine. Panchakarma has been documented to be effective in controlling DM. This article explores the role of diet and panchakarma in three different patients suffering with DR. The patients underwent eye assessment and evaluation of the various risk factors for DR followed by study therapy. The eye evaluations post study therapy show improvement in near vision and visual acuity in both eyes of the three patients described herein. In these patients, ophthalmoscopy confirmed that the exudates and haemorrhages were decreased post-treatment. We report no side effects or adverse events related to study therapy in the concerned patients. Hence, DR may be prevented by strict glycemic control and annual dilated eye examination by an ophthalmologist. Therefore, we conclude positive effect of study therapy for DM patients with DR. Studies with larger sample size and follow up are warranted to generalize this finding.
Abstract: Diabetes Mellitus (DM, Type I and II included) are prevalent metabolic disorders that cause high blood sugar levels over an extended period of time due to unhealthy lifestyle modifications. Diabetic retinopathy (DR) is a complication that causes abnormalities in the retina to be seen as early as 10 years after the onset of DM or even earlier. The D...
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A Profile of Ocular Trauma Cases Visiting the Ophthalmology Department in a Tertiary Care Eye Centre
Faiza Syed Jafar,
Alhaj Farhath Tasneem,
Irvathur Vittal Nayak,
Vasundhara Reddy
Issue:
Volume 8, Issue 1, March 2023
Pages:
10-19
Received:
14 December 2022
Accepted:
8 February 2023
Published:
4 March 2023
Abstract: Ocular trauma is a significant preventable cause of permanent visual morbidity and has a substantial socioeconomic impact. Hence, it is essential to understand the various causes, presentations, treatment and surgical approaches with regards to the treatment of these cases as well as prevention with safety devices. This paper aims to assess pattern of presentation and risk factors of ocular injuries attending the department of ophthalmology a tertiary care center. This was a retrospective analysis of ocular trauma cases that visited our center between 2018 to 2021 and the various diagnostic techniques and appropriate surgical methods taken with respect to each case, highlighting the visual outcome. A follow-up was maintained in all cases for three years at regular 3-4 months interval. It was found that 50% of injuries were open-globe injuries, 16.7% closed globe injuries and 25% orbital wall fractures. Majority of subjects were in the age group 21-30 years (41.7%) of which 83.3% males. The most common cause of ocular injury was road traffic accidents (66.7%) of which 37.5% were associated with two-wheeler vehicles. 41.6% presented with visual acuity less than 6/60. 83.3% required surgical treatment. 58.2% of eyes regained visual acuity greater than or equal to 6/24 of which 25% regained visual acuity of 6/9. In conclusion, ocular trauma was more common in males following road-traffic accidents particularly with two-wheeler, the majority presenting immediately following the trauma and most required surgical correction.
Abstract: Ocular trauma is a significant preventable cause of permanent visual morbidity and has a substantial socioeconomic impact. Hence, it is essential to understand the various causes, presentations, treatment and surgical approaches with regards to the treatment of these cases as well as prevention with safety devices. This paper aims to assess pattern...
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Delayed Sympathetic Ophthalmia Involving Posterior Segment a Dilemma: A Case Report
Deepesh Arora,
Anuj Sharma,
Devesh Sharma,
Dinesh Sharma
Issue:
Volume 8, Issue 1, March 2023
Pages:
20-24
Received:
5 February 2023
Accepted:
6 March 2023
Published:
16 March 2023
Abstract: We report a case of 11 year old young girl referred with complaint of right sided photophobia and pain following faucet induced trauma to left eye 3 months ago, followed by loss of sight in left eye. Patient presented to us with prepthisical left eye and anterior segment uveitis in right eye. Fundus picture revealed cream colour white nodules confirmed as Dalen Fuchs on fundus fluorescein angiography and presence of hypereflective lesions placed at level of retinal pigment epithelium with disruption of the inner and outer segment (IS/OS) junction on spectral domain optical coherence tomography. Ultrasonogram-B-scan confirmed closed funnel retinal detachment in traumatized left eye and increased choroidal thickness in sympathizing right eye. She underwent orbital computerized axial tomography scan to rule out intraocular foreign body. She was diagnosed as a case of delayed sympathetic ophthalmia. Subsequently she was put on intensive topical with oral steroids and immunesuppressive therapy constituted with oral azathioprine and methotrexate continued for one year and tapered on resolution of presenting signs. At final follow up sympathizing eye was quiescent and sympathetic eye was prepthisical. Sympathetic ophthalmia needs to be distinguished from other ocular auto-immune disorder such as Vogt Koyanagi Harada disease and Acute Multifocal Pigment Placoid Epitheliopathy to which it bears striking resemblance. As these disorders have variable response to treatment with widely differing outcome one must keep that in view while managing them. It is important to remember as the treatment is prolonged recurrences and patient drop outs are commonly noted.
Abstract: We report a case of 11 year old young girl referred with complaint of right sided photophobia and pain following faucet induced trauma to left eye 3 months ago, followed by loss of sight in left eye. Patient presented to us with prepthisical left eye and anterior segment uveitis in right eye. Fundus picture revealed cream colour white nodules confi...
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