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Nepalese Journal of Ophthalmology

Ajai Agrawal, Anupam Singh, Sanjeev Kumar Mittal
Glaucoma is the third most common cause of global visual impairment. Bilateral blindness from glaucoma is projected to affect greater than 11 million individuals worldwide by the year 2020, with a disproportionately large number of the affected individuals being of Asian descent. The disease pattern, its response to treatment, and ground realities differ among various Asian countries. Over the past decade, there have been tremendous efforts for combating cataract blindness, but unfortunately few efforts in Asian countries have been made to establish comprehensive eye care programs in the community that include management of glaucoma...
July 2017: Nepalese Journal of Ophthalmology
Jitender Jinagal, Parul Chawla Gupta, Nandita Kakkar, Jagat Ram
PURPOSE: To report a case of conjunctival epithelial inclusion cyst with atypical manifestation. METHODS: A 26-year-old male presented with a blackish-brown, subconjunctival mass located in palpebral conjunctiva of the upper eyelid. En bloc excision of the mass was performed and evaluated on histopathological examination. RESULTS: The excised mass was well defined, dark brown in colour and simulated a solid foreign body. On histopathological examination, the mass was lined by stratified squamous epithelium with florid hyperkeratosis and haemorrhage inside it, consistent with atypical conjunctival epithelial inclusion cyst...
July 2017: Nepalese Journal of Ophthalmology
Sabin Sahu, Sanjay Kumar Singh
Usher syndrome, also known as retinitis pigmentosa-dysacusis syndrome, is an extremely rare genetic disorder, characterized by retinitis pigmentosa (RP) and congenital sensorineural hearing loss. It has been estimated to account for 3-6% of the congenitally deaf population, upto 8-33% of individuals with RP and half of all cases with combined deafness and blindness (Vernon M,1969; Boughman JA et al,1983). The prevalence of Usher syndrome have been reported to range from 3.5 to 6.2 per 100,000 in different populations (Vernon M,1969; Boughman JA et al,1983; Yan D et al, 2010)...
July 2017: Nepalese Journal of Ophthalmology
Rajya Laxmi Gurung
The exact pathogenesis of macular hole (MH) is controversial with most of the cases being idiopathic. Trauma is an important cause of secondary MH formation. MH post Pars Plana Vitrectomy (PPV) is an even rare entity with only a handful of cases reported so far ( Kumagai et al, 2008; Smiddy W.E, 1993; Kimura et al, 2005). An even rarer event is spontaneous closure of post PPV full thickness macular hole (FTMH), though spontaneous closure of traumatic macular hole (TMH) has been reported before. Herein, we report a 26 year old male patient who developed FTMH post PPV that closed spontaneously...
July 2017: Nepalese Journal of Ophthalmology
Kirti Singh Singh, Mainak Bhattacharyya, Keerti Wali, Kartik Rana, Divya Jain
INTRODUCTION: Ocular decompression retinopathy (ODR) is a relatively rare entity with variable prognosis depending on extent and pre-existing condition. This article describes profile of two cases with a brief review of the condition. CASE REPORT: Case 1 highlights extensive choroidal detachment with subhyaloid haemorrhage and multiple intra-retinal hemorrhages in the posterior pole seen on first post-operative day in a 6 year old child with congenital glaucoma who underwent Trab & Trab...
July 2017: Nepalese Journal of Ophthalmology
Parthopratim Dutta Majumder, Nagalekshmi Ganesh Ganesh, Vijay Pratap Singh Tomar, Ranju Kharel, Parveen Sen
Pigmented free-floating vitreous cyst in retrolental space is rare. It can represent its congenital origin after spontaneous detachment from the ciliary body epithelium or after trivial injury. We report a case of pigmented, free floating non-infective vitreous cyst in a 10 year old child who presented with compliant of transient blurring of vision three days after she joined swimming class. A thorough eye examination with ultrasound B scan and ultrasound biomicroscopy was done to rule out any other associated conditions...
July 2017: Nepalese Journal of Ophthalmology
Prachi Abhishek Dave, Manisha Agarwal, Neelam Sapra, Prajakta Kimmatkar
INTRODUCTION: Nocardia is a common cause of corneal infections but is a rare cause of choroidal abscess. We report a rare case of choroidal abscess, secondary to Nocardia and its management. CASE: We report a case of choroidal abscess secondary to Nocardia asteroides species in an immunocompetent young male diagnosed by culture positivity of vitreous biopsy. He was managed by oral trimethoprimsulfamethoxazole and intravitreal Amikacin injections. CONCLUSION: All the previous reported cases were found to be immunocompromised patients...
July 2017: Nepalese Journal of Ophthalmology
Shankar P Shah, S T Chetri, Poonam Paudyal, P Lavaju, B P Shah, S Misra
BACKGROUND: Sinonasal lymphomas are the commonest nonepithelial malignancies of the nasal cavity and paranasal sinuses. They may spread from their site of origin in nasal cavity and invade adjacent structures including orbits leading to varying presentation and a diagnostic dilemma. CASE: A-77- year old Nepalese male presented with swelling of left eye since 1 month and pain in the same eye since 2 days. OBSERVATION: Examination revealed axial proptosis, swelling of lids, restricted extraocular movement, diffuse conjunctival and ciliary congestion with chemosis...
July 2017: Nepalese Journal of Ophthalmology
K Jisha, P S Rajesh, George Kurien, Gargi Sathish, N Vijayamma
BACKGROUND: Blepharitis is a very common condition encountered in ophthalmology outpatient care department. Dermatological diseases like seborrheic keratopathy and rosacea have been frequently discussed as being associated with blepharitis. However Discoid lupus erythematosis [DLE], an autoimmune condition has only rarely been reported to involve the eyelids mimicking blepharitis. DLE affecting the eyelids can produce significant morbidity with lid deformities, trichiasis and symblepharon if left untreated...
July 2017: Nepalese Journal of Ophthalmology
Meenu Chaudhary, D N Shah, R P Chaudhary
INTRODUCTION: Takayasu's disease (TD) (pulseless disease, aortic arch syndrome) is a rare but potentially life-threatening chronic giant cell vasculitis. The major complications attributed to the disease include Takayasu's retinopathy, secondary hypertension, aortic regurgitation, and arterial aneurysm. The aim of this study is to describe a patient with Takayasu's disease and scleritis and to show its association. CASE REPORT: We describe a 44-year-old female patient with Takayasu's disease who presented with bilateral anterior scleritis in the form of painful red eye...
July 2017: Nepalese Journal of Ophthalmology
Lubna Khan, Malukani Malukani, Ankur Saxena
INTRODUCTION: The conjunctiva is a thin and flexible mucus membrane that provides a protective barrier for the eye. Very few histopathologic studies have been conducted on biopsies from conjunctival lesions (CL) in central India. OBJECTIVE: To study the spectrum of CL and define those lesions that need attention with regard to need of biopsy in order to prevent grave sequelae and ocular morbidity. RESULTS: Degenerative conditions such as pterygium followed by pinguicula were the commonest lesions seen in conjunctiva...
July 2017: Nepalese Journal of Ophthalmology
Eliya Shrestha, Hari Bikram Adhikari, Indra Man Maharjan, Babita Gurung
INTRODUCTION: Himalaya Eye Hospital (HEH), established in 1993, is providing eye care services in Gandaki, Dhaulagiri and Karnali zones. It has been providing surgical and nonsurgical eye camps in rural areas of Gandaki, Dhaulagiri and Karnali zones. The aim of this study was to determine the prevalence of ocular and systemic co morbidities among the persons treated in rural Asian setting. METHOD: This is the prospective non-interventional study. Patients who came to take services in surgical eye camp in rural area of Nepal were included...
July 2017: Nepalese Journal of Ophthalmology
Rajesh Subhash Joshi
INTRODUCTION: Preexisting posterior capsular opacification is commonly seen in the developing world due to late presentation of patients for cataract surgery. Patients are implanted with either hydrophilic or hydrophobic IOL. Effect of these IOLs on pre-existing posterior capsular opacification has not yet been reported. AIM: To determine the incidence of peripheral preexisting posterior capsular opacity (PPPCO) in patients undergoing cataract surgery and the rate of posterior capsular opacification (PCO) following implantation of hydrophilic and hydrophobic intraocular lens (IOLs)...
July 2017: Nepalese Journal of Ophthalmology
Santosh Chaudhary, Poonam Lavaju, Bhuwan Govinda Shrestha, Sangeeta Shah, Sanjib Kumar Chaudhary
The World Health Organization's (WHO) global initiative for the elimination of avoidable blindness by the year 2020 (Thylefors et al., 1995) has prioritized the control of childhood blindness. Currently cataract remains one of the most important causes of treatable blindness in children (Giles et al., 2016). In Nepal, as in other developing countries, cataract is believed to be a leading cause of blindness in children. According to The Nepal Blindness Survey from 1978 to 1980, congenital cataract accounted for 16...
July 2017: Nepalese Journal of Ophthalmology
Lalit T Agarwal, Nisha Agarwal
INTRODUCTION: Diabetic retinopathy (DR) is the leading cause of blindness among working age adults around the world. Each year more and more people live with this condition, which can result in life-changing complications. OBJECTIVE: To determine the prevalence and risk factors of diabetic retinopathy (DR) in a large community based screening programme, in order to estimate the future burden of the disease. MATERIALS AND METHODS: A cross sectional community based study was conducted between 1st January and 31st December 2014 in a purposive sample of adults with selfreported diabetes mellitus (DM) from Morang and Sunsari district of Nepal...
July 2017: Nepalese Journal of Ophthalmology
Rashmi Kumari, Bhawesh Chandra Saha, Bibhuti Prasanna Sinha, Nilesh Mohan
INTRODUCTION: The aim of the study was to evaluate and compare the efficacy, side effects and recurrence rate of vernal kerato conjunctivitis (VKC) with 0.03% tacrolimus and 0.05% cyclosporin. MATERIAL AND METHOD: A prospective randomised double blinded comparative study was conducted at a tertiary eye center. 46 Patients of VKC between March 2015- August 2015 were randomly divided into two groups and treated for 6weeks with either Tacrolimus(0.03%) eye ointment BD or Cyclosporine (0...
July 2017: Nepalese Journal of Ophthalmology
Karan Bhatia, Sabyasachi Sengupta, Madhu Bhadauria
PURPOSE: The aim of this study is to determine the success rate over time in patients undergoing External Dacryocystorhinostomy (DCR) with acquired naso-lacrimal duct obstruction (NLDO), when done by a trainee ophthalmologist. METHODS: The study was Prospective Observational study and was conducted in Tertiary Eye Hospital, Uttar Pradesh, India. One hundred and fourteen consecutive adult patients underwent external DCR for acquired complete NLDO by a trainee with less than 3 years of experience in ophthalmology between November 2011 and March 2013...
July 2017: Nepalese Journal of Ophthalmology
Dhaivat Vasavada, Sabyasachi Sengupta, Vipul K Prajapati, Shashank Patel
INTRODUCTION: Retinopathy of prematurity is an important cause of childhood blindness amongst premature babies in developing as well as developed world. OBJECTIVES: To report the incidence and risk factors of ROP from a regional institute of Ophthalmology in western India and compare it with the existing scenario. MATERIALS AND METHODS: This was prospective observational study of babies born at <34 weeks of gestational and/or <1700 grams birth weight between January 2012 and October 2013...
July 2017: Nepalese Journal of Ophthalmology
Hnin Hnin, Hui Yi Tan, Kajal Agrawal, Rupesh Agrawal
Visual impairment is a crippling condition affecting quality of life and depriving patients of many opportunities. It is associated with increased mortality rates directly through occurrence of adverse events such as falls and impaired emotional well-being, and indirectly through visual impairment brought upon by systemic conditions such as diabetes and hypertension (Foong et al. 2008, Fong et al. 2014, Khanna et al. 2013, Song et al.2014, Wang et al. 1999). The number of patients suffering from reversible causes of blindness is substantial...
July 2017: Nepalese Journal of Ophthalmology
Rajiv Khandekar
In 2015, the United Nations (UN) adopted the resolution of transforming our world by the year 2030 through the agenda of Sustainable Development with a primary focus on strengthening universal peace with larger freedom [United Nations 2015, Griggs D 2012]. All member countries including Nepal agreed to this ambitious plan for relieving poverty and reducing global inequality over a span of 15 years starting from 2016 to 2030. All the health programs including, Millennium Developmental Goals, universal eye health or Vision 2020 - the elimination of avoidable blindness by 2020 are expected to thrive under the umbrella of Sustainable Development Goals (SDGs)...
July 2017: Nepalese Journal of Ophthalmology
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