Publications by authors named "Jaspreet Sukhija"
: Aberrant regeneration of the third nerve is a known entity after trauma. It is important to recognize signs of aberrant regeneration and keep lid aperture disparity in mind before choosing the surgical procedure in such cases. Surgical procedure in these cases is often customized on case-to-case basis.
View Article and Find Full Text PDFReal-world use of integrated intraoperative OCT in pediatric cataract.
Indian J Ophthalmol
December 2024
Purpose: To study the utility of integrated intraoperative OCT (i2OCT) in pediatric patients with cataracts in the real world.
Methods: It was a retrospective case series. We included patients aged 0-12 years with unilateral or bilateral cataracts who underwent cataract surgery or membranectomy for visual axis opacification between July 2022 and December 2023, where intraoperative OCT was used.
Purpose: To compare pupil dynamics after using premixed intracameral anesthetic mydriatic combination (ICAM) of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) versus topical mydriatic (TM) drops consisting of tropicamide 0.
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- The study investigates the role of cytokines in the aqueous humor of children with congenital cataracts and their link to posterior capsular opacification (PCO) after cataract surgery.
- Conducted in India, the research analyzed 28 children under 5 years undergoing cataract procedures, finding that high levels of MCP-1 were significantly associated with the development of PCO within one year.
- While levels of IL-6 and IL-8 were elevated, they did not show a significant connection to PCO, suggesting that MCP-1 may play a critical role in PCO development in these patients.
Article Synopsis
- This text discusses three cases of eye injuries that resulted in strabismus (misalignment of the eyes).
- Anterior segment optical coherence tomography (AS-OCT) was utilized to examine the structure of the extraocular muscle insertions.
- The AS-OCT imaging proved to be valuable for diagnosing and managing the ocular trauma in these cases.
Purpose: To study the pupil dynamics with premixed intracameral anesthetic mydriatic combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) in pediatric cataract surgery.
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- The study aimed to evaluate the effectiveness of low-dose atropine (0.01%) in slowing down myopia progression in Indian children over a two-year period.
- A total of 732 children aged 6 to 14 participated, with results showing that atropine significantly reduced the average myopia progression from -0.75 D to -0.24 D.
- Younger children and those with higher initial myopia experienced greater progression and a poorer response to treatment, highlighting the significance of targeted interventions.*
Objectives: The objective of this study was to look at the clinical outcomes, and to determine the proportion of children with visual recovery after the first demyelinating event of optic neuritis (ON).
Methodology: In this observational study, children with the first clinical event of optic neuritis at an age less than 18 years were evaluated. High-contrast visual acuity, colour vision, Expanded Disability Status Scale (EDSS), Anti-MOG and AQP-4 antibodies were assessed.
Surgical challenges of posterior optic capture in pediatric cataract surgery.
Indian J Ophthalmol
January 2024
Article Synopsis
- * A study involving 53 eyes from 49 children revealed that POC was successfully performed in 86.8% of cases, with most complications occurring in children under 12 months.
- * The research concludes that while POC can be technically demanding, understanding the proper sizing of the capsulorhexis and exercising caution in younger patients or those with capsular defects can improve surgical outcomes.
Myopia is a major public health problem worldwide, including India, with the global prevalence of myopia increasing rapidly over decades. The clinical and socioeconomic impact of myopia is also expected to rise with rising prevalence. Therefore, the focus has now been shifted to prevent the incidence and progression of myopia.
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- The study aimed to evaluate the characteristics and outcomes of horizontal strabismus surgery in patients with sensory strabismus, focusing on factors affecting postoperative drift over three years.
- The research involved a retrospective analysis of 56 patients (average age 22.9 years) who had low vision in one eye, revealing that exotropia was more prevalent than esotropia among the participants.
- Results showed a long-term success rate of 78.9% for exotropia and 52.9% for esotropia, with no significant correlation between the extent of visual impairment and surgical outcomes.
Article Synopsis
- - Cataract surgery requires a well-dilated pupil for optimal results, but unexpected constriction can complicate the procedure, especially in children.
- - Various pharmacological options are available to help maintain pupil dilation during surgery, as even minor changes in pupil size can significantly reduce the surgical field and increase complication risks.
- - The review emphasizes the importance of achieving and managing adequate pupil dilation throughout the surgery, especially in challenging cases, to prevent complications and ensure successful outcomes.
Purpose: To analyze the relationship between eccentric downward eye movement/eccentric downward eye-positioning (EDEM/EDEP) encountered in patients undergoing ophthalmic surgeries and its return to a centralized position under general anesthesia (GA) with the depth of anesthesia (DOA).
Methods: Patients undergoing ophthalmic surgeries (6 months-12 years) under sevoflurane anesthesia without non-depolarizing muscle relaxant (NDMR) who witnessed a sudden tonic EDEM/EDEP were both retrospectively (R-group) and prospectively (P-group) enrolled (ambispective study). R-group included data-points after induction (AI) till the time surgery lasted while P-group compiled data both during induction (DI) and AI.
Purpose: To report a case of venous overload choroidopathy associated with idiopathic intracranial hypertension in a 41-year-old man.
Methods: History and clinical examination, fluorescein angiography, ultra-widefield indocyanine green angiography, swept-source optical coherence tomography, and contrast-enhanced magnetic resonance imaging.
Results: The patient was diagnosed as having idiopathic intracranial hypertension 2 years ago, was being managed on oral acetazolamide, and retained 20/20 visual acuity in both eyes until now when he presented with a complaint of visual loss in the right eye.
Purpose: To determine the morphology of pediatric cataracts and assess the status of the anterior and posterior capsules preoperatively on swept-source anterior segment optical coherence tomography (ASOCT) and compare the findings to those of intraoperative examination. Secondly, we aimed to obtain biometric measurements on ASOCT and compare them to those obtained on A-scan/optical methods.
Methods: This was a prospective and observational study carried out at a tertiary care referral institute.
Purpose: Hereditary causes are an important etiological category of childhood blindness. This study reports the real-world experience of a developing ocular genetic service.
Methods: The study was carried out from Jan 2020 to Dec 2021 jointly by the Pediatric Genetic Clinic and the Department of Ophthalmology of a tertiary care hospital in North-West India.
Digital eye strain (DES) is an entity encompassing visual and ocular symptoms arising due to the prolonged use of digital electronic devices. It is characterized by dry eyes, itching, foreign body sensation, watering, blurring of vision, and headache. Non-ocular symptoms associated with eye strain include stiff neck, general fatigue, headache, and backache.
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