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Advanced Eye Centre[Affiliation] Publications | LitMetric

720 results match your criteria: "Advanced Eye Centre[Affiliation]"

We report the case of a 60-year-old man diagnosed with unilateral, solitary, extramedullary plasmacytoma located in the right lacrimal sac fossa, with no systemic involvement. This rare plasma cell dyscrasia is usually found in the respiratory tract. Clinical and radiological features of the mass and histopathological results are described.

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Purpose: The study aims to investigate an outbreak of acute haemorrhagic conjunctivitis (AHC) reported in North India.

Methods: All patients presenting to the outpatient clinic department with signs and symptoms (symptoms onset within 36 h) of AHC were enrolled in the study. The conjunctival swab samples were tested for the presence of enteroviruses and adenoviruses.

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Background/aims: By understanding the prevalence and causes of childhood blindness, stakeholders can work toward comprehensive strategies that encompass prevention, treatment, rehabilitation, and support, ultimately improving the quality of life for affected children. The information about the pattern and causes of childhood blindness in Northern Indian states is limited, it highlights the need for further research and data collection to better understand and address the specific challenges in this region. Therefore, the present cross-sectional study was planned to ascertain the different causes and patterns of childhood blindness and to understand the barriers to the use of LVAs and its compliance among the students attending schools for the blind in a North Indian State.

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Macular Edema Ranibizumab v. Intravitreal anti-inflammatory Therapy (MERIT) Trial-24-week Outcomes of Uveitic Macular Edema Retreatment.

Ophthalmology

November 2024

Center for Clinical Trials and Evidence Synthesis, Departments of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Department of Ophthalmology, The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Purpose: Evaluation of longer-term effectiveness of three intravitreal therapies (methotrexate, ranibizumab, or dexamethasone implant) for participants enrolled in the randomized comparative effectiveness trial the Macular Edema Ranibizumab versus Intravitreal anti-inflammatory Therapy (MERIT) Trial followed for24 weeks.

Design: Multicenter randomized controlled clinical trial with masked evaluation of retinal thickness and visual acuity.

Participants: Patients with persistent or recurrent uveitic macular edema.

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Association between retinal vessels caliber and systemic health: A comprehensive review.

Surv Ophthalmol

November 2024

Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; Programme for Ocular Inflammation and Infection Translational Research (PROTON), Singapore; Singapore Eye Research Institute, Singapore; Duke NUS Medical School, Singapore. Electronic address:

Article Synopsis
  • The retinal microvasculature can be visualized non-invasively, making it a promising method for detecting microvascular changes linked to systemic diseases like diabetes, hypertension, and cerebrovascular issues.
  • Research shows that structural changes in the retinal blood vessels correlate with cardiovascular risks and can predict complications and mortality from systemic hypertension.
  • There is a push for better diagnostic tools using retinal imaging, emphasizing the importance of understanding 3D vascular structures and advocating for larger, long-term studies to clarify how these retinal changes relate to various systemic health conditions.
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Antiviral therapy for cytomegalovirus retinitis: A systematic review and meta-analysis.

Surv Ophthalmol

November 2024

Programme for Ocular Inflammation & Infection Translational Research, National Healthcare Group, Singapore, Singapore; Department of Bioinformatics, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital, UK; UCL-Institute of Ophthalmology, UK; National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore; Duke NUS Medical School, Singapore; Singapore Eye Research Institute, Singapore.

Article Synopsis
  • Cytomegalovirus retinitis (CMVR) is a major cause of blindness in advanced AIDS patients, with varied treatment approaches due to the lack of established guidelines.
  • A review of 59 studies revealed an 18% improvement in visual acuity and a 90% rate of inflammation resolution, with ganciclovir being the most commonly used antiviral treatment.
  • Notably, patients on antiretroviral therapy (ART) had a significantly lower recurrence rate of inflammation compared to those not on ART, and the most common side effect reported was neutropenia related to ganciclovir.
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Article Synopsis
  • - The survey, developed by the International Uveitis Study Group, aimed to assess how uveitis and retina specialists use current terminology and multimodal imaging (MMI) for diagnosing white dot syndromes (WDS).
  • - Out of 432 initial respondents, 263 completed the survey, revealing that most participants specialize in uveitis and utilize MMI, with nearly 90% using it for WDS diagnosis but showing varied usage of the term WDS.
  • - The findings suggest a strong consensus among specialists for redefining WDS based on anatomical location rather than the current clinical term, emphasizing MMI's role in enhancing diagnostic precision.
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Article Synopsis
  • This study is the first of its kind to statistically assess how well the Collaborative Ocular Tuberculosis Study (COTS) calculator predicts the need for antitubercular therapy (ATT) in patients with suspected tubercular uveitis (TBU) in an international setting.
  • The main goal was to determine if a score of 4 or higher on the COTS calculator effectively guides the initiation of ATT.
  • Results showed that among 492 participants, 45.7% received a high probability for ATT initiation, and the COTS-5 score showed the highest specificity at 88.7%, suggesting its effectiveness compared to clinician judgment.
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Current perspectives and concerns in corneal neurotization.

Indian J Ophthalmol

October 2024

Department of Ophthalmology, AIIMS, Bilaspur, Himachal Pradesh, India.

Article Synopsis
  • - This study investigates corneal neurotization (CN), a new surgical method to restore healthy nerve function to the cornea affected by neurotrophic keratopathy (NK), which arises from lost corneal innervation.
  • - Existing treatments mainly focus on preventing damage to the cornea rather than treating the root cause of sensation loss, which makes CN a significant advancement in the field.
  • - The review discusses current research, including clinical studies and case reports, assessing the effectiveness of CN as a potentially permanent solution for NK, aiming to improve ocular surface health.
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Article Synopsis
  • A seven-year-old patient with Sturge-Weber Syndrome and Transposition of the Great Arteries presented with eye issues including retinal detachment and optic disc edema, alongside systemic symptoms like cyanosis and clubbed fingers.
  • Following cardiac surgeries aimed at improving oxygenation, the patient's ocular symptoms significantly improved, demonstrating the connection between heart health and eye conditions.
  • This case underscores how complex vascular issues in conditions like Sturge-Weber Syndrome can affect both ocular and systemic health in children.
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The objective of this article is to evaluate the salivary levels of tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ), interleukin-2 (IL-2), and IL-10 in patients with active psoriasis and compare them with those in healthy control subjects. This study included 60 subjects who were clinically diagnosed cases with active psoriasis (categorized further into 33 mild to moderate and 27 severe cases based on the Psoriasis Area Severity Index score) and 60 age- and gender-matched healthy control subjects. Levels of TNF-α, IFN-γ, IL-2, and IL-10 in the unstimulated saliva of subjects were determined via enzyme-linked immunosorbent assay (BT Lab).

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Aflibercept Biosimilar MYL-1701P vs Reference Aflibercept in Diabetic Macular Edema: The INSIGHT Randomized Clinical Trial.

JAMA Ophthalmol

October 2024

Clinical Development & Medical Affairs Department, Biocon Biologics Ltd, Bangalore, Karnataka, India.

Article Synopsis
  • Biosimilars like MYL-1701P, a version of aflibercept, offer potentially cheaper options for treating diabetic macular edema (DME), but their efficacy and safety compared to the original have not been fully studied.
  • A randomized double-masked trial across multiple countries involved 355 participants with DME to compare MYL-1701P and aflibercept, focusing on vision improvement and side effects over a year.
  • Results showed similar improvements in visual acuity between the two treatments after 8 weeks, with MYL-1701P achieving an adjusted mean difference of just 0.04 letters from aflibercept, indicating comparable effectiveness.
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Purpose: To evaluate changes in corneal backscattering after collagen cross-linking (CXL) for progressive keratoconus and compare its course with different techniques - standard epithelium-off CXL (SCXL), contact lens-assisted CXL (CACXL), and transepithelial CXL (TECXL).

Setting: Advanced Eye Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Design: Retrospective comparative study.

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Article Synopsis
  • Retinal vasculitis has various causes, including infections, autoimmune disorders, and sometimes the cause is unknown, making diagnosis challenging for doctors.
  • Due to its complexity, patients often undergo extensive and sometimes unnecessary tests to identify the exact cause, which can delay effective treatment and vision preservation.
  • The article proposes an algorithmic approach that integrates clinical assessments, imaging, lab tests, and tailored investigations to ensure timely and accurate diagnosis for targeted therapy.
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Microvascular complications of diabetic retinopathy (DR) may require surgical intervention in the form of vitrectomy. Since its inception, diabetic vitrectomy has evolved with introduction of better instruments, newer techniques, and smaller port sizes. Common indications for diabetic vitrectomy include nonresolving vitreous hemorrhage, tractional retinal detachment, epiretinal membrane, progression of fibrovascular membranes despite laser therapy, recalcitrant diabetic macular edema, and neovascular glaucoma.

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Article Synopsis
  • This study compared the effectiveness of two surgical methods - Bent Ab-Interno Needle Goniectomy (BANG) and traditional goniotomy - in treating primary congenital glaucoma (PCG) in infants aged 1 month to 1 year.
  • Both surgeries were performed on the same day, with outcomes like intraocular pressure control and need for antiglaucoma medications measured over a year.
  • Results showed no significant difference in IOP control or medication requirements between the two methods, but both improved corneal clarity; however, BANG required slightly more medications.
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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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Article Synopsis
  • A study in Ambala District, Haryana, India assessed folate and vitamin B12 levels among women of reproductive age and their potential link to neural tube defects (NTDs) in infants, highlighting the public health importance of these nutrients during pregnancy.
  • Findings revealed that 10.1% of women had serum folate deficiency, while 78.3% showed RBC folate insufficiency. Additionally, vitamin B12 deficiency affected 57.7% of the participants, indicating widespread nutritional deficiencies.
  • The predicted rate of neural tube defects was approximately 21 per 10,000 live births, emphasizing the need for nutritional interventions; this baseline data will aid future assessments after fortification
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