A comparative study of lens management in the United Kingdom and India with regard to rhegmatogenous retinal detachment surgery.

Introduction: Lens management in phakic patients with rhegmatogenous retinal detachments undergoing para plana vitrectomy surgery remains controversial among vitreoretinal surgeons. When combined phacovitrectomy is performed, the biometry decisions can be challenging both in the face of macula-off rhegmatogenous retinal detachments and previous refractive surgery. This study analyses current trends in practise.

Bilateral Marcus Gunn jaw winking synkinesis with monocular elevation deficiency: a case report and literature review.

Marcus Gunn jaw winking synkinesis (MGJWS) occurs due to an aberrant innervation of the levator palpebrae superioris muscle by a branch of the motor division of the trigeminal nerve that supplies the muscles of mastication. MGJWS is mostly unilateral occurring in isolation and is less frequently associated with ocular or systemic abnormalities. Although MGJWS is mostly unilateral, few bilateral cases have been reported.

Unusual presentation in Axenfeld-Rieger syndrome.

We report an unusual presentation of a case of Axenfeld-Rieger (A-R) syndrome. A 14-year-old male presented with gradual dimness of vision for 1 year and redness of left eye for 3 days. The patient had megalocornea with Haab's striae in the right eye and posterior embryotoxon in both the eyes.

Role of anterior segment optical coherence tomogram in Descemet's membrane detachment.

Descemet's membrane detachment (DD) is a rare but serious complication of intraocular surgery. In rare cases where corneal edema is severe and we may not be able to visualize DD on slit-lamp examination, anterior segment optical coherence tomogram (AS-OCT) would be helpful. We describe two patients with DD, highlighting the role of AS-OCT in early diagnosis and management of patients with DD.

Pseudophakic hyperopia in nanophthalmic eyes managed by a posterior chamber implantable collamer lens.

We report a case of a bilateral posterior chamber implantable collamer lens (ICL) implantation post-clear lens extraction, to reduce the residual hyperopia, in a patient with nanophthalmic eyes. A 30-year-old female patient, keen to reduce her dependency on glasses and contact lenses, came to our refractive surgery department. Her refractive error was +12.

Dilated episcleral veins with secondary open angle glaucoma.

We report a case of dilated episcleral vein with secondary open angle glaucoma. A 65-year-old female presented with redness of both the eyes without any prior systemic history. Her ocular examination revealed dilated episcleral veins and a high intraocular pressure (IOP) of 38 mm Hg in the right eye.

Improvement in visual acuity following surgery for correction of head posture in infantile nystagmus syndrome.

Purpose: To report the effect of the abnormal head posture (AHP) correcting procedures on the visual acuity improvement in patients with infantile nystagmus syndrome (INS) and the visual acuity improvement outcomes in different AHP correcting surgeries in INS.

Methods: This was a prospective, non-randomized, interventional study. Twenty-eight patients underwent the Anderson-Kestenbaum procedure or the modified Anderson procedure with or without tenotomy of at least one horizontal recti for correction of AHP.

Bilateral Duane retraction syndrome with optic nerve hypoplasia.

The authors report a unique case of a child with the infrequent association of bilateral Duane retraction syndrome with underdevelopment of the anterior visual pathway. Both conditions were caused presumably due to a common disturbance of neuronal development during the second month of embryogenesis.

Bilateral persistent fetal vasculature: a study of 11 cases.

Purpose: To describe the clinical and radiologic features of patients with bilateral persistent fetal vasculature (PFV).

Methods: All patients diagnosed with symmetric, bilateral PFV over a 3.5-year period were included in this representative, observational case series.

Ocular manifestation in treated multibacillary Hansen's disease.

Purpose: To report the prevalence of ocular morbidity in patients with treated multibacillary Hansen's disease (HD) using modern ophthalmic diagnostic techniques in a rural community endemic for HD.

Design: Cross-sectional, observation study.

Participants: All patients with multibacillary HD who had completed their multidrug therapy and who resided in 4 defined geographical areas in Vellore, Tamil Nadu, India.

Diagnostic capability of macular parameters of Stratus OCT 3 in detection of early glaucoma.

Aim: To report the diagnostic capability of Stratus OCT macular parameters in early glaucoma.

Material And Methods: In a cross-sectional observational study, two groups of subjects (early glaucoma and normals) who satisfied the inclusion and exclusion criteria were recruited. The diagnosis of early glaucoma was based on a glaucomatous appearance of the optic disc correlating with visual-field defects (fulfilling at least two of three Anderson and Patella criteria, with a mean deviation better than or equal to -6 dB.

Anterior dislocation of a sulcus fixated posterior chamber intraocular lens in a high myope.

A 31-year-old man with high axial myopia and strabismus fixus convergens underwent bilateral refractive lens exchange followed by a squint surgery (bilateral superior partial Jensen's procedure and medial rectus recession). After one year he presented with traumatic anterior dislocation of the sulcus fixated posterior chamber polymethyl methacrylate lens. The lens was dialed back into the ciliary sulcus without any complications.

Can the Bruckner test be used as a rapid screening test to detect significant refractive errors in children?

Purpose: To assess the suitability of Brückner test as a screening test to detect significant refractive errors in children.

Materials And Methods: A pediatric ophthalmologist prospectively observed the size and location of pupillary crescent on Brückner test as hyperopic, myopic or astigmatic. This was compared with the cycloplegic refraction.

Clinical characteristics of spontaneous late-onset comitant acute nonaccommodative esotropia in children.

Purpose: To describe the clinical characteristics of spontaneous, late-onset comitant acute, nonaccommodative esotropia (ANAET) in children.

Materials And Methods: Clinical characteristics of a cohort of patients under 16 years of age with ANAET were studied retrospectively.

Results: Of 15 patients eight were females.

Giant inclusion cyst of the cornea following filtering surgery.

Various trans-conjunctival ophthalmic procedures are reported to cause inclusion cyst of conjunctiva, due to the accidental inclusion of viable conjunctival epithelium, under intact conjunctiva. We report a case of histopathologically confirmed inclusion cyst of the cornea following filtering surgery. There was no recurrence in 24 months of postoperative period.

Recurrence of bilateral herpes simplex virus keratitis following bimatoprost use.

A 76-year-old man presented with features of bilateral herpes simplex virus (HSV) keratitis. It was found to be recurrence of bilateral HSV keratitis following the use of Bimatoprost eye drops for uncontrolled intraocular pressure in a case of bilateral primary open-angle glaucoma.

Anterior capsular staining with trypan blue for capsulorhexis in mature and hypermature cataracts. A preliminary study.

Purpose: To study the efficacy and safety of 0.1% Trypan Blue dye to stain the anterior capsule for capsulorhexis in mature and hypermature cataracts.

Methods: This preliminary study included 25 eyes of 25 patients with a unilateral mature or hypermature cataract, including one case of traumatic mature cataract.

Can ocular torsion be measured using the slitlamp biomicroscope?

Purpose: To evaluate and compare a stereo-biomicroscopic technique of ocular torsion measurement with fundus photographic technique.

Methods: This prospective masked observational study included 72 eyes of 36 consecutive subjects with normal ocular motility. The disc-foveal angle was measured by two masked investigators using a slitlamp stereo-biomicroscopic and fundus photographic technique.

Posterior capsular dehiscence following blunt injury causing delayed onset lens particle glaucoma.

A late onset lens-particle glaucoma secondary to trauma is reported. It was treated by cataract extraction and intraocular lens placement.

Posterior scleritis presenting as unilateral secondary angle-closure glaucoma.

The following is a case report of a 19-year-old male who presented with unilateral acute angle-closure glaucoma. Posterior scleritis was diagnosed based on clinical features and ultrasound B-scan. The acute angle closure attack and exudative retinal detachment completely resolved with use of oral corticosteroids.

Rupture of a radial keratotomy incision after 11 years during clear corneal phacoemulsification.

We report a case of rupture of a radial keratotomy (RK) incision that occurred during clear corneal phacoemulsification 11 years after the initial surgery. The RK was done in both eyes for correction of high myopia (>8.0 diopters).

Combined topical-peribulbar anesthesia for cataract surgery.

Purpose: To evaluate the anesthetic effect of single-point low-volume peribulbar anesthesia supplemented by topical anesthesia.

Setting: Private ambulatory ophthalmic practice.

Methods: Five hundred consecutive patients received 4 cc of lidocaine 2% with 200 units hyaluronidase as 1-point peribulbar anesthesia.