Evidence Based Practice

Dr. Mayank Bansal Associate Consultant, Medanta-The Medicity, Gurugram 1. Is proper site preparation necessary for intravitreal injections? Intravitreal injections are an integral part of ophthalmic practice and are now considered more office than OT procedures. However, the sterile precautions and proper preoperative site preparation and disinfection is still as important as for OT surgeries. Nentwich […]

Miscellaneous

What determineĀ  pupil size? Park et al conducted a study to assess the correlation between pupil size, measured by Humphrey static perimetry, and various affecting factors in patients with glaucoma. In total, 825 eyes of 415 patients, pupil size was measured with Humphrey static perimetry. Correlations were made with presence of glaucoma, age, logMAR best […]

Ocular Oncology

Primary enucleation rather than chemotherapy? In a departure from the usual, a paper, which featured in the recent issue of British journal of ophthalmology, mentioned the preference towards primary enucleation to chemotherapy in group D retinoblastoma. This was done purely on the basis of cost analysis which showed that in cases where a globe saving […]

Oculoplasty

Simultaneous or sequential surgery A paper published in OPRS journal has attempted to answer a common query when it comes to patients having both ptosis and squint. Generally, it is believde and practiced that squint surgery should be done prior to ptosis surgery as performing the surgeries the other way around or in a combined […]

Retina

Is your patient complying to face down positioning? Prone or face-down positioning of patients after a macular hole surgery is considered critical to the success of hole closure. However, it is common to see patients not complying to the position due to the discomfort involved. A paper published recently aimed to determine adherence to face-down […]

Pediatric Ophthalmology

Ultra Low Dose Anti VEGF for ROP From being generally considered a controversial therapeutic option for retinopathy of prematurity, Intravitreal bevacizumab (IVB) has emerged as an effective treatment modality where the disease is severe and posterior. There is evidence of systemic vascular endothelial growth factor suppression and concerns about how this might affect the developing […]

Strabismus

LACTOSE in Intermittent Exotropia The New Castle score has been the standard system to evaluate the motor control in cases of intermittent exotropia. This consisted of a score for home control and office assessment. However there were few shortcomings for this system of scoring. An attempt to provide a new scoring system has been made […]

Glaucoma

Vitamin deficiencies and glaucoma Vitamins play a major role in health, and their deficiency has been linked to symptoms of optic-nerve dysfunction. Howvere the association between serum vitamin levels and glaucoma in humans has remained controversial. To evaluate this, a meta-analysis and review of 9 studies on primary openangle glaucoma (POAG), 4 studies on normal […]

Refractive Surgery

Enhancing after SMILE A manuscript published inĀ  the recent issue of ophthalmology reports the incidence, risk factors, and outcomes of enhancement after small-incision lenticule extraction (SMILE). A retrospective cohort study was conducted in Singapore on 524 eyes of 307 patients who underwent SMILE. Few patients had to undergo enhancements all of which were carried out […]