Santosh G Honavar
“Science offers intellectual pleasure during its work and promises practical gain at the end” – Sigmund Freud
Publication in academic journals is one of the essential fuels for zealous scientific research and is critical for the career progression of a researcher. The number of publications may indicate productivity but is not a true measure of the quality or impact of research. Scientometrics is the fundamental bibliographical tool that quantitatively measures the academic standing and professional repute of the researcher in terms of productivity, quality, and impact., Objective quantification of individual research quality and impact is essential not just to stratify the academic standing of the researcher, but also to support decisions on employment, remuneration and career progression, quantify the return on research investment and strengthen research grant applications and awards.………..
Kasturi Bhattacharjee, Divakant Misra, Manpreet Singh, Nilutparna Deori
Purpose: The aim of this study was to analyze the long-term changes in visual parameters, that is, contrast sensitivity (CS) and higher-order aberrations (HOAs), and corneal topography in the patients undergoing upper eyelid blepharoplasty (UEB) for dermatochalasis. Methods: This was a prospective, single surgeon, intervention study including patients (≥40 years age) having severe dermatochalasis with a minimum post-UEB follow-up of 12 months. The preoperative readings of CS (using Pelli–Robson chart), HOAs (using WaveLight ALLEGRO analyzer), and corneal topography (using topographic modeling system-4, Tomey corporation) were noted and compared at 3, 6, and 12 postoperative months. Results: We studied 30 patients (60 eyes) who underwent bilateral UEB. The majority of patients were females (n = 21,70%), and the mean age of patients was 56.53 ± 9.06 years. The preoperative and postoperative values of LogMAR visual acuity, log CS value, corneal topography measurements (K1, K2, cylinder value, and the axis), optical aberrations (total HOAs; third-order––trefoil & coma; four-order––spherical aberrations and secondary astigmatism, and tetrafoil) were compared. At 12 months, the mean CS value, the majority of HOAs, and corneal topography (only cylinder values) showed a stable, statistically significant difference in the postoperative period. Conclusion: The UEB may produce long-term, visually-beneficial, optical, and corneal changes. The patients undergoing cataract surgery aiming for spectacle independence may gain additional visual benefits with UEB.
Natasha Narayanan, Utkarsha Padwal, Indumati Gopinathan, Rima S Pathak, Akshay Gopinathan Nair
An orbital mass being the presenting sign of disseminated systemic metastasis is a rare clinical picture. Here, the authors describe the case of a 52-year old Asian-Indian female who presented with unilateral proptosis and motility restriction. Imaging showed an irregular orbital mass infiltrating the right lateral rectus and with a significant intraconal component. Incisional biopsy helped to diagnose a malignant melanoma and exhaustive systemic imaging showed that the primary was found to be arising from the rectum. This represents the first reported case of malignant melanoma of the rectum metastasizing to the orbit and presenting with proptosis and reduced vision.
Hyun J Kim, Maura Di Nicola, James J Augsburger, Basil K Williams
Nirmala Subramanian, Pratheeba Devi Nivean, Md Shahid Alam
Ichthyosis is a rare inherited skin disorder characterized by abnormal keratinization of the epidermis. Cicatricial ectropion is the most common ophthalmic feature of congenital ichthyosis. Progressive subepithelial cicatrization and abnormal cornification of eyelid skin cause progressive ectropion in both eyelids, leading to lagophthalmos and corneal exposure. Surgical correction of cicatricial ectropion in these cases is challenging with unsatisfactory results. Proper processing of the donor and recipient site with lubricants and topical retinoids before surgery makes grafting easier and its survival better. We present three cases of lamellar ichthyosis with cicatricial ectropion managed with combined preoperative topical therapy followed by surgery. All patients had extremely good surgical outcomes, with none of them requiring repeat surgery.
Leonardo Lando, Marina O S Paiva, Luciano S Pereira
A 56-year-old man underwent a shunting procedure in childhood due to hydrocephalus secondary to meningitis. Along the following years, he manifested recurrent tearing, foreign body sensation, and slow “eye shrinking”. External clinical exam confirmed enophthalmos, poor lid apposition to the globe, and inferior ectropion bilaterally [Figure 1]a. Biomicroscopy showed dry eye syndrome bilaterally. Computed tomography scans of the brain and orbits revealed ventriculomegaly (asterisks), ventriculoperitoneal shunt valves (one implant at arrow), posterior displacement of eyeballs, and significant orbital remodeling [Figure 1]b. The patient was diagnosed with silent brain syndrome, a rare form of progressive enophthalmos after intracranial pressure resolution.,
Deepsekhar Das, Zakia Anwer, Neha Kumari, Stuti Gupta
A 42-year-old male got admitted with COVID-19 related acute respiratory distress syndrome (ARDS). A Portex 7.5 French triple lumen catheter was placed in the right subclavian vein and trachea was intubated using a 7.5 mm endotracheal tube Rusch. On administering high positive end expiratory pressure ventilation, he developed subcutaneous emphysema over chest which progressed to the right side of his face involving the right orbit [Figure 1]a. On examination, palpable crepitus was noted in the periocular region with subconjunctival collection of air [Figure 1]b. Direct and consensual pupillary reflexes were normal. Bilateral intercostal drainage tubes were placed [Figure 1]c. The emphysema spontaneously resolved in the following 2 days.
Javier Lacorzana, Carlos Galvez Prieto-Moreno
A 13-year-old boy, diagnosed with cherubism, had mild exophthalmos and visual acuity (VA) 0.9 on both eyes. Neuroimaging showed multiple cystic images that affected both maxillary and mandibular bones, sparing both mandibular condyles. Cystic formations involved the orbit, causing displacement of the extrinsic muscles and the eyeballs [Figure 1]. It was decided to monitor him due to the stability of the disease, the mild exophthalmos, the unaffected ocular mobility, and good VA. Cherubism usually starts affecting the jaw, second, the maxilla, and later it may extend to the orbit. Hence, it must be examined by an ophthalmologist to diagnose possible orbital manifestations.,,,,