Open Access Case Study

Efficacy of Posterior Chamber Intraocular Lens in High Myopic Patients-A Case Series Study

Mridula V. Amarnath

Asian Journal of Research and Reports in Ophthalmology, Page 16-21

Background: Myopia or near sightedness is a very common refractive error seen among children and adults. It is an eye disorder where the light focuses in front of the retina, causing distant objects to be blurred while the near objects appear normal. High myopia can be visually debilitating and affect one’s day to day activities.

Aim: To analyse the efficacy and visual outcome of using posterior chamber phakic intraocular lens- refractive implantable lens (RIL) for high myopic patients.

Methods: A prospective study was conducted in a tertiary care centre. The study included 50 eyes of 34 patients. The preoperative best corrected visual acuity was compared with their post operative uncorrected visual acuity along with the IOP changes, endothelial cell loss and associated complications. The whole database was recorded and statistically analysed.

Results: Out of the 50 eyes that were taken for the study,94% of the eyes had uncorrected visual acuity equal to better than preoperative best corrected visual acuity and  34 %of the eyes had a visual acuity of 6/6. The intraocular pressure was less than 20 mmHg postoperatively in all patients. No incidence of cataract was observed in this study.

Conclusion: It is found that the visual outcome was favourable and satisfactory after RIL implantation.

Open Access Case Study

A Silent Corticotropic Pituitary Adenoma with Foster Kennedy Syndrome: A Case Report

El Halouat Nihad, Mohcine El Mhadi, Bouzidi Adil, Iferkhass Said

Asian Journal of Research and Reports in Ophthalmology, Page 48-51

Foster Kennedy Syndrome is unilateral optic disc swelling with contralateral optic atrophy, usually due to a frontal lobe tumour compressing the optic nerve on one side and resulting in papilloedema contralaterally. The etiological and topographical diagnosis uses brain imaging.

We describe a case of a silent corticotropic pituitary adenoma associated to a Foster Kennedy syndrome in a 57 years old man. To the best of authors’ knowledge, this is the fourth case report regarding pituitary adenoma presenting with Foster Kennedy syndrome.

We reviewed the pathogenesis and common clinical manifestations of Foster Kennedy syndrome and would like to highlight the role of neuroimaging techniques in the diagnosis.

Open Access Short Research Article

SITA Algorithms Performance for Optopol PTS 910 Automated Perimeter

Drosatou Dimitra, Chandrinos Aristeidis

Asian Journal of Research and Reports in Ophthalmology, Page 41-47

A variety of different types of automated perimeters are in use around the world, although all types follow the main characteristics of Humphrey (Carl Zeiss) or Octopus (Haag-Streit Diagnostics) perimeters.

Purpose: To compare perimetric test duration using SITA Standard and SITA Fast algorithms in Optopol PTS 910 Automated Perimeter, for normal healthy subjects. As the subjects were healthy it was expected to demonstrate less variability than the glaucoma patients, as the group was of younger age and consequently demonstrated less fatigue and variability during the test that could bias less the results.

Methods: Present study included visual field control tests that were performed to 24 normal subjects, without any vision problem or disease.

Results: The test results led to the conclusion that the time duration was the same for SITA Standard and slightly increased for SITA Fast, with Optopol PTS 910 perimeter.

Open Access Original Research Article

Pattern of Eye Diseases in a Tertiary Hospital in Osogbo, Southwestern Nigeria

C. O. Adeoti, A. Akanbi, E. A. Abioye- Kuteyi, I. O. Akintoye, B. E. Egbewale

Asian Journal of Research and Reports in Ophthalmology, Page 1-8

The aim of the study was to determine the pattern of eye diseases in patients that attended the eye clinic of a teaching hospital in Osogbo, South-Western Nigeria between March 2018 and February 2019.

Methodology: A retrospective cross-sectional study of 2420 consecutive new patients that attended the eye clinic between the period was included in the study. Patients’ records as contained in the individual case notes were accessed for relevant information. Data obtained included the age, sex, religion, tribe and diagnoses at first attendance. Data were analyzed using SPSS version 21(SPSS Inc., Chicago, IL). Descriptive statistics were used in summarizing the data and Pearson’s chi-square statistical method was used to determine statistical significance of association between categorical variables at 5% probability level.

Results: Cataract, refractive errors and glaucoma were the common types of eye diseases seen. Of the refractive errors, females predominate and myopia was the commonest type encountered. Furthermore, myopia was commonest in all age groups. However, in the 10-19 years age group, it occurred at 6 years to 9 years (P= 0.001) Vitreoretinal diseases 111(4.6%) were also encountered, some of which needed to be referred out to other centers.

Conclusion: Cataract, refractive errors and glaucoma were the common eye diseases seen in this study. Refractive errors have become more common than glaucoma in this environment. This calls for more intensified efforts in the provision of corrective treatments for refractive errors, cataract surgical outreaches and glaucoma awareness programs. The occurrence of vitreo-retinal diseases in substantial proportions also calls for the availabilty of vitreo-retinal equipment and specialists.

Open Access Original Research Article

Treatment of Corneal Vessels: Which Modality is Ideal for an Optimal Result?

I. Adnane, F. Elalami, I. Er- Rachiq, A. Mchachi, L. Benhmidoune, A. Chakib, R. Rachid, M. Elbelhadji

Asian Journal of Research and Reports in Ophthalmology, Page 9-15

Corneal neovascularization (NV) is characterized by the invasion of new blood vessels into the cornea from the limbus. It is caused by a disruption of the balance between angiogenic and antiangiogenic factors that preserves corneal transparency.

Corneal vessels management has benefited from advances in medical research especially when it comes to the treatment of angiogenesis. The aim of this study is to compare the efficacy of sub conjunctival injections of anti-VEGF with that of fine needle diathermy in the treatment of corneal vessels, and to compare these results with those obtained following the combination of the two therapeutic. A prospective study was conducted in the ophthalmology department of the university hospital center of Casablanca including 60 patients with corneal vessels that we decided to treat randomly by sub conjunctival injections of anti-angiogenic drugs or by fine needle cauterization  a third group of patients was treated by the combination of the two treatments. Our study showed a superiority of the treatment by cauterization compared to the injections of antiangiogenic agents however a better response was observed in the patients having received the two treatments.

Open Access Original Research Article

Statistical Study on the Use of Contact Lenses in Greece

E. Pateras, M. Michopoulou, J. Gryndakis

Asian Journal of Research and Reports in Ophthalmology, Page 22-40

Purpose: This study was conducted in order to examine the behavior of contact lenses users, the type of contact lenses they use, their satisfaction with their contact lenses after evaluation by the users themselves, both in the quality of vision and in the comfort they offer.

Material and Methods: A questionnaire in printed form was used to conduct the research, which was distributed to optical stores in Glyfada, Maroussi (suburbs of Athens) and the city of Kalamata province in Peloponnese. An online questionnaire was created for the e-shops of the collaborating optical stores, which was completed by internet users. The sample was 380 people, users of contact lenses, and their age ranged from 18 to 55 years old. The study was contacted in six months from January 2019 to June 2019

Results: The material of the contact lenses preferred by the users are the silicone-hydrogel lenses (71.05%), the monthly use is prevalence (74.74%) the days of use are 7 days per week (59.74%) while the hours of use that appear more frequently are 8 to 12 hours per day (42.11%). The main reason for the use of contact lenses is the external appearance (48.16%). 88.4% of the population considers the insertion and removal of lenses an easy process as well as the comfort offered by the lenses during application was evaluated positively in the largest sample (42.37%). The signs that seem to encourage users to replace their lenses is not the time of use but mainly sensation of dry eyes (29.21%), intolerance (22.11%) and blurred vision (20.26%). The quality of vision with CLs is Very good to Good at a percentage of 94.74%, while only 12,89% sleep with their lenses.

Conclusions: There is a need to further investigate the performance of contact lenses, from the side of wearers, both in the global scientific community and in Greece, as the scientific literature on this issue needs continuous updating. The majority prefers and wears soft CLs, silicone-hydrogel especially, and the satisfaction percentage is high. The usage of CLs during sleep is a big concern for the professional CL fitters as 1 of 10 users use them.

Open Access Original Research Article

Relationship between Body Mass Index and Intraocular Pressure: Correlational Study

P. Thenmozhi, T. Bhuvaneshwari

Asian Journal of Research and Reports in Ophthalmology, Page 52-57

Introduction: Obesity is the most serious public health problem. Obesity is one of the major modifiable risk factors for the increased intraocular pressure and glaucomatous progression. Hence the study was conducted with the aimed to correlate the body mass index with intraocular pressure among patients attending ophthalmic OPD.

Materials and Methods: Correlational design was employed with 60 samples who matched the inclusion criteria were selected by convenience sampling technique. Demographic variables were collected by using multiple choice questionnaires followed by Height and weight was checked to calculate body mass index. Based on that samples were characterized the level of obesity. Intraocular pressure measured and recorded. The data were tabulated and analyzed by descriptive and inferential statistics.

Results: The finding of the study reveals that there is a significant positive correlation between the body mass index and intraocular pressure.

Conclusion: Obesity related glaucomatous progression may be prevented in the initial stage itself by controlling the weight through modification in life style, dietary pattern, exercise, and lipid lowering agents and periodical ophthalmic examination especially measuring the intraocular pressure.