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i-File: Commotio Retinae
Chief Complaint: A 12-year-old boy presented with redness and a decrease in vision in the left eye within four hours of injury with a top. History of Present Illness: Redness and decrease in vision in the left eye. No other significant complaint. Past Ocular History: No H/O any previous injury. Past Medical History/ History of Medication: No significant ocular past history for which he has used medications. Family History: No significant family history. Review of Systems/Systemic Examination The child was conscious, well oriented in time and space, afebrile, pulse rate was 88/min, respiratory rate was 16/minute. Examination of other systems were normal. Ocular Examination Best Corrected Visual Acuity (Snellen) Right eye (OD): 6/6 Left eye (OS): 6/36 with pinhole – 6/18p Ocular Motility/Alignment Extraocular motility was full and free in all gazes in both eyes. Intraocular Pressure (IOP)- By Applanation tonometry Right eye: 14mm Left eye: 16mm Pupils: Right eye - round and briskly react
Dr. Priya Rasipuram Chandrasekaran
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Balancing Clinical and Research Work
How does one balance between clinical and research work? This is an often-repeated question-probably because the answer is never clear. The fulcrum of the balance is not the same for everyone. Let us pause for a while and try to define certain things to bring clarity. What is clinical work? This is perhaps best defined as the time and effort involved in direct care of patients. Obviously, it also involves the time spent on organising the system that permits the above activity to take place smoothly. What constitutes research work? Technically research involves trying to find answers to the unknown or partially known. This should mean trying to understand the etiopathology of diseases which are poorly understood and finding new ways of managing them better. Broadly clinicians can be involved in clinical research, basic research or both. Clinical research can be prospective research such as observational studies, clinical trials, epidemiological studies etc but could also be retrospectiv
Dr. Lingam Gopal
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Evaluation And Management Of Scleritis
Evaluation And Management Of Scleritis
Dr. Abhishek Upadhyaya
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Facial Spasms: Diagnosis and Management
Introduction Dystonia is defined as a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both [1]. They may be isolated or combined with other neurological symptoms or movement disorders [1]. Dystonia is classified based on the age of onset, etiology, clinical features, and body distribution. The body distribution may be either focal, segmental, multifocal, generalized, or hemi-dystonia. Only one region of the body is affected by focal dystonia. It emerges in late adulthood [1]. Patients with movement disorders isolated to the facial region often visit an Ophthalmologist. A brief knowledge about the identification and differentiation of the various facial movement disorders is essential. The disorder can be functionally or socially distressing to the patients. The facial movement disorders include orbicularis myokymia, Benign Essential Blepharospasm (BEB), Apraxia of Lid Opening (ALO), Hemifacial
Dr. Varshitha Hemanth Vasanthapuram · Dr. Milind N Naik
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i-File: Exfoliation Glaucoma
A 65-year-old male presented to the OPD with complaints of painless, gradually progressive dimunision of vision of the right eye over several months. History of Present Illness: The Patient was apparently normal 1 year ago since when he noticed dimunision of vision of the right eye by closing the left eye by chance. The vision progressively got worse. No h/o pain, watering, halos, glare or double vision. Past Ocular History: No H/o trauma or ocular surgery. Past Medical History/ History of Medication: No systemic illnesses. No H/O taking any steroids or long term medications Family History: Not significant. No family history of glaucoma. Review of Systems/Systemic Examination: Normal. Vitals were normal. OCULAR EXAMINATION Best Corrected Visual Acuity (Snellen) Right eye (OD): 6/60 Left eye (OS): 6/9 Ocular Motility/Alignment: Full, free, and painless in all gazes. Intraocular Pressure (IOP) OD: 55mmHg (@ 2pm using Goldmann Applanation Tonometry) OS: 19mmHg (@ 2pm using Goldmann Applan
Dr. Sahebaan Sethi
