Introduction The eyeball development begins early in the 4th week of intrauterine life with formation of optic vesicle (a diverticulum) from diencephalon. The structure of eyeball is shown in Figure 1. Various components of eyeball are derived from the following sources: Retina, iris and optic nerves are derived from optic vesicle that arises from neuroectoderm of diencephalon. Lens and corneal ep...Read More
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Panophthalmitis: A Ready Reckoner for Postgraduates
Introduction Panophthalmitis is a severe ocular and orbital condition which can lead to phthisis bulbi or may necessitate evisceration. Severe inflammation of the anterior and posterior segments is frequently accompanied by microbial keratitis, necrotizing scleritis, and perforation or rupture following trauma. The disease develops rapidly and the prognosis is poor. The management of patients with...Read More
1. Science behind Multifocal Intraocular Lens (MFIOL) Multifocal intraocular lenses are IOLs which can separate incoming light into two or more foci, thus resulting in multiple coexisting retinal images. At any given point, only one of the images (distance, intermediate or near) is the sharpest, and hence selected by the brain for visualisation. This concept is known as simultaneous vision. The vi...Read More
Angioid streaks are visible irregular crack-like dehiscences in Bruch’s membrane that are associated with atrophic degeneration of the overlying retinal pigmented epithelium. Despite 50 % of cases being idiopathic, this condition grabs attention as it requires good history taking and workup to determine the cause. Historical background The first description of angioid streaks was provided in 1889 ...Read More
Paediatric Retinal Vascular Diseases
Introduction This chapter will discuss pediatric retinal vascular diseases like Persistent Fetal Vasculature, Familial Exudative Vitreo Retinopathy and Incontinentia Pigmenti Persistent Fetal Vasculature (Persistent Hyperplastic Primary Vitreous) Definition Persistent hyperplastic primary vitreous (PHPV) is a congenital ocular disorder in which fetal vasculature does not regress after birth. It is...Read More
How to search PubMed: A Ready Reckoner for Postgraduates
“Search or perish” A thorough and up-to-date knowledge of the subject is indispensible for both patient care and academics. A good literature search is an essential pre-requisite for performing quality research. It is a key step in formulating a research question, planning a study, and interpreting and discussing the results. In addition, this may be required during writing thesis or manuscripts f...Read More
Tips on Management of Intraocular Foreign Body
Introduction Open globe injuries (OGI) are associated with retained intraocular foreign body (IOFB)in 18 to 41% of cases1. Retained IOFB is an important cause of visual morbidity and blindness, especially in working-age population with male predominance. Majority of the IOFBs are related to trauma at workplace1. Types of IOFB Majority of IOFB are metallic1,2. It is followed by organic IOFB and met...Read More
Fungal Endophthalmitis and it's Management
Endophthalmitis is a potentially devastating ocular disease that may lead to permanent loss of vision. It is caused by bacteria in the majority of the cases. However, fungal endophthalmitis though rare has a poor prognosis and usually diagnosed late. The incidence of fungal endophthalmitis has increased in recent years, particularly in developing countries. 1-3 Unlike bacterial infections, we do n...Read More
Ten Things You Should Know about 3D Viewing System in Ophthalmology
1. Evolution of this latest state of the art technology in ophthalmology: Three-dimensional (3D) display systems were first developed for aircraft and military use. The term “heads-up surgery” derived from the so-called “head-up display”, a display system first used in aircraft flight decks that projects an image into the normal field of view. This display system allows visualization in a “heads-u...Read More
Ten Pearls for Descemet's Membrane Detachment Repair
1. Embryology Understanding the embryological development of the cornea helps us appreciate the reasons for a Descemet's membrane (DM) detachment during surgery. After the lens vesicle separates from the surface epithelium, a wave of mesenchyme forms the primary corneal stroma. A second wave then forms the endothelium, which secretes the DM. The DM, hence, has a potential plane of separation f...Read More