Getting Started At the very onset, we want to mention that we are no experts writing thesis or papers. But as somebody has correctly mentioned that in our discipline it is time and more time that makes you wise. (hey sorry we don’t have a reference for this). It’s a humble effort on our part to share our experiences with our fellow colleagues, with the hope that it may be helpful to some of them. ...Read More
Content
Peripheral Ulcerative Keratitis
Peripheral ulcerative keratitis (PUK) is a form of ocular inflammation that involves the peripheral portion of cornea and may be associated with systemic conditions such as Rheumatoid Arthritis(RA), Wegener’s Granulomatosis(WG), and other systemic conditions. It is a potentially devastating disorder consisting of a crescent-shaped destructive inflammation at the margin of corneal stroma that is as...Read More
DCR: When You Start,Do It Right !!
Introduction: Dacryocystorhinostomy (DCR) is a procedure wherein an alternate passage is created between the lacrimal sac and nasal mucosa through a bony ostium, bypassing the normal lacrimal pathway. Indications: 1. Persistent congenital lacrimal duct obstruction unresponsive to conservative management. 2. Primary acquired nasolacrimal duct obstruction (PANDO). 3. Secondary acquired nasolacrimal ...Read More
Primary Angle Closure Glaucoma
Primary Angle Closure Glaucoma is a condition in which elevation of intraocular pressure (IOP) occurs as a result of obstruction of aqueous outflow by partial or complete closure of angle by the peripheral iris. I. Classical Classification: Prodromal Stage Stage of constant instability Acute Congestive Stage Chronic Angle Closure Stage Absolute Stage II. Newer Classification: Recommended by the Am...Read More
Newer Imaging Technology in Glaucoma
Clinical examination of the disc has been the basis of disc and nerve fibre layer evaluation for ages but it is marred by its subjectivity and non-reproducibility, in the diagnosis and detection of glaucoma. Though visual field changes give concrete and reproducible evidence of glaucomatous changes, it becomes manifest only after considerable damage has occurred to the retinal ganglion cells(RGCs)...Read More
Intravitreal Injections -technique and tips
Intravitreal injections involve injecting therapeutic agents (drugs/air/gases) inside the vitreous cavity through pars plana under aseptic precautions Surgical anatomy Site of injection: Pars plana Ciliary body: Consists of two parts a) anterior pars plicata b) posterior pars plana Pars plicata Circumferential zone 2.5mm in anteroposterior diameter Pars plana Varies in anteroposterior diameter nas...Read More
Development of the lacrimal secretory apparatus: The lacrimal gland develops from solid ectodermal buds in the anterior superolateral part of the orbit. The gland does not start functioning fully until approximately 6 weeks after birth. Newborn infants do not produce tears while crying. Development of the lacrimal excretory system: The Nasolacrimal duct opens in the inferior meatus of the nose. Fa...Read More
Blepharoptosis refers to the inferodisplacement or drooping of the upper eyelids.The condition can be congenital associated with the presence of a dystrophic levator muscle or acquired due to a myogenic, neurogenic, mechanical, aponeurotic or traumatic cause. We aim to provide certain general guidelines to the management of a patient with ptosis. In assessment of long case of ptosis the clinical e...Read More
Medical Management of Glaucoma
Introduction The primary goal in the treatment of glaucoma is to prevent or retard the loss of visual function caused by damage to the optic nerve. Our therapeutic approaches, however, are currently limited to reducing IOP. This approach of lowering a potentially harmful pressure will apply to patients with documented optic nerve damage and visual field loss as well as those with elevated IOP or o...Read More
Do you Know !! The eye muscles are the most active muscles in the whole body. The external muscles that move ht eyes are the strongest muscles in the human body for the job that they have to do. They are 100 times powerful than they need to be. Eyes are composed of more than two million working parts. The eye can process 36,000 bits of information every hour. A normal lifespan will bring you almos...Read More