Polypoidal Choroidal Vasculopathy
Introduction Polypoidal Choroidal Vasculopathy (PCV), first described by Yannuzzi et al1 in 1982, is a distinct clinical entity characterized by persistent recurrent serous leakage and hemorrhage in the macula, and is seen in the elderly population. The disorder was poorly understood earlier and had been described by various authors as recurrent pigment epithelial detachment (PED) and posterior uv...Read More
Although, thesis submission is a mandatory process for post-graduation, nonetheless, getting it published is an important step towards your career. After all the hard work of bringing the thesis, the next step should be to publish it. The idea of publishing should be clear even before you started the work. Why publish An unpublished work means that the work had never been done. If you wish to be i...Read More
Ten Pearls for Mastering Small Incision Cataract Surgery
Small incision cataract surgery (SICS) is a prevalent technique in all the high volume centres of India as it is faster, gives excellent visual outcome and is much cheaper than phacoemulsification. Tip no. 1. Do a thorough pre-operative assessment and try selecting ideal cases It is mandatory to perform a proper pre-operative assessment of the patient. Helps in preparing the surgeon to anticipate ...Read More
Understanding Retinal Imaging : What Lies Ahead of Us?
“Be careful, now that I can see the Inner You.” -Imaging modalities today Retinal imaging has come a long way today. From times of appropriately concentrating the fluorescein dye from scratch in the lab itself to times where we have a dye free angiography system, technology has covered vast boundaries. There is a platter of different modalities in the market today, each having their own ebb and fl...Read More
Ten Pearls in the Management of Paralytic Strabismus
Paralytic strabismus is an incomitant strabismus resulting from complete (paralysis) or partial (paresis) motor deficiency of one or a group of extraocular muscles, which are supplied by the third, fourth or sixth cranial nerve. 1 History and basic examination Paralytic strabismus may be congenital or acquired. Careful history-taking will rule out an antecedent fever, trauma, neurological symptoms...Read More
Ten Mistakes One Should Avoid in Small Incision Cataract Surgery
Mastering Small Incision Cataract Surgery (SICS) lays a solid foundation for achieving sutureless cataract surgery in the majority of the cases. This article aims to bring forth some commonly committed errors in SICS. Nuclear grade: Though a surgeon is not expected to choose a patient, but a beginner should avoid extremes of nuclear grade. A grade 3 nucleus with a 6mm external incision and >6mm ca...Read More
Drug Induced Maculopathy: A Quick Look
Generally all the drugs are likely to have some side effects. For ophthalmologists, it is essential to know the drugs which affect the vision or involve the eye as a part of their side-effects. This is a summary of the drugs causing damage to the posterior segment of the eye. Patterns of retinal toxicity: Disruption of the retina and retinal pigment epithelium Vascular damage Retinal folds Phenoit...Read More
Introduction History In 1908 George Coats1 original description of the disease was based primarily on histopathologic examination of enucleated eyes and identified retinal vascular aneurysms, arteriovenous malformations, intra- and subretinal hemorrhages, and exudates. Coats categorized eyes with these characteristic morphologic findings into three groups: Group I demonstrated massive subretinal e...Read More
The Effects & Techniques of Scleral Buckle in Treatment of Retinal Detachment
Introduction: Scleral buckle surgery is indicated for uncomplicated rhegmatogenous retinal detachments. Scleral buckling indents the sclera and the overlying choroid retinal pigment epithelium complex towards the retinal break in the detached retina, resulting in retinal reattachment. Scleral buckle surgery evolved out of the works of Jules Gonin, who identified retinal breaks as the cause of reti...Read More
Ten Tips for Beginners to Start Vitreoretinal Practice
1. Higher cause/vision and mission statement : Setting up a vitreoretinal surgery / medical retina practice should come with a higher calling apart from simply making a living. It is very important to have one to sail through tough initial months or years till your practice reached a break-even point. Till the business starts making money this higher calling will keep up your spirits high and moti...Read More