Topic

#i-File

19 articles
  1. Students Gallery 5 Aug 2022 8 min read

    iFile: Ruptured Retinal Artery Macroaneursm

    Chief Complaint: A 67 years old female came with the complaint of sudden painless diminution of vision in the left eye for 1 day. History of Present Illness: Sudden painless diminution of vision with associated floaters in the left eye for the last 1 day. There was no history of any trauma, redness, watering or discharge. Past Ocular History: No history of any past ocular disease Past Medical History/ History of Medication: The patient was diagnosed to have diabetes mellitus type 2 and essential hypertension five years back and was on medications for the same. Family History: No significant family history was present OCULAR EXAMINATION Best Corrected Visual Acuity (Snellen) Right eye (OD): 6/6, N6 Left eye (OS): 6/36, N18 Ocular Motility/Alignment: Full, free and painless in all gazes Intraocular Pressure (IOP) OD: 16 mmHg OS: 18 mmHg Pupils: OU Round, regular and reacting to light Slit-lamp Exam: OD OS Lid/Lashes Normal Normal Conjunctiva/sclera Normal Normal Cornea Normal Normal Ante

    Dr. Suklengmung Buragohain · Dr. Subham Sinha Roy
  2. Articles 9 Mar 2022 11 min read

    i-File: Pigmentary Glaucoma

    A 30-year-old male presented to the glaucoma clinic with complaints of gradually progressive diminution of vision in both eyes, left eye more than right, since 5 years. The visual disturbance was not associated with redness, pain, photophobia, or colored haloes. Past Ocular History: He was diagnosed with glaucoma elsewhere 5 years ago and started on anti-glaucoma medications(AGM). His baseline intraocular pressure (IOP) according to the old records was 52 mmHg In both eyes. At the time of his visit to the hospital, he was using 3 AGMs which he had stopped using for the past 7 days. No history of trauma or laser in the past Past Medical history: No history of any systemic illness Family history: No family history of glaucoma Systemic Examination: All vitals and systemic examination was within normal limits Ocular Examination Best Corrected Visual Acuity (Snellens) Right Eye (OD) 6/9 Left Eye (OS) 3/60 Ocular Motility/Alignment Full, free and painless in all gazes Intraocular pressure (I

    Dr. K. Sugepriya · Dr. Rathini David
  3. Articles 3 Jan 2022 11 min read

    i-File: Pseudophakic Bullous Keratopathy

    A 60-year-old-male presented to the Cornea clinic with diminution of vision in the left eye for 4 months which was associated with intermittent photophobia and colored haloes around lights, especially on waking up in the morning. The patient also complains of pain and watering. No history of associated redness, itching, or discharge. Past Ocular History: H/o OD cataract surgery 6 years, OS cataract surgery 4 months back. No h/o trauma. Past Medical History/ History of Medication: No significant systemic history could be elicited. The patient was not on any medication. No addictions. Family History: No significant family history found Review of Systems/Systemic Examination: Systemic examination was within normal limits. All vitals were within normal limits. OCULAR EXAMINATION Best Corrected Visual Acuity (Snellen) Right eye (OD): 6/9 Left eye (OS): CF 2 m Ocular Motility/Alignment - Full, free, and painless in all gazes Intraocular Pressure (IOP) OD: 18 mm of Hg OS: 14 mm of Hg Pupils-

    Dr. Hema Joshi, MBBS, DO, DNB · Dr. Akhilesh Yadav
  4. Students Gallery 9 Nov 2021 14 min read

    i-File: Optic Neuritis

    A 23 years old female presented to the ophthalmology clinic with complaints of blurring of vision in the left eye since the past 4-5 days with associated mild pain around the left eye, mainly on ocular movements History of Present Illness: Patient did not give any history of associated nausea, vomiting, headache, tingling numbness or limb weakness. There was no history of any preceding febrile illness nor any history of vaccination in the recent past. Past Ocular History: There was no history of any similar episode, any ocular trauma or surgery in the past. Past Medical History: No history of any significant systemic illness or any medications. Family History: No significant history. Systemic Examination: Within normal limits. Pulse rate: 82/min, BP: 124/76 mmHg, Respiratory rate:12/min OCULAR EXAMINATION: Best Corrected Visual Acuity (BCVA) Right eye (OD): 6/6,N6 Left eye (OS): 6/24,N8 Colour Vision (CV) using Ishihara pseudoisochromatic plates: OD: Normal 21/21 OS: Impaired 1/21(iden

    Dr. Siddharth Sheth
  5. Students Gallery 1 Oct 2021 11 min read

    i-File: Normal Tension Glaucoma

    Chief Complaint: A 37 years old male presented to us with a history of progressive deterioration of vision on 30/09/2020. History of Present Illness: He was diagnosed elsewhere to have glaucoma and came to us for further management. Past Ocular History: He was already on on Latanoprost ED HS, Dorzolamide + Timolol combination BD. The patient underwent Trabeculectomy in both eyes in the year 2010 and 2013 Baseline IOP from old records was noted to be 18 mm of Hg in the right eye and 17 mm of Hg in the left eye Family History: Strong family history of glaucoma in father and elder sister Review of Systems/Systemic Examination Not a known case of hypertension, diabetes, asthma or cardiological problem, not on any systemic medication. OCULAR EXAMINATION Best Corrected Visual Acuity (Snellen) Right eye (OD): 6/6,N6 Left eye (OS): 6/9,N6 Ocular Motility/Alignment- EOM full and free Intraocular Pressure (IOP) OD: 11 mm of Hg OS: 10 mm of Hg Pupils: OD – round , regular and reacting to light OS

    Dr. Tamonash Basu
  6. Students Gallery 28 Aug 2021 10 min read

    i-File: Floppy Eyelid Syndrome

    History of Present Illness: A 60-year old male patient presented with recurrent episodes of watering and foreign body sensation of both eyes for 8 years. He gave no history of redness or discharge from the eyes. There was no history of spontaneous eversion of the eyelids. He was treated conservatively with lubricants but had no relief of symptoms. He complained of snoring during sleep with associated daytime somnolence. Past Ocular History: No history of ocular trauma or surgery in the past. Past Medical History/ History of Medication: He was diagnosed with Rheumatoid arthritis 1.5 years ago and hypertension for which he is on treatment. Family History: No significant family history Review of Systems/Systemic Examination: Systemic examination was within normal limits. All vitals were within normal limits. OCULAR EXAMINATION Best Corrected Visual Acuity (Snellen) Right eye (OD): 6/6P, N6 Left eye (OS): 6/6, N6 Ocular Motility/Alignment: Hirshberg corneal reflex- Orthophoric, EOM-Full, f

    Dr. Kirthi Koka · Dr. Jazz K Manadan
  7. Students Gallery 24 Aug 2021 2 min read

    i-File: Systemic Hypertension

    A 60-year male presented with C/O diminution of vision in the Right Eye. The patient is not a known case of any known systemic illness, although gives a vague c/o chest pain and the occasional headache. Examination revealed a vision of 4/60 with an IOP of 16mmHg as measured by GAT. The right Eye reveals the unremarkable anterior segment with minimal lenticular changes. Vitreous cavity quiet with fundus as shown. The left eye reveals a normal anterior and posterior segment. Question What are the positive findings as depicted in the fundus photo.? What are the investigations you would ask for? How will you manage this case? Answer Ocular 1) FUNDUS FLUORESCEIN ANGIOGRAM: disruption of retinal layers. These in turn will again help in educating the patient in terms of visual gain he is expected to gain In this case if one had to choose between FFA and OCT, FFA would be a better option. Management Managing this case is again in collaboration with a physician/ cardiologist Ocular 1) After con

    Dr. Bikramjit Pal
  8. Articles 20 Aug 2021 6 min read

    i-File: Asteroid Hyalosis

    Chief Complaint: A female patient of 58 years old who came for a routine eye examination. History of Present Illness: No specific complaints. Past Ocular History: No H/O any previous injury. Past Medical History/ History of Medication: Known diabetic for the past 10 years and on control with oral hypoglycemic agents. Family History: No significant family history. Review of Systems/Systemic Examination Pulse rate - 88/min, respiratory rate - 16/minute. BP- 120/80 mm Hg. Examination of other systems were normal. Ocular Examination Best Corrected Visual Acuity (Snellen) Right eye (OD): 6/6 p N6 Left eye (OS): 6/6 N6 Ocular Motility/Alignment Extraocular motility was full and free in all gazes in both eyes. Intraocular Pressure (IOP)- By Applanation tonometry Right eye (OD): 14mm Left eye (OS): 16mm Pupils: Both eyes (OU) - round and briskly reacting to light. Slit-lamp examination: Lids/lashes: Both eyes (OU)- normal. Conjunctiva/sclera: Both eyes (OU) - normal. Cornea: Both eyes (OU) – c

    Dr. Priya Rasipuram Chandrasekaran
  9. Articles 22 Jul 2021 12 min read

    i-File: Thyroid Eye Disease

    Case presentation: A 65-year-old man presented to our clinic with gradually progressive protrusion and swelling of both eyes and double vision for 1 year associated with progressive drooping of the right upper eyelid. There is acute onset of pain in the left eye for 10 days. A smoker for 25 years. Past ocular history No h/o previous ocular surgery or trauma Past medical history The patient is a diagnosed case of hyperthyroidism, Graves’ disease for 2 years. On treatment with Tablet Neomercazole 5mg per day. No history of radio-iodine therapy. The patient has no history of diabetes, hypertension, or cardiac disease. Family history No significant history Ocular Examination: Right Eye Left Eye IOP 18 mmHg 21 mmHg VISUAL ACUITY (UCVA) 6/60 3/60 BCVA 6/24 6/60 COLOUR VISION NORMAL 8/21 OCULAR MOTILITY -1 RESTRICTION IN ALL DIRECTIONS -3 RESTRICTION IN ELEVATION -2 RESTRICTION IN ALL DIRECTION PALPATION NO PALPABLE MASS NO PALPABLE MASS LIDS AND LASHES NEAR-COMPLETE PTOSIS NO LAGOPHTHALMOS L

    Dr. Rwituja Thomas · Dr. Garvita Singh
  10. Students Gallery 27 May 2021 12 min read

    i-File: COVID-19 associated Mucormycosis

    A 53-year-old female presented to the emergency with chief complaints of drooping of the left eyelid for 3 days and sudden loss of vision in the left eye for 2 days. History of Present Illness: The patient was recovering from COVID-19 infection prior to presentation when she noticed a sudden, rapidly progressive drooping of the left eyelid over 3 days duration. It was associated with the limitation of extraocular movements. Loss of vision was sudden, associated with pain, and fullness around the eye. She had a history of the left-sided nasal block along with altered sensation over the left cheek for 1 day. She had no history of fever, toothache, trauma, hospitalization, or intake of steroids. Past Ocular History: Underwent cataract surgery in both eyes 2 years back. Past Medical History/ History of Medication: She tested COVID positive 2 weeks prior to the current presentation and was advised home quarantined. CT chest score was 3, and spO2 was maintained throughout the quarantine peri

    Dr. Nisar Sonam Poonam, M.S.(ophthal), F.M.R.F (Orbit & Oculoplasty)

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