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First contact investigations and compliance to treatment in patients with uveitis

International Journal of Ophthalmology(English edition) 2023年第11期16卷 1820-1826页

作者： Anuja Patil Sanjeev Gupta Pradeep Venkatesh Mousumi Banerjee Vinod Kumar Rohan Chawla shorya vardhan azad Atul Kumar Dr.Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical SciencesNew Delhi 110029India

AIM:To ascertain the pattern of investigations at first contact in uveitic patients and evaluate compliance to ***:An observational study comprised of 201 uveitic patients presenting for the first time to our centre from January 2019 to June *** information regarding systemic investigations undertaken by specialists at the time of first contact and the cost of these investigations were reviewed on the first visit to our *** with the treatment was determined and reasons behind non-compliance were evaluated on the first follow-up in patients who had no improvement in clinical signs and ***:The mean age of the study group was 35.35±14.1y and gender composition was 59.7%males and 40.3%*** uveitis was observed in 45.3%of patients,intermediate uveitis in 31.8%of patients,posterior uveitis in 14.9%of patients and panuveitis in 8.0%of *** with a systemic disease was evident in 17.9%of *** compared with standard guidelines and uveitis patterns,systemic investigations were identified to be relevant only in 38.3%of ***-compliance to treatment was documented in 22.4%of *** reasons for non-compliance were inadequate counselling by the treating physician about treatment in 26.7%of patients and a busy schedule at work/school in 22.2%of ***:Significant number of investigations performed at first contact is found to be contrary to standard guidelines and are not contributory to the *** a quarter of patients in this study are found to be non-compliant with the *** is more challenging to achieve in school-going children and working *** availability of comprehensive,periodically updated,evidence-based guidelines on the role of investigations and the use of trained counsellors may help to channelize proper evaluation and improve compliance to treatment,respectively,in patients with uveitis.

关键词： uveitis compliance investigations first contact

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Delayed presentation of intracameral graphite foreign body in a child: school trauma

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Eye Science 2016年第3期31卷 189-191页

作者： Brijesh Takkar shorya vardhan azad Ravi Bypareddy Sudarshan Khokhar Dr.R.P.Center AIIMS

We report a case of large graphite foreign body(FB) in the anterior chamber of eye of a 4-yearold child,incurred during unsupervised *** delayed presentation,the eye had few signs of resolved inflammation which allowed safe extraction of the FB bimanually through *** play,especially in young children,should be under supervision and free of sharp *** is inert while inside the eye,and even large pieces can be well tolerated for long time in absence of infection.

关键词： Graphite foreign body intraocular foreign body in children school trauma

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Bilateral lens subluxation in a case of Behcet's disease related uveitis

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Eye Science 2016年第3期31卷 197-198页

作者： Anubha Rathi Brijesh Takkar shorya vardhan azad Pradeep Venkatesh Rohan Chawla Retina and Uvea Services Dr R P Centre for Ophthalmic SciencesAll India Institute of Medical Sciences

Ocular inflammation accompanying the pediatric Behcet's disease(BD)is characterized by a relapsing and complicated course,often resulting in blindness due to severe bilateral affection(1).Ectopia lentis(EL)is an important association of multiple ocular and systemic syndromes,with favorable visual outcomes if managed ideally(2).We discuss a unique case presenting with a combination of these entities。

关键词： BD case

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Combined pars plana vitrectomy and suture less scleral fixation of foldable intraocular lens:single surgery visual rehabilitation of dislocated lens/intraocular lens

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Annals of Eye Science 2017年第1期2卷 90-96页

作者： Brijesh Takkar shorya vardhan azad Neelima Aron Ravi Bypareddy Rajvardhan azad Dr.Rajendra Prasad Centre for Ophthalmic Sciences AIIMSNew DelhiIndia Bharti Eye Hospital New DelhiIndia

Background:To evaluate efficacy and safety of combined pars plana vitrectomy(PPV)and scleral fixated intraocular lens(SFIOL)surgery as a single ***:Retrospective interventional case series done at a tertiary eye care center in Northern *** patients who underwent combined PPV and SFIOL surgery were included and analyzed ***:Mean age of the patients was 43.36±15.12 years(range,22-64 years).Eight were *** baseline best corrected visual acuity(BCVA)was 0.78±0.63 logMAR units while the mean post-operative BCVA at 6 months follow-up was 0.37±0.29 logMAR units,the visual gain being statistically significant(P=0.021).None of the patients had a drop in BCVA with nine patients having final BCVA better than 0.48 logMAR *** detachment(CD)was the only notable complication,seen in three *** complications included two cases of intraoperative retinal breaks,a case each of reversible corneal edema,ocular hypertension and cystoid macular ***:Combined PPV and SFIOL is an efficacious procedure for managing IOL/lens dislocation and aphakia in a single *** may be short-term reversible complications with no impact on final visual gain.

关键词： Pars plana vitrectomy(PPV) intraocular lens(IOL) posterior segment anterior segment surgery intraocular lens implantation(IOL implantation) intraocular lens surgery(IOL surgery) lens surgery

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Iridofundal colobomas may lower severity of retinopathy of prematurity

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Annals of Eye Science 2018年第1期3卷 73-75页

作者： Anil Babanrao Gangwe Parijat Chandra Brijesh Takkar shorya vardhan azad Rajvardhan azad Dr.Rajendra Prasad Centre for Ophthalmic Sciences AIIMSNew DelhiIndia Department of Vitreo-Retina and ROP Bharti Eye HospitalNew DelhiIndia

We report a case where unilateral iridofundal coloboma(IFC)was observed with asymmetric retinopathy of prematurity(ROP).Associated ocular abnormalities with IFC are present in nearly 15%of the cases;however its implications on course of ROP have not been reported thus ***,damaging in its own respect,may be protective against disease progression in ROP.

关键词： Retinopathy of prematurity(ROP) iridofundal coloboma(IFC) asymmetric ROP

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Rescue with intravitreal bevacizumab in aggressive posterior retinopathy of prematurity poorly responsive to laser treatment

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Annals of Eye Science 2018年第1期3卷 69-72页

作者： Vivek Kumar Ravish Kinkhabwala Parijat Chandra Brijesh Takkar shorya vardhan azad Rajvardhan azad Dr.Rajendra Prasad Centre for Ophthalmic Sciences AIIMSNew DelhiIndia Department of Vitreo-Retina and ROP Bharti Eye HospitalNew DelhiIndia

Successful management of a case of aggressive posterior retinopathy of prematurity(APROP)poorly responsive to laser therapy with intravitreal bevacizumab(IVB)is *** is useful as rescue therapy in such cases,if given w... 详细信息

关键词： Aggressive posterior retinopathy of prematurity(APROP) anti-vascular endothelial growth factor(anti-VEGF) laser in retinopathy of prematurity(ROP)

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Posterior segment nucleotomy for dislocated sclerotic cataractous lens using chandelier endoilluminator and sharp tipped chopper

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International Journal of Ophthalmology(English edition) 2015年第4期8卷 833-834页

作者： Brijesh Takkar Rajvardhan azad shorya azad Anubha Rathi Dr.Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences

· AIM: To describe a new surgical technique for managing dislocated sclerotic cataractous lens.· METHODS: Six patients with advanced posteriorly dislocated cataracts were operated at a tertiary care centre and analyzed retrospectively. After standard 3 port23 G pars plana vitrectomy and perfluorocarbon liquid(PFCL) injection, the dislocated white cataract was held with occlusion using phaco fragmatome and then chopped into smaller pieces with a sharp tipped chopper using 25 G chandelier endoilluminator. Each piece was emulsified individually. Following aspiration of PFCL,Fluid Air Exchange was done in all the cases and surgery completed uneventfully.·RESULTS: Best corrected visual acuity(BCVA) in all the patients was better than 6/12 after one month of follow up. No serious complications were noted till minimum 6mo of follow up.·CONCLUSION: Four port posterior segment nucleotomy with a chandelier endoilluminator, fragmatome and a chopper appears to be a safe, easy and effective procedure for managing dislocated sclerotic cataractous nuclei. Ultrasonic energy used and adverse thermal effects of the fragmatome on the sclera may be lesser.

关键词： posterior segment nucleotomy intravitreal nucleotomy dislocated sclerotic lens dislocated hard lens dislocated lens complications of phacoemulsification

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Missed retinal breaks in rhegmatogenous retinal detachment

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International Journal of Ophthalmology(English edition) 2016年第11期9卷 1629-1633页

作者： Brijesh Takkar shorya azad Adarsh Shashni Amar Pujari Indrish Bhatia Rajvardhan azad Dr. Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi 110029 India Bharti Eye Hospital New Delhi 110029 India

AIM： To evaluate the causes and associations of missed retinal breaks（MRBs） and posterior vitreous detachment（PVD） in patients with rhegmatogenous retinal detachment（RRD）.METHODS： Case sheets of patients undergoing vitreo retinal surgery for RRD at a tertiary eye care centre were evaluated retrospectively. Out of the 378 records screened, 253 were included for analysis of MRBs and191 patients were included for analysis of PVD,depending on the inclusion criteria. Features of RRD and retinal breaks noted on examination were compared to the status of MRBs and PVD detected during surgery for possible ***： Overall, 27% patients had MRBs. Retinal holes were commonly missed in patients with lattice degeneration while missed retinal tears were associated with presence of complete PVD. Patients operated for cataract surgery were significantly associated with MRBs（P =0.033） with the odds of missing a retinal break being1.91 as compared to patients with natural lens. Advanced proliferative vitreo retinopathy（PVR） and retinal bullae were the most common reasons for missing a retinal break during examination. PVD was present in 52% of the cases and was wrongly assessed in 16%. Retinal bullae,pseudophakia/aphakia, myopia, and horse shoe retinal tears were strongly associated with presence of *** RRDs were rarely associated with PVD. CONCLUSION： Pseudophakic patients, and patients with retinal bullae or advanced PVR should be carefully screened for MRBs. Though Weiss ring is a good indicator of PVD, it may still be over diagnosed in some cases. PVD is associated with retinal bullae and pseudophakia, and inversely with traumatic RRD.

关键词： missed retinal breaks retinal detachment ocular examination posterior vitreous detachment retinalsurgery

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