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Preferred practice guidelines for retinopathy of prematurity screening during the COVID-19 pandemic

World Journal of Clinical Pediatrics 2022年第3期11卷 215-220页

作者： Anand Vinekar Rajvardhan Azad Mangat Ram Dogra subhadra jalali Pramod Bhende Parijat Chandra Narendran Venkatapathy Sucheta Kulkarni Pediatric Retina Narayana Nethralaya Eye InstituteBangalore 560010India Department of Ophthalmology Regional Institute of OphthalmologyIGIMSPatna 800014India Department of Ophthalmology Grewal Eye InstituteChandigarh 160009India Department of Retina LV Prasad Eye InstituteHyderabad 500034India Department of Retina Sankara NethralayaChennai 600006India Department of Ophthalmology All India Institute of Medical SciencesNew Delhi 110023India Department of Retina Aravind Eye HospitalCoimbatore 641014India Department of Ophthalmology H.V.Desai Eye HospitalPune 411028India

Retinopathy of prematurity(ROP)is the leading cause of preventable infant blindness in the world and predominantly affects babies who are born low birth weight and *** has the largest number of surviving preterm births born *** blindness can be largely prevented if there is a robust screening program which detects treatment requiring disease in *** treatment must be provided within 48 h of reaching this threshold of treatment making it a relative *** the severe acute respiratory syndromecoronavirus disease 2019 pandemic in 2020 ROP screening was disrupted throughout the world due to lockdowns and restriction of movement of these infants,their families,specialists and healthcare *** Indian ROP Society issued guidelines for ROP screening and treatment in March 2020,which was aimed at preserving the chain-of-care despite the potential limitations and hazards during the(ongoing)*** preferred practice guideline is summarized in this manuscript.

关键词： Retinopathy of prematurity Screening Preferred practice COVID-19 Pandemic Indian retinopathy of prematurity society

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Traumatic Vitreous Hemorrhage in Children-Clinical Features and Outcomes

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Eye Science 2014年第2期29卷 63-69页

作者： Aditya Sudhalkar Jay Chhablani subhadra jalali Raja Narayanan Smt Kannuri Santhamma Centre for Vitreoretinal Services LV Prasad Eye Institute

Purpose: To determine the clinical profile, causes, and outcomes of traumatic vitreous hemorrhage(TVH) in children(<18 years of age).Methods:.Retrospective computer assisted chart review..501 eyes of 464 children(103 females; 361 males) who presented with TVH between 2001 and 2012 were included. All children underwent a complete ocular and systemic examination and investigation. The etiology, visual, and anatomic results of pediatric TVH were the outcome ***: Median age: 12.27±4.51 years. 37 patients had bilateral VH; 43.24% of these were firecracker injuries..Commonest complaint was diminished vision(96.45%)..Mean BCVA(logMAR) at presentation was 2.64±1.11 logMAR. Sticks(43.43%).and cricket balls.(13.24%).were the commonest causes..Treatment included medical therapy(topical and / or systemic; 56 eyes), laser photocoagulation(34 eyes), and /or surgery.(387 eyes)..Mean final BCVA was significantly better(1.01±0.58 logMAR;P=0.011,Z test). Mean follow up in the closed and open globe trauma was 47±12.47 and 36.24±9.72 months, ***:.TVH has significant implications in *** injuries are notorious for bilateral VH.

关键词：临床特点玻璃体外伤性儿童出血预后药物治疗外科手术

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Response of L V Prasad Eye Institute to COVID-19 outbreak in India:experience at its tertiary eye care centre and adoption to its Eye Health Pyramid

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International Journal of Ophthalmology(English edition) 2021年第1期14卷 1-9页

作者： Rohit C Khanna Prashant Garg Pravin K Vaddavalli Merle Fernandes Suryasnata Rath Sameera Nayak Raja Narayanan Rajeev Reddy Pappuru Swathi Kaliki Anthony Vipin Das Savitri Sharma subhadra jalali Allen Foster Community Eye Health Research Centre Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye CareL V Prasad Eye InstituteHyderabad 500030India Brien Holden Eye Research Centre L V Prasad Eye InstituteHyderabadTelangana 500034India School of Optometry and Vision Science University of New South WalesSydney 2033Australia University of Rochester School of Medicine and DentistryRochesterNY 14642USA Kallam Anji Reddy Campus L V Prasad Eye InstituteHyderabad 500034India Grandhi Mallikarjun Rao Varalakshmi Campus L V Prasad Eye InstituteVishakhapatnamAndhra Pradesh 530040India Mithu Tulsi Chanrai Campus L V Prasad Eye InstituteBhubaneswaraOdisha 751024India Kode Venkatadri Chowdary Campus L V Prasad Eye InstituteVijayawada 521134India Department of eyeSmart EMR&AEye L V Prasad Eye Institute 500034India

AIM:To summarize the experience of response to COVID-19 outbreak at a tertiary eye care institute and its network of health facilities in ***:Our responses are based on the principles of social distancing,hand hygiene,respiratory etiquettes,surface disinfection protocol,and rational use of appropriate personal protective equipment(PPE).We describe our response in terms of administrative controls,clinical protocols,staff protection,environmental controls,and social distancing *** also discuss our communication strategies and monitoring systems,to ensure compliance to ***:Administrative control is mainly related to formation of task force and its *** protocols are related to patient triaging methods and clinical examination guidelines in Outpatient,Inpatient and Operating *** protection is focused on training staff on the protocols to be followed in hospital as well as at home,and use of *** protocol is focused on cleaning and disinfectant methods to be used in the *** addition,there are systems for communication as well as monitoring compliance to ***:We hope that these protocols and our experience would help the ophthalmic community globally and serve as a guide to protect ophthalmologists and ophthalmic care personnel,and their patients across the world.

关键词： COVID-19 coronavirus India ophthalmology pandemic care practices pandemic protocols eye care

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视网膜脱离

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实用防盲技术 2007年第1期2卷 43-44,封三页

作者： subhadra jalali MS 顾永昊 Consultant Smt Kannuri Santhamma Retina Vitreoms Centre India 安徽省立医院眼科

视网膜脱离是重要的致盲眼病.光感受器外节从脉络膜接受氧气和营养,如果视网膜从脉络膜脱开,光感受器就会凋亡.中心凹没有视网膜血管,完全依赖于脉络膜途径,因此黄斑区的脱离会造成后极部视锥和视杆细胞不可逆的损害,从而致盲.如果黄斑... 详细信息

视网膜脱离是重要的致盲眼病.光感受器外节从脉络膜接受氧气和营养,如果视网膜从脉络膜脱开,光感受器就会凋亡.中心凹没有视网膜血管,完全依赖于脉络膜途径,因此黄斑区的脱离会造成后极部视锥和视杆细胞不可逆的损害,从而致盲.如果黄斑区未受累及,及时的视网膜复位可能使视力得以保存.

关键词：视网膜脱离手术治疗不可逆视网膜裂孔脉络膜脱离

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The Indian retinopathy of prematurity society:a baby step towards tackling the retinopathy of prematurity epidemic in India

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Annals of Eye Science 2017年第1期2卷 107-112页

作者： Anand Vinekar Rajvardhan Azad Mangat Ram Dogra Venkatapathy Narendran subhadra jalali Pramod Bende Department of Pediatric Retina Narayana Nethralaya Eye InstituteBangaloreIndia ROP Services Bharti Eye HospitalNew DelhiIndia Raj Retina Eye Care Hospital PatnaIndia Department of Ophthalmology Advanced Eye CentrePostgraduate Institute of Medical Education and ResearchChandigarhIndia Aravind Eye Hospital CoimbatoreIndia LV Prasad Eye Institute HyderabadIndia Sankara Nethralaya ChennaiIndia

Background:India leads all nations in the number of preterms born *** over 3.5 million infants,a reducing infant mortality rate and an expanding base of rural neonatal intensive care units,the number of infants requiring retinopathy of prematurity(ROP)screening has dramatically *** number of ROP specialists in the country is currently *** ROP specialists of the country initiated the Indian ROP(IROP)society to address these ***:In 2016,the IROP society was conceived and registered as a professional body with a mission to prevent needless blindness from ROP by promoting standards of excellence.A national online membership drive was carried *** data collected in this survey was analyzed to collate information on past training,practice patterns,ease of screening and treatment,use of wide-field imaging and willingness to be ***:Of the 113 members at the time of submission,67.3%were male.88.5%were formally trained for ROP and 85.8%were vitreo-retinal *** the practicing members,96%were“comfortable”with screening and 86%with ROP treatment and this correlated with training(P=0.001 and P=0.002 respectively).Only 25.7%performed vitreous surgery for *** field imaging was used by 33%of members in their practice and 52%of those who did not,wanted to use it in the *** who used imaging performed more number of laser treatments than those who did not(P=0.008).Laser was the preferred modality of treatment for 98%of members.A majority of the members(92.5%)were willing to be ***:The IROP society is a novel platform for ROP specialists to *** society has setup short,mid and long-term goals to make ROP care more accessible and affordable with appropriate use of technology.

关键词： Retinopathy of prematurity(ROP) India screening society wide field imaging

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超声生物显微镜在硅油填充眼中的应用

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国际眼科杂志 2003年第2期3卷 48-51页

作者：李文化 Zazimul Hussian Taratrasad Das Ajit B Majji subhadra jalali 中国山西省眼科医院眼科 030002 L.V.Prasad眼科研究所

目的探索眼玻璃体腔内长期硅油填充眼(>3月)的超声生物显微镜影像特征并探讨它在硅油填充眼中的临床应用。方法对23例患者的23只硅油填充眼(平均10.5月,从3-18月)进行超声生物显微镜检查并进行图像分析。结果观察到的超声生物显微镜... 详细信息

目的探索眼玻璃体腔内长期硅油填充眼(>3月)的超声生物显微镜影像特征并探讨它在硅油填充眼中的临床应用。方法对23例患者的23只硅油填充眼(平均10.5月,从3-18月)进行超声生物显微镜检查并进行图像分析。结果观察到的超声生物显微镜影像有:高反射颗粒(硅油乳化颗粒),角膜鬼影,硅油在眼内的不完全填充,硅油颗粒在眼前部软组织镶嵌的高反射影像以及硅油周边组织的增生。结论眼内硅油有着非常清晰的超声生物显微镜影像。它对充分了解硅油在眼内的分布状态及硅油填充术后眼前节的各种增殖性变化及硅油与这些增殖的关系起着重要的作用。

关键词：超声生物显微镜检查临床应用眼内硅油填充眼前部增殖性玻璃体视网膜病变手术方式

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