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Ocular mutilation: A case of bilateral self-evisceration in a patient with acute psychosis

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World Journal of Emergency Medicine 2017年第3期8卷 233-234页

作者： Amar Pujari Neelam Pushker Milind Changole Ritika Mukhija dr.rajendra prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences

Self-inflicted eye injuries in psychotic patients are not uncommon, it has been well described in the literature, earlier report date back to the mid-19th century, but it was there in ancient time as well. In developi... 详细信息

关键词： in of case Figure for with

Born with a luxated globe:An ocular emergency

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World Journal of Emergency Medicine 2022年第2期13卷 158-159页

作者： Neelam Pushker Sahil Agrawal Milind Changole Gautam Lokadarshi Amar Pujari Oculoplasty Tumor&Paediatric Ophthalmology ServicesDr Rajendra Prasad Centre for Ophthalmic SciencesAIIMSNew Delhi 110029India

Dear editor,Globe luxation is defined as complete prolapse of the eyeball outside the orbital cavity with eyelids closed behind the ***,globe luxation can be categorized as traumatic,spontaneous or voluntary;males are affected more than females with an average age of 30 years.[1]Traumatic globe luxation is quite rare in children,with most cases reported in the adult age *** fracture comprises 5%to 25%of all facial fractures in the paediatric age group.[2]In cases with luxation of globe,immediate reposition is crucial for globe and vision *** describe the clinical features,evaluation,and management of globe luxation present at birth following normal vaginal delivery conducted elsewhere.

关键词： ocular editor lux

Ultrasonographic assessment of paediatric ocular emergencies： A tertiary eye hospital based observation

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World Journal of Emergency Medicine 2018年第4期9卷 272-275页

作者： Amar Pujari Deepa R Swamy Rashmi Singh Ritika Mukhija Rohan Chawla Pradccp Sharma dr. rajendra prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences New Delhi 110029 India

BACKGROUND: The purpose of this study is to assess the utility of ocular ultrasound B scan in the emergency at the fi rst point of care for detecting posterior segment and orbital pathologies in cases of paediatric ocular ***: A prospective observational study involving 122 paediatric patients presenting to eye emergency over a period of ninety days were assessed with ultrasonography for the posterior segment as well as orbital pathology whenever indicated. The ocular ultrasound was performed gently over closed ***: Posttraumatic globe injuries were the most common indication for posterior segment evaluation, which constituted 80(65.57%) eyes. Among these 52 patients had an anechoic posterior segment and 28 patients had variable findings such as vitreous haemorrhage(8.19%), retinal detachment(6.55%), choroidal detachment(4.91%), posteriorly dislocated clear lens(0.81%) and retained intraocular foreign body(5.73%). Non-traumatic cases constituted around 42(34.42%) eyes, which included corneal ulcer(7.37%), retinoblastoma(6.55%), endophthalmitis(4.91%), extraocular muscle cysticercosis(4.91%), orbital cellulitis(4.09%), periocular haemorrhage(2.45%), proptosis(1.63%), paediatric cataract(1.63%) and cryptophthalmos(0.81%). No adverse events of performing the ultrasound was ***: First point ultrasonography in paediatric ocular emergencies is a cheap, portable and an effective tool in the assertion of signifi cant posterior segment and orbital diseases.

关键词： Paediatric ocular emergencies Ultrasound B scan Posterior segment andorbital pathologies

Continuous B scan ultrasound guided post-traumatic sub-periosteal orbital hematoma drainage: An advantage over routine needle drainage procedure

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World Journal of Emergency Medicine 2019年第4期10卷 248-250页

作者： Amar Pujari Pallavi Singh Ayushi Sinha Shreya Nayak MANDeep S.Bajaj rajendra prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences

Dear editor,Traumatic orbital haemorrhage is an unfortunate complication with potential vision-threatening consequences.[1-3]The collection of blood can occur anywhere along the potential free orbital spaces,[4]but the subperiosteal collection of the blood is an important clinical variant where careful and timely intervention can give commendable rewards to the surgeon as well as to the patient.[1,2]Subperiosteal hematoma could be traumatic or non-traumatic,in turns,the non-traumatic cases may be due to bleeding tendency as in cases of leukaemia.

关键词： Traumatic orbital haemorrhage unfortunate complication consequences

比较急性眼球烧伤中羊膜移植辅助药物治疗与单一药物治疗

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世界核心医学期刊文摘(眼科学分册) 2006年第3期 49-50页

作者： Tamhane A Vajpayee R.B Biswas N.R. R. Tandon 王静波 rajendra prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences New Delhi 110029 IndiaDr.

Purpose: To evaluate the role of amniotic membrane transplantation (AMT) in acute ocular burns. Design: Prospective, randomized, controlled clinical trial. Participants and Controls: Patients with grade II to IV ocular burns within 3 weeks of injury were recruited. Thirty-seven patients, 7 of whom had bilateral involvement (total, 44 eyes), participated in the trial. Twenty eyes were included in groupA (AMT) and 24 eyes were included in group B (controls). Intervention: The eyes in the AMT group underwent AMT in addition to conventional medical therapy. In the control group, only conventional medical therapy was instituted. Main Outcome Measures: The patients’subjective assessments of relief of ocular discomfort, healing of the corneal epithelial defect, visual acuity, extent of corneal vascularization, formation of symblepharon, and tear function tests. Results: At day 1, subjective ocular discomfort scores were reduced significantly in eyes with moderate burns in the AMT group compared with controls (P=0.05), but there was no difference between the 2 groups in eyes with severe burns. The log mean percentage reduction in size of epithelial defect by day 7was 7.43±0.89 after AMT and 6.23±1.10 with medical treatment alone in moderate grade burns at day 7 (P=0.01), but there was no difference between the 2 groups in eyes with severe burns. There was no overall difference in the final visual acuity, symblepharon formation, corneal vascularization, and tear function tests between the 2 groups over the next 3 months and further follow-up. There was a high dropout rate for long-term follow-up. Conclusions: Amniotic membrane transplantation in eyes with acute ocular burns has advantages in terms of reduction of pain and promotion of early epithelialization in patients with moderate grade burns, but not so in severe burns. There seems to be no definite advantage to AMT over medical therapy alone in terms of improvement in visual acuity, appearance of symblepharon, corneal v

关键词：羊膜移植患者泪液眼球角膜血管化药物治疗

Posterior lamellar tarsorrhaphy in the early treatment of severe eyelid trauma/burns

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World Journal of Emergency Medicine 2022年第5期13卷 393-395页

作者： Neelam Pushker Deepsekhar Das Sujeeth Modaboyina Pallavi Singh Sahil Agrawal Oculoplasty&Pediatric Ophthalmology Services Dr Rajendra Prasad Centre for Ophthalmic SciencesAll India Institute of Medical SciencesNew Delhi 110029India

In patients with lagophthalmos due to eyelid trauma,it is imperative to ensure adequate closure of the eye to protect the ocular *** it is difficult to surgically close eyelids by conventional methods of tarsorrhaphy,such as intermarginal suture tarsorrhaphy,Week’s tarsorrhaphy,and tongue-in-groove *** need intact eyelid tissues to perform these procedures and might not be possible in patients with severe lagophthalmos due to lost/damaged eyelid tissues either due to deficient length of tissues or increased tension at the wound site,which can result in surgical failure.[1]

关键词： trauma wound treatment

人工晶体眼视网膜脱离中巩膜扣压术与基本玻璃体切除术后功能和解剖预后的对比研究

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世界核心医学期刊文摘（眼科学分册） 2005年第10期1卷 12-13页

作者： Sharma Y.R. Karunanithi S. Azad R.V. D.V. Singh 韩静 Vitreo Retina Ser vices Dr Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences Ansari Nagar New Delhi 110029 India Dr.

Purpose: To conduct a randomized prospective clinical trial to compare primary vitrectomy without scleral buckling versus conventional scleral buckling surger y in pseudophakic primary retinal detachment (PPRD) in terms of anatomic attachm ent rate, functional outcome and complications. Methods: Fifty consecutive eyes of 50 patients with PPRD were randomized into two groups, with 25 patients in ea ch of group 1 (scleral buckling group) and group 2 (pars plana vitrectomy withou t buckling group) in a hospital setting and followed up at 1 week, 2 weeks, 6 we eks and 6 months. Results: A primary reattachment rate of 76%(19 retinas) was o btained in group 1, while a reattachment rate of 84%(21 retinas) was achieved i n group 2. The final anatomic reattachment rate was 100%in both groups. The cau ses of failure in group 1were proliferative vitreoretinopathy in five eyes and o pen break/ missed break in one eye. The causes of failure in group 2 were missed break/op en break in three eyes and proliferative vitreoretinopathy in one eye. Best corr ected visual acuity (BCVA) at 2 weeks was better in group 1, while the final BCV A at end of 6 months was two lines better in group 2. The mean change in refract ive error was-1.38 D in group 1 and-0.85 D in group 2. Conclusions: Pars plana vitrectomywithout buckling provides an effective treatment for PPRD and results in better longterm visual and anatomic outcomes than conventional scleral buckl ing.

关键词：人工晶体眼玻璃体切除术视网膜脱离解剖复位率屈光不正矫正视力临床试验两行

临床表现罕见的流行性角结膜炎1例:腺病毒角结膜上皮炎(英文)

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国际眼科杂志 2009年第8期9卷 1444-1447页

作者： Sudesh Kumar Arya Badri prasad Badhu Ritu Amatya V G Ramachandran Poonam Lavaju 印度吕迪加尔政府医学院及医院眼科尼泊尔达朗柯伊拉腊BP健康科学研究所眼科

腺病毒角结膜炎,由腺病毒血清型8,19,37引起。腺病毒结膜炎典型的体征包括耳前淋巴结病变,结膜充血水肿,结膜下出血,结膜滤泡。腺病毒角结膜炎角膜受累情况各不相同,多数患者有弥散的轻微的浅层角膜炎,局部隆起的点状上皮损害,随后形成... 详细信息

腺病毒角结膜炎,由腺病毒血清型8,19,37引起。腺病毒结膜炎典型的体征包括耳前淋巴结病变,结膜充血水肿,结膜下出血,结膜滤泡。腺病毒角结膜炎角膜受累情况各不相同,多数患者有弥散的轻微的浅层角膜炎,局部隆起的点状上皮损害,随后形成上皮下混浊。我们报道一例罕见的腺病毒角结膜上皮炎,为临床表现特殊的流行性角结膜炎(EKC),并回顾相关特殊病例文献。患者,男,35岁,患腺病毒结膜炎,临床表现罕见,表现为角结膜上皮炎形式,这种病例文献未见报道。经过保守治疗患者痊愈。角结膜上皮炎可以是临床表现特殊的腺病毒角结膜炎。

关键词：结膜炎流行性角结膜炎腺病毒角结膜炎角结膜上皮炎

小梁切除术中前房注入黏弹剂(2%羟甲基纤维素)的效果

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世界核心医学期刊文摘（眼科学分册） 2005年第11期1卷 34-34页

作者： Agarwal H.C. Anuradha V.K. Titiyal J.S. Gupta V. 邢咏新 Department of Ophthalmology Dr. Rajendra Prasad Centre for Ophthalmic Sciences All-India Institute of Medical Sciences New Delhi-110029 IndiaDr.

BACKGROUND AND OBJECTIVE: To evaluate the effect of intraoperative intracamera l injection of 2%hydroxypropyl methylcellulose (HPMC) on anterior chamber depth and intraocular pressure (IOP) following trabeculectomy in eyes with uncontroll ed primary open-angle glaucoma in a prospective randomized manner. PATIENTS AND METHODS: Thirty consecutive eyes with primary open-angle glaucoma scheduled fo r trabeculectomy were randomized to conventional trabeculectomy without HPMC inj ection (group I; n=15) or to intracameral injection of 2%HPMC during trabeculec tomy (group II; n=15). All patients were observed serially on days 1, 3, 5, 7, a nd 14 and months 1, 3, and 6 postoperatively. The main outcome measure was resto ration of anterior chamber depth to preoperative level with IOP of less than 21m mHg with no additional antiglaucoma medication or surgery. RESULTS: The anterior chamber depth decreased from 2.5 ±0.53 to 1.5 ±0.94 mm on postoperative day 1 in group I and increased slightly from 2.4 ±0.43 to 2.5 ±0.36 mm on postopera tive day 1 in group II (P=.04). Overall, the IOP decreased to 5.0 ±2.8 mm Hg in group I (87%reduction) and 9.0 ±4.6 mm Hg in group II (70%reduction). Two ey es developed postoperative flat anterior chamber and related complications in gr oup I, whereas none of the eyes in group II developed such complications. CONCLU SIONS: Intracameral injection of 2%HPMC during trabeculectomy helps to maintain anterior chamber depth and reduces incidence of complications related to shallo w anterior chamber depth following trabeculectomy.

关键词：小梁切除术黏弹剂甲基纤维素前房深度抗青光眼药物浅前房原发性青光眼眼内压