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Journal Indian J Ophthalmol

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Small incision lenticule extraction retreatment in a patient with high residual refractive error after photorefractive keratectomy: A case report.

Vardhaman P Kankariya, Michael A Grentzelos, Ankita B Dube, George D Kymionis, Ioannis G Pallikaris,

A 36-year-old male underwent uneventful small incision lenticule extraction (SMILE) for the correction of his high residual refractive error 12 years after photorefractive keratectomy (PRK). Preoperatively, uncorrected distance visual acuity (UDVA) was counting fingers in both eyes. Corrected distance visual acuity was 20/20 in the right and 20/30 in the ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, :]

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Long-term outcome of custom toric intraocular lens for treating high astigmatism in case of cataract associated with pellucid marginal corneal degeneration.

Himanshu Matalia, Chinnappaiah Nandini, Jyoti Matalia,

Pellucid marginal corneal degeneration (PMCD) is a progressive corneal ectasia that ultimately results in high regular astigmatism and correction of this astigmatism is always challenging. However, when a PMCD patient develops a cataract, it provides a golden opportunity to treat this coexisting astigmatism with toric intraocular lens (IOL) implantation. Regular ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3082-3084]

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Traumatic dislocation of an implantable phakic contact lens.

Ravi K Kanaradi, Namrata Bhuta, Naren Shetty, Rohit Shetty, Chaitra Jayadev,

Ocular trauma can range from trivial to significant, with varying implications on the visual acuity and prognosis. A 32-year-old woman presented with complaints of blurring of vision following blunt ocular trauma with a previous history of having undergone implantable phakic contact lens (IPCL V2.0) implantation 2 years back. The corrected ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3072-3074]

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Management of cap striae following challenging small incision lenticule extraction surgery - A case report.

Sri Ganesh, Skanda Sri Ganesh, Ronald Gaster, Sheetal Brar,

A 24-year-old female underwent small incision lenticule extraction (SMILE) for myopic astigmatism OU. In the left eye, cap-lenticular adhesion along with tearing of the cap occurred, resulting in a gaped incision and transverse striae involving the visual axis on the first post op day. Uncorrected distance visual acuity (UDVA) was ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3060-3061]

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Non adherence of flap following microkeratome-assisted laser-assisted in situ keratomileusis: A case report and review of literature.

Ashok Sharma, Rajan Sharma,

A 28-year-old male underwent microkeratome assisted Laser-assisted in situ keratomileusis (LASIK) for, myopia. On postoperative day 1, patient had a large epithelial defect in OD. The corneal epithelial defect healed within 72 hours, but sub-optimal vision persisted. The patient was referred for further management to us. On evaluation, patient had ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3045-3047]

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Epithelial ingrowth-Islands in the clear sea.

Pavani M Penugondla, Srinivasa S Sastry, Sreenivasa P Rao,

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3036]

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Comparison of an aspheric monofocal intraocular lens with the new generation monofocal lens using defocus curve.

Sonam Yangzes, Neha Kamble, Sartaj Grewal, Satinder P S Grewal,

Purpose:The aim of this study was to compare the visual outcomes of two monofocal intraocular lenses (IOLs), with emphasis on the defocus curve. Methods:A total of 116 consecutive eyes with cataract, undergoing phacoemulsification with IOL implantation were included in the observational case series, and divided into two groups. 71 eyes ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3025-3029]

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Clear lens extraction for patients who are unfit for laser-assisted in situ keratomileusis and implantable contact lenses in central Indian population.

Rajesh Subhash Joshi,

Purpose:The purpose of this study is to establish the safety of clear lens extraction (CLE) for the correction of high myopia in patients unfit for implantable contact lenses (ICLs) and laser in situ keratomileusis in the central Indian population. Methods:In this retrospective observational study performed at a tertiary care centre, ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3002-3005]

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Long-term course of contrast sensitivity in eyes after laser-assisted in-situ keratomileusis for myopia.

Osamu Hieda, Yo Nakamura, Koichi Wakimasu, Kiyoshi Yamamura, Shigeru Kinoshita, Chie Sotozono,

Purpose:To evaluate the long-term contrast sensitivity (CS) after laser in-situ keratomileusis (LASIK) for myopia. Methods:This retrospective, single-center, cohort study involved 190 eyes of 95 patients who underwent bilateral LASIK between January 2001 and October 2007. This study includes patients who underwent CS and higher-order aberration (HOA) measurements in a five-year ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2981-2984]

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Photorefractive keratectomy (PRK) Prediction, Examination, tReatment, Follow-up, Evaluation, Chronic Treatment (PERFECT) protocol - A new algorithmic approach for managing post PRK haze.

Gairik Kundu, Sharon D'Souza, Vaitheeswaran Ganesan Lalgudi, Vishal Arora, Aishwarya Chhabra, Kalyani Deshpande, Rohit Shetty,

Purpose:The aim of this study was to discuss the possible risk factors predisposing to post photorefractive keratectomy (PRK) haze formation and develop and validate a risk scoring system, so that this could be applied to our clinical practice as an algorithmic approach. Methods:Study was divided into 2 arms, in the ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2950-2955]

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Age-related variation in corneal biomechanical parameters in healthy Indians.

Vaishal P Kenia, Raj V Kenia, Onkar H Pirdankar,

Purpose:To report age-related variations in corneal biomechanical parameters in healthy Indians. Methods:A retrospective study where healthy Indian individuals aged between 5 and 70 years having undergone corneal biomechanics assessment using Corvis ST between January 2017 and December 2018 and having best corrected visual acuity of 20/20 were enrolled. Subjects with ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2921-2929]

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Study of tear film optics and its impact on quality of vision.

Sharon D'Souza, Sriram Annavajjhala, Prashansa Thakur, Ritika Mullick, S J Tejal, Naren Shetty,

Purpose:To evaluate the relation of the tear film on the quality of vision comparing parameters in normal patients to those having dry eye disease. Methods:50 normal and 50 eyes with dry eye disease (DED) were included in the study. Patients were screened for dry eye with Schirmer's test, tear break ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2899-2902]

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Phototherapeutic keratectomy: Indications, methods and decision making.

Rashmi Deshmukh, Jagadesh C Reddy, Christopher J Rapuano, Pravin K Vaddavalli,

Phototherapeutic keratectomy (PTK) involves treating anterior corneal lesions by superficial corneal ablation using an excimer laser (193 nm). Some of the commonly treated conditions include recurrent corneal erosions (RCE), corneal dystrophies, spheroidal degeneration, keratoconus, and corneal scars. We discuss various techniques of PTK including large area PTK, focal PTK, and ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2856-2866]

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Impact of corneal refractive surgery on the precorneal tear film.

Bhavana Sharma, Deepak Soni, Harsha Saxena, Louis J Stevenson, Samendra Karkhur, Brijesh Takkar, Rasik B Vajpayee,

Corneal refractive surgeries are one of the commonly performed procedures for correction of refractive errors. Tear film abnormality is the most common postoperative complication of corneal refractive surgeries. Consequently, these procedures represent a clinically significant cause of dry eye disease. The mechanisms which lead to dry eye disease include corneal ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2804-2812]

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Corneal cross-linking (CXL) combined with refractive surgery for the comprehensive management of keratoconus: CXL plus.

Vardhaman P Kankariya, Ankita B Dube, Michael A Grentzelos, George A Kontadakis, Vasilios F Diakonis, Myrsini Petrelli, George D Kymionis,

The past two decades have witnessed an unprecedented evolution in the management of keratoconus that demands a holistic approach comprising of inhibiting the ectatic progression as well as visual rehabilitation. The advent of corneal cross-linking (CXL) in the late 1990s resulted in long-term stabilization of the ectatic cornea along with ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2757-2772]

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Decade - long journey with small incision lenticule extraction: The learnings.

Gitansha S Sachdev, Shreyas Ramamurthy,

Over the past decade, small incision lenticule extraction (SMILE) has revolutionized the field of keratorefractive surgery. With the promise of superior corneal biomechanics and reduced postoperative dry eye, SMILE afforded a distinct advantage over flap-based procedures. Our evolving understanding of the surgical technique and management of its unique complications has ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2705-2710]

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A review of meibography for a refractive surgeon.

Krishna Poojita Vunnava, Naren Shetty, Kamal B Kapur,

Refractive surgery has evolved from being a therapeutic correction of high refractive errors to a cosmetic correction. The expectations associated with such a surgery are enormous and one has to anticipate all possible complications and side-effects that come with the procedure and prepare accordingly. The most common amongst these is ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2663-2669]

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Growing refractive surgery.

Arthur B Cummings,

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2652-2653]

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2020 and beyond - Connotation for refractive surgery.

Rohit Shetty,

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2643-2644]

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Management of anisocoria and high vault in an eye with implantable collamer lens.

Arjun Srirampur, Tarannum Mansoori, Pasyanthi Balijepalli, Aruna Kumari Gadde,

A young lady presented with very high vault and fixed dilated pupil along with optic capture of the implantable collamer lens (ICL). After thorough evaluation and ruling out the ICL sizing error, the optic capture was relieved and the ICL was rotated into vertical position. Single-pass four throw pupilloplasty was ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3070-3072]

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Long-term viability of allogenic donor stroma.

Emmett F Carpel, Christopher Santilli, Amanda Maltry,

We report the clinical history and histopathology of the longest known postoperative course of a myopic cornea lenticule implanted via epikeratoplasty that also had been subjected to excimer laser and mitomycin. Despite the mechanical and photochemical processes the allogenic cornea stroma had sustained, it is notable that it retained structural ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3057-3059]

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Infectious keratitis after transepithelial photorefractive keratectomy: A case report.

Suoqing Zhuang, Vishal Jhanji, Lixia Sun, Jinyu Li, Jingjing Jiang, Riping Zhang,

Transepithelial photorefractive keratectomy (tPRK) promotes faster re-epithelialization which in turn can reduce the risk of infectious keratitis in the postoperative period. We present a case of a 22-year-old man with infectious keratitis in his left eye 8 days after an uneventful bilateral tPRK. A 2 mm × 5 mm anterior ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3043-3045]

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Clear crescent: Laser-assisted in situ keratomileusis flap displacement.

Rahul K Bafna, Namrata Sharma, Karthikeyan Mahalingam,

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3035]

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Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery.

Mayuri Sh Patil, Archana S Nikose, Shadwala Bharti,

Purpose:Measurement, calculations, visual assessment, and refractive status after monofocal toric intraocular lens (IOL) implantation were the purpose of this study. Methods:This was a hospital-based interventional prospective study, where 40 eyes were included with astigmatism of more than 2D. They underwent biometric assessment using Lenstar. Toric IOL power calculation was done ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):3016-3019]

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The effect of refractive surgery on blur thresholds.

Rachapalle Reddi Sudhir, Hadiya Farhath Pattan, Mehal Rathore, Mohana Kuppuswamy Parthasarathy, Prema Padmanabhan, Vasudevan Lakshminarayanan,

Purpose:The aim of this study was to measure blur thresholds before and after refractive surgery. Methods:In this prospective cohort study conducted in a tertiary eye hospital in South India. Blur thresholds were measured for 30 young adult myopic patients 1 month prior to and after refractive surgery. Patients were asked ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(12):2998-3001]

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