Anubhav Chauhan

• MS (Ophthalmology)
• Assistant Professor at Shri Lal Bahadur Shastri Government Medical College and Hospital,Nerchowk,Distt. Mandi,Himachal Pradesh.

Double iridodialysis during cataract surgery

BILATERAL SYMMETRIC CORNEAL EPITHELIAL DEFECTS AS A PRESENTING FEATURE OF DRUG TOXICITY

A 5-year-old male child was brought by his parents to the ophthalmology department for routine ocular examination. Examination of both the child as well as his father revealed Blepharophimosis, ptosis, and epicanthus inversus syndrome which is a very rare entity. It as a rare autosomal dominant disorder with a very low worldwide prevalence.

Neurotropic Keratitis

Dendritic ulcer

Roth Spots:Risk factors

Purtscher like Retinopathy

CSME

Retinal pigment epithelial detachment (PED) is the separation of the retinal pigment epithe-lium(RPE) from the Bruch's membrane(BM). Eagle syndrome(ES) is characterized by an abnormally elongated styloid process with/without abnormal direction and/or ossification of the styloid ligament. The presence of the above entities is the rarest of rare sigh...

Elschnig Pearls

A 60-year-old female came to our OPD for pain and diminition of vision in her right eye for the past two months. Ophthalmic images: A 60-year-old female came to our OPD for pain and diminition of vision in her right eye for the past two months. Her best corrected visual aquity was 6/60 in the right eye and 6/9 in the left eye. She was a known case...

Retinal vasoproliferative tumors are rare, retinal vascular tumours, often diagnosed on routine examination in asymptomatic individuals. In case of symptoms, urgent investigations and treatment is warranted. We report a rare case of a patient suffering from this disease who visited our hospital. A 42-year-old male presented to the department of oph...

Membranes covering the posterior chamber intraocular lens(PCIOL) are sometimes seen after cataract surgery. These membranes are a result of excessive inflammation post surgery despite use of antibiotics, steroids and cycloplegics. We describe a rare case of a membrane formed on the PCIOL post cataract surgery. The unique thing about this case was t...

Best Disease

A 60-year-old man who could not fully close his left eyelid and felt alien bodies in both of his eyes visited the ophthalmology department. A 60-year-old man who had previously experienced the feeling of a foreign body in both eyes and been unable to fully close the left eyelid for three months visited the ophthalmology department. Old records brou...

We read with great interest the excellent article by Rajesh and Charumathi [1] and congratulate the authors on the management of this case. The authors have mentioned that full excision of an intact capsule is the only cure for dermoid cysts. Herein, we like to state that there are many minimally invasive procedures too for the treatment of dermoid...

We report an accidental finding of a classic Y shaped sutural(congenital) cataract in a 15-year-old female who came for routine ocular checkup.

Optic nerve head drusen(ONHD) are often a chance finding in patients coming for routine ocular examination and are sometimes associated with severe ocular diseases.We report a case of ONHD in an asymptomatic, hypertensive patient with classical fundus, B scan and OCT(optical coherence tomography) findings.

Central serous chorioretinopathy(CSC) is a retinal disease characterised by diminition of vision and neu-rosensory macular detachment. Here we present a rare case of a 50-year-old male with a history of deep vein thrombosis, who developed CSC after warfarin intake plus his two episodes of CSC developed in susequent winter seasons. Case A 50-year-ol...

Central serous chorioretinopathy(CSC) is a retinal disease characterised by diminition of vision and neurosensory macular detachment. Here we present a rare case of a 50-year-old male with a history of deep vein thrombosis, who developed CSC after warfarin intake plus his two episodes of CSC developed in susequent winter seasons.

Introduction A 65-year-old male came to our OPD for routine eye checkup. He had no ocular complaints. His history was uneventful. On examination , his best-corrected visual aquity was 6/6 in both the eye. Ocular movements, pupillary reaction, intraocular pressure and Colour vision were normal. Examination of the fundus of the left eye was within no...

This study examined the mobility performance in retinitis pigmentosa (RP) under different simulation lighting conditions. A total of twenty-one subjects with RP and twenty-one age-matched controls were enrolled. Preferred Walking Speed (PWS) were determined using a simple mobility course at 61 cd/m2 while Percentage of Preferred Walking Speed (PPWS...

We herein report a case of chronic liver disease discovered accidentally as a result of continuous post-operative bleeding after cataract surgery.The post-surgical complication was a boon to the patient as it lead to the diagnosis of an underlying disease.

This paper represents an overview of Eye and blood groups-a review of literature.

BACKGROUND Attenuation of vision may be due to underlying organic condition or due to functional visual disorder or malingering if secondary gain is associated. Causes of pathological vision loss include advanced primary open angle glaucoma, hereditary macular dystrophies and optic neuropathies. Problem in establishing diagnosis is faced where supe...

Eight-and-a-half syndrome is a rare pontine syndrome characterised by conjugate horizontal gaze palsy, ipsilateral internuclear ophthalmoplegia and ipsilateral lower motor neuron like facial palsy. Here we describe a case of a 45 year old male presenting with this syndrome. The ocular movements helped in clinching the diagnosis plus the site of les...

A twenty nine year old male presented with a history of diminition of vision in the left eye for four months. There were no other symptoms. Magnetic Resonance Imaging (MRI) of brain revealed pituatory tumor. Unilateral loss of vision was the presenting signs in this case diagnosis.

A twenty-six year old male presented with a history of redness and foreign body sensation in the right eye for two days. He was diagnosed as acute infective conjunctivitis elsewhere the previous day and was given topical antibiotics, but his symptoms worsened. Ocular examination revealed a leech over the nasal sclera of the right eye being the culp...

CASE A 70-year-old female visited our hospital last summer with a history of painless, progressive diminition of vision in the left eye for the the past 1 years. She complained of developing sudden pain in the left eye for the past three days. There was no other significant history. The significant findings on her left eye examination was a visual...

Amniotic band syndrome (ABS) is a rare syndrome having a constellation of congenital malformations. Choriostoma in ABS has rarely been reported. We report a rare case of ABS with choriostoma in which individual ocular parts in the left eye choriostoma have been highlighted by the authors.

A nineteen-year-old female presented with a history of binocular diplopia for one week. She had a history of headache, seizures, and memory loss. Magnetic Resonance Imaging (MRI) of brain revealed subependymal astrocytoma as the cause of her symptoms. Our patient was a probable case of tuberous sclerosis complex (TSC). Diplopia was the presenting s...

A 53-year-old male presented with a history of redness, discomfort,and photophobia in his right eye for the past one month.Ocular examination revealed necklace shaped, transparent, conjuctival lymphatic cystic lesion in his right eye. It was removed with multiple vertical, concentric incision made with an 18 gauge needle.To the best of our knowledg...

VKC

A forty-year old male presented with gradual, painless, progressive blurring of vision in his left eyes for the past four months. Old records brought by the patient showed that he was currently on topical steroids and cyclopedias for bilateral anterior non granulomatous uveitis. Examination revealed a pale optic disc with blurred margin in both the...

A seventy-four-year old male presented with gradual, painless, progressive blurring of vision in his right eye for the past one month. Old records brought by the patient showed that he was diagnosed as retrobulbar neuritis in his right eye and had received steroid therapy. But his vision did not improve. Magnetic Resonance Imaging(MRI) of his brain...

A 40-year-old female presented with diminution of vision in the left eye for the past 1 month. There was a history of uneventful cataract extraction with posterior chamber intraocular lens implantation in the left eye 4 months back. On examination, the best-corrected visual acuity was 6/24 in the left eye, and slit-lamp examination revealed pseudop...

We report a case of a 25-year-old male with a long history of watering from both the eyes. Complete ocular examination of the patient was carried out under slit lamp. Out of four, three punctums were found absent in our patient. Our case highlights a rare case of epiphora from both the eyes. © 2020 The Authors. Published by Iberoamerican Journal of...

We report a case of a 25-year-old male with a long history of watering from both the eyes. Complete ocular examination of the patient was carried out under slit lamp. Out of four, three punctums were found absent in our patient. Our case highlights a rare case of epiphora from both the eyes.

Introduction. Myiasis is caused by larvae of flies infesting animal or human tissues and organs. Aim. In this report we present 2 cases of external ophthalmomyiasis by sheep botfly. Description of the cases. We report a case of two patients who presented with a history of foreign body sensation in the left and the right eye respectively. Slit lamp...

A 19-year-old male presented with a history of decrease vision in the left eye for many years. History and ocular examination revealed bilateral near symmetric, adherent leukoma without any previous history of trauma or systemic illness. We report the rare features of this case.

A 10-year-old male presented with a history of swelling in the left eye for the past 4 days. He was already on antibiotics, but his symptoms did not improve. Ocular examination revealed stone pieces/fragments lodged in the left eye. This case highlights a rare mimic of probable diagnosed orbital cellulitis.

Bardet Biedl syndrome

Vernal keratoconjunctivitis (VKC) is a chronic severe allergic inflammatory disease of the ocular surface in children and young adults. The disease is characterized by constant ocular irritation, frequent eye rubbing, photophobia, tearing, mucous discharge, and droopy lids .A 13 year old male child presented to us with severe itching, ropy discharg...

Sub conjuctival hemorrhage

A 2-days-old female child was unable to fully open the left eye since birth. She was started on tobramycin (by some other speciality) for what appeared to be sticking of the left eyelids because of discharge. Ophthalmology evaluation revealed Ankyloblepharon filiforme adnatum(AFA) in the left eye. We report this case to highlight that an error of d...

Congenital atrichia is a rare disorder and is often associated with various systemic diseases. Ocular involvement has also been reported. We report a rare case of congenital atrichia with recurrent episcleritis. To the best of our knowledge and after an extensive internet search, this is probably the first reported case of congenital atrichia with...

Myaesthenia gravis with limbal dermoid

axenfeld rieger syndrome diagnosed as a part of routine eye examination.

A 63-year-old male presented with a history of redness in the left eye for the past five days. There was no history of trauma or contact lens wear. The finding on his eye examination was local hyperemia of the superior bulbar conjunctiva of the left eye with a few filaments in the upper cornea and limbus. Additionally, the opposing superior palpebr...

A 35-year-old female presented with a history of pinhead sized swelling in the left upper eyelid for the past nine months. There was no previous history of ocular trauma, illness or surgery. The swelling was painless and had not increased in size. Bilateral visual acquity was 6/6, with a normal fundus on examination. Torch light/Slit-lamp examinati...

We report a case of a 12-year-old male with hematological, ocular, dermatological, dental and gastrointestinal involvement. To the best of our knowledge and after an extensive internet search, this probably is the first case of subluxation of the natural crystalline lens (NCL) with so many systemic associations described plus the pattern of subluxa...

Conjunctival cysts can be congenital or acquired. Acquired cysts develop as a result of penetrating trauma, ocular surgeries and various ocular surface inflammatory disorders like cicatricial ocular inflammations, pingueculitis. Introduction:-A 18-year-old male patient presented to the ophthalmology department with a history of foreign body sensati...

Slit lamp examination

Epiphora

Alkaptonuria

Rare retinal disorders

BMI

A 25-year-old male (Figure 1a and 1b) presented with a history of bilateral red eye with burning, tearing and foreign body sensation for the past two weeks. There was no history of trauma or contact lens wear. He was a known case of persistent hyperbilirubine-mia since childhood and old records brought by him confirmed the same. The only positive f...

Sebaceous adenoma

Waardenburg Syndrome

A 45 years old male presented to us with a history of sudden onset painless diplopia for the past two weeks. There was a previous history of cerebrovascular accident (CVA) three weeks back. Examination revealed bilateral internuclear ophthalmoplegia with vertical gaze anomaly and postural instability. A diagnosis of wall eyed bilateral internuclear...

Diabetes Mellitus:Beyond the Triopathy

We report a case of a 48 year old asymptomatic male who came to us for routine ocular examination but was diagnosed with retinal vasoproliferative tumour(VPT) and angioid streak. Retinal vasoproliferative tumours(VPTs) are a rare entity and after an extensive search on the internet, this is probably and to the best of our knowledge, the first repor...

Lyme disease-ocular/oral scenario.

Nevoid basal cell carcinoma syndrome (NBCCS), also known as Gorlin-Goltz syndrome is characterized by basal cell carcinoma (BCC), odontogenic keratocysts (OKC), skeletal, dental, ophthalmic, and neurological abnormalities. As involvement due to this diseases effects large number of organs, a systematic approach to a patient with this disease should...

Goldenhar Syndrome

We report a case of a 22 year old female with Arteriovenous malformation in the left upper eyelid (medial aspect) which was misdiagnosed as chalazion at some other centre. Treatment modalities for chalazion and Arteriovenous malformation are totally different. A misdiagnosis can lead to the initation of wrong treatment modality which can have its d...

Rosacea is a multisystem disorder and to the general practitioner, involvement of the skin is what comes to the mind first of all. A broad array of ocular manifestations encompasses this condition and ocular examination is as essential as examination of other part of body when rosacea is talked about. Here, we present an in depth review of ocular r...

Pseudoepitheliomatous hyperplasia (PEH) is a benign reactive inflammatory reaction of the epithelial cells to various conditions. It is a diagnostic dilemma which simulates malignancy, especially squamous cell carcinoma (SCC). Many articles of PEH involving the oral mucosa are available on the internet, but ocular involvement is infrequent. The ocu...

Aim: To describe the pattern and distribution of Retinal Degenerations and Dystrophies in the hilly terrain of Himachal Pradesh (HP) (altitude ranging from 500-4500 meters above sea level). Methods: This was an ambispective study of patients with retinal diseases attending the general ophthalmology clinic of a tertiary care facility at Shimla from...

A 45-year-old male [Figure 1] presented with a history of burning sensation and deep boring pain over the left half of the face with loss of teeth over the left side of the lower jaw for the past 3 days. The patient was a diagnosed case of herpes zoster (HZ) ophthalmicus and had received treatment from the Department of Dermatology around 1 month b...

Central serous chorioretinopathy (CSCR) is a maculopathy affecting young individuals and presenting with painless, gradual loss of vi�sion. It has multifactorial etiology, and various systemic diseases are associated with it. CSCR can result in permanent loss of vision, and a number of treatment modalities have been suggested. Here we aimed to repo...

Original article

We report a case of a 17 year old mentally retarded male with a previous history of seizures who presented with a painless, progressively increasing mass in the right lateral conjunctival region. Histopathologic examination of the excised mass revealed it to be a capillary hemangioma.