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Article ; Online: Central toxic keratopathy leading to epithelial ingrowth following femtosecond LASIK.

Gogri, Pratik Yeshwant / Vaddavalli, Pravin Krishna / Bhalerao, Sushank Ashok

BMJ case reports

2024 Volume 17, Issue 5

Abstract: We report a case of a woman in her 30s who underwent femtosecond LASIK (laser-assisted in situ keratomileusis) in both eyes to correct her simple myopic astigmatism. After the surgery, both eyes developed diffuse lamellar keratitis, and intensive topical ...

Abstract	We report a case of a woman in her 30s who underwent femtosecond LASIK (laser-assisted in situ keratomileusis) in both eyes to correct her simple myopic astigmatism. After the surgery, both eyes developed diffuse lamellar keratitis, and intensive topical steroids were initiated to control the same. Subsequently, central toxic keratopathy (CTK) developed bilaterally. Three weeks after the surgery, the right eye showed signs of progressive epithelial ingrowth involving the pupillary area. Surgical intervention in the form of flap relift followed by debridement of the epithelial cells and an alcohol interface wash were performed to treat the same. This is the first report of an epithelial ingrowth following CTK after femtosecond LASIK.
MeSH term(s)	Humans ; Keratomileusis, Laser In Situ/adverse effects ; Female ; Adult ; Epithelium, Corneal/pathology ; Myopia/surgery ; Postoperative Complications/etiology ; Corneal Diseases/etiology ; Debridement/methods ; Astigmatism/etiology ; Astigmatism/surgery ; Surgical Flaps/adverse effects
Language	English
Publishing date	2024-05-06
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2023-256508
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Article ; Online: Letter Regarding: Comparison of Deep Anterior Lamellar Keratoplasty and Penetrating Keratoplasty in Keratoconic Eyes With Previous Hydrops-Related Corneal Scar.

Tara, Divya / Vuyyuru, Sowjanya / Shetty, Prerana A / Bhalerao, Sushank Ashok

Cornea

2024 Volume 43, Issue 5, Page(s) e9

MeSH term(s)	Humans ; Keratoplasty, Penetrating ; Eye ; Corneal Transplantation ; Corneal Injuries/surgery ; Edema/surgery ; Keratoconus/complications ; Keratoconus/surgery ; Treatment Outcome ; Retrospective Studies
Language	English
Publishing date	2024-01-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	604826-2
ISSN	1536-4798 ; 0277-3740
ISSN (online)	1536-4798
ISSN	0277-3740
DOI	10.1097/ICO.0000000000003486
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Article ; Online: Ocular fish hook injuries.

Vuyyuru, Sowjanya / Agrawal, Rupesh / Tara, Divya / Shetty, Prerana A / Bhalerao, Sushank Ashok

Injury

2024 , Page(s) 111567

Abstract: Purpose: Fishing stands out as a widely enjoyed leisure pursuit. While ocular fishing injuries are infrequent, they carry the potential for severe ocular trauma, and safe extraction of a fish hook can pose challenges. We here in report a series of 21 ... ...

Abstract	Purpose: Fishing stands out as a widely enjoyed leisure pursuit. While ocular fishing injuries are infrequent, they carry the potential for severe ocular trauma, and safe extraction of a fish hook can pose challenges. We here in report a series of 21 cases of penetrating injury to the cornea by fish hook, detailing successful surgical interventions employed for their management. The report not only outlines different techniques for the removal of fish hooks but also provides clarification on terminologies associated with various components of a fish hook. Methods: This was a retrospective study conducted at tertiary eye care centers in South India. Our hospitals cater to the states of Telangana, Andhra Pradesh, and Odisha. All medical records of patients who attended the emergency department from the period of 2003 to 2023 were evaluated and all patients with fish hook injury were included in the study. This is the longest and largest study in India. Results: Twenty-one cases of ocular fish-hook injuries were presented to the emergency room between 2003 and 2023. Patients were between the ages of 9 and 59 years (mean, 29.4 years), and 90.4 % (19 out of 21) were males. Patient demographics, injury characteristics, surgical interventions, and visual outcomes were meticulously documented. Out of 21 cases, three cases (14.3 %) had blunt trauma, 17 cases (80.9 %) had penetrating injury and one case had lid laceration. Patients had better visual outcomes after the second surgery. Out of 21 cases, 7 (33.3 %) had post-operative visual acuity (VA) between 20/20 and 20/40. Three (14.3 %) had post-operative VA between 20/60 and 20/125. Five (23.8 %) had post-operative VA between 20/200 and 20/600. Six cases (28.6 %) had poor visual outcomes of which two had no perception of light (NPL), two had Hand movements and the other two had the perception of light present and projection of rays inaccurate CONCLUSION: This extensive case series underscores the complexity of ocular injuries caused by fish hooks and emphasizes significance of tailored surgical approaches for optimal visual outcomes. The hook can be successfully removed with minimal trauma to ocular structures by understanding structure of fish hook and by employing appropriate method of extraction.
Language	English
Publishing date	2024-04-15
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	218778-4
ISSN	1879-0267 ; 0020-1383
ISSN (online)	1879-0267
ISSN	0020-1383
DOI	10.1016/j.injury.2024.111567
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Article ; Online: Anterior segment optical coherence tomography-guided management of traumatic iris cyst.

Khader, Aftab Abdul / Bhalerao, Sushank Ashok / Banad, Nandini R / Krishnamurthy, Ajay

Indian journal of ophthalmology

2020 Volume 68, Issue 7, Page(s) 1455

MeSH term(s)	Anterior Eye Segment/diagnostic imaging ; Cysts/diagnosis ; Humans ; Iris/diagnostic imaging ; Iris/surgery ; Iris Diseases/diagnosis ; Tomography, Optical Coherence
Language	English
Publishing date	2020-06-16
Publishing country	India
Document type	Journal Article
ZDB-ID	187392-1
ISSN	1998-3689 ; 0301-4738
ISSN (online)	1998-3689
ISSN	0301-4738
DOI	10.4103/ijo.IJO_1860_19
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Article ; Online: Impact of COVID-19 related national lockdown on care of corneal transplantation patients at a tertiary eye care centre in India.

Bhalerao, Sushank Ashok / Vuyyuru, Sowjanya / Mohamed, Ashik / Gogri, Pratik Y / Garg, Prashant / Mallipudi, Rajavardhan

Indian journal of ophthalmology

2021 Volume 69, Issue 6, Page(s) 1569–1574

Abstract: Purpose: To study impact of COVID-19 related national lockdown on care of corneal transplantation patients at a tertiary eye centre in Andhra Pradesh state of South India.: Methods: Cross-sectional questionnaire-based study conducted at tertiary eye ... ...

Abstract	Purpose: To study impact of COVID-19 related national lockdown on care of corneal transplantation patients at a tertiary eye centre in Andhra Pradesh state of South India. Methods: Cross-sectional questionnaire-based study conducted at tertiary eye care centre in Andhra Pradesh state of South India, included 109 patients who underwent keratoplasty(full thickness or partial thickness) at our centre and who came for follow-up visit after lockdown. Factors such as type, indication, number of keratoplasties in the operated eye, and unusual clinical outcomes identified during visit after the lockdown, were studied. Uncorrected visual acuity, best corrected visual acuity, clarity of graft, graft-host junction apposition, intactness of sutures, intraocular pressure and disc status were compared on visits made before and after lockdown. Results: During lockdown, 77.1% patients were properly using medications that was significantly (P = 0.0003) lower than that of before the lockdown (90.8%). After the lockdown, 82.3% patients were using medications properly that was comparable (P = 0.11) to that of during the lockdown (77.1%). The proportion of eyes with clear grafts and intact sutures decreased significantly after lockdown. The unusual outcomes observed after the lockdown were graft failure (36.7%), graft edema (11%), graft infiltrate(5.5%), phthysis bulbi (1.85%) and edematous graft cleared in eyes 3.7% eyes. Conclusion: We noted significant drop in usage of medications from 91% before lockdown to 77% during lockdown and maintained at 83% after lockdown. Edematous grafts increased from 41% before lockdown to 54% after the lockdown. Intactness of sutures decreased from 82% before lockdown to 69% after lockdown.
MeSH term(s)	COVID-19 ; Communicable Disease Control ; Corneal Diseases/epidemiology ; Corneal Diseases/surgery ; Corneal Transplantation ; Cross-Sectional Studies ; Graft Survival ; Humans ; India/epidemiology ; Keratoplasty, Penetrating ; Retrospective Studies ; SARS-CoV-2
Language	English
Publishing date	2021-05-19
Publishing country	India
Document type	Journal Article
ZDB-ID	187392-1
ISSN	1998-3689 ; 0301-4738
ISSN (online)	1998-3689
ISSN	0301-4738
DOI	10.4103/ijo.IJO_133_21
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Article ; Online: Isolated abscess in superior rectus muscle in a child

Sushank Ashok Bhalerao / Kamaljeet Singh / Birendra Yadav / Ravindra Kumar

Indian Journal of Ophthalmology, Vol 63, Iss 3, Pp 284-

2015 Volume 286

Abstract: Pyomyositis is a primary bacterial infection of striated muscles nearly always caused by Staphylococcus aureus. Development of the intramuscular abscess involving the extra-ocular muscles (EOMs) remains an extremely rare process. We herein present a case ...

Abstract	Pyomyositis is a primary bacterial infection of striated muscles nearly always caused by Staphylococcus aureus. Development of the intramuscular abscess involving the extra-ocular muscles (EOMs) remains an extremely rare process. We herein present a case of isolated EOM pyomyositis involving superior rectus muscle in a 2-year male child who was referred with complaints of swelling in left eye (LE) and inability to open LE since last 1-month. Orbital computed tomography (CT) scan showed a well-defined, hypo-dense, peripheral rim-enhancing lesion in relation to left superior rectus muscle suggestive of left superior rectus abscess. The abscess was drained through skin approach. We concluded that pyomyositis of EOM should be considered in any patient presenting with acute onset of orbital inflammation and characteristic CT or magnetic resonance imaging features. Management consists of incision and drainage coupled with antibiotic therapy.
Keywords	Intraocular ; lymphoma ; retina ; vitreous ; Conjunctiva ; cornea ; melanoma ; ocular surface ; ocular surface squamous neoplasia ; tumor ; Brachytherapy ; chemotherapy ; cryopexy ; intra ocular tumors ; photocoagulation ; Animal uveitis model ; cytomegalovirus retinitis animal model ; endotoxin-induced uveitis ; experimental autoimmune uveitis ; spontaneous ; tubercular uveitis animal model ; India ; genetics ; retinoblastoma ; review ; Glaucoma ; heavy silicone oil ; light silicone oil ; ocular hypertension ; retinal detachment ; standard silicone oil ; Adults ; blue sclera ; keratoglobus ; management ; pediatric patients ; Choroid ; hypertension ; optic coherence tomography ; Choroidal thickness ; enhanced depth imaging ; hypothyroidism ; intraocular pressure ; optical coherence tomography ; A pattern ; disc foveal angle ; intorsion ; superior oblique split lengthening ; Blind schools ; cataract ; corneal scar ; hereditary diseases ; ocular morbidity ; prevention of blindness ; Intraocular lens dislocation ; ocular trauma ; pseudophacocele ; subconjunctival hemorrhage ; Acrochordons ; fibro-epithelial polyps ; fibroma ; giant soft fibroma ; skin tags ; Ascher′s syndrome ; blepharochalasis ; double upper lip ; Laffer-Ascher′s syndrome ; nontoxic goiter ; Evaluation of Google ; information on internet ; medical information ; patient counseling ; patient information ; web content ; Deep orbital varix ; endovascular coil embolization ; transfemoral route ; Ciliochoroidal effusion ; cyclodialysis ; trabeculectomy ; Cataract ; goat′s eye ; phacoemulsification ; training ; wet lab ; Benson′s syndrome ; frequent change in glasses ; posterior cortical atrophy ; Capsular bag dislocation ; laceration of capsular bag ; scleral tucking of intraocular lens ; Benign mixed tumor ; primary lacrimal sac tumor ; external dacryocystorhinostomy ; Extra-ocular muscle ; pyomyositis ; Staphylococcus aureus ; superior rectus abscess ; Ophthalmology ; RE1-994 ; Medicine ; R
Subject code	610
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
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Article ; Online: Isolated abscess in superior rectus muscle in a child.

Bhalerao, Sushank Ashok / Singh, Kamaljeet / Yadav, Birendra / Kumar, Ravindra

Indian journal of ophthalmology

2015 Volume 63, Issue 3, Page(s) 284–286

Abstract	Pyomyositis is a primary bacterial infection of striated muscles nearly always caused by Staphylococcus aureus. Development of the intramuscular abscess involving the extra-ocular muscles (EOMs) remains an extremely rare process. We herein present a case of isolated EOM pyomyositis involving superior rectus muscle in a 2-year male child who was referred with complaints of swelling in left eye (LE) and inability to open LE since last 1-month. Orbital computed tomography (CT) scan showed a well-defined, hypo-dense, peripheral rim-enhancing lesion in relation to left superior rectus muscle suggestive of left superior rectus abscess. The abscess was drained through skin approach. We concluded that pyomyositis of EOM should be considered in any patient presenting with acute onset of orbital inflammation and characteristic CT or magnetic resonance imaging features. Management consists of incision and drainage coupled with antibiotic therapy.
MeSH term(s)	Abscess/diagnosis ; Abscess/microbiology ; Child, Preschool ; Eye Infections, Bacterial/diagnosis ; Eye Infections, Bacterial/microbiology ; Humans ; Magnetic Resonance Imaging ; Male ; Oculomotor Muscles/microbiology ; Oculomotor Muscles/pathology ; Pyomyositis/diagnosis ; Pyomyositis/microbiology ; Staphylococcal Infections/diagnosis ; Staphylococcal Infections/microbiology ; Staphylococcus aureus/isolation & purification ; Tomography, X-Ray Computed
Language	English
Publishing date	2015-03
Publishing country	India
Document type	Case Reports ; Journal Article
ZDB-ID	187392-1
ISSN	1998-3689 ; 0301-4738
ISSN (online)	1998-3689
ISSN	0301-4738
DOI	10.4103/0301-4738.156941
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Article ; Online: Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity

Sushank Ashok Bhalerao / Mahesh Tandon / Satyaprakash Singh / Shraddha Dwivedi / Santosh Kumar / Jagriti Rana

Indian Journal of Ophthalmology, Vol 63, Iss 3, Pp 254-

A causal assessment

2015 Volume 258

Abstract: Background/Aims: Information on eye diseases in blind school children in Allahabad is rare and sketchy. A cross-sectional study was performed to identify causes of blindness (BL) in blind school children with an aim to gather information on ocular ... ...

Abstract	Background/Aims: Information on eye diseases in blind school children in Allahabad is rare and sketchy. A cross-sectional study was performed to identify causes of blindness (BL) in blind school children with an aim to gather information on ocular morbidity in the blind schools in Allahabad and in its vicinity. Study Design and Setting: A cross-sectional study was carried out in all the four blind schools in Allahabad and its vicinity. Materials and Methods: The students in the blind schools visited were included in the study and informed consents from parents were obtained. Relevant ocular history and basic ocular examinations were carried out on the students of the blind schools. Results: A total of 90 students were examined in four schools of the blind in Allahabad and in the vicinity. The main causes of severe visual impairment and BL in the better eye of students were microphthalmos (34.44%), corneal scar (22.23%), anophthalmos (14.45%), pseudophakia (6.67%), optic nerve atrophy (6.67%), buphthalmos/glaucoma (3.33%), cryptophthalmos (2.22%), staphyloma (2.22%), cataract (2.22%), retinal dystrophy (2.22%), aphakia (1.11%), coloboma (1.11%), retinal detachment (1.11%), etc. Of these, 22 (24.44%) students had preventable causes of BL and another 12 (13.33%) students had treatable causes of BL. Conclusion: It was found that hereditary diseases, corneal scar, glaucoma and cataract were the prominent causes of BL among the students of blind schools. Almost 38% of the students had preventable or treatable causes, indicating the need of genetical counseling and focused intervention.
Keywords	Intraocular ; lymphoma ; retina ; vitreous ; Conjunctiva ; cornea ; melanoma ; ocular surface ; ocular surface squamous neoplasia ; tumor ; Brachytherapy ; chemotherapy ; cryopexy ; intra ocular tumors ; photocoagulation ; Animal uveitis model ; cytomegalovirus retinitis animal model ; endotoxin-induced uveitis ; experimental autoimmune uveitis ; spontaneous ; tubercular uveitis animal model ; India ; genetics ; retinoblastoma ; review ; Glaucoma ; heavy silicone oil ; light silicone oil ; ocular hypertension ; retinal detachment ; standard silicone oil ; Adults ; blue sclera ; keratoglobus ; management ; pediatric patients ; Choroid ; hypertension ; optic coherence tomography ; Choroidal thickness ; enhanced depth imaging ; hypothyroidism ; intraocular pressure ; optical coherence tomography ; A pattern ; disc foveal angle ; intorsion ; superior oblique split lengthening ; Blind schools ; cataract ; corneal scar ; hereditary diseases ; ocular morbidity ; prevention of blindness ; Ophthalmology ; RE1-994 ; Medicine ; R
Subject code	370
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment.

Bhalerao, Sushank Ashok / Tandon, Mahesh / Singh, Satyaprakash / Dwivedi, Shraddha / Kumar, Santosh / Rana, Jagriti

Indian journal of ophthalmology

2015 Volume 63, Issue 3, Page(s) 254–258

Abstract: Background/aims: Information on eye diseases in blind school children in Allahabad is rare and sketchy. A cross-sectional study was performed to identify causes of blindness (BL) in blind school children with an aim to gather information on ocular ... ...

Abstract	Background/aims: Information on eye diseases in blind school children in Allahabad is rare and sketchy. A cross-sectional study was performed to identify causes of blindness (BL) in blind school children with an aim to gather information on ocular morbidity in the blind schools in Allahabad and in its vicinity. Study design and setting: A cross-sectional study was carried out in all the four blind schools in Allahabad and its vicinity. Materials and methods: The students in the blind schools visited were included in the study and informed consents from parents were obtained. Relevant ocular history and basic ocular examinations were carried out on the students of the blind schools. Results: A total of 90 students were examined in four schools of the blind in Allahabad and in the vicinity. The main causes of severe visual impairment and BL in the better eye of students were microphthalmos (34.44%), corneal scar (22.23%), anophthalmos (14.45%), pseudophakia (6.67%), optic nerve atrophy (6.67%), buphthalmos/glaucoma (3.33%), cryptophthalmos (2.22%), staphyloma (2.22%), cataract (2.22%), retinal dystrophy (2.22%), aphakia (1.11%), coloboma (1.11%), retinal detachment (1.11%), etc. Of these, 22 (24.44%) students had preventable causes of BL and another 12 (13.33%) students had treatable causes of BL. Conclusion: It was found that hereditary diseases, corneal scar, glaucoma and cataract were the prominent causes of BL among the students of blind schools. Almost 38% of the students had preventable or treatable causes, indicating the need of genetical counseling and focused intervention.
MeSH term(s)	Blindness/epidemiology ; Blindness/etiology ; Cross-Sectional Studies ; Female ; Humans ; Incidence ; India/epidemiology ; Male ; Prevalence ; Schools ; Students/statistics & numerical data ; Vision, Low/epidemiology ; Vision, Low/etiology ; Visually Impaired Persons/statistics & numerical data
Language	English
Publishing date	2015-03
Publishing country	India
Document type	Journal Article ; Multicenter Study
ZDB-ID	187392-1
ISSN	1998-3689 ; 0301-4738
ISSN (online)	1998-3689
ISSN	0301-4738
DOI	10.4103/0301-4738.156930
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