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  1. Article ; Online: Role of tenon advancement in treating limbal ischemia in acute chemical injury.

    Singh, Prabhakar / Raj, Amit / Abhishek / Nanda, Jayadev

    Indian journal of ophthalmology

    2023  Volume 71, Issue 1, Page(s) 320

    Abstract: Background: In acute chemical injury, damage can range from ocular surface epithelial defects to limbal and scleral ischemia. This may subsequently progress to corneal or scleral melting and perforation and finally result in phthisis bulbi. Thus, acute ... ...

    Abstract Background: In acute chemical injury, damage can range from ocular surface epithelial defects to limbal and scleral ischemia. This may subsequently progress to corneal or scleral melting and perforation and finally result in phthisis bulbi. Thus, acute chemical injury is a potentially blinding condition and warrants attention. The accurate technique to assess the damage incurred should be practiced to avoid undertreatment and subsequent complications. Surgical intervention wherever needed should be appropriately timed and should be performed. The primary aim of medical or surgical intervention in acute chemical injury is to attain a stable and epithelized ocular surface. Even a conjunctival phenotype over the cornea is a desirable outcome.
    Purpose: This video discusses the nuances involved in the assessment and planning of Tenon advancement with amniotic membrane grafting for treating limbal ischemia in acute chemical injury.
    Synopsis: The video demonstrates the technique of restoration of limbal vascularization by performing Tenon advancement with amniotic membrane grafting and its outcome.
    Highlights: Ocular surface painting with fluorescein dye is essential to assess the areas of surface involvement. Merely instilling the fluorescein dye in the cul-de-sac will underestimate the extent of the damage. Tenon advancement should ideally be planned between 7 and 10 days following an injury when actual limbal blanching is obvious. A stable and epithelized ocular surface is the desirable outcome irrespective of the epithelial phenotype.
    Video link: https://youtu.be/06XhwLKnsIA.
    MeSH term(s) Humans ; Cornea ; Sclera ; Conjunctiva ; Ischemia ; Fluoresceins ; Burns, Chemical/complications ; Burns, Chemical/diagnosis ; Burns, Chemical/surgery ; Limbus Corneae/surgery ; Eye Burns/chemically induced ; Eye Burns/complications ; Eye Burns/diagnosis
    Chemical Substances Fluoresceins
    Language English
    Publishing date 2023-01-06
    Publishing country India
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 187392-1
    ISSN 1998-3689 ; 0301-4738
    ISSN (online) 1998-3689
    ISSN 0301-4738
    DOI 10.4103/ijo.IJO_2210_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 329: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 598: Show issues

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  2. Article ; Online: Management of blinding premacular subhyaloid haemorrhage by Nd:YAG laser posterior hyaloidotomy.

    Kumar, Roshan / Nishant, Prateek / Nanda, Jayadev / Raj, Amit

    BMJ case reports

    2023  Volume 16, Issue 11

    MeSH term(s) Humans ; Lasers, Solid-State/therapeutic use ; Retinal Hemorrhage ; Vitreous Body ; Laser Therapy
    Language English
    Publishing date 2023-11-23
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2023-255836
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Survival benefit of exenteration in COVID-19-associated rhino-orbital mucormycosis.

    Raj, Amit / Singh, Prabhakar / Sadhukhan, Kaushik / Chandra, Bhawesh / Kranti, Bhavana / Kumar, Subhash / Sinha, Upasna / Kokkayil, Pratyusha / Bhadani, Punam Prasad / Sinha, Prerna / Sanepalli, Sravani / Tiwari, Pragati / Nanda, Jayadev

    Indian journal of ophthalmology

    2023  Volume 72, Issue 2, Page(s) 190–194

    Abstract: Purpose: There has been a sudden increase in the number of rhino-orbital mucormycosis cases, primarily affecting patients recovering from COVID-19 infection. The local health authorities have declared the current situation an epidemic. In this study, we ...

    Abstract Purpose: There has been a sudden increase in the number of rhino-orbital mucormycosis cases, primarily affecting patients recovering from COVID-19 infection. The local health authorities have declared the current situation an epidemic. In this study, we assess the role of exenteration in preventing disease progression and improving survival in patients with rhino-orbital mucormycosis.
    Methods: The patients undergoing exenteration were grouped into the exenteration arm and those denying exenteration were grouped into the nonexenteration arm. The patients were followed at 1 month and 3 months. The 6-month survival data were collected telephonically. Continuous data were presented as Mean ± SD/Median (IQR) depending on the normality distribution of data, whereas the frequency with percentages was used to present the categorical variables. Kaplan-Meier survival curves were created to estimate the difference in survival of patients with exenteration in rhino-orbital mucormycosis versus those without exenteration.
    Results: A total of 14 patients were recruited for our study based on the inclusion and exclusion criteria. All the patients were qualified for exenteration; however, only eight patients underwent exenteration and six patients did not consent to exenteration. At the end of 3 months in the exenteration group, four (50%) patients died. Two patients died within a week of exenteration, whereas two patients died after 2 weeks of exenteration. The deaths in the first week were attributed to septic shock and the deaths happening beyond 2 weeks were attributed to severe meningitis. The Kaplan-Meier survival analysis showed the cumulative probability of being alive at 1 month in the exenteration arm to be 85%, and it decreased to 67% by 53 days and subsequently remained stable until the end of 3 months.
    Conclusion: The Kaplan-Meier survival analysis did not show a survival benefit of exenteration at 3 months and 6 months in COVID-associated rhino-orbital mucormycosis.
    MeSH term(s) Humans ; Mucormycosis/complications ; Mucormycosis/diagnosis ; Mucormycosis/surgery ; Orbital Diseases/diagnosis ; Orbital Diseases/surgery ; Orbital Diseases/drug therapy ; Eye Infections, Fungal/drug therapy ; COVID-19/complications ; Eye Diseases ; Antifungal Agents/therapeutic use
    Chemical Substances Antifungal Agents
    Language English
    Publishing date 2023-12-15
    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_2543_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 329: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 598: Show issues

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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