1.Dry Eye Among Patients at the Eye Clinic of A Secondary Referral Hospital
Maimunah Abdul Muna’aim, Tey Yin Yee ; Alya Az-Zahra Mohamad Zafarullah ; Rafidah Md Saleh ; Azri Omar
Malaysian Journal of Medicine and Health Sciences 2016;12(2):30-37
Introduction: Dry eye is a common but under-diagnosed
problem in the general population. Lack of standardised
diagnostic protocol causes prevalence of dry eye varied widely
in different populations. Nevertheless, effective management
rests largely on the accurate diagnosis and identification of the
contributing risk factors. Methods: In a cross sectional study,
socio-demographic, lifestyle and medical history data were
collected from 157 respondents. A validated six-item
questionnaire was used to determine the dry eye symptoms. Dry
eye was determined by using Schirmer’s test. Fluorescein
staining test and tear break up time (TBUT) test were performed
to characterise the dry eye. Results: Using the Schirmer’s test,
33.8% of respondents had dry eyes. The likelihood of dry eye
increased among Malay females in the seventh decade. The
most frequently reported symptom was sensation of dryness of
the eye. Although only 22.6% of dry eye cases were
symptomatic, up to 47.2% of them may developed surface
changes detectable by fluorescein dye test. Ethnicity (p=0.019)
and diabetes mellitus (p=0.049) were significantly associated
with dry eye. Conclusion: Dry eye could be subclinical but
clinical tests in potential risk groups can lead to better detection
of this condition and allow prescription of appropriate treatment
for affected patients.
Keywords: Dry eye symptoms; Dry eye syndrome
Eye
2.Situation of ocular injuries in Hue Central Hospital
Journal of Vietnamese Medicine 1999;232(1):41-45
A study on 94 patients with the ocular injuries during 2000-2001 in Hue hospital has shown that the disease occurred in the man (women = 3,27/1). Injuries in the living activities was 52,2% followed by social injuries (26,8%), the results of treatment found that negative vision (17,39%), visionability of 3/10 (20,65%), 4/10-7/10 (22,83%) and 8/10 and more than (18,48%).
Eye Diseases
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Eye Injuries
3.Three-Dimensional Analysis of Eye Movement.
Korean Journal of Otolaryngology - Head and Neck Surgery 2008;51(10):856-860
No abstract available.
Eye
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Eye Movements
4.Prevalence of dry eye disease in a community in Baguio City
Ruben Lim Bon Siong ; Jayvee S. Rivera ; Carlo Leandro R. Igama
Philippine Journal of Ophthalmology 2024;49(1):8-13
Objective:
This study determined the prevalence of dry eye disease (DED) in a community located in a highaltitude tropical city in the Philippines.
Methods:
This was a cross-sectional study conducted in Barangay Lualhati in Baguio City from March 2019
to September 2022. Convenience sampling was done in recruiting adult permanent residents of the community.
The participants underwent standardized DED evaluation consisting of symptom questionnaire, Ocular Surface
Disease Index (OSDI) scoring, slit-lamp examination, fluorescein tear break-up time (TBUT) measurement,
ocular surface fluorescein and lissamine green staining, and Schirmer test with and without topical anesthesia.
DED was classified as aqueous tear deficiency type, evaporative type, or mixed type.
Results:
Data from 272 participants were analyzed which represented 23% of the adult population of the
community. There were 111 participants who fulfilled the DED definition, and the prevalence rate of DED
was 41%. The mean age of those with DED was 43.0 ± 17.6 years while the mean age of those without DED
was 51.8 ± 16.6 years (p<0.001). More females (60%) had DED than males (40%). Majority (82%) reported
use of digital devices as the main exacerbating factor. Mean OSDI score was significantly higher in those with
DED than in those without DED (27.2 + 6.8 and 10.7 ± 6.4, respectively) (p<0.001). Corneal and conjunctival
staining scores were also significantly higher in subjects with DED. Evaporative DED was the most common
(88.3%). Mixed-type DED was seen in 11.7%. None had pure aqueous tear deficiency dry eye.
Conclusion
The prevalence rate of DED is greater in areas of higher altitude and DED can be exacerbated
by prolonged screen time. This condition is no longer just a problem of the elderly and is now also seen in
younger patients. All symptomatic patients should undergo tear break-up time evaluation since evaporative or
short TBUT is the predominant type of DED.
Dry Eye Syndromes
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Eye
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Eye Disease
5.Comparison of Electroretinogram Waveforms Acquired Using Monopolar ERG-Jet Electrode and Bipolar Burian-Allen Electrode.
Jihyun PARK ; Hokyung LEE ; Sung Joon PARK ; Yoon Hwa KIM
Journal of the Korean Ophthalmological Society 2010;51(9):1217-1223
PURPOSE: To compare electroretinogram (ERG) waveforms acquired using an ERG-jet electrode and a Burian-Allen electrode. METHODS: ERGs were recorded with an ERG-jet electrode and a Burian-Allen electrode from both eyes of 29 volunteers. Three consecutive recordings were obtained with both electrodes from the left eye of another 6 volunteers. Peak-to-trough amplitudes and peak implicit times were compared between both eyes, and between the 2 types of electrodes. Interpersonal and intrapersonal variation were also compared. RESULTS: The differences in amplitude and implicit time between the right and left eyes were not influenced by the type of electrode. The amplitude of the ERG acquired using the Burian-Allen electrode, however, showed significant differences between both eyes, contrary to the amplitude acquired using the ERG-jet electrode. ERG recordings obtained using the ERG-jet electrode generally showed higher amplitude, shorter implicit time, and less interpersonal and intrapersonal variation than ERG recordings obtained using the Burian-Allen electrode. CONCLUSIONS: In this application, the ERG-jet ERG electrode appeared to be superior to the Burian-Allen electrode in terms of both usefulness and consistency.
Electrodes
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Eye
6.Study on ultrasonic pachymetry on eyes
Journal of Practical Medicine 2002;435(11):18-20
Ultrasonic pachymetry was carried out in 300 eyes of normal, myopic, and senile cataract patients with Alcon Surgical Pachymeter. The mean central corneal thickness was 0.527mm+/- 0.034mm. Corneal thickness wa significantly correlated with age, axial length, and sex. No statistical correlation was found between corneal thickness and the right or left eyes, corneal curvature, and ocular tention (within normal range). Pachymetric results were consistent if a good applanation of the probe occurred. Thus, reliable data could only be obtained by skilled user.
Ultrasonics
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Eye
7.A Review for the Eye Movement Measuring Systems.
Moon Hyon NAM ; Sang Hui PARK ; Ouk CHOI
Journal of the Korean Ophthalmological Society 1973;14(4):315-325
The purpose of this review is to examine the ways in which eye position and eye movements are measured in order to justify the choice of method for the study concerning the eye movement control systems. The oculomotor control systems were reviewed previously as a viewpoint of measuring objects. Because of the different aspects of eye movement which have been considered, various techniques have been developed-each having its own characteristics of range, sensitivity, bandwidth, stability and ease of application. This study is directed at discussing the pros and cons inherent in a basic method of measurement and to indicate the interesting historical development of oculography as new technologies were employed. Various methods are summarized and photo-electronic method(Limbus tracking technique) was chosen which is most available for the future experimentation.
Eye Movements*
8.Globe-sparing interventions in the management of intraocular retinoblastoma
Aguilar Romulo N ; Silva Paolo Antonio
Philippine Journal of Ophthalmology 2005;30(2):78-81
RETINOBLASTOMA is the most common malignant intraocular tumor in children; it is also one of the most highly curable pediatric solid tumors if detected early. The conventional treatment of retinoblastoma is primary enucleation. Recent research reported a trend toward decreasing frequency of enucleation in the management of retinoblastoma. The trend toward globe-sparing interventions has been largely attributed to earlier diagnosis and recent success with conservative globe-sparing treatment options. Currently, globe-sparing interventions include first-line chemotherapy or chemoreduction, subconjunctival chemotherapy, systemic chemotherapy for metastasis, transpupillary thermotherapy (TIT), chemothermotherapy (CTT), laser photocoagulation, cryotherapy, brachytherapy, and external beam radiotherapy (EBRT). Expanded clinical options currently available have markedly decreased the overall enucleation rate for retinoblastoma CLINICAL SCENARIO: A 10-month old boy is brought to an ophthalmologist because of cats eye reflex in the left eye. The patient had undergone enucleation of his right eye for glaucomatous stage retinoblastoma 6 months earlier. Examination revealed the presence of a solitary retinal mass of about 12 mm in diameter, located nasal to the disc. There was no evidence of vitreous seeding Realizing that this was the only eye of the patient, the ophthalmologist wants to do everything humanly possible to preserve it. He has heard about chemothermotherapy (CTT) but is not sure if this was the best alternative he can offer CLINICAL QUESTION: Among patients with retinoblastoma, is chemoreduction combined with adjuvant treatment effective in preserving the globe and vision? (Author)
EYE ENUCLEATION
9.Vertical and horizontal one and a half syndrome with ipsiversive ocular tilt reaction in unilateral rostral mesencephalic infarct: A rare entity
Rohan Mahale ; Anish Mehta ; Kiran Buddaraju ; Srinivasa Rangasetty
Neurology Asia 2015;20(4):413-415
Supranuclear ocular movements comprise mainly vertical and horizontal movements. Vertical movements
are controlled by the centres located mainly at the rostral midbrain and horizontal movements at the level
of the pons.1
Pontine tegmental lesions usually present with gaze palsies, internuclear ophthalmoplegia
(INO), abducens palsy and one and a half syndrome. Usually, one and a half syndrome is produced by
a unilateral caudal pontine tegmental lesion that includes the paramedian pontine reticular formation
(PPRF) and medial longitudinal fasciculus (MLF) on the same side causing horizontal gaze palsy
in one eye and INO in the other eye.2
Similarly, vertical one and a half syndrome has also been
described. The literature on co-existence of horizontal and vertical one and a half syndrome is few.
The co-existence of horizontal and vertical one and a half syndrome with ocular tilt reaction (OTR)
has not been reported so far. Here, we report a patient who presented with left horizontal one and a
half syndrome along with bilateral conjugate upgaze palsy and right downward palsy suggestive of
vertical one and a half syndrome and left ocular tilt reaction. Magnetic resonance imaging (MRI)
brain revealed infarct in left rostral midbrain with sparing of pons
Eye Infections
10.Visual Status following Contact Lens Related Microbial Keratitis
Lili Asma Ismail ; Lekhraj Rampal ; Nazri Omar ; Hejar Abdul Rahman ; Habshah Midi ; Azrin Esmady Ariffin
Malaysian Journal of Medicine and Health Sciences 2016;12(2):24-29
Introduction: A hospital based case control study was
conducted in government hospitals on contact lens patients
diagnosed with microbial keratitis. Methods: The objective of
this study is to determine the visual outcomes of contact lens
related microbial keratitis. The visual outcomes which
comprised of visual acuity, keratometry readings, corneal
topography findings and contrast sensitivity examinations was
determined after three months from the first presentation at the
hospitals. Results: The mean LogMAR visual acuity during
presentation was 0.96 ± 0.73 or a Snellen equivalent 6/60 (n=76)
and mean LogMAR visual acuity after three months was 0.10 ±
0.48 or a Snellen equivalent 6/7.5 (n=76) with a significant
difference (t=11.22, df=78, p=0.001). Best fit curve for the cases
had a regression coefficient, r=0.350 ± 0.063 (95% CI = 0.224,
0.447, df=78, p=0.001. The visual acuity in cases and controls
was 0.10 ± 0.48 and -0.10 ± 0.14 respectively (t= -3.61, df=154
p=0.001) after three months which showed improvement. There
was a reduction in the corneal uniformity index and corneal
asphericity in the cases. The Corneal Uniformity Index (CU
index) in cases was 63.03 ± 26.38 (n=76) and in controls, 80.13
± 11.30 (n=77), (t= -5.22, df=151, p=0.001). There was also a
reduction in the contrast sensitivity function at all spatial
frequencies in the cases which was significantly different.
Conclusion: Microbial keratitis reduced the vision, corneal
uniformity index, asphericity and contrast sensitivity after three
months in eyes of patients diagnosed with the condition.
Keratitis
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Eye