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Case Report: Visual loss due to bilateral total cataract in Takayasu's arteritis in a young female |
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Sucheta Parija, Garima Sharma Pan Am J Ophthalmol 2022, 4:50 (28 October 2022) DOI:10.4103/pajo.pajo_37_22
Takayasu's arteritis (TKA) is a chronic, granulomatous, systemic vasculitis affecting the aorta and its branches. Ocular manifestations in patients with TKA play an important role in determining the visual prognosis. We describe a case of a young female with complaints of painless, progressive loss of vision in both eyes for 6 months who was clinically diagnosed with TKA. Her laboratory and radiological investigations confirmed the diagnosis. She had a bilateral cataract and operated for cataract in the right eye with guarded visual prognosis. This case report highlights the importance of creating awareness among ophthalmologists for early diagnosis and multidisciplinary management in cases of TKA for the prevention of blindness.
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Original Article: Phacoemulsification causes increase in peripheral corneal thickness: A cross-sectional study |
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Ritesh Kumar Chaurasiya, Akansha Gupta, Sarbojeet Goswami Pan Am J Ophthalmol 2022, 4:49 (28 October 2022) DOI:10.4103/pajo.pajo_44_22
Aim: The aim of the present study was to compare the central and peripheral corneal thickness before and after cataract surgery during three postoperative visits.
Materials and Methods: Prospective, comparative study was carried out among 92 patients who underwent cataract surgery in right eye. The central and peripheral corneal thickness (nasal, temporal, superior, and inferior) was measured using anterior segment optical coherence tomography before and after cataract surgery. The mean value of the corneal thickness was compared between preoperative and postoperative.
Results: The central corneal thickness (CCT) showed statistically significant differences between preoperative and postoperative measurement during all follow-up visits including 3 days. We also found statistically significant differences at all locations during a postoperative visit at 3 days. Superior, nasal, and inferior points on cornea were found to have significant differences when measured preoperatively and postoperatively at 1 month. A positive correlation was established between cataract grade and CCT during a postoperative 3-day visit using Pearson's correlation.
Conclusion: CCT was found to increase significantly after cataract surgery. There was a significant increase in peripheral corneal thickness right after cataract surgery.
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Original Article: Association between glaucoma and smoking in an eye bank sample |
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Isabela Vianello Valle, Jacqueline Coblentz, José Joao Mansure, Miguel N Burnier Pan Am J Ophthalmol 2022, 4:48 (28 October 2022) DOI:10.4103/pajo.pajo_32_22
Introduction: Glaucoma is the most common cause of irreversible blindness in the world. Although smoking has an important vascular and oxidative role in cardiovascular diseases, the association of smoking with the development and evolution of glaucoma is still controversial. In this study, we aimed to correlate smoking with the incidence of glaucoma.
Subjects and Methods: A retrospective study of 442 postmortem paired donor eyes obtained from the Minnesota Lions Eye Bank of Canada (Toronto, Ont.) between 2015 and 2019 was evaluated. All donors' eyes were collected with detailed clinical history, including the glaucoma diagnosis, gender, and smoking habits. A statistical analysis and correlation between these variables were performed.
Results: No correlation was found between glaucoma and smoking when the total number of smokers of both genders were examined (P = 0.258). However, male patients demonstrated a significant positive correlation (P = 0.008). This correlation was not observed when only female patients were evaluated (P = 0.077). In addition, the eyes of patients, between 70 and 75 years of age (P = 0.04) and 76 and 80 years of age who were smokers, demonstrated an increased risk of glaucoma (P = 0.027). This relationship was even stronger for males between 76 and 80 years of age (P = 0.006). Interestingly, the duration of the smoking habit showed no correlation to the development of glaucoma.
Conclusion: An association of smoking and glaucoma was found in patients between 70 and 80 years of age, particularly male patients. Further investigation will be conducted examining the histopathological features and other comorbidities to better elucidate these findings.
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Editorial: Accommodative tolerance |
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Harley E A. Bicas Pan Am J Ophthalmol 2022, 4:47 (28 October 2022) DOI:10.4103/pajo.pajo_52_22 |
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