http://www.ijo.in/currentissue.asp Table of Contents:Indian J Ophthalmol 2010 - 58(2) Nayak Barun Kumar Editorial Indian Journal of Ophthalmology 2010 58(2):99-1000301-4738 Nayak Barun Kumar

Indian Journal of Ophthalmology 2010 58(2):99-100

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=99;epage=100;aulast=Nayak Dhaliwal Upreet, Singh Navjeevan, Bhatia Arati Original Article Indian Journal of Ophthalmology 2010 58(2):101-1040301-4738 Dhaliwal Upreet, Singh Navjeevan, Bhatia Arati

Indian Journal of Ophthalmology 2010 58(2):101-104

Background: The thesis is an integral part of postgraduate medical education in India. Publication of the results of the thesis in an indexed journal is desirable; it validates the research and makes results available to researchers worldwide. Aims: To determine publication rates in indexed journals, of works derived from theses, and factors affecting publication. Settings and Design: Postgraduate theses submitted over a five-year period (2001-05) in a university medical college were analyzed in a retrospective, observational study. Materials and Methods: Data retrieved included name and gender of postgraduate student, names, department and hierarchy of supervisor and co-supervisor(s), year submitted, study design, sample size, and statistically significant difference between groups. To determine subsequent publication in an indexed journal, Medline search was performed up to December 2007. Statistical Analysis: Chi square test was used to compare publication rates based on categorical variables; Student's t-test was used to compare differences based on continuous variables. Results: One hundred and sixty theses were retrieved, forty-eight (30%) were published. Papers were published 8-74 (33.7 ± 17.33) months after thesis submission; the postgraduate student was first author in papers from 26 (54%) of the published theses. Gender of the student, department of origin, year of thesis submission, hierarchy of the supervisor, number and department of co-supervisors, and thesis characteristics did not influence publication rates. Conclusions: Rate of publication in indexed journals, of papers derived from postgraduate theses is 30%. In this study we were unable to identify factors that promote publication.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=101;epage=104;aulast=Dhaliwal Jaichandran Venkatakrishnan, Vijaya Lingam, George Ronnie Jacob, InderMohan Bhanulakshmi Original Article Indian Journal of Ophthalmology 2010 58(2):105-1080301-4738 Jaichandran Venkatakrishnan, Vijaya Lingam, George Ronnie Jacob, InderMohan Bhanulakshmi

Indian Journal of Ophthalmology 2010 58(2):105-108

Aim: To compare self-reported pain and efficacy of warmed, alkalinized, and warmed alkalinized lidocaine with plain 2% lidocaine at room temperature for peribulbar anesthesia in cataract surgery. Materials and Methods: Through a prospective, single-blinded, randomized, controlled clinical trial 200 patients were divided into four groups. They received either lidocaine at operating room temperature 18°C, control group (Group C), lidocaine warmed to 37°C (Group W), lidocaine alkalinized to a pH of 7.09 ± 0.10 (Group B) or lidocaine at 37°C alkalinized to a pH of 6.94 ± 0.05 (Group WB). All solutions contained Inj. Hyaluronidase 50 IU/ml. Pain was assessed using a 10-cm visual analog score scale. Time of onset of sensory and motor blockade and time to onset of postoperative pain were recorded by a blinded observer. Results: Mean pain score was significantly lower in Group B and WB compared with Group C ( P < 0.001). Onset of analgesia was delayed in Group C compared with Group B ( P = 0.021) and WB ( P < 0.001). Mean time taken for the onset of complete akinesia and supplementation required for the block was significantly lower in Group B. Time of onset of pain after operation was significantly earlier in Group W compared with Group C ( P = 0.036). Conclusion: Alkalinized lidocaine with or without warming produced less pain than lidocaine injected at room temperature. Alkalinization enhances the effect of warming for sensory nerve blockade, but warming does not enhance alkalinization, in fact it reduces the efficacy of alkalinized solution for blocking the motor nerves in the eye.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=105;epage=108;aulast=Jaichandran Santhiago Marcony R, Netto Marcelo V, Barreto Jackson, Gomes Beatriz AF, Schaefer Arthur, Kara-Junior Newton Original Article Indian Journal of Ophthalmology 2010 58(2):109-1130301-4738 Santhiago Marcony R, Netto Marcelo V, Barreto Jackson, Gomes Beatriz AF, Schaefer Arthur, Kara-Junior Newton

Indian Journal of Ophthalmology 2010 58(2):109-113

Purpose: To evaluate wavefront performance and modulation transfer function (MTF) in the human eye after the implantation of diffractive or refractive multifocal intraocular lenses (IOLs). Materials and Methods: This was a prospective, interventional, comparative, nonrandomized clinical study. Uncorrected distance and near visual acuity, and wavefront analysis including MTF curves (iTrace aberrometer, Tracey Technologies, Houston, TX, USA) were measured in 60 patients after bilateral IOL implantation with 6 months of follow-up. Forty eyes received the diffractive ReSTOR (Alcon), 40 eyes received the refractive ReZoom (Advanced Medical Optics) and 40 eyes, the Tecnis ZM900 (Advanced Medical Optics). The comparison of MTF and aberration between the intraocular lenses was performed using analysis of variance (ANOVA), followed by the Dunn test when necessary. Results: The mean uncorrected distance visual acuity was similar in all three groups of multifocal IOLs. The ReSTOR group provided better uncorrected near visual acuity than the ReZoom group ( P < 0.001), but similar to the Tecnis group. Spherical aberration was significantly higher in the ReZoom group ( P = 0.007). Similar MTF curves were found for the aspheric multifocal IOL Tecnis and the spheric multifocal IOL ReSTOR, and both performed better than the multifocal IOL ReZoom in a 5 mm pupil ( P < 0.001 at all spatial frequencies). Conclusions: Diffractive IOLs studied presented similar MTF curves for a 5 mm pupil diameter. Both diffractive IOLs showed similar spherical aberration, which was significantly better with the full-diffractive IOL Tecnis than with the refractive IOL ReZoom.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=109;epage=113;aulast=Santhiago Mahapatra Santosh K, Rao Nageswar G Original Article Indian Journal of Ophthalmology 2010 58(2):115-1180301-4738 Mahapatra Santosh K, Rao Nageswar G

Indian Journal of Ophthalmology 2010 58(2):115-118

Aim: To evaluate visual outcome following pars plana vitrectomy (PPV) and intraocular foreign body (IOFB) removal through the sclerocorneal tunnel combined with simultaneous cataract extraction and sulcus-fixated intraocular lens (IOL) implantation as a single procedure in penetrating ocular trauma with IOFB and traumatic cataract. Materials and Methods: Eighteen cases of penetrating ocular trauma with retained IOFB and traumatic cataract who underwent PPV, IOFB body removal and cataract extraction with posterior chamber IOL (PCIOL) implantation in the same sitting, between June '04 and December '05 were retrospectively analyzed. All the foreign bodies were removed through the sclerocorneal tunnel. Result: All the 18 patients were young males, with an average follow-up period of 12 months. In 12 cases the foreign body was intravitreal and in six cases it was intraretinal but extramacular. Thirteen cases had a best corrected visual acuity ranging from 20/20 to 20/60 at their last follow-up. Five cases developed retinal detachment due to proliferative vitreoretinopathy (PVR) changes postoperatively and were subsequently managed by surgery. Conclusion: Primary IOL implantation with combined cataract and vitreo-retinal surgery is a safe option reducing the need for two separate surgeries in selected patients with retained IOFB and traumatic cataract. This combined procedure provides good visual outcome with early rehabilitation in young working patients.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=115;epage=118;aulast=Mahapatra Rishi Pukhraj, Rishi Ekta, Uparkar Mahesh, Sharma Tarun, Gopal Lingam, Bhende Pramod, Bhende Muna, Sen Pratik Ranjan, Sen Parveen Original Article Indian Journal of Ophthalmology 2010 58(2):119-1240301-4738 Rishi Pukhraj, Rishi Ekta, Uparkar Mahesh, Sharma Tarun, Gopal Lingam, Bhende Pramod, Bhende Muna, Sen Pratik Ranjan, Sen Parveen

Indian Journal of Ophthalmology 2010 58(2):119-124

Aim: To describe the clinical features, treatment and outcome patterns in 307 eyes with Coats' disease. Materials and Methods: Retrospective chart review of patients diagnosed with Coats' disease between January 1996 and January 2006 from a single referral center in southern India. Results: Two hundred and eighty patients (307 eyes) with mean age of 15.67 years (range: Four months-80 years) were included. Decreased vision (77%), unilateral affection (90%) and male preponderance (83.4%) were chief presenting features. Anterior segment involvement was seen in 67 (21.8%) eyes. Retinal telangiectasia were seen in 302 (99%) eyes, exudation in 274 (89%) eyes and retinal detachment in 158 (51.5%) eyes. Four-quadrant disease was seen in 207 (67.2 %) eyes. Visual acuity was < 20/200 in 249 (80.9%) eyes. One hundred and nine of 176 treated eyes (61.93%) had favorable anatomical outcome; 207 of 280 eyes (74%) had an optimal structural outcome. Seventeen (5.3%) eyes were enucleated. Complications following treatment included phthisis bulbi (7%), neovascular glaucoma (5%), epiretinal membrane (4.4%) and rubeosis iridis (4.4%). Conclusion: Indian patients with Coats' disease have a high male predominance, the majority of whom present with severe visual impairment and extensive four-quadrant exudation. Unusual presentations such as pain, vitreous hemorrhage and a high incidence of anterior segment involvement are distinctive to Indian eyes.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=119;epage=124;aulast=Rishi Taneja Rashi, Malik Pankaj, Sharma Mamta, Agarwal Mahesh C Original Article Indian Journal of Ophthalmology 2010 58(2):125-1300301-4738 Taneja Rashi, Malik Pankaj, Sharma Mamta, Agarwal Mahesh C

Indian Journal of Ophthalmology 2010 58(2):125-130

Purpose: To study the ocular manifestations in multiple transfused beta-thalassemia major patients and assess the ocular side-effects of iron chelating agents. Materials and Methods: In this prospective observational study, 45 multiple transfused beta-thalassemia major children between six months and 21 years of age were enrolled and assigned groups according to the treatment regimens suggested. Group A received only blood transfusions, Group B blood transfusions with subcutaneous desferrioxamine, Group C blood transfusions with desferrioxamine and oral deferriprone and Group D blood transfusions with deferriprone. Ocular status at the time of enrolment was documented. Subjects were observed quarterly for one year for changes in ocular status arising due to the disease process and due to iron chelation therapy. Children with hemoglobinopathies other than beta-thalassemia major, congenital ocular anomalies and anemia due to other causes were excluded. Results: Ocular involvement was observed in 58% of patients. Lenticular opacities were the most common ocular finding (44%), followed by decreased visual acuity (33%). An increased occurrence of ocular changes was observed with increase of serum ferritin and serum iron levels as well as with higher number of blood transfusions received. Desferrioxamine seemed to have a protective influence on retinal pigment epithelium (RPE) mottling. Occurrence of lenticular opacities and RPE degeneration correlated positively with use of desferrioxamine and deferriprone respectively. Follow-up of patients for one year did not reveal any change in ocular status. Conclusion: Regular ocular examinations can aid in preventing, delaying or ameliorating the ocular complications of thalassemia.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=125;epage=130;aulast=Taneja Domalpally Amitha, Danis Ronald P, Myers Dawn, Kruse Christina N Ophthalmology Practice Indian Journal of Ophthalmology 2010 58(2):131-1360301-4738 Domalpally Amitha, Danis Ronald P, Myers Dawn, Kruse Christina N

Indian Journal of Ophthalmology 2010 58(2):131-136

The cross sectional optical coherence tomography images have an important role in evaluating retinal diseases. The reports generated by the Stratus fast macular thickness scan protocol are useful for both clinical and research purposes. The centerpoint thickness is an important outcome measure for many therapeutic trials related to macular disease. The data is susceptible to artifacts such as decentration and boundary line errors and could be potentially erroneous. An understanding of how the data is generated is essential before utilizing the data. This article describes the interpretation of the fast macular thickness map report, assessment of the quality of an optical coherence tomography image and identification of the artifacts that could influence the numeric data.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=131;epage=136;aulast=Domalpally Jose R, Sachdeva Sandeep Community Eye care Indian Journal of Ophthalmology 2010 58(2):137-1420301-4738 Jose R, Sachdeva Sandeep

Indian Journal of Ophthalmology 2010 58(2):137-142

India, the largest democratic country in the world, is marching ahead strongly on the growth and developmental front and is poised to be the leader in the market economy. This role creates and increases far greater responsibilities on us in ensuring that the benefit of the developmental cycle reaches each and every citizen of this country, including the able and the disabled ones. It has been enshrined in the Constitution of India to ensure equality, freedom, justice, and dignity of all individuals and implicitly mandates an inclusive society. With increase in consideration of quality parameters in all spheres of life including availability, access, and provision of comprehensive services to the disabled, it is pertinent to have a look on the contribution of government in keeping the aspiration and commitment towards common people. The article attempts to review the concept of rehabilitation for the disabled keeping a focus on the blind person, and list out the activities, programs/schemes, institutional structure and initiatives taken by the Government of India (GOI) for the same and the incentives/benefits extended to blind persons. The article concludes by reiterating the importance of individual need assessment and mentioning new initiatives proposed on Low Vision services in the approved 11 ^th plan under National Programme for Control of Blindness (NPCB). The source of information has been annual reports, notification and the approved 11 ^th five-year plan of GOI, articles published with key words like rehabilitation, disability, assistive devices, low vision aids, and/or blind person through the mode of Internet. Annexure provides a list of selected institutions in the country offering Low Vision services compiled from various sources through personal communication and an approved list of training institutes under NPCB, GOI offering Low Vision training. ]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=137;epage=142;aulast=Jose Moura Frederico C, Monteiro Mario L Brief Communication Indian Journal of Ophthalmology 2010 58(2):143-1460301-4738 Moura Frederico C, Monteiro Mario L

Indian Journal of Ophthalmology 2010 58(2):143-146

Three patients with progressive visual loss, chronic alcoholism and tabagism were submitted to a complete neuro-ophthalmic examination and to retinal nerve fiber layer (RNFL) measurements using optical coherence tomography (OCT) scanning. Two patients showed marked RNFL loss in the temporal sector of the optic disc. However, a third patient presented RNFL measurements within or above normal limits, based on the Stratus-OCT normative database. Such findings may be due to possible RNFL edema similar to the one that may occur in the acute phase of toxic optic neuropathies. Stratus-OCT was able to detect RNFL loss in the papillomacular bundle of patients with tobacco-alcohol-induced toxic optic neuropathy. However, interpretation must be careful when OCT does not show abnormality in order to prevent diagnostic confusion, since overestimation of RNFL thickness measurements is possible in such cases.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=143;epage=146;aulast=Moura Sheth Hiten G, Michaelides Michel, Siriwardena Dilani Brief Communication Indian Journal of Ophthalmology 2010 58(2):147-1480301-4738 Sheth Hiten G, Michaelides Michel, Siriwardena Dilani

Indian Journal of Ophthalmology 2010 58(2):147-148

Hepatitis C virus infection and interferon treatment may be associated with retinopathy but visual function is generally unaffected. This paper reports the rare occurrence of unilateral macular edema with visual loss. We present an interventional case report with fundus photograph and optical coherence tomography (OCT). A 48-year-old white male with hepatitis C, treated with a six-month course of pegylated interferon alpha and ribavirin, complained of gradual reduction in the vision of his left eye. Visual acuities were 20/16 right and 20/400 left with clinical examination and OCT confirming cystoid macular edema. This report shows that cystoid macular edema may rarely occur in association with hepatitis C infection and/or interferon therapy. Physicians and ophthalmologists should be alert to this potential but infrequent association as the resultant visual loss is a significant potential complication that should be discussed when obtaining informed consent for interferon treatment.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=147;epage=148;aulast=Sheth Das Debabrata, Mondal Kanchan Kumar, Ray Biswarup, Chakrabarti Asim Brief Communication Indian Journal of Ophthalmology 2010 58(2):148-1500301-4738 Das Debabrata, Mondal Kanchan Kumar, Ray Biswarup, Chakrabarti Asim

Indian Journal of Ophthalmology 2010 58(2):148-150

Takayasu's arteritis is a chronic inflammatory disease of the large and medium-sized arteries. It commonly involves the aorta with its branches and the pulmonary arteries. The retinal hemodynamics suggest that the carotid artery involvement causes diminished retinal blood flow. This is the pathogenetic mechanism of Takayasu's retinopathy with characteristic features of microaneurysms, arterio-venous anastomosis and non-perfused retinal areas. Our case presented as branch retinal artery occlusion with collaterals and iris neovascularization. The branch retinal artery, a small retinal artery occlusion in our case is an unusual presenting feature of Takayasu's aorto-arteritis. ]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=148;epage=150;aulast=Das Manayath George J, Shah Parag K, Narendran V, Morris Rodney J Brief Communication Indian Journal of Ophthalmology 2010 58(2):151-1520301-4738 Manayath George J, Shah Parag K, Narendran V, Morris Rodney J

Indian Journal of Ophthalmology 2010 58(2):151-152

We report a case of branch retinal artery occlusion (BRAO) in a healthy young girl. An eight-year-old girl presented with sudden loss of vision in her left eye. She had a pale retina with macular edema consistent with extensive BRAO. A thorough workup was performed to determine any etiologic factor. All test results were within normal limits. Her visual acuity improved from finger counting to 20/40 over two weeks, on immediate treatment with intravenous steroids (methyl prednisolone). This case suggests that BRAO can occur in healthy children without any detectable systemic or ocular disorders and a dramatic improvement may be achieved with prompt treatment with intravenous steroids.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=151;epage=152;aulast=Manayath Agarwal Prateek, Kumar Mahesh, Arora Vipul Brief Communication Indian Journal of Ophthalmology 2010 58(2):153-1550301-4738 Agarwal Prateek, Kumar Mahesh, Arora Vipul

Indian Journal of Ophthalmology 2010 58(2):153-155

Retrospective descriptive study reporting the rate of occurrence of cerebral venous sinus thrombosis (CVST), highlighting the role of magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) in patients with presumed idiopathic intracranial hypertension (IIH). Study was conducted in the department of neuro-ophthalmology at a tertiary eye care center in South India. Data from 331 patients diagnosed with IIH from June 2005 to September 2007 was included. Inclusion criteria were: Elevated opening cerebrospinal fluid (CSF) pressure of more than 200 mm of water on lumbar puncture, normal CSF biochemistry and microbiology,and normal neuroimaging as depicted by computed tomography(CT) scan. Exclusion criteria were: Space-occupying lesions, hydrocephalus, meningitis, intracranial pressure within normal range, abnormal CSF biochemistry and microbiology. The remaining patients were evaluated with MRI and MRV. CVST was present in 11.4% of patients who were presumed to have IIH (35/308). MRI alone identified 24 cases (68%) of CVST, while MRI used in combination with MRV revealed an additional 11 cases (32%). Risk factors associated with CVST were identified in nine out of 35 patients (26%). CVST may be misdiagnosed as IIH if prompt neuroimaging by MRI and MRV is not undertaken. Risk factors of CVST may not be apparent in all the cases and these patients are liable to be missed if CT scan alone is used for neuroimaging, hence MRI, combined with MRV should be undertaken to rule out CVST.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=153;epage=155;aulast=Agarwal Naseripour Masood, Falavarjani Khalil Ghasemi, Akbarzadeh Siamak Brief Communication Indian Journal of Ophthalmology 2010 58(2):155-1560301-4738 Naseripour Masood, Falavarjani Khalil Ghasemi, Akbarzadeh Siamak

Indian Journal of Ophthalmology 2010 58(2):155-156

A 3-year-old girl presented with left exotropia. Funduscopy demonstrated a retinocytoma associated with five discrete retinoblastomas in the left eye and three discrete retinoblastomas in her right eye. The clinical manifestations and fundus imaging findings are described. ]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=155;epage=156;aulast=Naseripour Kumar Ravi, Puttanna Manohar, Sriprakash K S, Sujatha Rathod B L, Prabhakaran Venkatesh C Brief Communication Indian Journal of Ophthalmology 2010 58(2):157-1590301-4738 Kumar Ravi, Puttanna Manohar, Sriprakash K S, Sujatha Rathod B L, Prabhakaran Venkatesh C

Indian Journal of Ophthalmology 2010 58(2):157-159

We report a large series of ocular injuries caused by fire-crackers. This study was a hospital-based, singlecenter, retrospective case series in which the records of 51 patients with ocular injuries were analyzed. Injuries were classified according to Birmingham eye trauma terminology system (BETTS). Visual outcomes before and after the intervention were recorded. Ten patients were admitted for further management. As ocular firecracker injuries result in significant morbidity, public education regarding proper use of firecrackers may help in reducing the incidence of ocular injuries. ]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=157;epage=159;aulast=Kumar Rishi Ekta, Rishi Pukhraj, Mahajan Sheshadri Brief Communication Indian Journal of Ophthalmology 2010 58(2):160-1620301-4738 Rishi Ekta, Rishi Pukhraj, Mahajan Sheshadri

Indian Journal of Ophthalmology 2010 58(2):160-162

Best's vitelliform macular dystrophy is a hereditary form of progressive macular dystrophy that can be complicated by choroidal neovascularization. Authors report successful treatment of choroidal neovascularization with intravitreal bevacizumab in one such eye in an 'adult' Indian male with visual improvement. A 23-year-old male presented with diminution of vision in the right eye for the past sixteen months. Visual acuity was 20/400 in the that eye. After three consecutive intravitreal injections of bevacizumab (1.25 mg/0.05 ml), vision improved to 20/120. Seven months following the last injection of bevacizumab, fundus appeared stable and visual acuity was maintained. No drug-related ocular or systemic side effects were encountered. To the best of our knowledge (PubMed search), this is the first report of its kind in an adult Indian patient. Intravitreal bevacizumab appears to be a promising and cost-effective modality of treatment in such eyes with potential for improvement in vision. However, a long-term follow-up is warranted.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=160;epage=162;aulast=Rishi Chatterjee Samrat, Agrawal Deepshikha Brief Communication Indian Journal of Ophthalmology 2010 58(2):162-1640301-4738 Chatterjee Samrat, Agrawal Deepshikha

Indian Journal of Ophthalmology 2010 58(2):162-164

We report a case of fungal keratitis occurring in a patient with lattice dystrophy. A 57-year-old farmer presented with a corneal ulcer following probable entry of paddy husk in the right eye, of one month duration. Corneal scraping revealed pigmented fungal filaments while culture grew Alternaria alternata. Treatment with 5% natamycin eye drops and 1% atropine healed the infection in four weeks. We would like to draw attention to the fact that the cornea in lattice dystrophy is prone to frequent erosions and is a compromised epithelial barrier to invasion by microorganisms. Patients must be made aware of this fact and should seek attention at the earliest following any trivial trauma. Management of minor corneal abrasions in them should be directed at healing the epithelium with adequate lubricants and preventing infection with topical antibiotic prophylaxis.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=162;epage=164;aulast=Chatterjee Sahin Ozlem Gurses, Pelit Aysel, Turunc Tugba, Akova Yonca Aydln Brief Communication Indian Journal of Ophthalmology 2010 58(2):164-1660301-4738 Sahin Ozlem Gurses, Pelit Aysel, Turunc Tugba, Akova Yonca Aydln

Indian Journal of Ophthalmology 2010 58(2):164-166

We report a rare presentation of brucellosis as bilateral optic nerve and right abducent nerve involvement, and endocarditis complicated by right premacular hemorrhage in a 28-year-old white female. The patient showed improvement with both medical and surgical therapy. Brucellosis should be considered in the differential diagnosis of papillitis, gaze palsy and endocarditis complicated with premacular hemorrhage in endemic regions.]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=164;epage=166;aulast=Sahin Maskati Quresh B Letter To Editor Indian Journal of Ophthalmology 2010 58(2):167-1670301-4738 Maskati Quresh B

Indian Journal of Ophthalmology 2010 58(2):167-167

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=167;epage=167;aulast=Maskati Agrawal Vinay B Letter To Editor Indian Journal of Ophthalmology 2010 58(2):167-1670301-4738 Agrawal Vinay B

Indian Journal of Ophthalmology 2010 58(2):167-167

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=167;epage=167;aulast=Agrawal Roy Parthasarathi Letter To Editor Indian Journal of Ophthalmology 2010 58(2):167-1680301-4738 Roy Parthasarathi

Indian Journal of Ophthalmology 2010 58(2):167-168

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=167;epage=168;aulast=Roy Gogate Parikshit, Deshpande Madan Letter To Editor Indian Journal of Ophthalmology 2010 58(2):168-1690301-4738 Gogate Parikshit, Deshpande Madan

Indian Journal of Ophthalmology 2010 58(2):168-169

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=168;epage=169;aulast=Gogate Lakhtakia Sujata, Dwivedi P C, Choudhary Pankaj, Chalisgaonkar Charudatt, Rahud Jainendra Letter To Editor Indian Journal of Ophthalmology 2010 58(2):169-1690301-4738 Lakhtakia Sujata, Dwivedi P C, Choudhary Pankaj, Chalisgaonkar Charudatt, Rahud Jainendra

Indian Journal of Ophthalmology 2010 58(2):169-169

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=169;epage=169;aulast=Lakhtakia Basak Samar K, Bhaumik Arup, Mohanta Ayan, Singhal Prashant Letter To Editor Indian Journal of Ophthalmology 2010 58(2):169-1700301-4738 Basak Samar K, Bhaumik Arup, Mohanta Ayan, Singhal Prashant

Indian Journal of Ophthalmology 2010 58(2):169-170

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=169;epage=170;aulast=Basak Agarwal Manisha, Chaudhary S P, Narula Ritesh, Rajpal Simpy Letter To Editor Indian Journal of Ophthalmology 2010 58(2):170-1710301-4738 Agarwal Manisha, Chaudhary S P, Narula Ritesh, Rajpal Simpy

Indian Journal of Ophthalmology 2010 58(2):170-171

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=170;epage=171;aulast=Agarwal Santhan Gopal K S Letter To Editor Indian Journal of Ophthalmology 2010 58(2):171-1710301-4738 Santhan Gopal K S

Indian Journal of Ophthalmology 2010 58(2):171-171

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=171;epage=171;aulast=Santhan Fatima Tarannum, Amitava Abadan K, Siddiqui Saba, Ashraf Mohammad Letter To Editor Indian Journal of Ophthalmology 2010 58(2):172-1720301-4738 Fatima Tarannum, Amitava Abadan K, Siddiqui Saba, Ashraf Mohammad

Indian Journal of Ophthalmology 2010 58(2):172-172

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=172;epage=172;aulast=Fatima Murthy Ramesh, Pyda Giridhar, Khanna Rohit C, Rao G V Letter To Editor Indian Journal of Ophthalmology 2010 58(2):172-1730301-4738 Murthy Ramesh, Pyda Giridhar, Khanna Rohit C, Rao G V

Indian Journal of Ophthalmology 2010 58(2):172-173

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=172;epage=173;aulast=Murthy Gupta Vishali, Gupta Amod, Gupta Pawan Letter To Editor Indian Journal of Ophthalmology 2010 58(2):173-1750301-4738 Gupta Vishali, Gupta Amod, Gupta Pawan

Indian Journal of Ophthalmology 2010 58(2):173-175

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=173;epage=175;aulast=Gupta Murthy Sowmya Raveendra, Prabhakaran Venkatesh C Letter To Editor Indian Journal of Ophthalmology 2010 58(2):175-1760301-4738 Murthy Sowmya Raveendra, Prabhakaran Venkatesh C

Indian Journal of Ophthalmology 2010 58(2):175-176

]]> http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=175;epage=176;aulast=Murthy Kumar Niranjan, Al Sabti Khalid Letter To Editor Indian Journal of Ophthalmology 2010 58(2):176-1760301-4738 Kumar Niranjan, Al Sabti Khalid

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