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Search Results: 1 - 10 of 433 matches for " Sethi Harinder "
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Supratarsal injection of corticosteroids in the treatment of refractory vernal keratoconjunctivitis
Sethi Harinder,Wangh Vijay,Rai Harinder
Indian Journal of Ophthalmology , 2002,
Abstract:
Insertion of a foldable hydrophobic IOL through the trabeculectomy fistula in cases with Microincision cataract surgery combined with trabeculectomy
Tanuj Dada, Rajamani Muralidhar, Harinder S Sethi
BMC Ophthalmology , 2006, DOI: 10.1186/1471-2415-6-14
Abstract: After completion of MICS through two side port incisions, a 3.2 mm keratome is used to enter the anterior chamber under the previously outlined scleral flap. An Acrysof multi piece IOL (Alcon labs, Fort Worth, Tx) is inserted into the capsular bag through this incision. The scleral flap is then elevated and a 2 × 2 mm fistula made with a Kelly's punch. The scleral flap and conjunctival closure is performed as usual.Five patients with primary open angle glaucoma with a visually significant cataract underwent the above mentioned procedure. An IOL was implated in the capsular bag in all cases with no intraperative complications. After surgery, all patients obtained a best corrected visual acuity of 20/20, IOL was well centered at 4 weeks follow up. The mean IOP (without any antiglaucoma medication) was 13.2 + 2.4 mm Hg at 12 weeks with a well formed diffuse filtering bleb in all the cases.The technique of combining MICS with trabeculectomy and insertion of a foldable IOL through the trabeculectomy fistula is a feasible and valuable technique for cases which require combined cataract and glaucoma surgery.The combined surgical technique of phacotrabeculectomy has become a common technique for management of eyes with co-existent cataract and glaucoma [1,2]. Phacotrabeculectomy is either done as a single site surgery with both phacoemulsification and trabeculectomy performed from the same site or more commonly as a two-site surgery. Separating the two incisions may decrease the inflammation and subsequent fibrosis induced by the surgery leading to a better survival of the filtering bleb [2-4].Microincision cataract surgery (MICS) or Phakonit (implying phacoemulsification performed with a needle) is a recently introduced bimanual technique that permits phacoemulsification via sub 1–1.2 mm incisions. The basic principle is to separate the irrigation from the phacoemulsification handpiece and use an irrigating chopper to maintain the anterior chamber. The advantages of MICS i
Closed chamber globe stabilization and needle capsulorhexis using irrigation hand piece of bimanual irrigation and aspiration system
Harinder S Sethi, Tanuj Dada, Harminder K Rai, Prabhpreet Sethi
BMC Ophthalmology , 2005, DOI: 10.1186/1471-2415-5-21
Abstract: Two side ports are made with 20 G MVR 'V' lance knife (Alcon, USA). The irrigation handpiece with irrigation on is introduced into the anterior chamber through one side port and the 26-G cystitome (made from 26-G needle) is introduced through the other. The capsolurhexis is completed with the needle.Needle capsulorhexis with this technique was used in 30 cases of uncomplicated immature senile cataracts. 10 cases were done under peribulbar anaesthesia and 20 under topical anaesthesia. A complete capsulorhexis was achieved in all cases.The irrigating handpiece maintains deep anterior chamber, stabilizes the globe, facilitates pupillary dilatation, and helps in maintaining the eye in the position with optimal red reflex during needle capsulorhexis. This technique is a safe and effective way to perform needle capsulorhexis.The anterior capsulorhexis has got several intra and post operative advantages over can opener or endocapsular capsulotomies and has become the standard capsulotomy technique for phacoemulsification [1-3]. Anterior capsulorhexis can be performed using 26 G bent needle cystitome or Utratas forceps [1,2]. The needle capsulorhexis can be performed through side port incision using a viscoelastic device or an anterior chamber maintainer [1,2,4,5]. During the performance of capsulorhexis, the globe can be stabilized either using a second instrument such as a Sinskey hook, or by holding limbal conjunctiva with a Lim's forceps. Sinskey hook introduced through a separate side port incision can lead to egress of viscoelastic from the eye and hence risk of radial extension of capsular flap. Holding conjunctiva with Lim's forceps can be traumatic or undesirable under topical anaesthesia.The prerequisites for a good capsulorhexis include a deep well maintained anterior chamber, globe stabilization and globe manipulation to achieve best position for a red glow under retroillumination. All these can be achieved by the technique described by us, which is a modificati
Bilateral neuro-retinitis following chick embryo cell anti-rabies vaccination – a case report
Rohit Saxena, Harinder Sethi, Harminder Rai, Vimla Menon
BMC Ophthalmology , 2005, DOI: 10.1186/1471-2415-5-20
Abstract: We report the case of a 56 year old male who developed bilateral neuro-retinitis following three injections of antirabies vaccine prepared from the chick embryo.The chick embryo cell antirabies vaccine can cause bilateral neuroretinits which has not been reported previously.The Optic nerve is rarely involved after sheep brain anti-rabies vaccination. Neurological complications are usually seen with sheep brain vaccines but can be rarely seen after chick embryo cell vaccines [1]. The main cause in such cases is presumed to be the antigenic cerebral tissue used in the preparation of sheep brain vaccine [2-5]. We report the case of a 56 year old male who developed bilateral neuro-retinitis following three injections of antirabies vaccine prepared from the chick embryo. Retrobular neuritis and papillitis following sheep brain antirabies vaccine have been reported [6-11]. The present report describes a case with bilateral neuroretinitis after chick embryo antirabies vaccine, which to best of our knowledge has not been reported earlier.A 56 year old male presented with complaint of acute onset painless diminution of vision in the right eye of 3 days duration followed by similar complaint in left eye after 1 day which deteriorated over the next 2 days. This was associated with headache and pain on ocular movements. There was a history of being bitten by a stray dog 8 days before the visual symptoms, and the patient had received three injections of chick embryo cell anti-rabies vaccine (Rabipur, Hoeshst Marion Roussel) on day 0, 3 and 7 after the dog bite. He developed these symptoms after the third injection. There was no history of any other ocular or systemic problems.The general physical examination was within normal limits. The best-corrected visual acuity was 6/60 in the right and 6/24 in the left eye. IOP was 16 mm of Hg by applanation tonometry. Anterior segment examination using slitlamp was normal. Fundoscopy using + 90 D revealed hyperemic optic disc with blurred
Visual outcome after intravenous dexamethasone therapy for idiopathic optic neuritis in an Indian population: A clinical case series
Sethi Harinder,Menon Vimla,Sharma Pradeep,Khokhar Sudarshan
Indian Journal of Ophthalmology , 2006,
Abstract: Purpose: To evaluate the clinical profile, response to dexamethasone treatment and visual function outcome in Indian patients with acute optic neuritis. Materials and Methods: We conducted an observational study of patients with acute optic neuritis who were treated with intravenous dexamethasone (100 mg in 250 ml of 5% dextrose over 1-2 hours daily, for three consecutive days) and had completed at least two years of follow-up. Parameters assessed included visual acuity, contrast sensitivity, color vision, visual fields, relative afferent pupillary defect (RAPD) and visually evoked potentials. Out of 40 patients studied, 26 patients (33 eyes) had all visual function parameters assessed. Twenty three patients (28 eyes) had completed two years of follow-up and were included for statistical analysis. Results: Improvement in visual acuity was statistically significant for distance after 24 hours of the first dose ( P = < 0.001) and for near vision after 24 hours of the second dose ( P = 0.006); improvement in color and contrast sensitivity was statistically significant 24 hours after the third dose ( P = < 0.001 for color vision and P = 0.013 for contrast sensitivity). Significant improvement in RAPD and visual fields were seen by 1 month ( P = 0.005). Recurrence was seen in 4 eyes of 4 patients. No serious side effects were observed. At two years, 82.14% (23 out of 28) eyes had visual acuity > 20/40. Conclusion: Treatment with intravenous pulsed dexamethasone led to rapid recovery of vision in acute optic neuritis, without any serious side effects.
Hand held digital camera for digital video recording in ophthalmic surgery
Sinha Ankur,Saxena Rohit,Sethi Harinder,Turaka Kiran
Indian Journal of Ophthalmology , 2006,
Abstract:
Authors′ reply
Bhola Rahul,Saxena Rohit,Sethi Harinder,Sharma Pradeep
Indian Journal of Ophthalmology , 2006,
Abstract:
Bilateral dissociated vertical deviation in a case of congenital hereditary endothelial dystrophy
Bhola Rahul,Saxena Rohit,Sethi Harinder Singh,Sharma Pradeep
Indian Journal of Ophthalmology , 2006,
Abstract: Dissociated vertical deviation (DVD) is an intermittent anomaly of the non-fixing eye. Although association of DVD with sensory visual deprivation owing to congenital or acquired opacities of the ocular media has been reported, its association with congenital hereditary endothelial dystrophy (CHED) has not been reported hitherto. We report a case having a bilateral asymmetric DVD, in a know case of bilateral CHED.
Timolol maleate 0.5% versus timolol maleate in gel forming solution 0.5% (timolol GFS) in open angle glaucoma in India. Preliminary safety and efficacy study
Kumar Harsh,Sudan Rajeev,Sethi Harinder,Sony Parul
Indian Journal of Ophthalmology , 2002,
Abstract: Purpose: To compare the efficacy and safety profile of Timolol maleate 0.5% versus Timolol gel forming solution (GFS) 0.5% in open angle glaucoma in Indian eyes.Methods: In a prospective crossover study 52 patients of open angle glaucoma, well controlled intraocular pressure (IOP) on 0.5% timolol maleate solution were switched over to timolol GFS once a day, after a washout period of one month. A diurnal IOP measurement was done after 6 weeks and compared with patients on timolol maleate 0.5% twice a day. In addition, side effects reported or observed were compared.Results: Statistically significant difference was not observed in ocular hypotensive effect of the two treatments .The side-effects in both the treatment groups were similar except for higher incidence of blurring of vision in patients on timolol GFS.The compliance was better with timolol GFS, but was not statistically significant. Conclusion: The results of this study suggest that the more convenient 0.5% timolol in gel forming solution can be offered as an equally efficacious and well-tolerated alternative to twice daily 0.5% timolol solution in open angle glaucoma.
Combined extracapsular cataract extraction with Ahmed glaucoma valve implantation in phacomorphic glaucoma
Sethi Harinder,Rai Harminder,Wagh Vijay,Narvekar Makarand
Indian Journal of Ophthalmology , 2002,
Abstract:
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