dos-august-2011

5 EDITORIAL

FOCUS

11 Retinopathy of Prematurity

CATARACT

19 Toric IOL Implantation for Astigmatism Management During Cataract

Surgery
Suresh K. Pandey, Vidushi Sharma

25 Calib chop: A safe and Effective Vertical Chop with Calibrated Phaco

Tip
P.K. Malik, Taru Dewan, Jayanti Kashyap , O.P. Gupta

NEURO-OPHTHALMOLOGY

27 Role of OCT in Neuro-ophthalmology

Ankur Sinha, Ajay Pal Singh Jhinja, Rohit Saxena, Vimla Menon

GLAUCOMA in the Diagnosis of

35 Optic Nerve Evaluation–A Quintessential

Glaucoma
Baswati Prasanth, Nidhi Gupta, Sanjay Dhawan

PEDIATRIC OPHTHALMOLOGY

43 Leber Congenital Amaurosis: an overview

R. Srikanth, S. Meenakshi

RETINA

53 Age Related Eye Disease Study

Savleen Kaur, Sparshi Jain

CORNEA

57 Anterior Segment OCT in Corneal Practice

Rakhi Kusumesh, M. Vanathi, S.K. Khokhar, A. Panda

HISTORY OF OPHTHALMOLOGY

63 Remarkable Women in Ophthalmology

Charu Khurana

CLINICAL MEETING

69 Clinical Case-1: Bilateral Endogenous Endophthalmitis in Enteric

Fever
Om Prakash Gupta, Manav D. Singh, Kishore Govekar, Mukesh K. Sharma

75 Clinical Case-2: Schwannoma of the Trigeminal Nerve

Shikha Jain, Rajan Aggarwal, Shashi Vashisht, K.Govekar, Mukesh Sharma

79 Clinical Talk: Retinoblastoma Management

Rachna Meel

TEAR SHEET

89 Grading of Diabetic Retinopathy

Sumeet Khanduja

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“I am Anna”

Respected Seniors & friends,
None of us can remain immune to the path breaking events unfolding
over the past week. It is ‘History in the Making’ with lakhs of people now
involved to make this movement a success.
No one has remained untouched by this malaise of corruption which affects
all of us in our daily lives and this feeling of wanting to do something, show somehow we also care is burning in
all of us. While some have got the opportunity to visit ‘Ground Zero’, many continue to be ‘TV Supporters’ not
knowing how to be a part of this national movement against corruption.
Corruption in the real sense means expecting money or favors for your work but in a deeper sense it is not
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it our mind too. To do your bit for your country, perform your karma and do what you are supposed to do; for
us ophthalmologists it means to treat patients with the care and interest we would show if it was our friend or
relation we were treating. Do not shirk from your duties.
I hope we can get a law in place that systematically check the corruption plaguing the country, but I also hope
that these enduring images of this movement and the feeling of wanting to bring a change also changes our
society for the better. When all of us do our bit, perform our work, do our karma, respond to the needs of others
and treat them with dignity and be honest to ourselves,
Only then can we say with pride ‘I am Anna’.

With best wishes,

Rohit Saxena
Secretary,
Delhi Ophthalmological Society

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Figure 6: Case 4

as benign intracranial hypertension and was advised oral Case 5: A 72 year old male presented with a history of sudden
acetazolamide sustained released tablets twice daily and diminution of vision in the right eye since last 3 days. Past
was followed 2 weekly on serial OCT scans (Figure 6). Serial history reveals a loss of vision of the left eye in the similar
OCT scans revealed a sequential decrease in the disc edema fashion 5 years back. Systemic history reveals a poorly
along with a symptomatic improvement. After the 6 weeks of controlled hypertension for last 20 years. On examination
follow up the patient was free of symptoms and since there ZDV IRXQG WR KDYH D EHVW FRUUHFWHG YLVXDO DFXLW\ RI ÀQJHU
ZDV QR IXUWKHU GHFUHDVH LQ WKH QHUYH ÀEUH OD\HU WKLFNQHVV RQ counting 1 meter in the right eye and hand movement close
OCT a repeat FFA was performed (Figure 7) which showed a to face left eye with accurate projection of rays. On fundus
VLJQLÀFDQW GHFUHDVH LQ WKH GLVF OHDN examination he had right eye pallid disc edema and optic

Figure 7: Case 4 Figure 8: Case 5
30 l DOS Times - Vol. 17, No. 2 August, 2011











































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Charu Khurana

Charu Khurana MS, DNB, FAICO
Specialist in Anterior Segment, Glaucoma and Refractive Surgery
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OSKWKDOPRORJ\ OLNH DQ\ RWKHU VXSHU VSHFLDOL]HG ÀHOG Figure 1: Development of the human eye as drawn by
is still massively dominated by men. Attend any Ida Mann in 1928
conference and amongst the crowd of men there will only be
a few sparkling women adding a splash of color and spirit to she was appointed by the Ministry of Supply to study the
the gathering. Yet their presence is unmistakable, they bring effects of chemical warfare on the eye. In addition she worked
WKHLU RZQ GLVWLQFWLYH ÁDYRU RI FUHDWLYLW\ DQG H[FHOOHQFH DQG on thyroid disease and studied night blindness in males
a fresh perspective to enrich the world in their own special UHFHLYLQJ YLWDPLQ $ GHÀFLHQW GLHWV 6KH DOVR ZRUNHG ZLWK WKH
way. This is not to undermine the role men play, for it is in newly discovered antibiotic penicillin as a treatment for eye
comparison to them that women shine. infections.

,Q WKLV DUWLFOH , SURÀOH D ZRPDQ NQRZQ IRU KHU WRZHULQJ She was at the head of every proverbial parade with admirers
intellect and an inexhaustible fund of energy who has lining up behind and when her mother told her how nice it
left an indelible mark on the annals of ophthalmology. was for her to be able to meet all these famous people, she said,
Her dedication reads: “No living doctor has dominated “Its no big deal meeting them, I have to be one of them”. Ida
international ophthalmology as has Ida Mann, whose Mann was a role model for the feminist movement, serving
colleagues throughout the world have been inspired by her with distinction on national and international committees
remarkable work”. and winning the Gifford Edmonds Prize in 1927. She gave
the Harrison Gale Lecture in 1929, Doyne Memorial Lecture
,GD 0DQQ IDPRXV IRU KHU FODVVLÀFDWLRQ RI WKH IXQGXV FRORERPD in 1928, Nettleship Lecture in 1932, and Montgomery Lecture
that we’ve all memorized as post-graduate students, was in 1935.
born in London on 6th February 1893. She joined the Royal
Free Hospital in 1914 which was the only medical school She was accepted as some kind of an odd phenomenon: a
open to women at that time and then went on to St Mary’s male mind in a female body. Invited to a Victorian ball dance
+RVSLWDO ZKHUH VKH ÀQLVKHG KHU VWXGLHV LQ 7KLV ZDV WKH in London where women wore fur and lacy dresses she wore
time of the World War I and there was shortage of manpower her pet boa constrictor around her neck suitably refrigerated
and resources all around. On hearing a plea that help was
needed in the radiology department, she volunteered to
contribute. And when the department discovered she was a
medical student, they told her she was wasted as a switch girl
and invited her inside the operating theater. And so began
the journey of this brilliant, effervescent woman.

She walked her own beat with great exuberance and
broke barriers, routinely. In 1921 she was instrumental in
introducing the slit lamp to England. While at St Mary’s, she
began her study of congenital and hereditary eye defects and
used human embryos to study ocular development for her
doctoral thesis. She was a gifted artist and made her own
personalized paintings of human and animal embryonic
vasculature which had never been studied before in such
great detail and even drew the anterior and posterior ocular
segments of many exotic animals of the London zoo! Her
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the “The Development of the Human Eye” in 1928 and
“Congenital abnormalities of the eye” in 1937 (Figure 1).

By then, known for her tremendous energy and ambition,
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Eye Hospital and the Royal Free Hospital in 1927 and 1928
respectively. With the outbreak of World War II in 1939,

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