Minal Doulatramani

L V Prasad Eye Institute

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Sayan Basu

L V Prasad Eye Institute

Himanshu Gururani

Indian Institute of Technology Hyderabad

Divya Motwani

L V Prasad Eye Institute

Parag Apte

Dr. D. Y. Patil Medical College, Hospital and Research Centre

Sai Naga Sri Harsha Chittajallu

Indian Institute of Technology Hyderabad

Prachi Bakare

Dr. D. Y. Patil Medical College, Hospital and Research Centre

Viswanath Chinthapenta

Indian Institute of Technology Hyderabad

Renu Magdum

Dr. D. Y. Patil Medical College, Hospital and Research Centre

Radhika Paranjpe

Dr. D.Y. Patil Vidyapeeth, Pune

M. V. Ramji

Indian Institute of Technology Hyderabad

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Dr. D. Y. Patil Medical College, Hospital and Research Centre

Indian Institute of Technology Hyderabad

L V Prasad Eye Institute

Community Eye Care Foundation

Dr. D.Y. Patil Vidyapeeth, Pune

Ophthalmology Associates (United States)

University of Illinois Chicago

All India Institute of Medical Sciences

All India Institute of Medical Sciences, Nagpur

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Assessment of Safety of Retropupillary Iris-Claw Intraocular Lens as a Viable Option in Surgical Aphakia

Medical Journal of Dr D Y Patil Vidyapeeth (2021)

Minal Doulatramani Renu Magdum Rupali Maheshgauri Radhika Paranjpe

Background: Aphakia is the most dreaded and inadvertent complication of cataract surgery. Visual rehabilitation with wide variety of surgical options is a challenge for the ophthalmologist. Our study evaluates the safety and efficacy of the retropupillary implantation of the iris-fixated intraocular lens (IOL) in a 2-month follow-up period. Aims: This study aims to assess the visual outcome, identify complications, and assess the long-term stability of eyes undergoing retropupillary iris-claw lens implantation for aphakia. Settings and Design: This was a prospective interventional study (single-group, before–after study). Materials and Methods: Sixty eyes with surgical aphakia fulfilling the inclusion criteria were considered. Preoperatively, evaluation of visual acuity, slit-lamp examination, fundus examination, intraocular pressure, corneal endothelial cell count, macular thickness, and edema was done. Anterior vitrectomy was done, and retropupillary iris-claw lens was implanted. Postoperative best-corrected visual acuity (BCVA), IOP, corneal endothelial cell density, macular edema, and IOL stability were evaluated. Statistical Analysis: The computer software statistical package for the social sciences, version 20.0 (SPSS) was used, and a 0.05 level of significance was considered. Results: The major cause of aphakia was posterior capsular rupture (55%). Postoperative BCVA on day 60 was 6/6–6/18 in 83.33% of cases. Three patients had disenclavation of the haptic which required retucking of IOL. No patient had corneal decompensation, cystoid macular edema, or IOP rise. Conclusion: Our results demonstrate that retropupillary technique of iris-claw implantation is a safe and effective method for visual rehabilitation in aphakic patients. This surgical procedure has an advantage of posterior chamber implantation with a low intraoperative and postoperative complication profile.

Aphakia

Visual rehabilitation

Fundus (uterus)

IRIS (biosensor)

10.4103/mjdrdypu.mjdrdypu_269_19

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Trabeculectomy with releasable sutures in primary glaucoma: A comparative study with the conventional technique

Indian Journal of Clinical and Experimental Ophthalmology (2019)

Prachi Bakare Parag Apte Minal Doulatramani Divya Motwani

Aim: To compare the short term and long term efficacy of using releasable sutures versus the conventional permanent sutures for scleral flap suturing in trabeculectomy in terms of incidence of short term hypotony and its related complications, short term shallowing of anterior chamber, long term IOP control after operations by both techniques and post-operative bleb scores. Materials and Methods: This is a prospective study carried out to compare the safety, efficacy and long term success rate of trabeculectomy with releasable suture verses trabeculectomy with permanent sutures. 60 eyes of primary uncontrolled glaucoma were subjected to trabeculectomy surgery, 30 using permanent sutures and 30 using releasable sutures. Patient were randomly assigned into 2 groups for conventional trabeculectomy with interrupted suture (group 1) and trabeculectomy with releasable suture (group 2). Patients were assessed postoperatively on visual acuity, intraocular pressure, anterior chamber depth, immediate complications, anterior chamber depth, post-operative lens changes. Results: Majority patients were male. Age occurrence of open angle glaucoma was between 51-60 years while angle closure glaucoma was between 40 to 50 years. None of the eyes had severe hyotony (IOP less than 6 mmHg in trabeculectomy with releasable suture, while hypotony was a major complication in trabeculectomy with permanent sutures group. Post-operative mean IOP from the end of 3 months till 12 months was found to be equivalent in both groups. In group 1, 5 eyes (16.66%) anterior chamber was well formed compared to 21 eye in group 2. Bleb scores in both the groups suggested, none of the patients in Group 1 had high bleb score between 2-5 days while 13 patients (43.33%) in group 2 had high bleb score. Visual field loss progressed in 5 eyes, 16.66% in group 1. While none of patients had progressive field loss in group 2. Gross hypotony in immediate post-operative period was observed in group 1 while none

Glaucoma medication

Bleb (medicine)

10.18231/j.ijceo.2019.037

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Collagen imaging reveals synergistic effects of sutures and host-donor misalignment on topographical irregularities in penetrating keratoplasty

PLoS ONE (2024)

Himanshu Gururani Sai Naga Sri Harsha Chittajallu Minal Doulatramani Viswanath Chinthapenta Sayan Basu

Mitigating unwanted refractive errors is crucial for surgeons to ensure quality vision after penetrating keratoplasty (PK). The primary objective of the present study is to highlight the importance of microstructural matching of the host and the donor cornea during PK on the distribution of the corneal tissue while suturing.

Astigmatism

10.1371/journal.pone.0308204

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Intraoperative collagen imaging of sutured cornea: A way towards managing post-penetrating keratoplasty astigmatism

Medical Engineering & Physics (2023)

Himanshu Gururani Sai Naga Sri Harsha Chittajallu Minal Doulatramani Ramji Manoharan Sayan Basu

Astigmatism

10.1016/j.medengphy.2023.104076

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Trabeculectomy with releasable sutures in primary glaucoma: A comparative study with the conventional technique

Indian Journal of Clinical and Experimental Ophthalmology (2019)

Prachi Bakare Parag Apte Minal Doulatramani Divya Motwani

Trabeculectomy with releasable sutures in primary glaucoma: A comparative study with the conventional technique - IJCEO- Print ISSN No: - 2395-1443 Online ISSN No:- 2395-1451 Article DOI No:- 10.18231/j.ijceo.2019.037, Indian Journal of Clinical and Experimental Ophthalmology-Indian J Clin Exp Ophthalmol

Pediatric ophthalmology

Comparative anatomy

10.18231/j.idjsr.2019.037

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