Jama Ophthalmology Photo Essay

Dear Readers,

Greetings from the Editorial desk!

This issue brings you a bouquet of a wide variety of articles from different subspecialities. An interesting article: ‘Fifteen-year trends in indications for enucleation from a tertiary care center in South India’ by Sabyasachi Sengupta et al has found increasing trends in enucleations due to retinoblastoma and reduction of enucleations due to trauma, chronic uveitis, and glaucoma.

There has been a sea change in the doctrine of management of ocular trauma. The vast majority of open globes can be repaired without requiring primary enucleation. Secondary enucleation is most commonly carried out for pain. Eyes with no light perception can be closely observed if the patient chooses.[1] The current scenario demands proper documentation of eye injuries for benefit of patients as well as doctors.

Any attempt to reconstruct an eye is useful to preserve the eye anatomically and keep the chance of a functional improvement, irrespective of an initial complete functional loss. This observation not only proves that a missing light perception is no contraindication to an attempt to reconstruct an eye anatomically. Despite repeated surgeries, the risk of sympathetic ophthalmia has not risen above 0.1–0.3% during the last four decades.[2,3] On the other hand, evisceration seems to be no measure to prevent the development of sympathetic ophthalmia.[4,5]

On behalf of the Ocular Trauma Society of India, an initiative has been taken for documentation of eye injuries in the country by developing “Indian Eye Injury Registry Form” which is available on the following link: http://otsi.in/ieir.aspx. The form is bound to undergo several improvements but I urge all of you to be part of this by documenting your cases of eye injuries.

Ophthalmology is a visual science in more ways than one. Its proper practice may depend more on detection of distinctive visual images and on recognition of characteristic visual patterns than does any other medical specialty. Our ability to observe most pathologic changes and surgical manoeuvres of the eye through transparent tissues is unsurpassed by other medical disciplines and probably accounts for much of the appeal that ophthalmology holds for many of us.[6]

This issue will witness a new and exciting development for our journal – the introduction of photo essay.

A picture is worth 1000 words…. and a series of pictures is priceless!

Keeping with the trend of recent advances and rapidly developing technology, it was only a matter of time before we introduced photo essays in the Indian Journal of Ophthalmology.

Photo essays have been a trend in Ophthalmology Journals since the 1980s. Photography and imaging is now integral to diagnosis in our field and a boon to monitor progress of disease. Photoessays aim at highlighting the importance of utilizing the appropriate technology which is specific for certain conditions and the value of documentation.

I hope that the following photo essay will be the trend setter for this new development and act as an example and guideline for future submissions.

I look forward to many submissions.

References

1. Savar A, Andreoli MT, Kloek CE, Andreoli CM. Enucleation for open globe injury. Am J Ophthalmol. 2009;147:595–600.[PubMed]

2. Allen JC. Sympathetic ophthalmia: A disappearing disease. JAMA. 1969;209:1090.[PubMed]

3. Liddy BS, Stuart J. Sympathetic ophthalmia in Canada. Can J Ophthalmol. 1972;7:157–9.[PubMed]

4. Freidlin J, Pak J, Tessler HH, Putterman AM, Goldstein DA. Sympathetic ophthalmia after injury in the Iraq war. Ophthal Plast Reconstr Surg. 2006;22:133–4.[PubMed]

5. Du Toit N, Motala MI, Richards J, Murray AD, Maitra S. The risk of sympathetic ophthalmia following evisceration for penetrating eye injuries at Groote Schuur Hospital. Br J Ophthalmol. 2008;92:61–3.[PubMed]

6. Goldberg MF. The ophthalmic photo essay. Arch Ophthalmol. 1986;104:985–6.[PubMed]

Солнце уже зашло. Над головой автоматически зажглись лампы дневного света. Сьюзан нервничала: прошло уже слишком много времени. Взглянув на «Следопыта», она нахмурилась.

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