Blepharophimosis syndrome is also knows as BPES (Blepharophimosis, Ptosis, Epicanthus Inversus Syndrome). It is an autosomal dominant condition usually inherited from parents but not always.
Surprising to many- not much! Our eyes are designed to self-service itself. Just the act of blinking has several functions: If your body is healthy, your eyes will be too. Everything that is required for a healthy lifestyle also applies to the eyes. A balanced antioxidant rich diet Regular exercise 7-8hrs of uninterrupted sleep Positive attitude.Continue reading “How to take care of your eyes?”
Vaccines are tough business. From all the decades of collective knowledge in vaccine development we have, it is very rare that we will get a successful vaccine for any disease. Vaccine development takes years and for good reason.
In an earlier era, these tumours would be removed via a craniotomy (brain surgery) by neurosurgeons or a disfiguring open surgery sometimes causing the loss of vision in the involved eye by other surgeons- that’s way too much morbidity for a benign tumour. But with the advent of modern day techniques and skilled oculoplastic surgeons performing orbitotomy today to remove such tumours, this surgery’s risks and complications is very low with the added advantage of a scarless as well as without even having to remove bone. This surgery is followed by a mostly uneventful recovery period.
Ocular Surface Squamous Neoplasia (OSSN) is a spectrum of pre-cancerous and cancerous lesions of the conjunctival epithelium (transparent coat covering the surface of the eye). The good news is that, this type of cancer can be completely cured by surgery and/or chemotherapy eye drops if diagnosed before it becomes an invasive Squamous Cell Carcinoma.
While going home that evening, I reflected on how much technology had advanced that surgeons like me get to perform apparent everyday miracles like this while confidently knowing what it is that we are going after. Couldn’t help but remember Arthur C Clark’s third law:
“Any sufficiently advanced piece of technology is indistinguishable from magic.”
The COVID-19 lockdown was a period when we had stopped elective surgery and were prioritising semi-urgent surgeries and emergencies. But some surgeries can’t wait even if not life threatening. Like this girl who fell down the stairs to have an orbital (eye socket) fracture. The walls of the bony socket holding the eye were broken entrapping the eye muscles- which causes double vision and also making the eye sunken (enophthalmos). This needed early intervention- hence a semi-urgent surgery.
The scientific community should be embarrassed that they lost their nerve in the middle of a pandemic. In the race to publish new papers due diligence like peer review and data congruence was ignored by the editorial boards of both the journals involved in the scandal. ICMR leadership too is doing a disservice to scientific thinking in public health policy. Their obscurantism of the HCQ question by publishing vague non-scientific studies actually keeps the world from knowing if HCQ works or not for sure
The outbreak of COVID-19 pandemic is changing the infection, transmission and safety practices of medical establishments globally. From evidence that is available presently, the risk of transmission of this virus is high amongst medical personnel involved in procedures and surgeries around the head and neck region- Ophthalmology, Otorhinolaryngology, Craniomaxillofacial surgery, Head and Neck Oncology, Neurosurgery including Anesthesiology. The field of Oculoplastic Surgery has risk factors common to both ophthalmology and all of the above craniofacial subspecialties. While clear directives and strategies to handle elective, urgent and emergency surgeries in SARS-Cov2 positive patients is constantly evolving, we herewith attempt to consolidate various guidelines from various relevant professional global medical societies which will be beneficial to the orbit, oculoplastic and ophthalmic trauma surgeon and also their hospital administrators.
There have been many incredible moments during my career as a surgeon but this story has to be the closest to my heart and will be for a long time to come.