Resolving Dilemmas in Ophthalmology

Maj Gen Sagarika Patyal SM, VSM served as the Assistant Chief of Integrated Defence Staff (medical) at Army HQ Delhi, head of department of ophthalmology at Army Hospital (Research & Referral) Delhi, head of department of ophthalmology at Army Base Hospital Delhi Cantt, professor at Armed Forces Medical College at Pune, and is the only lady officer to have commanded the world’s highest General Hospital at Leh (11400 ft), where she was instrumental in establishing telemedicine nodes in high altitude (Siachen) to help soldiers stationed in the highest battleground in the world. She has many publications in peer reviewed international and national journals to her credit and has written chapters in books and has edited a book “Resolving dilemmas in Perimetry”. Dr Patyal is recognized as a supervisor to guide post-graduate degree and diploma students by Delhi University, UG and PG teacher and examiner by the Maharashtra University of Health Sciences and Guru Gobind University; served as MCI Inspector for MBBS, inspector for DNB, national faculty for glaucoma, and faculty in Delhi Ophthalmological Society Postgraduate Teaching Program and IFOCUS; reviewer for the Medical Journal of Armed Forces of India (MJAFI), reviewer for J Clin Ophthalmol Res, reviewer Delhi Journal of Ophthalmology , MDPI and Cureus Medical Publishing online journal.Dr. Tulika Chauhan, MS Ophthalmology, FICO(MEEI), FIAS, Fellow Cornea & External Disease (UCLA) has completed her graduation and residency from Mahatma Gandhi Memorial Medical College (DAVV University) Indore, M.P, India and trained in anterior segment surgeries from various Indian institutes, like Susrut Eye Foundation & Research Center (Kolkata), Venu Eye Institute & Research Center (New Delhi) and Chandraprabha Eye Hospital (Assam). She pursued fellowship in cornea, external disease and refractive surgeries from Massachusetts Eye and Ear Infirmary, University of Harvard (Boston) and Jules Stein Eye Institute, University of California at Los Angeles (Los Angeles). She is a senior consultant ophthalmologist in cornea, cataract and refractive services at Centre for Sight Eye Institute, New Delhi, India. Before that she was working as a visiting consultant in cornea services at Johannes Gutenberg University of Mainz (Germany).She has a vast experience in performing cataract, refractive and corneal surgeries and managing complicated diseases and surgical complications. She has presented her research at various national and international platforms and published her work in many peer reviewed international and national journals. She is a reviewer for Translational Vision Science & Technology (TVST, ARVO Journal), EyeSEA (AECOM Journal) and Cureus Medical Publishing online journal. She is actively involved in training of DNBs and fellows.

• 1 Iris Neovascularisation- An Enigma To Be Solved.- 2 Angle closure glaucoma – an uncommon cause of a common finding.- 3 Unilateral Vogt-Koyanagi-Harada disease associated with non-arteritic anterior ischemic optic neuropathy in a young woman presenting as acute angle closure glaucoma.- 4 Endothelial adherence of asteroid bodies following Nd:YAG laser posterior capsulotomy – An unhealthy union.- 5 Spontaneous posterior dislocation of the cataractous lens in a patient with Parkinson-plus Syndrome.- 6 Pleomorphic adenoma of a subconjunctival ectopic lacrimal gland.- 7 Acute unilateral hypopyon uveitis and secondary glaucoma in an adult with relapsing acute lymphoblastic leukemia.- 8 Sturge Weber Syndrome: Search for the stain.- 9 Finding Red Where It Doesn’t Belong: Post Traumatic Neovascularisation Of A Cataractous Lens.- 10 Ocular Cysticercosis: Diving into depths of Sclera and Cornea.- 11 Moving Backward Is Not Retreating- Management of Pigment Dispersion Syndrome Post  Photorefractive Keratotomy.- 12 Chemical Keratopathy- Caught On The Hop.- 13 Toric IOL In Irregular Astigmatism- Are We Addressing The Real Issue?.- 14 Advanced Keratoconus with Hydrops- Light At The End Of The Tunnel.- 15 The Masters of Mimicry- Atypical Viral Presentation.- 16 DMEK triple procedure in a unilateral case of secondary glaucoma and endothelial decompensation following bilateral cosmetic iris implants- The Road Seldom Travelled.- 17 When You Cannot Turn It Loose-Managing Inverted Phakic IOL.- 18 Idiopathic polypoidal choroidal vasculopathy appearance under aflibercept treatment.- 19 Spontaneous late reopening of a successfully operated and closed full- thickness macular Hole.- 20 Bilateral Ocular Ischemic Syndrome.- 21 Granulomatosis With Polyangiitis- Ocular Involvement.- 22 Advanced glaucoma in angle closure in one eyed patient: Can surgery be the last saviour for vision?- 23 Tackling the triple trouble – Operated trabeculectomy, miotic nondilating pupil, hard brown cataract.- 24 Subretinal Setae: Treat it or leave it.- 25 Primary Vitreoretinal Lymphoma.- 26 Endogenous Endophthalmitis: Too much information leads to confusion.- 27 Acute angle closure following a snake bite – are we missing it?- 28 Infectious keratitis, toxic endothelitis and severe anterior uveitis following bee sting corneal injury.- 29 Unilateral optic disc edema in a young male.- 30 Opacified Intra-ocular Lenses – Unclear for Both Patient & Doctor.- 31 Dual Dystrophy- Multiple Dilemmas.- 32 Challenges in the Management of a Unique case of Bilateral Nanophthalmic Glaucoma.- 33 High altitude associated Purtscher-like retinopathy- Diagnostic Dilemma.- 34 Diagnostic And Management Challenges In Childhood Glaucoma.- 35 Delayed Presentation, Deeper Peril: Ophthalmia Nodosa.- 36 Neovascular Glaucoma – A race against time.- 37 Microspherophakia.- 38 The Bumpy Road to Clear Vision – A Case of unwanted calcification of hydrophilic acrylic IOL following DMEK Superimposed on Penetrating Keratoplasty.- 39 Bilateral Malignant Glaucoma in a young girl with Plateau Iris.- 40 Panophthalmitis – The great Masquerader.- 41 Peripheral Exudative Haemorrhagic Chorioretinopathy- The Maverick Mimic.- 42 Isolated Ocular Behcet’s Disease.- 43 Posterior Polar Cataract and FLACS- Problems & Solutions.- 44 There’s evil in my eye- Pediatric Ophthalmology Challenge.- 45 Dilemmas in Serpiginous like Choroiditis.- 46 Alport Syndrome.- 47 Severe blunt ocular trauma: Reconstructing and Rehabilitating-Test of patience !!!.- 48 A long tale of angle closure glaucoma and complications- The fight is still on!.- 49 Unusual management of endothelial touch by glaucoma drainage tube in a one eyed patient.- 50 Herpetic Keratitis- A Diagnostic Dilemma.- 51 Dry Eye after bariatric surgery.- 52 A stich in time saves nine- Optic neuritis in a Keratoconus patient.- 53 Ethambutol toxicity- Jekyll and Hyde of Etambutol.- 54 Dilemmas of ICE Syndrome.- 55 The Tilted Torted Optic Disc.