Ocular Injuries After Bungee Jumping.

We present a case of ocular injuries post bungee jumping in Nepal. A 26 year old female presented to our clinic with bilateral Sub Conjunctival Hemorrhage (SCH) after bungee jumping. Her best corrected visual acuity was 20/20 in both eyes. No other intraocular hemorrhage was revealed in her dilated ocular examination. Conservative treatments with artificial tears were given to her and follow up visit after one week was advised. The SCH was resolved after a treatment of one week. Her visual acuity remained stable and no other ocular complications were found. To conclude, bungee jumping can be the cause of several ocular injuries. Further studies are required to identify the causes and potential risk factors. Keywords: Bungee jumping, ocular injury; sub conjunctival haemorrhage.

Safety and Efficacy of Low Dose Atropine in Nepalese Children with Progressive Myopia.

INTRODUCTION: Myopia is emerging as a public health emergency worldwide. Low dose atropine has been proven to be safe and efficacious in halting the progression of myopia. OBJECTIVES: Aim of this study was to evaluate safety and efficacy of low dose atropine in Nepalese children with progressive myopia. MATERIALS AND METHODS: It is a prospective non randomized interventional study. Children with myopia progression of >0.5D in the last six months with baseline myopia of -1.5 to -8 Diopter and astigmatism of 3 D or less were prescribed 0.01% atropine daily at bedtime for two years. Demography including age, gender, race, and examinations including anterior and posterior segment, axial length, near point of accommodation and near vision were recorded in all the children. Ocular and systemic side effects were documented. RESULTS: A total of 200 children were enrolled in the study. Mean age was 11.9±2.97 years with 41% female. Baseline mean axial length was 24.47±1 and mean spherical equivalent was 3.69±1.33. Average increase in axial length was 0.18(±0.02), 0.17(±0.02), and 0.19(±0.04) mm in six months, one year, and two years respectively. The increase in spherical equivalence was 0.2 (±0.01), 0.3(±0.02), and 0.3(±0.02)) diopter in six months, one year, and two years respectively. The myopia progression was found more in the Mongolian race compared to the Aryan race. No ocular or systemic side effects were documented. CONCLUSION: Topical low dose atropine appears to be safe and efficacious in halting the progression of myopia in a cohort of Nepalese children. Further randomized control trial on various doses of atropine are recommended.

Choroidal thickness profile in healthy Indian children.

PURPOSE: The purpose was to study choroidal thickness and its profile based on location in healthy Indian children using enhanced depth spectral-domain-optical coherence tomography (SD-OCT). METHODS: In this cross-sectional observational study 255 eyes of 136 children with no retinal or choroidal disease were consecutively scanned using enhanced depth SD-OCT. Eyes with any ocular disease or axial length (AXL) >25 mm or < 20 mm were excluded. A single observer measured choroidal thickness from the posterior edge of the retinal pigment epithelium to the choroid/sclera junction at 500-microns intervals up to 2500 microns temporal and nasal to the fovea. Generalized estimating equations were used to evaluate the correlation between choroidal thickness at various locations and age, AXL, gender and spherical equivalent (SEq). RESULTS: Mean age of the subjects was 11.9 ± 3.4 years (range: 5-18 years). There were 62 Females and 74 males. The mean AXL was 23.55 ± 0.74 mm. Mean subfoveal choroidal thickness was 312.1 ± 45.40 µm. Choroid was found to be thickest subfoveally, then temporally. Age, AXL and SEq showed a significant correlation with choroidal thickness, whereas gender did not affect choroidal thickness. CONCLUSION: Our study provides a valid normative database of choroidal thickness in healthy Indian children. This database could be useful for further studies evaluating choroidal changes in various chorioretinal disorders. Age and AXL are critical factors, which negatively correlated with choroidal thickness.