The opinions and outcomes of the new curriculum were assessed through an anonymous online survey given to three sequential groups of recently graduated senior ophthalmology residents from 2019 to 2021.
Fifteen graduating senior residents per cohort, across three cohorts, completed the survey at a rate of 100%. pre-deformed material MSICS was universally deemed a valuable skill by all residents, or strongly deemed so. Outreach work in the future is perceived as more likely by 80% of those exposed to MSICS, and a remarkable 8667% reported an increased understanding of sustainable outreach strategies due to the MSICS experience. An average of 82 cases per resident was assisted or performed (standard deviation 27, with a range from 4 to 12).
The formal MSICS curriculum, designed for US-based ophthalmology residents, garnered positive feedback from the trainees. The majority perceived a stronger possibility of engaging with sustainable outreach work and a clearer comprehension of its aspects. A residency program's curriculum could be enhanced by incorporating lectures, wet lab exercises, and formal operating room training, which provides significant value. Additionally, a structured domestic program can evade the ethical difficulties inherent in resident instruction during international missionary endeavors.
US-based ophthalmology residents found the formal MSICS curriculum to be well-liked and appreciated. In the collective view, the initiative amplified the probability of pursuing and improved the comprehension of sustainable outreach initiatives. Lectures, wet lab practice, and formal operating room instruction, all part of the curriculum, could contribute significantly to the value of a residency program. Moreover, a formalized domestic program offers a path to avoiding the ethical challenges frequently encountered in resident-based instruction during international missions.

We sought to determine the visual outcomes in patients with myopic astigmatism (-150 D) undergoing small-incision lenticule extraction (SMILE), assessing the difference when manual cyclotorsion compensation was or was not applied.
A contralateral, prospective, randomized, double-blinded study was executed in the refractive services department of a tertiary eye care center. The analysis encompassed eligible patients who underwent SMILE surgery between June 2018 and May 2019, and were characterized by bilateral high myopic astigmatism (15 diopters) and intraoperative cyclotorsion (5 degrees). To address cyclotorsion, the triple centration method was implemented prior to the femtosecond laser procedure. Preoperative and one and three-month postoperative assessments included measurements of uncorrected and corrected distance visual acuity (UDVA and CDVA, respectively), manifest refraction, slit-lamp biomicroscopy, and corneal tomography. To analyze astigmatic outcomes, the Alpins criteria were employed.
The current study's subjects consisted of 30 patients (with 60 eyes examined). Patients were subjected to bilateral SMILE surgery, with one eye (CC group, n=30 eyes) receiving manual cyclotorsion compensation, and the other (NCC group, n=30 eyes) not. Statistical analysis revealed significant findings for preoperative astigmatism, measured at -20 D and -175 D, and intraoperative cyclotorsion, quantifiable as 703°106'' (CC) and 724°098'' (NCC), (P = 0.0472 and 0.0240 respectively). The two groups exhibited no noteworthy differences in mean refractive spherical equivalent (MRSE), UDVA, CDVA, and refractive error three months after the surgical procedure. The Alpins criteria, applied to astigmatic outcomes, yielded no significant difference in results for the two cohorts.
The application of cyclotorsion compensation technique did not lead to any positive impact on astigmatic results or postoperative visual clarity in cases featuring high preoperative astigmatism and intraoperative cyclotorsion.
Employing the cyclotorsion compensation procedure did not translate to superior astigmatism results or improved post-operative visual quality in cases of significant preoperative astigmatism and intraoperative cyclotorsion.

To formulate a precise axial length (AL) estimation method using standard ultrasound in silicone oil-filled eyes, when optical biometry is unavailable or impractical.
Consecutive, non-randomized, and prospective, a study of 50 eyes from 50 patients, was conducted within a tertiary care hospital environment in North India. Using both manual A-scan and IOL Master devices, AL measurements were obtained under silicone oil conditions and again three weeks after the silicone oil was removed. A correction factor of 0.07 was applied to the AL adjustment for oil-filled eyes. To determine equivalency, the corrected AL (cAL) was measured against IOL master values in eyes filled with oil. Agreement analysis was conducted using the methodology of a Bland-Altman plot. Employing uncorrected manual AL, a linear regression analysis was performed to establish a novel equation. Stata 14 was employed for the analysis of the data. Significant findings were characterized by p-values that were smaller than 0.05.
The study population comprised 40 males and 10 females, whose ages ranged from 6 to 83 years, with an average age of 41.9 years. Manual A-scan measurements of the oil-filled eye's axial length averaged 3176 mm, with a standard deviation of 309 mm; the IOL Master, on the other hand, recorded an average of 247 mm, with a standard deviation of 174 mm. A predictive equation for AL (PAL) was derived from a linear regression analysis of 35 randomly sampled eyes from the study data. This equation is represented as PAL = 14 + 0.3 multiplied by the manual AL. Silicone oil in situ measurements showed a mean difference of 0.98167 between PAL and optically measured AL values.
A novel formula for accurate AL prediction in silicone oil-filled eyes is proposed, incorporating ultrasound-based AL measurement techniques.
For improved prediction of the correct AL in silicone oil-filled eyes, we introduce a novel formula based on ultrasound-based AL measurement.

To assess the efficacy of repeat deep anterior lamellar keratoplasty (DALK) in individuals who have undergone a prior unsuccessful DALK procedure.
A retrospective examination of the records of seven patients undergoing a repeat Descemet Stripping Automated Lamellar Keratoplasty (DALK) operation following the failure of their initial DALK procedure was undertaken. check details Regarding all patients, the documentation meticulously noted the necessity for repeat surgical procedures, the time interval between the first surgery and subsequent interventions, and the pre- and postoperative best-corrected visual acuity (BCVA).
The period of observation after repeat DALK treatments lasted between one and four years. The reasons for primary DALK surgery included keratoconus accompanied by vernal keratoconjunctivitis (VKC) in three patients, corneal amyloidosis in two, Salzmann nodular keratopathy in one, and healed keratitis in one case. The BSCVA's drop below 20/200 prompted the need for a subsequent surgical procedure. The interval between the commencement of the first surgical procedure and the subsequent event stretched from two months to a period of four years. The BSCVA exhibited a notable improvement from 20/120 to 20/30 one year post-repeat DALK surgery in all patients, exclusive of one. The recent examination, averaging 18 months after the secondary graft, displayed clarity for all performed regrafts. The resurgery was uneventful, with no complications. The host bed dissection was facilitated by reduced adhesion strength in the subsequent surgical intervention.
Excellent outcomes are anticipated for repeat Descemet Stripping Automated Lamellar Keratoplasty (DALK) procedures performed after a failed initial DALK, with secondary grafts demonstrating results comparable to those of initial DALK grafts. DALK's benefits include easier dissection and a lower graft rejection rate compared to the technique of penetrating keratoplasty.
Repeat DALK surgery, following a failed initial DALK, shows excellent potential, and the outcomes of the secondary grafts were comparable to those of the initial primary DALK grafts. Biot’s breathing Refractive DALK presents a simpler dissection process and a reduced risk of graft rejection in comparison to penetrating keratoplasty.

To examine the microbiological characteristics and antibiotic susceptibility profiles of infectious keratitis cases at a tertiary care center in central India.
In the suspected case of severe keratitis, microbiological culture and identification were performed using the VITEK 2 technique. Patterns of sensitivity and resistance to antibiotics were evaluated and their susceptibility determined. Documentation also included demographics, clinical profile, and socioeconomic history.
A remarkable 512% of the patient sample, comprising 233 individuals out of 455, exhibited a positive cultural response. Pure bacterial growth was documented in 83 (3562%) individuals, whereas 146 (6266%) patients exhibited only fungal growth. The bacterial spectrum of infectious keratitis included Pseudomonas as the most frequent cause, with Staphylococcus and Bacillus infections being less frequent. Pseudomonas bacteria displayed resistance percentages fluctuating between 65% and 75% against levofloxacin, ceftazidime, imipenem, gentamicin, ciprofloxacin, and amikacin. Resistance to levofloxacin, erythromycin, and ciprofloxacin was observed in Staphylococcus at a rate of 65% to 70%, whereas Streptococcus displayed an absolute resistance to erythromycin.
Current trends in the microbiological makeup of infectious keratitis and their antibiotic resistance are explored in a rural central Indian setting. It was noted that fungi were highly dominant, and a higher level of resistance against commonly used antibiotics was observed.
A central Indian rural study analyzes the current pattern of microbiological profiles in infectious keratitis and their susceptibility to antibiotic treatments. A strong presence of fungal species, combined with heightened resistance to commonly utilized antibiotics, was detected.

Social determinants of health (SDoHs) and microbial keratitis (MK) correlation comprehension enables the identification of patient-specific risk factors contributing to the severity of the disease, including visual acuity (VA) and the time from symptom onset to initial presentation.