Browsing by Author "Saluja, Gunjan"

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    A novel smartphone-assisted model for resident surgical training
    (Wolters Kluwer – Medknow, 2024-01) Saluja, Gunjan; Bhatia, Priyavrat
    Wet lab sessions during residency play an important role in developing the surgical skills of trainee residents. However, establishing a wet lab requires funds and equipment. Moreover, they might not be accessible to all the residents. The smartphone magnifying lens can magnify the images 8?10 times, sufficient to practice suturing techniques. Hereby, we describe a novel model for resident surgical training using a smartphone.
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    Optical coherence tomography features and correlation of functional and structural parameters in patients of idiopathic intracranial hypertension
    (All India Ophthalmological Society, 2022-04) Banerjee, Mousumi; Phuljhele, Swati; Saluja, Gunjan; Kumar, Pawan; Saxena, Rohit; Sharma, Pradeep; Vibha, Deepti; Pandit, Awadh Kishor
    Purpose: To determine the correlation between functional parameters and optical coherence tomography (OCT) features in patients of idiopathic intracranial hypertension (IIH). Methods: A prospective observational study in early and established cases of papilledema in IIH presenting from December 2017 to February 2019. Functional parameters (visual acuity, contrast sensitivity, mean deviation, VER, and MfERG) and structural parameters (RNFL, GCL?IPL, and optic disc height) were measured at baseline and every 6 weeks for 6 months. Results: At baseline, average RNFL had a moderate negative correlation with mean deviation (r = ?0.45; P = 0.0007) and a positive correlation with logMAR visual acuity (r = 0.18; P = 0.17). On the contrary, baseline GCL and logMAR visual acuity had a negative correlation (r = ?0.4, P = 0.02). Optic disc height (ODH) had a negative correlation with visual field mean deviation (r = ?0.046; P = 0.0005). At 6 months, ODH and GCL?IPL complex had a statistically significant correlation with functional parameters. However, RNFL values did not show any significant correlation with any of the functional parameters. Baseline GCL?IPL and optic disc height values had a moderate and significant correlation with final functional parameters. However, RNFL did not show any correlation with final functional parameters. Correlation between GCL?IPL thickness at 6 weeks and final functional parameters were stronger than that with baseline GCL values. Conclusion: In the setting of severe papilledema, RNFL can misguide the prognosis. GCL?IPL can be a valuable tool for an objective evaluation of the integrity of the optic nerve in IIH and ODH may be used as an alternative or in combination with GCL?IPL in these cases.
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    The pattern of visual impairment in the spectrum of hypoxic ischemic encephalopathy
    (Wolters Kluwer – Medknow, 2025-05) Phuljhele, Swati; Balasubramaniam, Niranjana; Saluja, Gunjan; Saxena, Rohit; Sharma, Pradeep; Kumar, Pavan; Kusiyait, Sanjay; Gulati, Sheffali
    Purpose: This study aimed to evaluate the relationship between visual impairment, social maturity, and clinical severity of hypoxic?ischemic encephalopathy (HIE) in the Indian population. Methods: An observational study was conducted in children with HIE sequelae aged between 6 months and 5 years. Sixty diagnosed cases of perinatal HIE were recruited, with twenty children in each of clinical grades 1, 2, and 3 according to the Sarnat clinical staging. All children underwent cycloplegic refraction using atropine 1% eye ointment, visual Acuity (VA) testing by teller acuity cards (TAC), anterior and posterior segment examination, FLASH visual evoked response (VER), strabismus workup, and social maturity assessment using the vineland social maturity scale (VSMS). Results: Sixty children, including 14 preterm and 46 term infants, with a mean age of 26.11 ± 16.06 months were studied. Normal birth weight was observed in 54% of the cases, whereas 42% had low birth weight and 4% had very low birth weight. There was no statistically significant difference between birth weight and the clinical severity of HIE (P = 0.970). A significant relationship between VA and clinical severity (TAC? p < 0.0001) and between VA and social maturity was observed. Optic disc pallor was present in 85% of grade 3 HIE cases. Among the 37 children with strabismus, the convergent type was predominant (86.4%). Refractive error was comparable across all grades of HIE. Conclusion: Visual impairment was significantly related to the clinical severity of HIE and had a negative impact on the social maturity of these children.