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Purpose: The objective of the study was to assess the effect of increased screen time on ocular health during the coronavirus disease (COVID-19) crisis. Materials and Method: An online pretested, self-reported questionnaire with relevant details was generated through Google form and sent to participants. Chi-square or Fisher’s exact test was used to investigate the associations between the qualitative variables. The associated risk factors of number and frequency of ocular health problems were analysed by univariate and multivariate logistic regression. Result: A total of 435 responses were considered where 48.5% (N = 211) were female participants and 51.5% (N = 224) were male. Average age of the participants was 35 years. 89% of the participants reported an increase in the screen time during the during the lockdown period. Younger age group reported to have greater screen time than the older participants (p = 0.001) and hence experienced more symptoms of digital eye strain (DES) (p = 0.003). The most common symptoms associated with digital eye strain in our study were eyestrain 52.8% (N = 230) and headache 31.3% (N = 136). In total, 81.37% (354/435) of participants had experienced at least one symptom related to digital screen usage. Conclusion: DES is non-vision-threatening but discomfort caused due to it can have implications on overall physical, mental, and social well-being. The study highlights the increase in digital screen time during the pandemic and the resultant eye strain. There is need of spreading awareness regarding the adverse effects of digital device use and the preventive measures to safeguard our ocular health.

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We report a case of lipoid proteinosis (LP) masquerading as seborrheic dermatitis. A 35-year-old female presented to our outpatient department with complaints of itching and crust-like formation on eyelids for five years. She was treated as a case of seborrheic dermatitis elsewhere and got intermittent relief in itching with medications. Beaded lesions were found along the upper and lower eyelids involving the lash line and caruncle on removing the crust. The verrucous lesions were pathognomonic, moniliform blepharosis of LP. Systemic examination revealed hoarseness of voice, and hyperkeratosis was seen on the dorsum of both of her hands. She has been advised lid hygiene, artificial tears, and antihistaminics for itching. Skin emollients were also advised by dermatologists to decrease the chances of abrasion and bleeding from minor trauma. She was well explained about the danger signs as well as neurological and psychiatric implications of the disease. Although ophthalmologists have a rare encounter with this disease, LP is a well-known entity to dermatologists and otorhinolaryngologists, and thus it may sometimes go undiagnosed. An ophthalmologist should be well aware of the life-threatening complications associated with LP, and patients should be sensitized regarding the chronic nature, supportive measures, and danger signs of the disease.

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Branch retinal vein occlusion as the presenting feature of germ cell tumour Retinal vein occlusion (RVO) is the second most common retinal vascular disease after diabetic retinopathy. RVO stands as one of the common causes of visual morbidity and blindness in the elderly population. RVO can be classified into central retinal vein occlusion (CRVO) and branch retinal vein occlusion (BRVO) based on the site of vascular occlusion. The incidence of BRVO is generally higher than the incidence of CRVO. Systemic hypertension, hyperlipidemia, and increased body mass index are important risk factors for BRVO in young patients, 1 similar to older population. Recent studies of RVO and thrombophilic factors showed that only hyperhomocysteinemia and anticardiolipin antibodies play a pivotal role in the pathogenesis of RVO. Testicular cancer, although rare, is the most common malignancy in men aged 20À34 years, and 95% of malignant tumours arising in the testes are germ cell tumours (GCTs), and seminomas are the most common type of testicular GCTs. The typical presentation in testicular seminoma is a painless testicular lump with duration of several days to months, and the patient may be subfertile or may present with a hydrocele. Scrotal ultrasonography may identify a nonpalpable testis tumour. Several placental and fetal proteins are secreted by these tumours. Two of these, human chorionic gonadotropin and alpha-fetoprotein, have been shown to be useful for the diagnosis of these GCTs .These tumour markers are also used to assess the disease activity during therapy and for detection of recurrences. Few cases of vascular thromboembolism have been reported in GCT. 2 The vascular events are either sequelae of chemotherapy and radiotherapy used for treatment or due to occult metastasis. No case of BRVO/RVO has been reported in GCTs to the best of our knowledge. We report an unusual association of BRVO and GCT in a 25-year-old patient. A 25-year-old man presented to our outpatient department with complaints of sudden, painless diminution of vision in the right eye for 2 days. There was no significant ocular or medical history. His family history was not significant. On ocular examination, his uncorrected distance visual acuity was 6/18 in the right eye and 6/60 in the left on Snellen's chart. The best-corrected visual acuity was 6/18 (right eye) with +0.50 DS/À1.00 DC at 20°and 6/6 (left eye) with 0.00 DS/À2.50 DC at 160°. The near visual acuity was N6 in both eyes. Slit-lamp examination was unremarkable. Fundus examination of right eye revealed flame hemorrhages, dot-and-blot hemorrhages, cotton wool spots, hard

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