Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.02
Dr. Anshul Bansal
Introduction: Complications attributable to intubation increase morbidity and may increase the mortality rate. Aim: The aim of this study was to evaluate laryngeal lesions in patients after prolonged intubation (˃24 h), to correlate these lesions with the variables involved in the process of intubation and to determine the risk factors. Materials and Methods: This is a prospective study of patients who were intubated for more than 24 h in ENT operation theatre and critical care unit. Patients underwent for laryngoscopy on the day of extubation, weekly after extubating for two weeks then monthly upto 6 months. Results: 66 patients were intubated in this study, laryngeal abnormalities were seen in most patients of all groups, on the day of extubation and only patients who undergone for prolonged intubation had abnormal finding a month after extubation. Conclusion: At the end of one-month laryngeal findings were influenced only by the duration of intubation.
{"title":"Incidence of laryngeal complications associated with prolonged endotracheal intubation","authors":"Dr. Anshul Bansal","doi":"10.17511/jooo.2018.i04.02","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.02","url":null,"abstract":"Introduction: Complications attributable to intubation increase morbidity and may increase the mortality rate. Aim: The aim of this study was to evaluate laryngeal lesions in patients after prolonged intubation (˃24 h), to correlate these lesions with the variables involved in the process of intubation and to determine the risk factors. Materials and Methods: This is a prospective study of patients who were intubated for more than 24 h in ENT operation theatre and critical care unit. Patients underwent for laryngoscopy on the day of extubation, weekly after extubating for two weeks then monthly upto 6 months. Results: 66 patients were intubated in this study, laryngeal abnormalities were seen in most patients of all groups, on the day of extubation and only patients who undergone for prolonged intubation had abnormal finding a month after extubation. Conclusion: At the end of one-month laryngeal findings were influenced only by the duration of intubation.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123937876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.04
Dr. Charu Jain, Dr. V. K. Malik, Dr. Rohan Bowry
Objective: To evaluate the role of omega-3 fatty acids in meibomian gland dysfunction (MGD). Design: This was a prospective randomized control study that included patients with MGD attending outpatient Department of Ophthalmology, Subharti Medical College, Meerut. Subjects: 40 patients of both sex above 40 years of age with MGD were included in the study. Methods: Age matched randomization of patients was done in two groups of 20 each. Patients in group A were given 2 capsules of 300 mg omega-3 fatty acids for 12 weeks while patients in group B were given a placebo oral supplement. Patients were examined at one-month interval for 3 months after the initial visit. At each visit Ocular Surface Disease Index (OSDI), Schirmer test, Tear film break up time (TBUT), Fluroscein staining and meibum quality score was evaluated. Results: After 3 months we found statistically significant improvement in subjective as well as objective parameters of group A patients (p value < .05) as compared to group B patients. Conclusion: Thus, dietary supplementation with omega-3 fatty acids is an effective treatment modality in meibomian gland dysfunction (MGD).
{"title":"Role of Omega-3 fatty acids in meibomian gland dysfunction","authors":"Dr. Charu Jain, Dr. V. K. Malik, Dr. Rohan Bowry","doi":"10.17511/jooo.2018.i04.04","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.04","url":null,"abstract":"Objective: To evaluate the role of omega-3 fatty acids in meibomian gland dysfunction (MGD). Design: This was a prospective randomized control study that included patients with MGD attending outpatient Department of Ophthalmology, Subharti Medical College, Meerut. Subjects: 40 patients of both sex above 40 years of age with MGD were included in the study. Methods: Age matched randomization of patients was done in two groups of 20 each. Patients in group A were given 2 capsules of 300 mg omega-3 fatty acids for 12 weeks while patients in group B were given a placebo oral supplement. Patients were examined at one-month interval for 3 months after the initial visit. At each visit Ocular Surface Disease Index (OSDI), Schirmer test, Tear film break up time (TBUT), Fluroscein staining and meibum quality score was evaluated. Results: After 3 months we found statistically significant improvement in subjective as well as objective parameters of group A patients (p value < .05) as compared to group B patients. Conclusion: Thus, dietary supplementation with omega-3 fatty acids is an effective treatment modality in meibomian gland dysfunction (MGD).","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121477764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.01
Dr. Abha Verma, Dr. Priyank Yadav
Aim: To find out surgical outcome in terms of IOP control, bleb anatomy and postoperative complications after combined surgery by using straight incision. Study design: Observational prospective study. Study centre: Conducted at tertiary health care centre. Material and methods: Study included 22 eyes of 20 patients with senile cataract and POAG (primary open angle glaucoma) who underwent SICS with trabeculectomy using straight incision were included in the study. Detailed anterior segment evaluation with IOP measurement was done on postoperative day one and then weekly for 6 weeks; thereafter at the end of 3rd, 6th and 12th month. Results: Preoperative mean IOP was 33.72 ±12.5 mm of Hg; after one year post-operative mean IOP was 12.41± 3.6 mm of Hg. Bleb was diffuse and flat comparatively. No major complications were seen. Conclusion: Straight incision for cataract extraction as well as trabeculectomy being easier for novice surgeon, with achievement of target IOP.
目的:探讨直切口联合手术后眼压控制、泡解剖及术后并发症。研究设计:观察性前瞻性研究。研究中心:在三级保健中心进行。材料与方法:选取20例老年性白内障合并POAG(原发性开角型青光眼)行直切口白内障小梁切除术的患者22只眼作为研究对象。术后第一天通过IOP测量进行详细的前节评估，然后每周进行一次，持续6周;此后在第3、6和12个月结束。结果:术前平均IOP为33.72±12.5 mm Hg;术后1年平均IOP为12.41±3.6 mm Hg。未见重大并发症。结论:直切口白内障摘除术及小梁切除术较新手手术容易，可达到目标眼压。
{"title":"Modified Small Incision Cataract Surgery (SICS) for combined extraction: A comparison of pre-operative and post-operative intraocular pressure (IOP)","authors":"Dr. Abha Verma, Dr. Priyank Yadav","doi":"10.17511/jooo.2018.i04.01","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.01","url":null,"abstract":"Aim: To find out surgical outcome in terms of IOP control, bleb anatomy and postoperative complications after combined surgery by using straight incision. Study design: Observational prospective study. Study centre: Conducted at tertiary health care centre. Material and methods: Study included 22 eyes of 20 patients with senile cataract and POAG (primary open angle glaucoma) who underwent SICS with trabeculectomy using straight incision were included in the study. Detailed anterior segment evaluation with IOP measurement was done on postoperative day one and then weekly for 6 weeks; thereafter at the end of 3rd, 6th and 12th month. Results: Preoperative mean IOP was 33.72 ±12.5 mm of Hg; after one year post-operative mean IOP was 12.41± 3.6 mm of Hg. Bleb was diffuse and flat comparatively. No major complications were seen. Conclusion: Straight incision for cataract extraction as well as trabeculectomy being easier for novice surgeon, with achievement of target IOP.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131759220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.05
Dr. Amrita Mishra, Dr. Manmeet Singh, Dr. Vijeta Bajpai, Dr. Vashishth Mishra, Dr. Akhil Agarwal
Introduction: To study clinical diagnosis, results of investigations and role of medical management and their outcome in extra-ocular cysticercosis. Our study also emphasizes on the role of topical cyclosporine eye drops in the management of treatment related severe inflammatory response in extra-ocular cysticercosis. Methods: A total of 10 patients with extraocular cysticercosis were recruited for the study from our OPD, blood investigations, ultra-sonography for both eyes and whole abdomen were done. Computed tomography (NCCT) were done to rule out neurocysticercosis and orbital cysticercosis. Results: The commonest clinical presentation was cyst in the medial rectus muscle with it being the most common presenting manifestation. Conclusion: Extra-ocular cysticercosis can be managed with medical treatment. Oral Albendazole, topical and systemic steroids were given as a part of medical treatment, topical cyclosporin was added to the patients with more severe inflammatory response due to dying cysticercus.
{"title":"Medical management of extra-ocular muscle cysticercosis- a clinical study","authors":"Dr. Amrita Mishra, Dr. Manmeet Singh, Dr. Vijeta Bajpai, Dr. Vashishth Mishra, Dr. Akhil Agarwal","doi":"10.17511/jooo.2018.i04.05","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.05","url":null,"abstract":"Introduction: To study clinical diagnosis, results of investigations and role of medical management and their outcome in extra-ocular cysticercosis. Our study also emphasizes on the role of topical cyclosporine eye drops in the management of treatment related severe inflammatory response in extra-ocular cysticercosis. Methods: A total of 10 patients with extraocular cysticercosis were recruited for the study from our OPD, blood investigations, ultra-sonography for both eyes and whole abdomen were done. Computed tomography (NCCT) were done to rule out neurocysticercosis and orbital cysticercosis. Results: The commonest clinical presentation was cyst in the medial rectus muscle with it being the most common presenting manifestation. Conclusion: Extra-ocular cysticercosis can be managed with medical treatment. Oral Albendazole, topical and systemic steroids were given as a part of medical treatment, topical cyclosporin was added to the patients with more severe inflammatory response due to dying cysticercus.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"791 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115759610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.07
Subramanya Bt, S. Lohith, Chandralekha Tvr, B. Sphoorthi
Introduction: BPPV is the most common cause of vertigo provoked by certain head position changes. Despite being the most common cause of peripheral vertigo, BPPV is still often misdiagnosed hence it is important to understand BPPV not only because it may avert expensive and often unnecessary investigations, but also because treatment by particle reposition maneuvers is rapid, easy and effective in more than 90% of cases. Objectives: 1) To analyze the etiological, clinical and prognostic differences between patients affected by BPPV. 2) To evaluate the efficacy of different PRM in the treatment of BPPV and to compare the results of present study with similar studies done elsewhere. Methods: The present descriptive study was conducted at Department of ENT, Subbaiah institute of medical sciences, Shimoga from August 2015 to August 2018 in 40 patients with a clinical diagnosis of BPPV. All these patients were treated by different PRM specific for the canal involved and the results were analyzed. Results: Right labyrinth was involved in 23 cases (57.5%) and left in 17 (42.5%) cases. PC was involved in 34 (85%) cases and Eply’s maneuver was successful in all 34 (100%) patients. HC was involved in 6 (15%) cases which were treated with Barbecue and Gufoni maneuver with resolution in 5 (83.33%) patients. Conclusion: Therapeutic maneuvers are effective in treatment of BPPV that have shown high success rate hence should be tried in all patients with BPPV unless contraindicated to reduce unnecessary diagnostic tests and costs.
{"title":"Benign peroxismal positional vertigo: our experience in 40 cases","authors":"Subramanya Bt, S. Lohith, Chandralekha Tvr, B. Sphoorthi","doi":"10.17511/jooo.2018.i04.07","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.07","url":null,"abstract":"Introduction: BPPV is the most common cause of vertigo provoked by certain head position changes. Despite being the most common cause of peripheral vertigo, BPPV is still often misdiagnosed hence it is important to understand BPPV not only because it may avert expensive and often unnecessary investigations, but also because treatment by particle reposition maneuvers is rapid, easy and effective in more than 90% of cases. Objectives: 1) To analyze the etiological, clinical and prognostic differences between patients affected by BPPV. 2) To evaluate the efficacy of different PRM in the treatment of BPPV and to compare the results of present study with similar studies done elsewhere. Methods: The present descriptive study was conducted at Department of ENT, Subbaiah institute of medical sciences, Shimoga from August 2015 to August 2018 in 40 patients with a clinical diagnosis of BPPV. All these patients were treated by different PRM specific for the canal involved and the results were analyzed. Results: Right labyrinth was involved in 23 cases (57.5%) and left in 17 (42.5%) cases. PC was involved in 34 (85%) cases and Eply’s maneuver was successful in all 34 (100%) patients. HC was involved in 6 (15%) cases which were treated with Barbecue and Gufoni maneuver with resolution in 5 (83.33%) patients. Conclusion: Therapeutic maneuvers are effective in treatment of BPPV that have shown high success rate hence should be tried in all patients with BPPV unless contraindicated to reduce unnecessary diagnostic tests and costs.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130124939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.08
Dr. Abhijit Jain
Objective: To compare the efficacy of intralesional triamcinolone acetonide with surgical incision and curettage in patients with chalazion. Material and Method: This longitudinal interventional study was carried out during 1 st September 2015 to 31 st August 2016 at Kamlesh Netralaya Hospital at Ambikapur, Chhattisgarh in central India. Total 60 patients with Chalazion of ( ≥ 2 mm in size) were randomly divided into two groups of 30 patients each. The first group of patients (N=30) was treated by 0.1 to 0.2 mL intralesional triamcinolone acetonide injection (40 mg/mL) and the second group of patients (N=30) were treated surgically by incision-curettage. Post steroid injection, the reduction in chalazion size was measured at 2 weeks and at 4 weeks. Results: Out of 60 patients, 58.33% were females with mean age of 31.8 ± 9.1 years. There were total 79 chalazion in two groups. Among those treated using intralesional triamcinolone acetonide (ILTA), 29 (70.73%) chalazion resolved at 2 week. The unresolved chalazion were repeated the ILTA injection at 2 nd week and followed till 4 week. The mean 11-point numerical rating scale (NRS) score for pain intensity was significantly lower in ILTA group as compared to IC group (2.3± 0.42 vs 6.7 ± 1.2, P-value = 0.001). Conclusion: The results of intralesional triamcinolone acetonide injection treatment are comparable to that of surgical incision and curettage (IC) after second injection. Patients experienced less pain and were more satisfied with the intralesional triamcinolone acetonide injection. supports the use of for
目的:比较曲安奈德局部应用与手术切开刮除治疗湿疹的疗效。材料和方法:本纵向介入研究于2015年9月1日至2016年8月31日在印度中部恰蒂斯加尔邦Ambikapur的Kamlesh Netralaya医院进行。随机分为两组(≥2mm)，每组30例。第一组患者(N=30)采用0.1 ~ 0.2 mL局灶内曲安奈德注射液(40 mg/mL)治疗，第二组患者(N=30)采用手术切口刮除治疗。注射类固醇后，在第2周和第4周测量睑膜大小的减少。结果:60例患者中，女性占58.33%，平均年龄31.8±9.1岁。两组共79例。在局部使用曲安奈德(ILTA)治疗的患者中，29例(70.73%)湿疹在2周内消退。未解决的病变于第2周再次注射ILTA，随访至第4周。ILTA组疼痛强度平均11分NRS评分明显低于IC组(2.3±0.42 vs 6.7±1.2,p值= 0.001)。结论:局部注射曲安奈德治疗效果与二次注射后手术切开刮除治疗效果相当。患者在局部注射曲安奈德后疼痛减轻，满意程度提高。支持使用for
{"title":"A comparison of intralesional triamcinolone acetonide injection and incision-curettage for chalazion treatment","authors":"Dr. Abhijit Jain","doi":"10.17511/jooo.2018.i04.08","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.08","url":null,"abstract":"Objective: To compare the efficacy of intralesional triamcinolone acetonide with surgical incision and curettage in patients with chalazion. Material and Method: This longitudinal interventional study was carried out during 1 st September 2015 to 31 st August 2016 at Kamlesh Netralaya Hospital at Ambikapur, Chhattisgarh in central India. Total 60 patients with Chalazion of ( ≥ 2 mm in size) were randomly divided into two groups of 30 patients each. The first group of patients (N=30) was treated by 0.1 to 0.2 mL intralesional triamcinolone acetonide injection (40 mg/mL) and the second group of patients (N=30) were treated surgically by incision-curettage. Post steroid injection, the reduction in chalazion size was measured at 2 weeks and at 4 weeks. Results: Out of 60 patients, 58.33% were females with mean age of 31.8 ± 9.1 years. There were total 79 chalazion in two groups. Among those treated using intralesional triamcinolone acetonide (ILTA), 29 (70.73%) chalazion resolved at 2 week. The unresolved chalazion were repeated the ILTA injection at 2 nd week and followed till 4 week. The mean 11-point numerical rating scale (NRS) score for pain intensity was significantly lower in ILTA group as compared to IC group (2.3± 0.42 vs 6.7 ± 1.2, P-value = 0.001). Conclusion: The results of intralesional triamcinolone acetonide injection treatment are comparable to that of surgical incision and curettage (IC) after second injection. Patients experienced less pain and were more satisfied with the intralesional triamcinolone acetonide injection. supports the use of for","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129677157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.06
A. Chaudhari, Umesha Padvi
Objectives: To find out the influence of superior rectus (bridal suture), demographic factors and intraoperative surgical time in occurrence of postoperative ptosis. Material and Methods: 260 patients posted for cataract surgery were enrolled in the study and divided in group A with superior rectus and group B without superior rectus suture used during cataract surgery. Preoperatively we recorded demographic details, measurements like MRD1 (margin reflex distance), levator function test and photograph of patients in primary gaze position,all measurements were compared postoperatively on follow up, we also recorded intraoperative time during cataract surgery. Results: Occurrence of ptosis was 11.5% (15/130) in group A and in group B 7.7% (10/130). About 12 patientssuffered with right side and 13 patientsleft sideptosis. Shortest operative time is 12 min whereas longest time is 32 min recorded. Conclusions: It was concluded that occurrence of ptosis is slightly more in patients operated with bridal suture and longer operative time. No significant role of demographic factor observed but females are involved more compared to male patients in development of ptosis.
{"title":"Occurrence of Postoperative ptosis after cataract surgery in tertiary care hospital of south Gujarat area","authors":"A. Chaudhari, Umesha Padvi","doi":"10.17511/jooo.2018.i04.06","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.06","url":null,"abstract":"Objectives: To find out the influence of superior rectus (bridal suture), demographic factors and intraoperative surgical time in occurrence of postoperative ptosis. Material and Methods: 260 patients posted for cataract surgery were enrolled in the study and divided in group A with superior rectus and group B without superior rectus suture used during cataract surgery. Preoperatively we recorded demographic details, measurements like MRD1 (margin reflex distance), levator function test and photograph of patients in primary gaze position,all measurements were compared postoperatively on follow up, we also recorded intraoperative time during cataract surgery. Results: Occurrence of ptosis was 11.5% (15/130) in group A and in group B 7.7% (10/130). About 12 patientssuffered with right side and 13 patientsleft sideptosis. Shortest operative time is 12 min whereas longest time is 32 min recorded. Conclusions: It was concluded that occurrence of ptosis is slightly more in patients operated with bridal suture and longer operative time. No significant role of demographic factor observed but females are involved more compared to male patients in development of ptosis.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122396173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.10
Tanvi Poy Raiturcar, Aparna Naik, U. Usgaonkar
A four year old female child presented with a painless swelling of the right lower lid for 25days, which was progressively increasing in size. On palpation, a firm nodular mass just above the inferior orbital margin was noted. MRI showed homogenous enhancing mass in the orbit. Progressive axial proptosis developed in 8 days, with inability to close the eye. Bone marrow aspiration at this stage revealed Acute Myeloid Leukemia. Chemotherapy was started. Bone marrow picture after 10days showed remission phase. Symptoms and signs began to regress. The child was discharged on maintenance chemotherapy; but was admitted 3weeks later with fever; the child expired after admission 2 days due to secondary infection.
{"title":"Chloroma of the orbit as a presenting feature of acute myeloid leukemia in a four year old female child","authors":"Tanvi Poy Raiturcar, Aparna Naik, U. Usgaonkar","doi":"10.17511/jooo.2018.i04.10","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.10","url":null,"abstract":"A four year old female child presented with a painless swelling of the right lower lid for 25days, which was progressively increasing in size. On palpation, a firm nodular mass just above the inferior orbital margin was noted. MRI showed homogenous enhancing mass in the orbit. Progressive axial proptosis developed in 8 days, with inability to close the eye. Bone marrow aspiration at this stage revealed Acute Myeloid Leukemia. Chemotherapy was started. Bone marrow picture after 10days showed remission phase. Symptoms and signs began to regress. The child was discharged on maintenance chemotherapy; but was admitted 3weeks later with fever; the child expired after admission 2 days due to secondary infection.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124151916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.17511/jooo.2018.i04.03
Ram Krishna Saxena
Introduction: Dry eye is a major tear deficiency disorder which affects millions of people worldwide. Dry eye refers to disorders of the tear film due to reduced tear production and/or excessive tear evaporation associated with symptoms of ocular discomfort. Material and Methods: This was a descriptive, cross sectional study carried out at Ophthalmology out-patient department (OPD) of G.C.R.G Institute of medical sciences BKT Lucknow U.P. from December 2016 to March 2018. Results: In our study, among all the associated risk factors majority of the patients 58 (58%) had dry eyes due to other causes which includes pterygium, conjunctivitis, blepharitis, vitamin A deficiency and senile. 17 (17%) patients were found with allergy& keratitis was found in 12(12%) patients. Conclusion: Proper counseling of the patients regarding the chronic nature disease with long term treatment and preventive measures are necessary to relieve ocular discomfort and ensure patient satisfaction with a better quality of life.
{"title":"A study of assess the prevalence of dry eye and its associated risk factors in a tertiary care hospital","authors":"Ram Krishna Saxena","doi":"10.17511/jooo.2018.i04.03","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.03","url":null,"abstract":"Introduction: Dry eye is a major tear deficiency disorder which affects millions of people worldwide. Dry eye refers to disorders of the tear film due to reduced tear production and/or excessive tear evaporation associated with symptoms of ocular discomfort. Material and Methods: This was a descriptive, cross sectional study carried out at Ophthalmology out-patient department (OPD) of G.C.R.G Institute of medical sciences BKT Lucknow U.P. from December 2016 to March 2018. Results: In our study, among all the associated risk factors majority of the patients 58 (58%) had dry eyes due to other causes which includes pterygium, conjunctivitis, blepharitis, vitamin A deficiency and senile. 17 (17%) patients were found with allergy& keratitis was found in 12(12%) patients. Conclusion: Proper counseling of the patients regarding the chronic nature disease with long term treatment and preventive measures are necessary to relieve ocular discomfort and ensure patient satisfaction with a better quality of life.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121916813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-30DOI: 10.17511/jooo.2018.i03.06
Subramanya Bt, S. Lohith, B. Sphoorthi
Background: Tympanic membrane Perforations primarily results from middle ear infections and myringoplasty is a surgical procedure used to repair the tympanic membrane and to improve hearing. The interlay technique is a newer safe and technique that has shown higher success rates and is considered better than both overlay as well as the underlay techniques. Aims and objectives: To analyze the results of interlay myringoplasty, in terms of graft uptake and hearing improvement in cases of chronic suppurative otitis media with inactive mucosal disease with large central perforation. Materials and Methods: This is a prospective study conducted from August 2015 to January 2018 in 60 patients of chronic suppurative otitis media (CSOM) with large central perforation. All patients underwent interlay myringoplasty through post aural approach after clinical examination, audiometric tests & routine investigations. Patients were called for regular follow up for 12 weeks. Results: The graft uptake rate in the present study was found to be 93.33%, Pre operatively mean air bone gap was 28.5±6.96 dB and Post operatively after 12 weeks mean air bone gap improved to 15.83±3.37. Conclusion: Interlay myringoplasty with a superiorly based TM flap is an effective technique over conventional methods in terms of both graft uptake as well as hearing improvement in large central perforation.
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