Pub Date : 2020-12-31DOI: 10.17511/JOOO.2020.I08.05
A. Tripathi, Sonali Bhalla
Ocular Thelaziasis is an arthropod-borne, zoonotic disease of the eye affecting the conjunctival sac,lacrimal duct, and lacrimal gland caused by a nematode of the genus Thelazia. Thelazia species aretransmitted by different species of Muscidae, which are a family of flies with worldwide distribution.The present study reports a case of human ocular Thelaziasis in a 13-year-old female patient.Species Thelazia callipaeda was confirmed based on microbiological examination. The patient wastreated with anti-helminthic drugs and was relieved of the symptoms without recurrence.
{"title":"Wriggly creatures coming out of eye: case report on human ocular thelaziasis","authors":"A. Tripathi, Sonali Bhalla","doi":"10.17511/JOOO.2020.I08.05","DOIUrl":"https://doi.org/10.17511/JOOO.2020.I08.05","url":null,"abstract":"Ocular Thelaziasis is an arthropod-borne, zoonotic disease of the eye affecting the conjunctival sac,lacrimal duct, and lacrimal gland caused by a nematode of the genus Thelazia. Thelazia species aretransmitted by different species of Muscidae, which are a family of flies with worldwide distribution.The present study reports a case of human ocular Thelaziasis in a 13-year-old female patient.Species Thelazia callipaeda was confirmed based on microbiological examination. The patient wastreated with anti-helminthic drugs and was relieved of the symptoms without recurrence.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124667645","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 : 2020-12-31DOI: 10.17511/JOOO.2020.I08.01
B. Santosh, K. Sumanth, P. Veeranjaneyulu, B. Deepthi, K. Mamatha
Introduction: Secretory Otitis media (SOM) is the leading cause of hearing loss in children. Despitenumerous studies on the prevention and treatment of SOM during the past decades, itsmanagement remains challenging and controversial. A study was conducted to find the effect ofadenoidectomy in cases of SOM with hypertrophied adenoids and to determine the effect ofadenoidectomy on hearing as assessed by the pure tone and impedance audiometry. Material andMethods: Children aged 5 – 12 years, diagnosed as SOM with adenoid hypertrophy were included.The study was conducted from April 2019 to May 2020, in the department of ENT, GSL MedicalCollege. A detailed history and clinical examination were done. Investigations such as pure toneaudiogram, impedance audiometry, X-ray nasopharynx, and diagnostic nasal endoscopy were carriedout to confirm the diagnosis. Results: Out of the 50 participants, a maximum (60%) belonged tothe 5 – 7 years age group, the male-female ratio was 1.2. Hard of hearing was a common symptomin 66%, tonsillitis, and sinusitis in 36% and 18% respectively. On pure tone audiometry, the averagehearing loss was 24.95dB. Conclusion: Adenoidectomy in children having hypertrophied adenoidswith SOM, not only relieves Eustachian tube obstruction but also removes the source of infection.This leads to clearance of middle ear effusion and improvement in hearing postoperatively.
{"title":"A clinical study to determine the effects of adenoidectomy in cases of secretory otitis media in school going children","authors":"B. Santosh, K. Sumanth, P. Veeranjaneyulu, B. Deepthi, K. Mamatha","doi":"10.17511/JOOO.2020.I08.01","DOIUrl":"https://doi.org/10.17511/JOOO.2020.I08.01","url":null,"abstract":"Introduction: Secretory Otitis media (SOM) is the leading cause of hearing loss in children. Despitenumerous studies on the prevention and treatment of SOM during the past decades, itsmanagement remains challenging and controversial. A study was conducted to find the effect ofadenoidectomy in cases of SOM with hypertrophied adenoids and to determine the effect ofadenoidectomy on hearing as assessed by the pure tone and impedance audiometry. Material andMethods: Children aged 5 – 12 years, diagnosed as SOM with adenoid hypertrophy were included.The study was conducted from April 2019 to May 2020, in the department of ENT, GSL MedicalCollege. A detailed history and clinical examination were done. Investigations such as pure toneaudiogram, impedance audiometry, X-ray nasopharynx, and diagnostic nasal endoscopy were carriedout to confirm the diagnosis. Results: Out of the 50 participants, a maximum (60%) belonged tothe 5 – 7 years age group, the male-female ratio was 1.2. Hard of hearing was a common symptomin 66%, tonsillitis, and sinusitis in 36% and 18% respectively. On pure tone audiometry, the averagehearing loss was 24.95dB. Conclusion: Adenoidectomy in children having hypertrophied adenoidswith SOM, not only relieves Eustachian tube obstruction but also removes the source of infection.This leads to clearance of middle ear effusion and improvement in hearing postoperatively.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127068235","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 : 2020-12-31DOI: 10.17511/JOOO.2020.I08.07
J. S. C. Gnanadurai, S. Karunanidhi
Aim: To compare visual outcome, postoperative surgically induced astigmatism (SIA), andpostoperative complications of superior and temporal scleral incision in manual small incisioncataract surgery (MSICS). Materials and Methods: A Prospective Randomized, parallel-group,active-controlled Trial Study of 80 cases of senile/pre-senile cataract. 40 cases were randomlyassigned (computer-generated randomization) to superior incision and 40 cases to the temporalincision. Results: The majority of patients (38 patients- 47.5%) were in the age group of 56-65years. The next common age group was 66-75 years(31 patients-38.75%). In the superior MSICSgroup, the majority of patients (28 patients-70%) had a moderate post-operative unaided visualacuity of 6/18-6/12. In the temporal MSICS group, majority of patients(33patients-82.5%) had agood post-operative unaided visual acuity of 6/9-6/6. The mean surgically induced astigmatism(SIA)in the superior MSICS group was 1.12 and in the temporal MSICS group was 0.45 with a differenceof 0.67. The SIA values were analyzed using the unpaired T-test which showed a value of 9.967which was statistically significant(P value of 0.0001). Conclusion: This study has shown that thetemporal approach for Manual small incision cataract surgery(MSICS) has less postoperativeastigmatism and better postoperative unaided visual acuity compared to the superior approach.
{"title":"Randomized Controlled Trial of varied incision sites in Manual Small Incision Cataract Surgery done in a Medical College Hospital in Kancheepuram District, Tamil Nadu, India","authors":"J. S. C. Gnanadurai, S. Karunanidhi","doi":"10.17511/JOOO.2020.I08.07","DOIUrl":"https://doi.org/10.17511/JOOO.2020.I08.07","url":null,"abstract":"Aim: To compare visual outcome, postoperative surgically induced astigmatism (SIA), andpostoperative complications of superior and temporal scleral incision in manual small incisioncataract surgery (MSICS). Materials and Methods: A Prospective Randomized, parallel-group,active-controlled Trial Study of 80 cases of senile/pre-senile cataract. 40 cases were randomlyassigned (computer-generated randomization) to superior incision and 40 cases to the temporalincision. Results: The majority of patients (38 patients- 47.5%) were in the age group of 56-65years. The next common age group was 66-75 years(31 patients-38.75%). In the superior MSICSgroup, the majority of patients (28 patients-70%) had a moderate post-operative unaided visualacuity of 6/18-6/12. In the temporal MSICS group, majority of patients(33patients-82.5%) had agood post-operative unaided visual acuity of 6/9-6/6. The mean surgically induced astigmatism(SIA)in the superior MSICS group was 1.12 and in the temporal MSICS group was 0.45 with a differenceof 0.67. The SIA values were analyzed using the unpaired T-test which showed a value of 9.967which was statistically significant(P value of 0.0001). Conclusion: This study has shown that thetemporal approach for Manual small incision cataract surgery(MSICS) has less postoperativeastigmatism and better postoperative unaided visual acuity compared to the superior approach.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134401730","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 : 2020-12-31DOI: 10.17511/JOOO.2020.I08.08
Dr. Ankita Gaunekar
Introduction: Significant cause of corneal blindness in India is due to trauma and corneal ulcers.India needs 2.5lakh donated corneas every year, the country’s eye banks manage to collect onlyabout 44806, out of these only some are utilized for sight restoration as the others do not meet thestandard for transplantation. The present study aimed to evaluate the awareness regarding eyedonation among the patients and their relatives attending the outpatient department (OPD) at GoaMedical College and hospital, giving them the knowledge and thus encouraging them to pledge theireyes for donation, which is the need of the hour. Material and Methods: This study was conductedon 300 patients who attended ophthalmology OPD (outpatient department) at Goa medical collegeand hospital. This is a closed-end type of study wherein the patients who were willing to participatein the study were requested to fill the form and answer 10 questions related to the awareness of eyedonation and willingness to donate eyes. The questionnaire had the first few questions regardingbrief details about each participant followed by 10 questions which had multiple options andparticipants were requested to answer as per their choice. It was a pretested questionnaire thatincluded questions on eye donation awareness, knowledge regarding the subject, and willingness todonate eyes. All participants were well informed about the study type and written informed consentwas taken for the same. No patients were harmed during the study. Results: The results showedthat 252 (84%)among 300 patients were aware of eye donation. Awareness was maximum throughmass media and hospitals. 68% of responders were not aware that there is an eye bank in Goa.79% of responders were not aware that only cornea is removed from the donor’s eye. Only about32% of the patients were willing to donate their eyes.
在印度，角膜失明的主要原因是外伤和角膜溃疡。印度每年需要捐赠25万个角膜，该国的眼库只能收集到44806个，其中只有一些用于视力恢复，其他的不符合移植标准。本研究旨在评估goamecollege and hospital门诊患者及其家属对捐眼的认知，给予他们相关知识，从而鼓励他们捐眼，这是时代的需要。材料与方法:本研究在果阿医学院附属医院眼科门诊就诊的300例患者中进行。这是一个封闭式的研究，我们要求愿意参与研究的患者填写表格，并回答10个与眼部捐赠意识和捐赠意愿相关的问题。问卷的前几个问题是关于每个参与者的简要细节，然后是10个问题，这些问题有多个选项，参与者被要求根据自己的选择来回答。这是一份预先测试过的问卷，包括眼睛捐赠意识、有关主题的知识和捐赠眼睛的意愿。所有参与者都被充分告知研究类型，并采取书面知情同意书。在研究过程中没有患者受到伤害。结果:300例患者中有252例(84%)了解眼部捐赠。大众媒体和医院最大限度地提高了人们的认识。68%的应答者不知道果阿邦有一个眼库，79%的应答者不知道只有角膜从供者的眼睛中取出。只有32%的患者愿意捐献他们的眼睛。
{"title":"Eye donation awareness and willingness among patients attending ophthalmology OPD at Goa medical college and hospital","authors":"Dr. Ankita Gaunekar","doi":"10.17511/JOOO.2020.I08.08","DOIUrl":"https://doi.org/10.17511/JOOO.2020.I08.08","url":null,"abstract":"Introduction: Significant cause of corneal blindness in India is due to trauma and corneal ulcers.India needs 2.5lakh donated corneas every year, the country’s eye banks manage to collect onlyabout 44806, out of these only some are utilized for sight restoration as the others do not meet thestandard for transplantation. The present study aimed to evaluate the awareness regarding eyedonation among the patients and their relatives attending the outpatient department (OPD) at GoaMedical College and hospital, giving them the knowledge and thus encouraging them to pledge theireyes for donation, which is the need of the hour. Material and Methods: This study was conductedon 300 patients who attended ophthalmology OPD (outpatient department) at Goa medical collegeand hospital. This is a closed-end type of study wherein the patients who were willing to participatein the study were requested to fill the form and answer 10 questions related to the awareness of eyedonation and willingness to donate eyes. The questionnaire had the first few questions regardingbrief details about each participant followed by 10 questions which had multiple options andparticipants were requested to answer as per their choice. It was a pretested questionnaire thatincluded questions on eye donation awareness, knowledge regarding the subject, and willingness todonate eyes. All participants were well informed about the study type and written informed consentwas taken for the same. No patients were harmed during the study. Results: The results showedthat 252 (84%)among 300 patients were aware of eye donation. Awareness was maximum throughmass media and hospitals. 68% of responders were not aware that there is an eye bank in Goa.79% of responders were not aware that only cornea is removed from the donor’s eye. Only about32% of the patients were willing to donate their eyes.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"324 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116533690","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 : 2020-12-31DOI: 10.17511/JOOO.2020.I08.06
D. sharma, Hemendra Bamaniya
Objective: The present study was conducted to assess the efficacy and safety of bilastine 20 mgand compare the results with that of levocetirizine 5 mg in the treatment of allergicrhinoconjunctivitis. Material and Methods: It was a prospective study conducted in theDepartment of Ophthalmology and Department of Otorhinolaryngology at a tertiary institute ofsouthern Rajasthan, India during the period of 6 months from September 2019 to February 2020.100 patients of chronic allergic rhinoconjunctivitis were included in the study, of which 50 weretreated with Bilastine 20 mg, and the rest 50 patients were treated with levocetirizine 5 mg. Theprimary assessment was done by calculating the total symptom score (TSS) before and after the 7thand 14th post-treatment day. Results: The age of the patients ranges from 10 years to 65 yearswith a mean age of 32±5.2 years. The primary efficacy parameter for assessment was a reduction intotal symptom score (TSS). Both bilastine 20 mg and levocetirizine 5 mg significantly reduced theTSS on the 7th and 14th post-treatment days (p-value< 0.001). There was no significant differencebetween TSS of bilastine and levocetirizine after 7 days (p-value= 0.41) and after 14 days treatment(p-value= 0.68). Adverse events were reported by 10% of patients in the bilastine group and by38% of patients in the levocetirizine group. Conclusion: Bilastine is a selective H1 antihistaminewith good efficacy and excellent safety profile and it is highly recommended to use it as a first-linetreatment for allergic rhinoconjunctivitis.
{"title":"Comparative analysis of efficacy and safety of Bilastine 20 mg and Levocetirizine 5 mg in the treatment of Allergic Rhinoconjunctivitis","authors":"D. sharma, Hemendra Bamaniya","doi":"10.17511/JOOO.2020.I08.06","DOIUrl":"https://doi.org/10.17511/JOOO.2020.I08.06","url":null,"abstract":"Objective: The present study was conducted to assess the efficacy and safety of bilastine 20 mgand compare the results with that of levocetirizine 5 mg in the treatment of allergicrhinoconjunctivitis. Material and Methods: It was a prospective study conducted in theDepartment of Ophthalmology and Department of Otorhinolaryngology at a tertiary institute ofsouthern Rajasthan, India during the period of 6 months from September 2019 to February 2020.100 patients of chronic allergic rhinoconjunctivitis were included in the study, of which 50 weretreated with Bilastine 20 mg, and the rest 50 patients were treated with levocetirizine 5 mg. Theprimary assessment was done by calculating the total symptom score (TSS) before and after the 7thand 14th post-treatment day. Results: The age of the patients ranges from 10 years to 65 yearswith a mean age of 32±5.2 years. The primary efficacy parameter for assessment was a reduction intotal symptom score (TSS). Both bilastine 20 mg and levocetirizine 5 mg significantly reduced theTSS on the 7th and 14th post-treatment days (p-value< 0.001). There was no significant differencebetween TSS of bilastine and levocetirizine after 7 days (p-value= 0.41) and after 14 days treatment(p-value= 0.68). Adverse events were reported by 10% of patients in the bilastine group and by38% of patients in the levocetirizine group. Conclusion: Bilastine is a selective H1 antihistaminewith good efficacy and excellent safety profile and it is highly recommended to use it as a first-linetreatment for allergic rhinoconjunctivitis.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121903386","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 : 2020-12-31DOI: 10.17511/JOOO.2020.I08.03
R. Deepa, V. Veeramani
Objective: Posterior capsular opacification (PCO) is a postoperative complication causing decreasedvisual acuity. This study aims to study the efficacy of Nd: YAG laser capsulotomy in posteriorcapsular opacification following cataract surgery by analyzing the visual outcome. Material andMethods: A prospective study included a sample size of 50 eyes of 37 patients with Posteriorcapsular opacification following uneventful cataract surgery with significantly decreased visual acuity.Detailed anterior and posterior segment examination was done, best-corrected visual acuity (BCVA)was recorded along with measurement of IOP. Posterior capsulotomy was performed using Nd: YAGlaser (Neodymium: Yttrium-aluminum–garnet) and patients were followed up. Visual acuity wasassessed and complications if any were recorded. Results: It was noted that 74% of the patients atthe end of 1st week and 78% of the patients at the end of 1st and 3rd month had significant visualimprovement following Nd: YAG laser capsulotomy. There was a statistically significant difference inPost Nd: YAG laser BCVA on follow up with P-value <0.001. Complications encountered were the risein IOP in 6% of the population at the end of 1 hour and 1st day of the procedure, iris bleeding wasnoted in 4% of the population, intraocular lens damage in 2 %, and cystoid macular edema in 2 %of the study population.
{"title":"Analysis of visual outcome of Neodymium: Yttrium-Aluminum -Garnet (Nd: YAG) laser capsulotomy in patients with Posterior Capsule Opacification","authors":"R. Deepa, V. Veeramani","doi":"10.17511/JOOO.2020.I08.03","DOIUrl":"https://doi.org/10.17511/JOOO.2020.I08.03","url":null,"abstract":"Objective: Posterior capsular opacification (PCO) is a postoperative complication causing decreasedvisual acuity. This study aims to study the efficacy of Nd: YAG laser capsulotomy in posteriorcapsular opacification following cataract surgery by analyzing the visual outcome. Material andMethods: A prospective study included a sample size of 50 eyes of 37 patients with Posteriorcapsular opacification following uneventful cataract surgery with significantly decreased visual acuity.Detailed anterior and posterior segment examination was done, best-corrected visual acuity (BCVA)was recorded along with measurement of IOP. Posterior capsulotomy was performed using Nd: YAGlaser (Neodymium: Yttrium-aluminum–garnet) and patients were followed up. Visual acuity wasassessed and complications if any were recorded. Results: It was noted that 74% of the patients atthe end of 1st week and 78% of the patients at the end of 1st and 3rd month had significant visualimprovement following Nd: YAG laser capsulotomy. There was a statistically significant difference inPost Nd: YAG laser BCVA on follow up with P-value <0.001. Complications encountered were the risein IOP in 6% of the population at the end of 1 hour and 1st day of the procedure, iris bleeding wasnoted in 4% of the population, intraocular lens damage in 2 %, and cystoid macular edema in 2 %of the study population.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"35 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120929168","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 : 2020-12-31DOI: 10.17511/JOOO.2020.I08.02
Ritu Verma, Meghna Shrishrimal, Shirali Gokharu, Dhaivat Shah
Aim: To study the incidence, management, and outcome of complex cataract cases in a tertiary eyecare center. Material and methods: Retrospective observational study with analysis of recordsdone for patients who were operated on for complex cataract from December 2019 to February2020. Results: 300/10,000 patients had complex cataracts requiring additional surgical skills,advanced equipment, and better patient counseling. 5.3% (16/300) of patients needed intracameraladrenaline whereas 1.3% (4/300) needed Visco mydriasis. A capsular tension ring was implanted in4.3%(13/300) of patients. 4% (12/300) underwent sphincterotomies whereas 2% (6/300) had toundergo synechiolysis. Iris hooks were used in only 0.6% of patients (2/300). Posterior capsularrent was seen in 1.6%(5/300) which was managed by placing a Posterior chamber IOL in the sulcus.2.6% (8/300) had implantation of the iris-claw lens and 2.3% (7/300) were left aphakic forsecondary IOL to be implanted at a later date. The visual outcome was better than 6/18 in 76% ofpatients. 24% of patients had an improvement in their visual acuity by a line or 2 but was less than6/18 due to corneal degenerations, corneal scarring, Retinal pathologies, and colobomas.Conclusion: Although these cataracts demand more expertise on behalf of the surgeon, theoutcome can be very rewarding if done with proper planning. The knowledge of small incisioncataract surgery is highly valuable in such situations.
{"title":"Incidence, management, and outcome of complex cataracts in a tertiary eye set up","authors":"Ritu Verma, Meghna Shrishrimal, Shirali Gokharu, Dhaivat Shah","doi":"10.17511/JOOO.2020.I08.02","DOIUrl":"https://doi.org/10.17511/JOOO.2020.I08.02","url":null,"abstract":"Aim: To study the incidence, management, and outcome of complex cataract cases in a tertiary eyecare center. Material and methods: Retrospective observational study with analysis of recordsdone for patients who were operated on for complex cataract from December 2019 to February2020. Results: 300/10,000 patients had complex cataracts requiring additional surgical skills,advanced equipment, and better patient counseling. 5.3% (16/300) of patients needed intracameraladrenaline whereas 1.3% (4/300) needed Visco mydriasis. A capsular tension ring was implanted in4.3%(13/300) of patients. 4% (12/300) underwent sphincterotomies whereas 2% (6/300) had toundergo synechiolysis. Iris hooks were used in only 0.6% of patients (2/300). Posterior capsularrent was seen in 1.6%(5/300) which was managed by placing a Posterior chamber IOL in the sulcus.2.6% (8/300) had implantation of the iris-claw lens and 2.3% (7/300) were left aphakic forsecondary IOL to be implanted at a later date. The visual outcome was better than 6/18 in 76% ofpatients. 24% of patients had an improvement in their visual acuity by a line or 2 but was less than6/18 due to corneal degenerations, corneal scarring, Retinal pathologies, and colobomas.Conclusion: Although these cataracts demand more expertise on behalf of the surgeon, theoutcome can be very rewarding if done with proper planning. The knowledge of small incisioncataract surgery is highly valuable in such situations.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127888445","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 : 2020-09-28DOI: 10.17511/jooo.2020.i07.03
Madhuri Patil, M. Gitanjali
Graves’ orbitopathy/ophthalmopathy (GO) also known as thyroid eye disease (TED),dysthyroid/thyroid-associated ophthalmopathy (TAO), is an autoimmune disorder representing thecommonest and most important extrathyroidal manifestation of Graves’ disease. Materials andMethods: This is a prospective study conducted for 2 years. A total of 60 established cases ofHyperthyroidism of all Age groups with either gender subjects who were diagnosed with Thyroidorbitopathy at hospitals were included in this study. History of ocular surgery or medications, thosedemonstrating the recent use of contact lenses, pregnant or lactating women. All the cases withsimilar presentation not proved to be Thyroid Orbitopathy and patients who did not report for thefollow-up were excluded from the study. Result: A total of 60 patients were examined. Of the 60cases analyzed, female preponderance was noted and 41-60 years age group had the highestincidence of thyroid orbitopathy. The most common presentation was found to be unilateral. Inferiorrectus muscle was the commonest muscle involved with 48.3% followed by Medial rectus muscle38.3%, Superior rectus muscle 23.3%, and Lateral rectus muscle involved least with 11.6% indescending order. None of the patients reported a loss of vision. Conclusions: Dry eye andincreased IOP have commonly seen outcomes that should be managed diligently. This potentialsight-threatening condition is seen worldwide and has many functional and cosmetic consequencesthat need to be recognized. Hyperthyroidism was significantly associated with the severity.
{"title":"Hyperthyroidism associated with intraocular pressure and dry eye","authors":"Madhuri Patil, M. Gitanjali","doi":"10.17511/jooo.2020.i07.03","DOIUrl":"https://doi.org/10.17511/jooo.2020.i07.03","url":null,"abstract":"Graves’ orbitopathy/ophthalmopathy (GO) also known as thyroid eye disease (TED),dysthyroid/thyroid-associated ophthalmopathy (TAO), is an autoimmune disorder representing thecommonest and most important extrathyroidal manifestation of Graves’ disease. Materials andMethods: This is a prospective study conducted for 2 years. A total of 60 established cases ofHyperthyroidism of all Age groups with either gender subjects who were diagnosed with Thyroidorbitopathy at hospitals were included in this study. History of ocular surgery or medications, thosedemonstrating the recent use of contact lenses, pregnant or lactating women. All the cases withsimilar presentation not proved to be Thyroid Orbitopathy and patients who did not report for thefollow-up were excluded from the study. Result: A total of 60 patients were examined. Of the 60cases analyzed, female preponderance was noted and 41-60 years age group had the highestincidence of thyroid orbitopathy. The most common presentation was found to be unilateral. Inferiorrectus muscle was the commonest muscle involved with 48.3% followed by Medial rectus muscle38.3%, Superior rectus muscle 23.3%, and Lateral rectus muscle involved least with 11.6% indescending order. None of the patients reported a loss of vision. Conclusions: Dry eye andincreased IOP have commonly seen outcomes that should be managed diligently. This potentialsight-threatening condition is seen worldwide and has many functional and cosmetic consequencesthat need to be recognized. Hyperthyroidism was significantly associated with the severity.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125605580","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 : 2020-08-31DOI: 10.17511/jooo.2020.i06.03
Dr. Apurva Navale, Dr. Sandhya Ramachandra, Dr. Rashmi G.
Introduction: To scientifically document and understand Leave Against Medical Advice (LAMA) characteristics of the patients selected for comprehensive eye care management from rural eye campsite. Methods: This was a cross-sectional study, where the demographic details, diagnosis, and details of LAMA were documented and then analyzed to find out if any peculiar pattern was seen among them. Results: Out of 840 patients over a period of 7 months, 26 (3.09 %) were seen leaving against medical advice, the majority being females (54 %). Most of the patients were in the age group of 61-70 years (42.3 %) and from long-distance camps (61.5%). They were accompanied by one of the family members (42.2%), with the majority of them leaving due to medical reasons (43.3%), seen mostly in the rainy season and festive months. Conclusion: LAMA is an indicator of the effectiveness of the community health care delivery system. Better insight into the reason requires understanding their social, economic, cultural, and educational status. Reducing the number of LAMA patients can have a positive impact on the optimal utilization of resources and improve the health status of the community.
{"title":"A study of leave against medical advice (LAMA) in eye camp patients of ophthalmology department in a tertiary care center","authors":"Dr. Apurva Navale, Dr. Sandhya Ramachandra, Dr. Rashmi G.","doi":"10.17511/jooo.2020.i06.03","DOIUrl":"https://doi.org/10.17511/jooo.2020.i06.03","url":null,"abstract":"Introduction: To scientifically document and understand Leave Against Medical Advice (LAMA) characteristics of the patients selected for comprehensive eye care management from rural eye campsite. \u0000Methods: This was a cross-sectional study, where the demographic details, diagnosis, and details of LAMA were documented and then analyzed to find out if any peculiar pattern was seen among them. \u0000Results: Out of 840 patients over a period of 7 months, 26 (3.09 %) were seen leaving against medical advice, the majority being females (54 %). Most of the patients were in the age group of 61-70 years (42.3 %) and from long-distance camps (61.5%). They were accompanied by one of the family members (42.2%), with the majority of them leaving due to medical reasons (43.3%), seen mostly in the rainy season and festive months. \u0000Conclusion: LAMA is an indicator of the effectiveness of the community health care delivery system. Better insight into the reason requires understanding their social, economic, cultural, and educational status. Reducing the number of LAMA patients can have a positive impact on the optimal utilization of resources and improve the health status of the community.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132110087","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 : 2020-04-30DOI: 10.17511/jooo.2020.i04.01
Ravinder Raja Khetawat, F. Shaik
Objective: To carry out a retrospective analysis of children with foreign bodies of the external auditory canal (EAC). Patients and Methods: A total of 120 children up to the age of 14 years with foreign bodies of the external auditory canal. Demographic data recorded included the patient's age and gender, the type of foreign body encountered, and how the object was successfully removed. The duration of the foreign bodies present in the EAC was also recorded when available. Results: The commonest objects were beads and insects. The commonest presentation was local pain, found in 49% of cases. Other means of presentation include verbal admission by the child (31.3%), an incident witnessed by the caregiver (7%), bleeding from the ear (4%), ear discharge (2.8%), fever (1.4%), tinnitus (1.1%), and others (3.4%). 34 patients (28.3%) required surgical removal under general anaesthesia. Of these 34 patients, 20 (70.6%) were below the age of 5 years. Morbidity included 7 canal lacerations and abrasions, 4 tympanic membrane perforation, 3 trauma-induced cases of otitis externa. Conclusion: Adequate immobilization of the child and proper use of instruments provides an uncomplicated removal of many of these foreign bodies in the age group. General anaesthesia is considered in very young children and in children of any age with certain foreign bodies whose contour, composition, or location within the external ear canal can lead to traumatic removal in the ambulatory setting.
{"title":"Foreign bodies of the external auditory canal in children","authors":"Ravinder Raja Khetawat, F. Shaik","doi":"10.17511/jooo.2020.i04.01","DOIUrl":"https://doi.org/10.17511/jooo.2020.i04.01","url":null,"abstract":"Objective: To carry out a retrospective analysis of children with foreign bodies of the external auditory canal (EAC). \u0000Patients and Methods: A total of 120 children up to the age of 14 years with foreign bodies of the external auditory canal. Demographic data recorded included the patient's age and gender, the type of foreign body encountered, and how the object was successfully removed. The duration of the foreign bodies present in the EAC was also recorded when available. \u0000Results: The commonest objects were beads and insects. The commonest presentation was local pain, found in 49% of cases. Other means of presentation include verbal admission by the child (31.3%), an incident witnessed by the caregiver (7%), bleeding from the ear (4%), ear discharge (2.8%), fever (1.4%), tinnitus (1.1%), and others (3.4%). 34 patients (28.3%) required surgical removal under general anaesthesia. Of these 34 patients, 20 (70.6%) were below the age of 5 years. Morbidity included 7 canal lacerations and abrasions, 4 tympanic membrane perforation, 3 trauma-induced cases of otitis externa. \u0000Conclusion: Adequate immobilization of the child and proper use of instruments provides an uncomplicated removal of many of these foreign bodies in the age group. General anaesthesia is considered in very young children and in children of any age with certain foreign bodies whose contour, composition, or location within the external ear canal can lead to traumatic removal in the ambulatory setting.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115841000","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}
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