Pub Date : 2019-08-31DOI: 10.17511/jooo.2019.i04.03
N. K. Balaji, D. Ravi, M. Prasad
{"title":"Assessment of symptom severity in chronic rhinosinusitis with and without polyps- a prospective study in tertiary care centre at Mandya","authors":"N. K. Balaji, D. Ravi, M. Prasad","doi":"10.17511/jooo.2019.i04.03","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.03","url":null,"abstract":"","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132939452","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 : 2019-08-31DOI: 10.17511/jooo.2019.i04.02
Sree Lakshmi Pallamreddy, C. Sandhya, C. Jagannath, K. Madhavi, Junior Resident
Purpose: To determine the changes inocular surface following manual small incision cataract surgery. Setting: Department of Ophthalmology, Sri Venkateswara Medical College, Tirupati. Design: A prospective study Methods: The study was conducted in 100 eyes of 100 patients. All selected patients without dry eye symptoms preoperatively and who underwent uncomplicated cataract surgery were included in the study. They were studied for tear film breakup time (TBUT), ocular surface staining by Rose Bengal (RB) staining method, and conjunctival impression cytology (CIC) from inferior bulbar conjunctiva. Tests were performed 1 day before and 1wk, 1month and 3months after manual small incision cataract surgery (SICS). Results: Majority of the study participants were aged between 5160 years (51%) with the female predominance. In 8 % of the patients, lower TBUT values were recorded at 3 months postoperative follow up, with statistical significance ( P<0.01). There was a statistically significant difference in ocular surface changes with RB staining between preoperative and postoperative 1 week, 1 month, and 3 months follow up (P<0.002). On CIC, 12%, 49%, 46% of patients showed abnormal grades (grade2 or 3) at 1 week, 1 month, and 3 months postop respectively with a statistically significant value (P < 0.03). Conclusion: Patients undergoing manual SICS without having dry eye preoperatively, showed changes in ocular surface and tear film stability. Positive test with RB staining and abnormal grading of goblet cells studied by CIC during the postoperative period had shown that compromised ocular surface health after SICS, which can produce dry eye.
{"title":"Conjunctival impression cytology as an assessment of ocular surface changes following manual small incision cataract surgery","authors":"Sree Lakshmi Pallamreddy, C. Sandhya, C. Jagannath, K. Madhavi, Junior Resident","doi":"10.17511/jooo.2019.i04.02","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.02","url":null,"abstract":"Purpose: To determine the changes inocular surface following manual small incision cataract surgery. Setting: Department of Ophthalmology, Sri Venkateswara Medical College, Tirupati. Design: A prospective study Methods: The study was conducted in 100 eyes of 100 patients. All selected patients without dry eye symptoms preoperatively and who underwent uncomplicated cataract surgery were included in the study. They were studied for tear film breakup time (TBUT), ocular surface staining by Rose Bengal (RB) staining method, and conjunctival impression cytology (CIC) from inferior bulbar conjunctiva. Tests were performed 1 day before and 1wk, 1month and 3months after manual small incision cataract surgery (SICS). Results: Majority of the study participants were aged between 5160 years (51%) with the female predominance. In 8 % of the patients, lower TBUT values were recorded at 3 months postoperative follow up, with statistical significance ( P<0.01). There was a statistically significant difference in ocular surface changes with RB staining between preoperative and postoperative 1 week, 1 month, and 3 months follow up (P<0.002). On CIC, 12%, 49%, 46% of patients showed abnormal grades (grade2 or 3) at 1 week, 1 month, and 3 months postop respectively with a statistically significant value (P < 0.03). Conclusion: Patients undergoing manual SICS without having dry eye preoperatively, showed changes in ocular surface and tear film stability. Positive test with RB staining and abnormal grading of goblet cells studied by CIC during the postoperative period had shown that compromised ocular surface health after SICS, which can produce dry eye.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114492066","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 : 2019-08-31DOI: 10.17511/jooo.2019.i04.05
K. Sudhakar, Anuj Khajuria, Moumita Sen
Introduction: Cervical masses have probable spectrum of nonspecific inflammation to malignancy and tuberculosis. The object of the present study was to assess a number of cervical neck mass with the role of FNAC to diagnose these lesions. Materials and Methods: The characteristics were noted on pre-outlined questionnaire as regarding local investigation findings, laboratory and history of cases and patients’ personal details. Analysis of every case was depending upon cytomorphology and clinical evaluation as cytological findings. Results: Out of 520 patients there were 254 (48.84% male and 266 were female cases. Thyroid lesions were found excessive in female (85.91%) compare to male (14%). Occurrence of lymph node was found 56.12% in male cases and 43.87% in female cases, which were slightly more in male patients. The prevalence of salivary gland lesion was found more in male (55%) compare to female (45%). Conclusion: FNAC is useful investigation in diagnosis of cervical masses.
{"title":"Assessment of cervical neck lesions with contribution of fine needle aspiration cytology: a retrospective study in western Uttar Pradesh region","authors":"K. Sudhakar, Anuj Khajuria, Moumita Sen","doi":"10.17511/jooo.2019.i04.05","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.05","url":null,"abstract":"Introduction: Cervical masses have probable spectrum of nonspecific inflammation to malignancy and tuberculosis. The object of the present study was to assess a number of cervical neck mass with the role of FNAC to diagnose these lesions. Materials and Methods: The characteristics were noted on pre-outlined questionnaire as regarding local investigation findings, laboratory and history of cases and patients’ personal details. Analysis of every case was depending upon cytomorphology and clinical evaluation as cytological findings. Results: Out of 520 patients there were 254 (48.84% male and 266 were female cases. Thyroid lesions were found excessive in female (85.91%) compare to male (14%). Occurrence of lymph node was found 56.12% in male cases and 43.87% in female cases, which were slightly more in male patients. The prevalence of salivary gland lesion was found more in male (55%) compare to female (45%). Conclusion: FNAC is useful investigation in diagnosis of cervical masses.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134119139","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 : 2019-08-31DOI: 10.17511/jooo.2019.i04.06
Priti Singh, Sapna Raghuwanshi, Manali Satiza
Background: Congenital nasolacrimal duct obstruction is inflammation of lacrimal sac due to nasolacrimal duct obstruction in children. Congenital nasolacrimal duct obstruction is a common disorder in infants, with up to 20% of all newborns suffering from epiphora during the first year of life. The purpose of this study is examining the various risk factors in patients of congenital nasolacrimal duct obstruction. Method: In this study, 121 patients were examined in L.N. Medical College and J.K Hospital, Kolar Road, Bhopal between June to July to August 2015.A clinical examination was being conducted in the children below age of 3 years after the history taking started by torch light examination, slit lamp examination, and the regurgitation test was being done. All the other conditions which presented like complaints of congenital Dacryocystitis like–Opthalmia Neonatorum, Congenital Glaucoma, allergic conjunctivitis, trauma to eye were being ruled out. Mothers of the children were asked to fill the Questionnaire about risk factor of Congenital nasolacrimal duct obstruction. The awareness about the disease in the mothers via the above questionnaire whether the mothers were familiar with the disease or not was asked. Results: 121 patients were seen over the period under review out of which 60% were males. Most common age at the presentation was between 0 to 2 months. 2 significant risk factors were observed, Prematurity and Poor hygienic status in this study. Conclusion: Current study done to find association of various risk factors. A further study is needed in this field to find any other risk factors responsible for the high incidence of congenital Dacryocystitis and all the mothers need to be educated regarding these risk factors, and awareness should be created in the mothers.
{"title":"The study of risk factor for congenital dacryocystitis","authors":"Priti Singh, Sapna Raghuwanshi, Manali Satiza","doi":"10.17511/jooo.2019.i04.06","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.06","url":null,"abstract":"Background: Congenital nasolacrimal duct obstruction is inflammation of lacrimal sac due to nasolacrimal duct obstruction in children. Congenital nasolacrimal duct obstruction is a common disorder in infants, with up to 20% of all newborns suffering from epiphora during the first year of life. The purpose of this study is examining the various risk factors in patients of congenital nasolacrimal duct obstruction. Method: In this study, 121 patients were examined in L.N. Medical College and J.K Hospital, Kolar Road, Bhopal between June to July to August 2015.A clinical examination was being conducted in the children below age of 3 years after the history taking started by torch light examination, slit lamp examination, and the regurgitation test was being done. All the other conditions which presented like complaints of congenital Dacryocystitis like–Opthalmia Neonatorum, Congenital Glaucoma, allergic conjunctivitis, trauma to eye were being ruled out. Mothers of the children were asked to fill the Questionnaire about risk factor of Congenital nasolacrimal duct obstruction. The awareness about the disease in the mothers via the above questionnaire whether the mothers were familiar with the disease or not was asked. Results: 121 patients were seen over the period under review out of which 60% were males. Most common age at the presentation was between 0 to 2 months. 2 significant risk factors were observed, Prematurity and Poor hygienic status in this study. Conclusion: Current study done to find association of various risk factors. A further study is needed in this field to find any other risk factors responsible for the high incidence of congenital Dacryocystitis and all the mothers need to be educated regarding these risk factors, and awareness should be created in the mothers.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122908606","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 : 2019-08-31DOI: 10.17511/jooo.2019.i04.04
Dr. Nagavara Kalegowda Balaji, Dr. Ravi D., Dr. M.H. Prasad
EORTC is a well-accepted and peer reviewed tool of assessment. EORTC QLQ 30 measures the general clinical features of any cancer and specific EORTC. ObjectivesTo determine the quality of life in patients who have undergone Radiotherapy following various modalities of treatment for different subsites of Hypopharyngeal Squamous cell carcinoma. MethodsTwo Hundred and two patients seen in ENT, Head and Neck surgery department after postoperative Radiotherapy for Hypopharyngeal Squamous Cell cancers were served with both EORTC quality of life questionnaire 30 and specific Head and Neck 35. Patients above the age of 20 years, 6 weeks after Radiotherapy with Pyriform Fossa, Posterior Pharyngeal wall and Post cricoid region squamous cell carcinoma were assessed. The study aimed at determining the quality of life and associated comorbidities. AnalysisData was entered into Microsoft Excel (Windows 7; Version 2007) and analyses were done using the Statistical Package for Social Sciences (SPSS) for Windows software (version 22.0; SPSS Inc, Chicago). Descriptive statistics such as mean and standard deviation (SD)for continuous variables, frequencies and percentages were calculated for categorical Variables were determined. Association between Variables was analyzed by using Chi-Square test for categorical variables. ResultsDyspnoea and Odynophagia were the most important symptoms which crippled the patients irrespective of the subsite in which cancer presented (PFS 3.35, PPW 3.35, PCR 3.31 ;<0.001) Psychological ,Cognitive, Social functions though were affected there was not much difference amongst the individual subsites (PFS 3.66, PPW 3.18, PCR 3.01; 0.001). Almost all the patients had significant financial problems (PFS 3.36, PPW 2.91, PCR 3.59;0.001). ConclusionQuality of life questionnaires provide an insight into the life of patients who suffer from morbidity of the disease as well as its treatment. Thorough assessment of the condition of the patient in the post treatment status helps in timely rehabilitation.
{"title":"Quality of life in patients with squamous cell carcinoma of hypopharynx after radiotherapy in a tertiary care centre","authors":"Dr. Nagavara Kalegowda Balaji, Dr. Ravi D., Dr. M.H. Prasad","doi":"10.17511/jooo.2019.i04.04","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.04","url":null,"abstract":"EORTC is a well-accepted and peer reviewed tool of assessment. EORTC QLQ 30 measures the general clinical features of any cancer and specific EORTC. ObjectivesTo determine the quality of life in patients who have undergone Radiotherapy following various modalities of treatment for different subsites of Hypopharyngeal Squamous cell carcinoma. MethodsTwo Hundred and two patients seen in ENT, Head and Neck surgery department after postoperative Radiotherapy for Hypopharyngeal Squamous Cell cancers were served with both EORTC quality of life questionnaire 30 and specific Head and Neck 35. Patients above the age of 20 years, 6 weeks after Radiotherapy with Pyriform Fossa, Posterior Pharyngeal wall and Post cricoid region squamous cell carcinoma were assessed. The study aimed at determining the quality of life and associated comorbidities. AnalysisData was entered into Microsoft Excel (Windows 7; Version 2007) and analyses were done using the Statistical Package for Social Sciences (SPSS) for Windows software (version 22.0; SPSS Inc, Chicago). Descriptive statistics such as mean and standard deviation (SD)for continuous variables, frequencies and percentages were calculated for categorical Variables were determined. Association between Variables was analyzed by using Chi-Square test for categorical variables. ResultsDyspnoea and Odynophagia were the most important symptoms which crippled the patients irrespective of the subsite in which cancer presented (PFS 3.35, PPW 3.35, PCR 3.31 ;<0.001) Psychological ,Cognitive, Social functions though were affected there was not much difference amongst the individual subsites (PFS 3.66, PPW 3.18, PCR 3.01; 0.001). Almost all the patients had significant financial problems (PFS 3.36, PPW 2.91, PCR 3.59;0.001). ConclusionQuality of life questionnaires provide an insight into the life of patients who suffer from morbidity of the disease as well as its treatment. Thorough assessment of the condition of the patient in the post treatment status helps in timely rehabilitation.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"7 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120824530","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 : 2019-08-31DOI: 10.17511/jooo.2019.i04.01
A. Verma, Mayank Gupta, Junior Resident
Introduction– The aim of this study is to report the microbiological spectrum and antibiotic sensitivity of acute and chronic dacryocystitis. This was a prospective study done at Sri Aurobindo medical college and PG institute in 61 cases of dacryocystitis from October 2017 to April 2019. Materials and Method- After proper clinical examination patients were diagnosed with dacryocystitis. On presence of pus filled sac patients were categorised as acute dacryocystitis, chronic dacryocystitis patients were diagnosed after ROPLAS test and lacrimal syringing These cases were reviewed for microbiological and demographic profile. Culture results with the organisms isolated were then recorded. Under aseptic precautions, cleaning the surrounding area, specimens for microbiological analysis were obtained by sterile cotton swab from the lacrimal sac, by applying pressure over the lacrimal sac area and allowing purulent material to reflux through the lacrimal puncta. All the specimens were sent to institute’s microbiology department for analysis. Results– 61 patients were evaluated out of which 24 were acute onset and 37 had chronic onset. Female male ratio was 1.68. Mean age of presentation was 52 yrs. Gram positive organisms were the most commonly isolated accounting for 74% and the commonest species isolated was S. aureus in 76 %. Percentage of gram-positive cultures was higher in chronic dacryocystitis than acute ones. Also, in culture positive acute dacryocystitis, gram negative species were found in only 17% of cases. Conclusion– Gram positive bacteria is commonest cause of dacryocystitis however gram negative bacterias were found to be more virulent. The result of this study had significant bearing on patients with dacryocystitis and also helpful when mass cataract surgeries were being performed. ………………………………………………………………………………………………………………………………...
{"title":"Microbiological spectrum of acute and chronic dacrocystitis in Malwa region","authors":"A. Verma, Mayank Gupta, Junior Resident","doi":"10.17511/jooo.2019.i04.01","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.01","url":null,"abstract":"Introduction– The aim of this study is to report the microbiological spectrum and antibiotic sensitivity of acute and chronic dacryocystitis. This was a prospective study done at Sri Aurobindo medical college and PG institute in 61 cases of dacryocystitis from October 2017 to April 2019. Materials and Method- After proper clinical examination patients were diagnosed with dacryocystitis. On presence of pus filled sac patients were categorised as acute dacryocystitis, chronic dacryocystitis patients were diagnosed after ROPLAS test and lacrimal syringing These cases were reviewed for microbiological and demographic profile. Culture results with the organisms isolated were then recorded. Under aseptic precautions, cleaning the surrounding area, specimens for microbiological analysis were obtained by sterile cotton swab from the lacrimal sac, by applying pressure over the lacrimal sac area and allowing purulent material to reflux through the lacrimal puncta. All the specimens were sent to institute’s microbiology department for analysis. Results– 61 patients were evaluated out of which 24 were acute onset and 37 had chronic onset. Female male ratio was 1.68. Mean age of presentation was 52 yrs. Gram positive organisms were the most commonly isolated accounting for 74% and the commonest species isolated was S. aureus in 76 %. Percentage of gram-positive cultures was higher in chronic dacryocystitis than acute ones. Also, in culture positive acute dacryocystitis, gram negative species were found in only 17% of cases. Conclusion– Gram positive bacteria is commonest cause of dacryocystitis however gram negative bacterias were found to be more virulent. The result of this study had significant bearing on patients with dacryocystitis and also helpful when mass cataract surgeries were being performed. ………………………………………………………………………………………………………………………………...","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128254148","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 : 2019-08-31DOI: 10.17511/jooo.2019.i04.07
Vijayasundaram Sundararajan, S. Rao, B. R. Preetham, Junior Resident
Introduction: A number of published studies have compared the KTP laser with standard dissection technique for tonsillectomy and safety of the laser is well described. This study aims to have a comprehensive insight into the comparative clinical outcomes for conventional tonsillectomy with KTP-532 laser assisted tonsillectomy. Materials and Methods : Prospective, comparative study enrolling 60 patients with chronic adenotonsillitis who visited the department of ENT, NRI Medical college and General hospital of a Tertiary referral centre from June 2018 to July 2019. After confirming the diagnosis, the patients were subjected to a detailed history and clinical examination and the patients were divided into two groups – The patients (30 cases) in the first half of this period underwent conventional tonsillectomy whereas the rest (30 cases) underwent laser tonsillectomy. All patients in this study were assessed for operative time, blood loss, post-operative pain, tonsillar fossa healing and incidence of haemorrhage. The differences between studied groups less than 0.5 (p<0.05) considered significant statically. Results: It was observed that total time taken for surgery, mean blood loss, intra-op blood loss, and post-op pain at Day 0 were comparatively less in Group B. While post-op pain at Day 14 was less in Group A. Moreover, Post -op Pain at Day 7, incidence of haemorrhage and healing of tonsillar fossa showed no significant difference in both groups. Conclusion: Laser assisted tonsillectomy is a safe alternative to conventional tonsillectomy associated with low intraoperative bleeding and less time-consuming surgery when compared to conventional tonsillectomy.
{"title":"Comparative study of clinical outcomes following conventional versus laser assisted tonsillectomy","authors":"Vijayasundaram Sundararajan, S. Rao, B. R. Preetham, Junior Resident","doi":"10.17511/jooo.2019.i04.07","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.07","url":null,"abstract":"Introduction: A number of published studies have compared the KTP laser with standard dissection technique for tonsillectomy and safety of the laser is well described. This study aims to have a comprehensive insight into the comparative clinical outcomes for conventional tonsillectomy with KTP-532 laser assisted tonsillectomy. Materials and Methods : Prospective, comparative study enrolling 60 patients with chronic adenotonsillitis who visited the department of ENT, NRI Medical college and General hospital of a Tertiary referral centre from June 2018 to July 2019. After confirming the diagnosis, the patients were subjected to a detailed history and clinical examination and the patients were divided into two groups – The patients (30 cases) in the first half of this period underwent conventional tonsillectomy whereas the rest (30 cases) underwent laser tonsillectomy. All patients in this study were assessed for operative time, blood loss, post-operative pain, tonsillar fossa healing and incidence of haemorrhage. The differences between studied groups less than 0.5 (p<0.05) considered significant statically. Results: It was observed that total time taken for surgery, mean blood loss, intra-op blood loss, and post-op pain at Day 0 were comparatively less in Group B. While post-op pain at Day 14 was less in Group A. Moreover, Post -op Pain at Day 7, incidence of haemorrhage and healing of tonsillar fossa showed no significant difference in both groups. Conclusion: Laser assisted tonsillectomy is a safe alternative to conventional tonsillectomy associated with low intraoperative bleeding and less time-consuming surgery when compared to conventional tonsillectomy.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117116408","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 : 2019-08-31DOI: 10.17511/jooo.2019.i04.08
Reena K Sharma, Ifsa Sami, N. Sharma, Sonali Singh, Ravi Ranjan
Ankyloblepharon filiforme adnatum (AFA) is a rare congenital anomaly characterized by presence of bands between eyelids. It can present as an isolated finding or as a part of syndrome. A 2-month-old male was presented to us with multiple fine bands of skin in both the eyes. Rest examination was normal. Excision of these bands was done with satisfactory result. We also reviewed the literature for the disease and its association. Although rare, AFA can cause stimulus deprivation amblyopia if not treated in time. Thorough examination should be performed in such cases to rule out other systemic and ocular associations.
{"title":"Ankyloblepharon filiforme adnatum- a case report & review of literature","authors":"Reena K Sharma, Ifsa Sami, N. Sharma, Sonali Singh, Ravi Ranjan","doi":"10.17511/jooo.2019.i04.08","DOIUrl":"https://doi.org/10.17511/jooo.2019.i04.08","url":null,"abstract":"Ankyloblepharon filiforme adnatum (AFA) is a rare congenital anomaly characterized by presence of bands between eyelids. It can present as an isolated finding or as a part of syndrome. A 2-month-old male was presented to us with multiple fine bands of skin in both the eyes. Rest examination was normal. Excision of these bands was done with satisfactory result. We also reviewed the literature for the disease and its association. Although rare, AFA can cause stimulus deprivation amblyopia if not treated in time. Thorough examination should be performed in such cases to rule out other systemic and ocular associations.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122098306","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 : 2019-06-30DOI: 10.17511/jooo.2019.i02.16
Paresh Chavan, Mayur Ingale, Rohan Dixith, R. Anand
Introduction: CSOM is the common chronic infectious disease and is considered the leading cause of acquired hearing loss. Hearing loss is a public health problem in developed and developing countries. Material and methods: A prospective cohort observational study on 100 Cases in two groups of 50 each who had safe CSOM and 50 Unsafe CSOM conducted over a period of July 2011 to September 2013 at Department of Otorhinolaryngology Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, DPU, Pimpri, Pune. Detailed history, complete ENT examination was done. They were then subjected to Puretone audiometry; air and bone conduction thresholds were tested and plotted on the audiogram. Univariate and multivariate logistic regression (odds ratio) analyses were used. Results: In the present study the degree of sensorinueral component of hearing loss was >35db in majority of the cases. The mean bone conduction threshold values were obtained by mean value of threshold at frequencies 250, 500, 1000, 2000 and 4000 Hz. Higher speech frequencies were affected in majority of patients. Greater sensorineural component was found in CSOM with cholesteatoma. Greater incidence of hearing loss with increasing duration of disease. Conclusion: These findings demonstrate that CSOM is associated with some degree of SNHL and cochlear damage, and higher frequencies are more affected. Increasing age can act as a precipitating factor in this disease process. KeywordsCSOM, Sensoryneural hearing loss, Frequency ......................................................................................................................................................
CSOM是一种常见的慢性感染性疾病，被认为是获得性听力损失的主要原因。听力损失在发达国家和发展中国家都是一个公共卫生问题。材料和方法:2011年7月至2013年9月，在普纳皮姆普里DPU耳鼻喉科Padmashree Dr. D. Y. Patil医学院医院和研究中心进行了一项前瞻性队列观察研究，共100例患者分为两组，每组50例安全CSOM和50例不安全CSOM。详细的病史，完整的耳鼻喉检查。然后他们接受了普瑞酮测听;测试空气和骨传导阈值并在听力图上绘制。采用单因素和多因素logistic回归(优势比)分析。结果:在本研究中，大多数病例的听力损失程度大于35db。分别取250、500、1000、2000、4000 Hz频率下的阈值平均值，得到平均骨传导阈值。大多数患者的较高语音频率受到影响。胆脂瘤的CSOM有较大的感觉神经成分。听力损失的发生率随着病程的延长而增加。结论:CSOM与SNHL及耳蜗损伤有一定的相关性，且频率越高影响越大。年龄的增长可能是这个疾病过程中的一个促发因素。KeywordsCSOM Sensoryneural听力损失,频率 ......................................................................................................................................................
{"title":"Study of prevalence & degree of sensorineural hearing loss in chronic suppurative otitis media (CSOM)","authors":"Paresh Chavan, Mayur Ingale, Rohan Dixith, R. Anand","doi":"10.17511/jooo.2019.i02.16","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.16","url":null,"abstract":"Introduction: CSOM is the common chronic infectious disease and is considered the leading cause of acquired hearing loss. Hearing loss is a public health problem in developed and developing countries. Material and methods: A prospective cohort observational study on 100 Cases in two groups of 50 each who had safe CSOM and 50 Unsafe CSOM conducted over a period of July 2011 to September 2013 at Department of Otorhinolaryngology Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, DPU, Pimpri, Pune. Detailed history, complete ENT examination was done. They were then subjected to Puretone audiometry; air and bone conduction thresholds were tested and plotted on the audiogram. Univariate and multivariate logistic regression (odds ratio) analyses were used. Results: In the present study the degree of sensorinueral component of hearing loss was >35db in majority of the cases. The mean bone conduction threshold values were obtained by mean value of threshold at frequencies 250, 500, 1000, 2000 and 4000 Hz. Higher speech frequencies were affected in majority of patients. Greater sensorineural component was found in CSOM with cholesteatoma. Greater incidence of hearing loss with increasing duration of disease. Conclusion: These findings demonstrate that CSOM is associated with some degree of SNHL and cochlear damage, and higher frequencies are more affected. Increasing age can act as a precipitating factor in this disease process. KeywordsCSOM, Sensoryneural hearing loss, Frequency ......................................................................................................................................................","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126179172","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 : 2019-06-30DOI: 10.17511/jooo.2019.i02.14
Sony Sinha, R. Sinha, P. Nishant, Former Junior Resident
Introduction: This study intended to estimate the prevalence of spectacle use and distribution of amblyopia in young people presenting to the Ophthalmology outpatient department of a tertiary care institution of Bihar, India. Materials and Methods: This hospital-based prospective study was conducted over a period of 2 months amongst patients aged 1024 years with refractive errors (in one or both eyes), whose refractive status, use of spectacle sat about the time of checkup and presence or absence of amblyopia were recorded. Results: Of 1482 young people, 335 (22.6%) were already using spectacle sat about the time of check-up. Of these, 276 (82.4%) had myopic errors in one or both eyes, 58 (17.3%) had hypermetropic errors in one or both eyes, and one (0.3%) had mixed astigmatism in both eyes. Of the 1257 (84.8% of all) young people whose both eyes were ametropic and included for consideration, 186 (14.8%) were found to have anisometropia and of these, 78 (about 42%) met the criteria for amblyopia. Overall 106 (about 7.2%, 95% CI 6.0-8.7) young people were found to be amblyopic (odds ratio = 54.7, p<0.0001). Conclusion: Only a small proportion of young people with refractive errors presenting to our tertiary OPD were spectacle-users, indicating inadequacy or lack of utilization of refraction facilities or motivation amongst patients. A strong association of anisometropia with amblyopia was observed. These findings emphasize the need for early detection and correction of refractive errors through community and school-based screening programmes to prevent amblyopia.
引言:本研究旨在评估印度比哈尔邦一家三级保健机构眼科门诊的年轻人中眼镜使用的流行程度和弱视的分布。材料和方法:本前瞻性研究以医院为基础，对年龄1024岁的屈光不正(单眼或双眼)患者进行为期2个月的前瞻性研究，记录其屈光状态、检查时的眼镜使用情况以及是否存在弱视。结果:1482例青年人中，335例(22.6%)在体检时已使用眼镜。其中单眼或双眼近视276例(82.4%)，单眼或双眼远视58例(17.3%)，双眼混合性散光1例(0.3%)。在1257名(84.8%)双眼都是屈光不正的年轻人中，186名(14.8%)被发现有屈光参差，其中78名(约42%)符合弱视的标准。总共有106名(约7.2%，95% CI 6.0-8.7)年轻人被发现弱视(优势比= 54.7,p<0.0001)。结论:只有一小部分到我们第三门诊就诊的年轻人屈光不正是眼镜使用者，这表明患者对屈光设施的利用不足或缺乏动力。观察到屈光参差与弱视有很强的联系。这些发现强调了通过社区和学校筛查项目早期发现和矫正屈光不正以预防弱视的必要性。
{"title":"Prevalence of spectacle use and amblyopia among young people presenting to a tertiary care institution of Bihar","authors":"Sony Sinha, R. Sinha, P. Nishant, Former Junior Resident","doi":"10.17511/jooo.2019.i02.14","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.14","url":null,"abstract":"Introduction: This study intended to estimate the prevalence of spectacle use and distribution of amblyopia in young people presenting to the Ophthalmology outpatient department of a tertiary care institution of Bihar, India. Materials and Methods: This hospital-based prospective study was conducted over a period of 2 months amongst patients aged 1024 years with refractive errors (in one or both eyes), whose refractive status, use of spectacle sat about the time of checkup and presence or absence of amblyopia were recorded. Results: Of 1482 young people, 335 (22.6%) were already using spectacle sat about the time of check-up. Of these, 276 (82.4%) had myopic errors in one or both eyes, 58 (17.3%) had hypermetropic errors in one or both eyes, and one (0.3%) had mixed astigmatism in both eyes. Of the 1257 (84.8% of all) young people whose both eyes were ametropic and included for consideration, 186 (14.8%) were found to have anisometropia and of these, 78 (about 42%) met the criteria for amblyopia. Overall 106 (about 7.2%, 95% CI 6.0-8.7) young people were found to be amblyopic (odds ratio = 54.7, p<0.0001). Conclusion: Only a small proportion of young people with refractive errors presenting to our tertiary OPD were spectacle-users, indicating inadequacy or lack of utilization of refraction facilities or motivation amongst patients. A strong association of anisometropia with amblyopia was observed. These findings emphasize the need for early detection and correction of refractive errors through community and school-based screening programmes to prevent amblyopia.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117090668","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：