Pub Date : 2019-06-30DOI: 10.17511/jooo.2019.i02.04
Kripalini Soonthodu Hoovayya
Introduction: Phacoemulsification has become a gold standard procedure of cataract extraction in the developed countries. Phacoemulsification is expensive hence manual small incision cataract surgery is a better alternative in developing nations. One of the important cause of poor uncorrected visual activity after cataract extraction is high astigmatism. Incision being the first and most important determinant of postoperative astigmatism. Placement of incision superotemporally is one modification to minimize the high pre-existing ATR astigmatism and improving the postoperative visual outcome. Aim: To study the type and amount of surgically induced astigmatism following superior and superotemporal scleral incision in manual small incision cataract surgery. Design: Prospective randomized comparative clinical study. Methodology: 50 eyes of 50 patients each were randomly assigned for superior scleral incision and superotemporal scleral incision and MSICS with PCIOL implantation were performed. Patients were examined on day 1, day 7, end of 4 weeks and 3 months after surgery. Results: 3 months after surgery, 80% of the patients in superior incision group had ATR astigmatism and 86% of the patients in super temporal incision group had WTR astigmatism. The mean SIA in superotemporal group was significantly less than superior incision group. Conclusion: MSICS performed with superotemporal scleral incision in comparison with superior scleral incision produces significantly less surgically induces astigmatism with better stabilization of refraction.
{"title":"Comparative study of surgically induced astigmatism: superior versus superotemporal scleral incision performed in rural hospital","authors":"Kripalini Soonthodu Hoovayya","doi":"10.17511/jooo.2019.i02.04","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.04","url":null,"abstract":"Introduction: Phacoemulsification has become a gold standard procedure of cataract extraction in the developed countries. Phacoemulsification is expensive hence manual small incision cataract surgery is a better alternative in developing nations. One of the important cause of poor uncorrected visual activity after cataract extraction is high astigmatism. Incision being the first and most important determinant of postoperative astigmatism. Placement of incision superotemporally is one modification to minimize the high pre-existing ATR astigmatism and improving the postoperative visual outcome. Aim: To study the type and amount of surgically induced astigmatism following superior and superotemporal scleral incision in manual small incision cataract surgery. Design: Prospective randomized comparative clinical study. Methodology: 50 eyes of 50 patients each were randomly assigned for superior scleral incision and superotemporal scleral incision and MSICS with PCIOL implantation were performed. Patients were examined on day 1, day 7, end of 4 weeks and 3 months after surgery. Results: 3 months after surgery, 80% of the patients in superior incision group had ATR astigmatism and 86% of the patients in super temporal incision group had WTR astigmatism. The mean SIA in superotemporal group was significantly less than superior incision group. Conclusion: MSICS performed with superotemporal scleral incision in comparison with superior scleral incision produces significantly less surgically induces astigmatism with better stabilization of refraction.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"71 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":"115920261","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.i02.13
B. Asritha, Nellore Andhra Pradesh India Hospitals, D. Manaswini, Post Graduate
Aim: To evaluate the outcomes of pterygium excision with conjunctival autograft using autologous in situ blood coagulum. Materials and Methods: This is a prospective study of 50 eyes of 50 patients after taking informed consent, operated between May 2017 and October 2018 in the Department of Ophthalmology, Narayana Medical Hospital, Nellore. The study included 21 males and 29 females. Following pterygium excision, 1 mm oversized donor conjunctival graft was taken and placed over bare sclera, maintaining limbus to limbus polarity. The surgeon waited for 5-7 minutes to allow time for hemostasis and stabilization of graft. Results: Complications observed were graft edema in 4 cases (8%), graft retraction in 1 case (2%), subgraft haemorrhage in 2 cases (4%). Commonly encountered complications were subconjunctival haemorrhage, chemosis, congestion, discomfort, corneal scarring, corneal epithelial defects, and inadequate sized grafts. Recurrence or dehiscences were not noted. Conclusion: This study of using autologous blood coagulum for pterygium fixation showed this method to be more effective, less time consuming than suturing grafts, and more economical and free from the risk of contagious diseases compared to fibrin glue. The occurrence of very minimal complications and the swift resolution of any encountered complications makes this a superior approach.
{"title":"Pterygium excision with conjunctival autograft using autologous in SITU blood coagulum as bioadhesive","authors":"B. Asritha, Nellore Andhra Pradesh India Hospitals, D. Manaswini, Post Graduate","doi":"10.17511/jooo.2019.i02.13","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.13","url":null,"abstract":"Aim: To evaluate the outcomes of pterygium excision with conjunctival autograft using autologous in situ blood coagulum. \u0000Materials and Methods: This is a prospective study of 50 eyes of 50 patients after taking informed consent, operated between May 2017 and October 2018 in the Department of Ophthalmology, Narayana Medical Hospital, Nellore. The study included 21 males and 29 females. Following pterygium excision, 1 mm oversized donor conjunctival graft was taken and placed over bare sclera, maintaining limbus to limbus polarity. The surgeon waited for 5-7 minutes to allow time for hemostasis and stabilization of graft. \u0000Results: Complications observed were graft edema in 4 cases (8%), graft retraction in 1 case (2%), subgraft haemorrhage in 2 cases (4%). Commonly encountered complications were subconjunctival haemorrhage, chemosis, congestion, discomfort, corneal scarring, corneal epithelial defects, and inadequate sized grafts. Recurrence or dehiscences were not noted. \u0000Conclusion: This study of using autologous blood coagulum for pterygium fixation showed this method to be more effective, less time consuming than suturing grafts, and more economical and free from the risk of contagious diseases compared to fibrin glue. The occurrence of very minimal complications and the swift resolution of any encountered complications makes this a superior approach.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"45 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":"114432552","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.i02.08
Vandana Mahaur, Jaya Devendra
Introduction: Blindness due to cataract is a global health problem. In India also it is the major cause of blindness in 62.4%. The prevalence of cataract is more in rural population owing to lack of infrastructure and manpower as well as illiteracy and poverty. There is a paucity of data on the subject from rural Rajasthan especially the eastern region. In order to optimize limited health care facilities for the target population, it is necessary to know the clinico-epidemiological and socio-economic factors associated cataract; thus, the study was conceptualized. Materials and Methods: This cross-sectional study was conducted in the National Institute of Medical Sciences, a tertiary care center situated in the rural area of Jaipur from January 2018 to December 2019. Patients having cataract and giving consent to participate in the study were included. Results: Eight hundred and eleven cataract patients were included in the study. The majority (53.3%) of cataract patients were aged and males (55.9%). Most patients were illiterate (68.5%) and belonged to low socio-economic status (88.7%). Diabetes and hypertension were common. In our setting, senility was the most frequent cause (91.1%) followed by trauma (5.3%); Congenital cataract was least common (1.7%). Sixty-four percent of total cataract patients had bilateral affection. Majority of patients (45%) had immature cataract, 39.9% had mature and 15% had hyper-mature cataract. Conclusion: Socioeconomic and clinico-epidemiological profile of patients living in the rural population of eastern Rajasthan share similarities with people living in other rural areas of our country.
{"title":"Clinico-epidemiological and Socio-economic Profile of Cataract Patients from Rural Areas of Eastern Rajasthan","authors":"Vandana Mahaur, Jaya Devendra","doi":"10.17511/jooo.2019.i02.08","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.08","url":null,"abstract":"Introduction: Blindness due to cataract is a global health problem. In India also it is the major cause of blindness in 62.4%. The prevalence of cataract is more in rural population owing to lack of infrastructure and manpower as well as illiteracy and poverty. There is a paucity of data on the subject from rural Rajasthan especially the eastern region. In order to optimize limited health care facilities for the target population, it is necessary to know the clinico-epidemiological and socio-economic factors associated cataract; thus, the study was conceptualized. Materials and Methods: This cross-sectional study was conducted in the National Institute of Medical Sciences, a tertiary care center situated in the rural area of Jaipur from January 2018 to December 2019. Patients having cataract and giving consent to participate in the study were included. Results: Eight hundred and eleven cataract patients were included in the study. The majority (53.3%) of cataract patients were aged and males (55.9%). Most patients were illiterate (68.5%) and belonged to low socio-economic status (88.7%). Diabetes and hypertension were common. In our setting, senility was the most frequent cause (91.1%) followed by trauma (5.3%); Congenital cataract was least common (1.7%). Sixty-four percent of total cataract patients had bilateral affection. Majority of patients (45%) had immature cataract, 39.9% had mature and 15% had hyper-mature cataract. Conclusion: Socioeconomic and clinico-epidemiological profile of patients living in the rural population of eastern Rajasthan share similarities with people living in other rural areas of our country.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"95 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":"130105997","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.i02.02
M. Navalakhe, D. Mogre
Objective: To study the surgical outcomes between power assisted and conventional curettage adenoidectomy.And to perform retrospective analysis by comparing the two surgical methods on the basis of duration of surgery, intra-operative blood loss, postoperative complications like bleeding and associated trauma. Design: A retrospective and prospective study of 100 cases was performed in a tertiary care teaching hospital in Mumbai. Over 1 year and 8 months. The mean operative time was faster in conventional method (p< 0.0001 ). Subjects: 100 cases. Methods: After selection of cases retrospective assessment of peri-operative conditions were obtained from case records duration of surgery, Intraoperative blood loss, Postoperative complications. The same cases were called for prospective analysis data on long-term postoperative outcome was obtained by using ‘Paediatric Throat Disorders Outcome Test’ Result: Our 100 patients ranged from 4 to 27 years with mean age of 10.43 years with SD of 4.24 F : M ratio was 1.17. The operative blood loss between two groups was not statistically significant (p=0.4901). The symptomatic relief after conventional surgery and power assisted method was statistically significant (p < 0.0001). There was no statistical significance between outcomes of both methods. Conclusions: Our study shows that the power assisted adenoidectomy was a safe, well tolerated procedure and an useful tool for adenoidectomy with disadvantages of high cost. Conventional adenoidectomy with a curette is safe, fast and economical. It fails to obtain complete tissue removal and thus is less effective than the power assisted techniques.
{"title":"A descriptive study comparing the surgical outcomes between power-assisted adenoidectomy and conventional surgical methods","authors":"M. Navalakhe, D. Mogre","doi":"10.17511/jooo.2019.i02.02","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.02","url":null,"abstract":"Objective: To study the surgical outcomes between power assisted and conventional curettage adenoidectomy.And to perform retrospective analysis by comparing the two surgical methods on the basis of duration of surgery, intra-operative blood loss, postoperative complications like bleeding and associated trauma. Design: A retrospective and prospective study of 100 cases was performed in a tertiary care teaching hospital in Mumbai. Over 1 year and 8 months. The mean operative time was faster in conventional method (p< 0.0001 ). Subjects: 100 cases. Methods: After selection of cases retrospective assessment of peri-operative conditions were obtained from case records duration of surgery, Intraoperative blood loss, Postoperative complications. The same cases were called for prospective analysis data on long-term postoperative outcome was obtained by using ‘Paediatric Throat Disorders Outcome Test’ Result: Our 100 patients ranged from 4 to 27 years with mean age of 10.43 years with SD of 4.24 F : M ratio was 1.17. The operative blood loss between two groups was not statistically significant (p=0.4901). The symptomatic relief after conventional surgery and power assisted method was statistically significant (p < 0.0001). There was no statistical significance between outcomes of both methods. Conclusions: Our study shows that the power assisted adenoidectomy was a safe, well tolerated procedure and an useful tool for adenoidectomy with disadvantages of high cost. Conventional adenoidectomy with a curette is safe, fast and economical. It fails to obtain complete tissue removal and thus is less effective than the power assisted techniques.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"35 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":"125264365","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.i02.18
R. Dudda, Lokesh Yaladahalli Gurulingu, M. Prasad, N. K. Balaji, Sowmya Tumkur Rangaiah
Background: Fibroepithelial polyps are benign polypoidal lesion which arises from mesoderm. It is one of the most common cutaneous lesions. Fibroepithelial polyps are infrequently noted in the pharynx of an adult. We report a case of a 35 year old male patient who presented with foreign body sensation in the throat since 15 days. On examination a pedunculated polyp of about 3x1 cm was noted to arise from upper pole of left tonsil. Tonsillectomy was done under general anaesthesia and was sent for HPE which revealed fibroepithelial polyp of left tonsil. Fibroepithelial polyps of palatine tonsils are rare pedunculated benign lesions and have extremely low malignancy transformation.
{"title":"Fibroepithelial polyp of tonsil – a rare case report","authors":"R. Dudda, Lokesh Yaladahalli Gurulingu, M. Prasad, N. K. Balaji, Sowmya Tumkur Rangaiah","doi":"10.17511/jooo.2019.i02.18","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.18","url":null,"abstract":"Background: Fibroepithelial polyps are benign polypoidal lesion which arises from mesoderm. It is one of the most common cutaneous lesions. Fibroepithelial polyps are infrequently noted in the pharynx of an adult. We report a case of a 35 year old male patient who presented with foreign body sensation in the throat since 15 days. On examination a pedunculated polyp of about 3x1 cm was noted to arise from upper pole of left tonsil. Tonsillectomy was done under general anaesthesia and was sent for HPE which revealed fibroepithelial polyp of left tonsil. Fibroepithelial polyps of palatine tonsils are rare pedunculated benign lesions and have extremely low malignancy transformation.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"25 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":"126334144","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.i02.09
E. Ezeh, C. Uzomba, R. Ezeh, Stanley Onyemelonu Od
Introduction: Good ocular health is paramount for optimal childhood development. Vision, which is the primary function of the eyes, plays a fundamental role in the acquisition of skills such as language, interpreting facial expressions and skills requiring hand–eye coordination.In every child, much of knowledge and skills are obtained through the senses of sight and hearing.For children with disabilities, vision has been noted to play an integral role in their psychosocial development, as well as compensates for certain impaired functions.The objective of this study was to determine ocular status of children with disabilities other than visual disabilities attending special schools in Calabar, Cross River State, Nigeria. Subjects and Methods: A cross-sectional study on the ocular status of children with disabilities other than visual disabilities attending special education schools in Calabar Municipal Local Government Area, Southern district, Cross River State, Nigeria was performed. Data were obtained using interviewer-administered questionnaires on the caregivers and ocular examination of the children which included visual acuity, refraction, ocular alignment, motility tests and funduscopy. Data analysis was performed using the Statistical Package for the Social Sciences version 20. Results: A total of 161 children with disabilities (other than visual disabilities) out of the 176 enrolled were examined yielding a 91.5% response rate. The male-to-female ratio was 1.2:1. Their age range was 5–17 years with the mean age of 12.9 ± 3.3 years and a modal age group of ≥13 years. The common types of disability encountered were hearing disability 45 (28%), developmental disability 38 (24%) and multiple disabilities 35 (21.9%). 71% of the children had at least one form of ocular disorder. The most common ocular disorders seen in these children were refractive errors (46.1%) and optic atrophy (12.0%). Of the 161 children examined, only 11 (6.8%) have had ocular evaluation in the past. Conclusion: Ocular disorders are common in children with other disabilities. However, only a few are opportune to have ophthalmic evaluation. Therefore, strategies regarding increasing awareness, mandatory ocular examination and early detection as well as treatment of the ocular disorders are urgently needed.
{"title":"Ocular status of children with disabilities in special schools in southern district of Cross River State, Nigeria","authors":"E. Ezeh, C. Uzomba, R. Ezeh, Stanley Onyemelonu Od","doi":"10.17511/jooo.2019.i02.09","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.09","url":null,"abstract":"Introduction: Good ocular health is paramount for optimal childhood development. Vision, which is the primary function of the eyes, plays a fundamental role in the acquisition of skills such as language, interpreting facial expressions and skills requiring hand–eye coordination.In every child, much of knowledge and skills are obtained through the senses of sight and hearing.For children with disabilities, vision has been noted to play an integral role in their psychosocial development, as well as compensates for certain impaired functions.The objective of this study was to determine ocular status of children with disabilities other than visual disabilities attending special schools in Calabar, Cross River State, Nigeria. Subjects and Methods: A cross-sectional study on the ocular status of children with disabilities other than visual disabilities attending special education schools in Calabar Municipal Local Government Area, Southern district, Cross River State, Nigeria was performed. Data were obtained using interviewer-administered questionnaires on the caregivers and ocular examination of the children which included visual acuity, refraction, ocular alignment, motility tests and funduscopy. Data analysis was performed using the Statistical Package for the Social Sciences version 20. Results: A total of 161 children with disabilities (other than visual disabilities) out of the 176 enrolled were examined yielding a 91.5% response rate. The male-to-female ratio was 1.2:1. Their age range was 5–17 years with the mean age of 12.9 ± 3.3 years and a modal age group of ≥13 years. The common types of disability encountered were hearing disability 45 (28%), developmental disability 38 (24%) and multiple disabilities 35 (21.9%). 71% of the children had at least one form of ocular disorder. The most common ocular disorders seen in these children were refractive errors (46.1%) and optic atrophy (12.0%). Of the 161 children examined, only 11 (6.8%) have had ocular evaluation in the past. Conclusion: Ocular disorders are common in children with other disabilities. However, only a few are opportune to have ophthalmic evaluation. Therefore, strategies regarding increasing awareness, mandatory ocular examination and early detection as well as treatment of the ocular disorders are urgently needed.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"50 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":"130737134","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.i02.05
Kripalini Soonthodu Hoovayya, Abhijit Kumar
Aim: To study various corneal complications in manual small incision cataract surgery (MSICS), to study the risk factors leading to such complication and to study the final visual outcome following complications. Design:It is a prospective hospital based observational study. Methodology: In our study 100 eyes of 100 patients were studied who underwent MSICS with posterior chamber intraocular lens implantation. Corneal complications, their risk factors and final visual outcome were studied on post operatively day 1, day 8 and 6th week after surgery. Results: One hundred eyes of 100 patients who underwent MSICS were studied. Corneal complications were seen in 18% of patients. Of these 8% developed striate keratopathy, 6% developed corneal edema with <10 Descemet’s folds, 3% developed corneal edema with >10 Descemet’s folds, 1% developed Descemet’s membrane detachment. 94% of the patients categorized under good visual outcome category (BCVA better than 6/12), 89% had best corrected visual acuity (BCVA) of 6/9 or better at the end of 6 postoperative week. Conclusion: MCIS is associated with few corneal complications which cannot be overlooked. With appropriate management, most of the corneal complications will be resolved by 2 postoperative week. Vigilant attitude by the surgeon and timely management can reduce such complications and help in early visual rehabilitation.
{"title":"A prospective study on corneal complications of small incision cataract surgery conducted in rural hospital","authors":"Kripalini Soonthodu Hoovayya, Abhijit Kumar","doi":"10.17511/jooo.2019.i02.05","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.05","url":null,"abstract":"Aim: To study various corneal complications in manual small incision cataract surgery (MSICS), to study the risk factors leading to such complication and to study the final visual outcome following complications. Design:It is a prospective hospital based observational study. Methodology: In our study 100 eyes of 100 patients were studied who underwent MSICS with posterior chamber intraocular lens implantation. Corneal complications, their risk factors and final visual outcome were studied on post operatively day 1, day 8 and 6th week after surgery. Results: One hundred eyes of 100 patients who underwent MSICS were studied. Corneal complications were seen in 18% of patients. Of these 8% developed striate keratopathy, 6% developed corneal edema with <10 Descemet’s folds, 3% developed corneal edema with >10 Descemet’s folds, 1% developed Descemet’s membrane detachment. 94% of the patients categorized under good visual outcome category (BCVA better than 6/12), 89% had best corrected visual acuity (BCVA) of 6/9 or better at the end of 6 postoperative week. Conclusion: MCIS is associated with few corneal complications which cannot be overlooked. With appropriate management, most of the corneal complications will be resolved by 2 postoperative week. Vigilant attitude by the surgeon and timely management can reduce such complications and help in early visual rehabilitation.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"45 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":"121408918","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.i02.11
A. Moruskar, N. Karodpati, Mayur Ingale, Shikha R. Shah
Introduction: Chronic suppurative otitis media is one of the most common conditions encountered by Otologists in daily practice. Conventionally hearing loss in CSOM is conductive in nature, but it has been observed that some patient displayed an additional sensorineural component to their conductive hearing loss (mixed hearing loss). 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 the 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: Incidence of hearing loss is 72%for conductive type and 28% is of mixed type, in which 72% are of safe conductive, 18% safe mixed type and 64% are of unsafe conductive, 36% are in unsafe mixed type. Incidence of SNHL increases as age increases being maximum in age group of 41-50 years i.e. 37.50% and minimum in 11-20 years i.e. 5.71%. 14% cases of unsafe chronic suppurative otitis media were found to be associated with labyrinthine fistula. This proved to be the commonest cause of sensorineural component in unsafe chronic suppurative otitis media followed by granulation over oval window (8%) and cholesteatoma extending to round window in 4 % of cases. Conclusion: In the present study incidence of sensorineural hearing loss increased with advancing age, showing that age is a risk factor for sensorineural component of hearing loss in CSOM though conductive hearing loss is more common. CSOM is associated with mixed hearing loss mainly >35 dB, higher frequencies were involved.
慢性化脓性中耳炎是耳科医生在日常实践中遇到的最常见的疾病之一。传统意义上，CSOM的听力损失本质上是传导性的，但已经观察到一些患者在传导性听力损失(混合性听力损失)的基础上表现出额外的感觉神经成分。材料和方法:2011年7月至2013年9月，在浦那皮姆普里Padmashree Dr. D. Y. Patil医学院耳鼻喉科医院和研究中心(DPU)进行了一项前瞻性队列观察研究，将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:传导性听力损失发生率为72%，混合型听力损失发生率为28%，其中安全传导性听力损失发生率为72%，安全混合型听力损失发生率为18%，不安全传导性听力损失发生率为64%，不安全混合型听力损失发生率为36%。SNHL发病率随年龄增长而增加，41 ~ 50岁年龄组发病率最高，为37.50%，11 ~ 20岁年龄组发病率最低，为5.71%。不安全慢性化脓性中耳炎合并迷路瘘的病例占14%。这被证明是不安全慢性化脓性中耳炎中感觉神经成分最常见的原因，其次是卵圆窗肉芽肿(8%)和胆脂瘤(4%)扩展到圆窗。结论:在本研究中，感音神经性听力损失的发生率随着年龄的增长而增加，表明年龄是CSOM中感音神经性听力损失的危险因素，但传导性听力损失更为常见。CSOM与混合性听力损失的相关性主要为>35 dB，频率较高。
{"title":"Study of pattern of hearing loss in CSOM (chronic suppurative OTITIS media)","authors":"A. Moruskar, N. Karodpati, Mayur Ingale, Shikha R. Shah","doi":"10.17511/jooo.2019.i02.11","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.11","url":null,"abstract":"Introduction: Chronic suppurative otitis media is one of the most common conditions encountered by Otologists in daily practice. Conventionally hearing loss in CSOM is conductive in nature, but it has been observed that some patient displayed an additional sensorineural component to their conductive hearing loss (mixed hearing loss). 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 the 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: Incidence of hearing loss is 72%for conductive type and 28% is of mixed type, in which 72% are of safe conductive, 18% safe mixed type and 64% are of unsafe conductive, 36% are in unsafe mixed type. Incidence of SNHL increases as age increases being maximum in age group of 41-50 years i.e. 37.50% and minimum in 11-20 years i.e. 5.71%. 14% cases of unsafe chronic suppurative otitis media were found to be associated with labyrinthine fistula. This proved to be the commonest cause of sensorineural component in unsafe chronic suppurative otitis media followed by granulation over oval window (8%) and cholesteatoma extending to round window in 4 % of cases. Conclusion: In the present study incidence of sensorineural hearing loss increased with advancing age, showing that age is a risk factor for sensorineural component of hearing loss in CSOM though conductive hearing loss is more common. CSOM is associated with mixed hearing loss mainly >35 dB, higher frequencies were involved.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"14 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":"123084624","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.i02.10
M. S. Padmajothi, C ChaitraM., C AnneshiR
Purpose: To evaluate the awareness and knowledge of Glaucoma among hospital personnel. Methods: A Crosssectional study was conducted in the hospital consisting of medical and non-medical staff excluding those who have already undergone treatment for Glaucoma. After taking an informed consent, a self-designed questionnaire was administered. Results: 513 people participated in the study with mean age of participants being 34.36+/-5.686 year. Although 95% were aware of Glaucoma, the awareness of causes and treatment of Glaucoma were high only among the clinicians (88%) & very poor (28%) among nursing & administrative staff. 41% were aware that glaucoma can lead to blindness. Conclusion: The study revealed unsatisfactory knowledge concerning glaucoma among health personnel. This alarming revelation warrants the need for enrichment of glaucoma awareness programs.
{"title":"Awareness and knowledge of glaucoma among hospital personnel in a tertiary care center in rural Karnataka","authors":"M. S. Padmajothi, C ChaitraM., C AnneshiR","doi":"10.17511/jooo.2019.i02.10","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.10","url":null,"abstract":"Purpose: To evaluate the awareness and knowledge of Glaucoma among hospital personnel. Methods: A Crosssectional study was conducted in the hospital consisting of medical and non-medical staff excluding those who have already undergone treatment for Glaucoma. After taking an informed consent, a self-designed questionnaire was administered. Results: 513 people participated in the study with mean age of participants being 34.36+/-5.686 year. Although 95% were aware of Glaucoma, the awareness of causes and treatment of Glaucoma were high only among the clinicians (88%) & very poor (28%) among nursing & administrative staff. 41% were aware that glaucoma can lead to blindness. Conclusion: The study revealed unsatisfactory knowledge concerning glaucoma among health personnel. This alarming revelation warrants the need for enrichment of glaucoma awareness programs.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"25 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":"125275121","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.i02.17
A. Mohta, M. Sabnis, Hardik Kalaria, M. Nayyar
Authors report a rare cause of peripheral ulcerative keratitis. Mooren’s ulcer is a chronic, painful, relentless ulcerative peripheral keratitis that begins from periphery of cornea near limbus as narrow crescent corneal infiltrate which then progresses circumferentially and centrally. Mooren’s ulcer gets misdiagnosed as peripheral bacterial ulcer or another non-infective peripheral ulcerative keratitis.
{"title":"Mooren’s ulcer a rare cause of peripheral ulcerative keratitis","authors":"A. Mohta, M. Sabnis, Hardik Kalaria, M. Nayyar","doi":"10.17511/jooo.2019.i02.17","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.17","url":null,"abstract":"Authors report a rare cause of peripheral ulcerative keratitis. Mooren’s ulcer is a chronic, painful, relentless ulcerative peripheral keratitis that begins from periphery of cornea near limbus as narrow crescent corneal infiltrate which then progresses circumferentially and centrally. Mooren’s ulcer gets misdiagnosed as peripheral bacterial ulcer or another non-infective peripheral ulcerative keratitis.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"5 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":"121248005","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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