Pub Date : 2019-06-30DOI: 10.17511/jooo.2019.i02.15
R. Goswami, A. Gangwani, Pranjal Shrivastava
Introduction: Cervical swellings and lumps are common clinical problems. Neck swellings in children are commonly congenital and benign tumours while neck swellings in adults should be aimed to exclude malignancy. FNAC is the single most important test in the evaluation of neck swellings especially metastatic lymph nodes. FNAC helps in planning out surgical management of neck masses which can be confirmed with histopathology which is the gold standard for diagnosis. Objective: The aim of the study was to evaluate the various swellings in the neck and to compare the findings of FNAC and HPE . Material and Methods: The study is a prospective study conducted over a period of two years from January 2016 to January 2018 in the Department of ENT and Department of Pathology in Bundelkhand Medical College Sagar M.P. The study involved 100 cases of patients with neck swellings who attended ENT OPD and gave consent for both FNAC and biopsy or excision biopsy and HPE. Results : The overall accuracy of FNAC in diagnosing neck swellings is similar to that of HPE. Conclusion: FNAC is an important preoperative tool in the diagnosis of various neck swellings of the neck and is recommended as the first line of investigation in various neck swellings. The sensitivity, and specificity of FNAC in differentiating benign from malignant lesions in the present study was 100% [86.7% to 100%] and 100% [94.7% to 100%] respectively Positive predictive value and Negative predictive value of FNAC in detecting malignancy were both 100% [86.7% to 100%] and 100% [94.7% to 100]respectively. Interrater reliability using Kappa was measured between FNAC and Histopathology and a statistically significant measure of agreement was found (k=0.636,p<0.05).
{"title":"Comparative Clinico-pathological study of fine needle aspiration cytology and histopathology of various neck swellings in Bundelkhand region of Madhya Pradesh, India","authors":"R. Goswami, A. Gangwani, Pranjal Shrivastava","doi":"10.17511/jooo.2019.i02.15","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.15","url":null,"abstract":"Introduction: Cervical swellings and lumps are common clinical problems. Neck swellings in children are commonly congenital and benign tumours while neck swellings in adults should be aimed to exclude malignancy. FNAC is the single most important test in the evaluation of neck swellings especially metastatic lymph nodes. FNAC helps in planning out surgical management of neck masses which can be confirmed with histopathology which is the gold standard for diagnosis. Objective: The aim of the study was to evaluate the various swellings in the neck and to compare the findings of FNAC and HPE . Material and Methods: The study is a prospective study conducted over a period of two years from January 2016 to January 2018 in the Department of ENT and Department of Pathology in Bundelkhand Medical College Sagar M.P. The study involved 100 cases of patients with neck swellings who attended ENT OPD and gave consent for both FNAC and biopsy or excision biopsy and HPE. Results : The overall accuracy of FNAC in diagnosing neck swellings is similar to that of HPE. Conclusion: FNAC is an important preoperative tool in the diagnosis of various neck swellings of the neck and is recommended as the first line of investigation in various neck swellings. The sensitivity, and specificity of FNAC in differentiating benign from malignant lesions in the present study was 100% [86.7% to 100%] and 100% [94.7% to 100%] respectively Positive predictive value and Negative predictive value of FNAC in detecting malignancy were both 100% [86.7% to 100%] and 100% [94.7% to 100]respectively. Interrater reliability using Kappa was measured between FNAC and Histopathology and a statistically significant measure of agreement was found (k=0.636,p<0.05).","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"38 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":"123684277","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.i02.03
N. Shukla, Rakesh Kumar Giri, Varuni Sharma
Background: Chronic Suppurative Otitis Media (CSOM) is a significant cause of preventable hearing loss. Global emergence of resistant strains is of great concern. The aim of the present study was to assess the accuracy and predictive value of computed tomography in diagnosis of unsafe chronic suppurative otitis media. Methods: Aprospective, analytical study was conducted among 90 patients with complaint of unsafe chronic suppurative otitis media which were randomly selected from outpatient Department of Otorhinolaryngology at Subharti Medical College, Dehradun, Uttarakhand. The patients comprised of both males as well as females and also of different age groups. Results: Out of 90 patients, 61(67.22%) were males followed by 29 (32.22%) females. The minimum age of patient in the study was of 8years and the maximum age of patient in study of 50 years. Maximum number of patients belonged to the age group of 11-20 (50%). The mean age in this study was 23 years. Among study subjects, 32 (35.55%) cases had conductive hearing loss, 11 (12.22%) cases had sensorineural type, 40 (44.44%) had mixed type and 7 (7.77%) had no response. In this study, sensitivity, specificity, positive predictive value, negative predictive value was calculated of computed tomography findings as compared to preoperative findings. The sensitivity of HRCT for mastoid was 100%, visualization malleus was 94.11%, incus was also 62.31%, stapes was 47.22% and facial N dehiscent and intact was 44.82%. Similarly, the specificity of CT scan for mastoid was 83.33%, malleus was 92.85%, incus was 61.90%, stapes erosion was 37.03% and facial N dehiscent was 96.72%. Conclusion: The present study was concluded that computed tomography can accurately image the findings in unsafe chronic suppurative otitis media and represents a major advance in the diagnostic imaging of this disease.
{"title":"Diagnosis of unsafe chronic suppurative otitis media using computed tomography through predictive value assessments","authors":"N. Shukla, Rakesh Kumar Giri, Varuni Sharma","doi":"10.17511/jooo.2019.i02.03","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.03","url":null,"abstract":"Background: Chronic Suppurative Otitis Media (CSOM) is a significant cause of preventable hearing loss. Global emergence of resistant strains is of great concern. The aim of the present study was to assess the accuracy and predictive value of computed tomography in diagnosis of unsafe chronic suppurative otitis media. Methods: Aprospective, analytical study was conducted among 90 patients with complaint of unsafe chronic suppurative otitis media which were randomly selected from outpatient Department of Otorhinolaryngology at Subharti Medical College, Dehradun, Uttarakhand. The patients comprised of both males as well as females and also of different age groups. Results: Out of 90 patients, 61(67.22%) were males followed by 29 (32.22%) females. The minimum age of patient in the study was of 8years and the maximum age of patient in study of 50 years. Maximum number of patients belonged to the age group of 11-20 (50%). The mean age in this study was 23 years. Among study subjects, 32 (35.55%) cases had conductive hearing loss, 11 (12.22%) cases had sensorineural type, 40 (44.44%) had mixed type and 7 (7.77%) had no response. In this study, sensitivity, specificity, positive predictive value, negative predictive value was calculated of computed tomography findings as compared to preoperative findings. The sensitivity of HRCT for mastoid was 100%, visualization malleus was 94.11%, incus was also 62.31%, stapes was 47.22% and facial N dehiscent and intact was 44.82%. Similarly, the specificity of CT scan for mastoid was 83.33%, malleus was 92.85%, incus was 61.90%, stapes erosion was 37.03% and facial N dehiscent was 96.72%. Conclusion: The present study was concluded that computed tomography can accurately image the findings in unsafe chronic suppurative otitis media and represents a major advance in the diagnostic imaging of this disease.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"13 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":"124062737","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.i02.06
S. Rajamani, Vinod Choudhary, D. Mogre
Introduction: Early identification of hearing impairment in childhood is imperative, as even a mild hearing loss can have long term consequence on the development of the Central Nervous System. Many children develop transient, fluctuant deafness due to Middle ear effusion, especially during episodes of Common cold. In this research we try to develop a Screening protocol using Impedance Audiometry for early identification of Middle ear effusions. Materials and Methods: Children between 7 months to 6 years of ages, with no previous history of hearing impairment or ear disease, who were suffering from Upper respiratory tract infection (Common cold) were selected as targets of screening. These children were then subjected to a Screening Tympanometry. A simple, quick and accurate method of screening for Middle ear fluid was “Peak” or “No peak” approach was employed to judge the curves. If a curve was obtained (similar to Jerger's classification-type “A”) child was deemed to have “Pass”. A type “B” curve was deemed highly positive and was labelled “Fail+” and any other trace like type “C” or just reduced type “A” or “As” labelled just “Fail”. Otoscopic and endoscopic examination and diligent search was carried out for signs of Middle ear effusion and confirmation was done. This was cross checked by 2 authors (First and third author) and findings confirmed. Results: Dervan child screening protocol is 91.67% (92%) sensitive and 94.23 (94%) specific is detection of Middle ear effusions. Conclusion: Dervan child Middle ear effusion protocol can be used in a cost efficient, scalable and sustainable method of screening children for Middle ear effusion. Tympanometry in selected high risk population is an accurate and reliable test for detection of Middle ear effusion
{"title":"Tympanometric screening for Otitis media of paediatric patients with respiratory tract infection in rural setting a prospective observational study","authors":"S. Rajamani, Vinod Choudhary, D. Mogre","doi":"10.17511/jooo.2019.i02.06","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.06","url":null,"abstract":"Introduction: Early identification of hearing impairment in childhood is imperative, as even a mild hearing loss can have long term consequence on the development of the Central Nervous System. Many children develop transient, fluctuant deafness due to Middle ear effusion, especially during episodes of Common cold. In this research we try to develop a Screening protocol using Impedance Audiometry for early identification of Middle ear effusions. Materials and Methods: Children between 7 months to 6 years of ages, with no previous history of hearing impairment or ear disease, who were suffering from Upper respiratory tract infection (Common cold) were selected as targets of screening. These children were then subjected to a Screening Tympanometry. A simple, quick and accurate method of screening for Middle ear fluid was “Peak” or “No peak” approach was employed to judge the curves. If a curve was obtained (similar to Jerger's classification-type “A”) child was deemed to have “Pass”. A type “B” curve was deemed highly positive and was labelled “Fail+” and any other trace like type “C” or just reduced type “A” or “As” labelled just “Fail”. Otoscopic and endoscopic examination and diligent search was carried out for signs of Middle ear effusion and confirmation was done. This was cross checked by 2 authors (First and third author) and findings confirmed. Results: Dervan child screening protocol is 91.67% (92%) sensitive and 94.23 (94%) specific is detection of Middle ear effusions. Conclusion: Dervan child Middle ear effusion protocol can be used in a cost efficient, scalable and sustainable method of screening children for Middle ear effusion. Tympanometry in selected high risk population is an accurate and reliable test for detection of Middle ear effusion","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"2677 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":"130659650","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.i02.07
Dr. Rajiv Kumar Saxena, Dr. Hemendra Bamaniya, Dr. H.S. Bhuie
Objective: The present study was carried out to evaluate the role of nasal douching in the treatment of allergic rhinitis using daily allergic rhinitis symptom score. Material & Methods: 120 patients of chronic allergic rhinitis who attended otorhinolaryngology outdoor of Ananta Institute of Medical Sciences, Rajsamand, Rajasthan were included in the study. patients were divided into two equal groups viz. group A (n=60) in which patients were treated with antihistamincs, leukotriene receptor antagonists and intranasal steroid sprays and group B (n=60) in which isotonic saline nasal douching was advised to the patients three times a day as an adjunctive to the medical treatment. Patients were followed up after 2 week and 4 weeks. Mean daily allergic rhinitis symptom score were calculated at each follow up and compared between the two groups. Results: out of 120 patients, 63 were male and 57 were female. Age of the patients ranges from 20 to 60 years with the mean age of 36.5 years. Mean daily rhinitis scores of group A and group B were 14.6±1.6 and 14.3±2.0 respectively (p value3.661) which was reduced to 8.9±2.1 and 7.1±1.8 respectively and the difference was found to be statistically significant ( p value <0.0001). At 4th week follow up, the scores of were further reduced to 3.8±1.7 and 2.2±0.9 respectively and the difference was found to be statistically significant (p value <0.0001). Conclusion: Nasal douching is an effective method to manage symptoms of allergic rhinitis when used along with other medical treatment including intranasal steroids, antihistaminics and leukotriene receptor antagonists.
{"title":"Role of nasal douching in chronic allergic rhinitis","authors":"Dr. Rajiv Kumar Saxena, Dr. Hemendra Bamaniya, Dr. H.S. Bhuie","doi":"10.17511/jooo.2019.i02.07","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.07","url":null,"abstract":"Objective: The present study was carried out to evaluate the role of nasal douching in the treatment of allergic rhinitis using daily allergic rhinitis symptom score. Material & Methods: 120 patients of chronic allergic rhinitis who attended otorhinolaryngology outdoor of Ananta Institute of Medical Sciences, Rajsamand, Rajasthan were included in the study. patients were divided into two equal groups viz. group A (n=60) in which patients were treated with antihistamincs, leukotriene receptor antagonists and intranasal steroid sprays and group B (n=60) in which isotonic saline nasal douching was advised to the patients three times a day as an adjunctive to the medical treatment. Patients were followed up after 2 week and 4 weeks. Mean daily allergic rhinitis symptom score were calculated at each follow up and compared between the two groups. Results: out of 120 patients, 63 were male and 57 were female. Age of the patients ranges from 20 to 60 years with the mean age of 36.5 years. Mean daily rhinitis scores of group A and group B were 14.6±1.6 and 14.3±2.0 respectively (p value3.661) which was reduced to 8.9±2.1 and 7.1±1.8 respectively and the difference was found to be statistically significant ( p value <0.0001). At 4th week follow up, the scores of were further reduced to 3.8±1.7 and 2.2±0.9 respectively and the difference was found to be statistically significant (p value <0.0001). Conclusion: Nasal douching is an effective method to manage symptoms of allergic rhinitis when used along with other medical treatment including intranasal steroids, antihistaminics and leukotriene receptor antagonists.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"38 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":"116682679","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.i02.01
Ashwani Meherda, Subhabrata Parida, D. Choudhury, N. Dash, Akbar MehfuzAlam
Objective:To find out outcome following single intravitreal injection of ranibizumab in branch retinal vein occlusion (BRVO) patients in a government hospital in the capital of Odisha. Methods: This study was a prospective interventional study of 18 months duration, done from August 2017 to February 2019 which included 21 cases of BRVO. Thorough history was taken and detail ophthalmological evaluation was done. Best corrected visual acuity (BCVA) was examined with Snellen’s chart and central macular thickness (CMT) was measured using optical coherence tomography (OCT). Routine blood tests were done. Intravitreal injection of ranibizumab 0.5 mg in 0.05 ml was given. BCVA and CMT was measured at 1 day, 1 week, 1 month and 3 months follow up visit. Results: Mean age was 55.29 ± 16.86 yrs. Male: female ratio was 3.2:1. 33. About 3% patients presented within 1 month of onset of symptoms. Diastolic blood pressure of ≥ 90 was found in 81% patients. 90.5% showed improvement at 1 week post-operatively.At post-operative day 1 CMT was significantly decreased (p= 0.0011). Reduction in mean CMT at post-operative day 7 was >270 µ. Conclusion: Single intravitreal injection of ranibizumab 0.5 mg in 0.05 mlcauses significant increase in vision and significant reduction of central macular thickness in patients with branch retinal vein occlusion.
{"title":"Outcome following single intravitreal injection of ranibizumab in branch retinal vein occlusion patients: a single centre experience","authors":"Ashwani Meherda, Subhabrata Parida, D. Choudhury, N. Dash, Akbar MehfuzAlam","doi":"10.17511/jooo.2019.i02.01","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.01","url":null,"abstract":"Objective:To find out outcome following single intravitreal injection of ranibizumab in branch retinal vein occlusion (BRVO) patients in a government hospital in the capital of Odisha. \u0000Methods: This study was a prospective interventional study of 18 months duration, done from August 2017 to February 2019 which included 21 cases of BRVO. Thorough history was taken and detail ophthalmological evaluation was done. Best corrected visual acuity (BCVA) was examined with Snellen’s chart and central macular thickness (CMT) was measured using optical coherence tomography (OCT). Routine blood tests were done. Intravitreal injection of ranibizumab 0.5 mg in 0.05 ml was given. BCVA and CMT was measured at 1 day, 1 week, 1 month and 3 months follow up visit. \u0000Results: Mean age was 55.29 ± 16.86 yrs. Male: female ratio was 3.2:1. 33. About 3% patients presented within 1 month of onset of symptoms. Diastolic blood pressure of ≥ 90 was found in 81% patients. 90.5% showed improvement at 1 week post-operatively.At post-operative day 1 CMT was significantly decreased (p= 0.0011). Reduction in mean CMT at post-operative day 7 was >270 µ. \u0000Conclusion: Single intravitreal injection of ranibizumab 0.5 mg in 0.05 mlcauses significant increase in vision and significant reduction of central macular thickness in patients with branch retinal vein occlusion.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"10 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":"130466492","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.i02.19
R. Dudda, Yogesh Bandiahanapalya Narasappa, M. Prasad, N. K. Balaji, Sowmya Tumkur Rangaiah
Salivary glands tumours are rare, representing a wide variety of benign and malignant histologic subtypes, consisting of a group of heterogeneous lesions with complex clinico-pathological characteristics and distinct biological behaviours. Among salivary gland tumours incidence of pleomorphic adenoma in submandibular gland is 5-10% of the cases. We report a case of 13 year oldmale patient who presented with a swelling in left submandibular region since 3 months. On clinical examination he was found to have a 3x3cm solitary non tender firm swelling palpable in left submandibular triangle. Remaining ENT examination clinically unremarkable. Ultrasonography of neck showed Hetero echoic lesion of about 3.0x3.5cm size in left submandibular gland with mild increased vascularity. Similar findings were noted in computed tomography of neck. Fine needle aspiration cytology of swelling showed features suggestive of Pleomorphic adenoma of submandibular gland. Patient underwent excision along with submandibular gland under general anaesthesia and post operative period procedure was uneventful. Histopathology of excised specimen was consistent with pleomorphic adenoma. Patient is on regular follow up with no post operative complications.
{"title":"Paediatric pleomorphic adenoma of sub mandibular gland – a uncommon occurrence","authors":"R. Dudda, Yogesh Bandiahanapalya Narasappa, M. Prasad, N. K. Balaji, Sowmya Tumkur Rangaiah","doi":"10.17511/jooo.2019.i02.19","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.19","url":null,"abstract":"Salivary glands tumours are rare, representing a wide variety of benign and malignant histologic subtypes, consisting of a group of heterogeneous lesions with complex clinico-pathological characteristics and distinct biological behaviours. Among salivary gland tumours incidence of pleomorphic adenoma in submandibular gland is 5-10% of the cases. We report a case of 13 year oldmale patient who presented with a swelling in left submandibular region since 3 months. On clinical examination he was found to have a 3x3cm solitary non tender firm swelling palpable in left submandibular triangle. Remaining ENT examination clinically unremarkable. Ultrasonography of neck showed Hetero echoic lesion of about 3.0x3.5cm size in left submandibular gland with mild increased vascularity. Similar findings were noted in computed tomography of neck. Fine needle aspiration cytology of swelling showed features suggestive of Pleomorphic adenoma of submandibular gland. Patient underwent excision along with submandibular gland under general anaesthesia and post operative period procedure was uneventful. Histopathology of excised specimen was consistent with pleomorphic adenoma. Patient is on regular follow up with no post operative complications.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"28 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":"133279650","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.i02.12
Aditi Dubey, S. S. Kubrey, Kavita Kumar
Objective: To study the clinical profile & visual outcome of ocular chemical injuries. Material & Method: The cases of ocular chemical injury were included in the study. Detailed history of the patients was taken pertaining to the injury. The ocular examination was performed visual acuity was recorded by using Snellen’s test type Chart. A thorough examination was carried out on slit-lamp, direct & indirect ophthalmoscope. Clinical grading was done by Roper Hall Classification. Other ocular investigations were done when required. Results: The present study included 64 eyes of 54 patients, of which 80% (43) were male and 20% (11) females. The mean age was 22 ±13 yrs. higher prevalence 66% of chemical ocular injury was seen in lower socioeconomic group. Alkali injuries (66%) were more common than acid injuries (34%). Calcium carbonate (lime) 31% was the most common etiological agent. Most chemical injuries were unilateral 81% Maximum no. of patients belongs to grade I (48%) and minimum in grade IV (8%). In grade I chemical injury, most patients were presented with visual acuity better than 6/12. The final visual acuity is dependent on the initial grading and vision, higher the grade lesser are the chances of significant visual improvement. Conclusion: Presenting visual acuity is an important prognostic factor. Lower grades of injury had better final visual outcome. Grade III and grade IV alkali injuries are more severe injuries than acids.
{"title":"Clinical profile & visual outcome in ocular chemical injury","authors":"Aditi Dubey, S. S. Kubrey, Kavita Kumar","doi":"10.17511/jooo.2019.i02.12","DOIUrl":"https://doi.org/10.17511/jooo.2019.i02.12","url":null,"abstract":"Objective: To study the clinical profile & visual outcome of ocular chemical injuries. Material & Method: The cases of ocular chemical injury were included in the study. Detailed history of the patients was taken pertaining to the injury. The ocular examination was performed visual acuity was recorded by using Snellen’s test type Chart. A thorough examination was carried out on slit-lamp, direct & indirect ophthalmoscope. Clinical grading was done by Roper Hall Classification. Other ocular investigations were done when required. Results: The present study included 64 eyes of 54 patients, of which 80% (43) were male and 20% (11) females. The mean age was 22 ±13 yrs. higher prevalence 66% of chemical ocular injury was seen in lower socioeconomic group. Alkali injuries (66%) were more common than acid injuries (34%). Calcium carbonate (lime) 31% was the most common etiological agent. Most chemical injuries were unilateral 81% Maximum no. of patients belongs to grade I (48%) and minimum in grade IV (8%). In grade I chemical injury, most patients were presented with visual acuity better than 6/12. The final visual acuity is dependent on the initial grading and vision, higher the grade lesser are the chances of significant visual improvement. Conclusion: Presenting visual acuity is an important prognostic factor. Lower grades of injury had better final visual outcome. Grade III and grade IV alkali injuries are more severe injuries than acids.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"45 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113975533","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 : 2019-03-31DOI: 10.17511/jooo.2019.i01.08
N. Khanna, J. Anitha
Introduction: Open angle Glaucoma is one of the causes of blindness in diabetic patients. Whether diabetes is a risk factor for angle closure glaucoma also is less thoroughly studied. Objectives: To assess the angle of anterior chamber in patients with type 2 diabetes mellitus. Materials and Method: 125 patients (250 eyes) who met the inclusion criteria were taken up for the study. Patients of both sexes and more than 40 years of age with Type 2 Diabetes Mellitus who do not come under the exclusion criteria were included. Results: In subjects with duration of diabetes <5 years, Grade 4 angle was found in 47.41% of eyes which was comparatively more than the other grades. When the duration of Diabetes was 5-10 years, 40% of the eyes had Grade 4 angle and 37.27% had Grade 3 angle. In subjects with >10 years duration of diabetes, 33.33% had Grade 3 angle. Grade 2 and Grade 4 angles were of equal distribution with 29.16% and Grade 1 was found to be less. The association of Grade 1 and Grade 3 angle with severe non-proliferative diabetic retinopathy was found to be statistically significant. Whereas, in patients with mild diabetic retinopathy and in moderate nonproliferative diabetic retinopathy Grade 4 angle is statistically significant. Conclusion: This study thus concludes the grade of angle of the anterior chamber decreases as the diabetic retinopathy advances.
{"title":"Study of angle of anterior chamber in patients with Type 2 Diabetes Mellitus","authors":"N. Khanna, J. Anitha","doi":"10.17511/jooo.2019.i01.08","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.08","url":null,"abstract":"Introduction: Open angle Glaucoma is one of the causes of blindness in diabetic patients. Whether diabetes is a risk factor for angle closure glaucoma also is less thoroughly studied. Objectives: To assess the angle of anterior chamber in patients with type 2 diabetes mellitus. Materials and Method: 125 patients (250 eyes) who met the inclusion criteria were taken up for the study. Patients of both sexes and more than 40 years of age with Type 2 Diabetes Mellitus who do not come under the exclusion criteria were included. Results: In subjects with duration of diabetes <5 years, Grade 4 angle was found in 47.41% of eyes which was comparatively more than the other grades. When the duration of Diabetes was 5-10 years, 40% of the eyes had Grade 4 angle and 37.27% had Grade 3 angle. In subjects with >10 years duration of diabetes, 33.33% had Grade 3 angle. Grade 2 and Grade 4 angles were of equal distribution with 29.16% and Grade 1 was found to be less. The association of Grade 1 and Grade 3 angle with severe non-proliferative diabetic retinopathy was found to be statistically significant. Whereas, in patients with mild diabetic retinopathy and in moderate nonproliferative diabetic retinopathy Grade 4 angle is statistically significant. Conclusion: This study thus concludes the grade of angle of the anterior chamber decreases as the diabetic retinopathy advances.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128790765","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 : 2019-03-31DOI: 10.17511/jooo.2019.i01.02
R. Goswami, A. Gangwani, Devendra Goswami, Pranjal Shrivastav
Introduction: Tubercular lymphadenitis is the most common form of extrapulmonary tuberculosis. Tubercular lymphadenopathy can progress to abscess and fistula formation. Further during the course of treatment paradoxical upgrading reaction of lymphnodes like appearance of new lymphnodes and sinus formation can occur. Objective: The aim of the study was to evaluate the role of repeated aspirations as an adjunct to ATT in the treatment of tubercular lymphadenitis presenting with abscess. Material and Methods: The study involved 180 cases of cervical lymphadenopathy who presented in the ENToutpatient Department of Bundelkhand Medical College Sagar between Jan 2016 to Sep 2017. 102 cases were diagnosed by FNAC and 3 cases were diagnosed by excision biopsy as tubercular lymphadenitis. Only new cases of were included Out of the 105 cases of diagnosed with tubercular lymphadenitis 15 cases presented with cold abscess initially. All thepatients were started onanti-tubercular treatment. 10 cases developed abscess during the course of treatment. All cases presenting with abscess were subjected to repeated aspiration biweekly. Results: All cases of tubercular lymphadenitis and abscess showed complete recovery with 6 months of treatment. Conclusion:Repeated aspirations in cold abscess as an adjuvant to ATT is a less invasive procedure than surgical excision and reduces the complications like sinus formation. Close supervision by the ENT specialist is mandatory during the course of medical treatment to combat paradoxical upgrading reactions especially abscess formation.
{"title":"The role of repeated aspirations in the treatment of tubercular cervical lymphadenitis","authors":"R. Goswami, A. Gangwani, Devendra Goswami, Pranjal Shrivastav","doi":"10.17511/jooo.2019.i01.02","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.02","url":null,"abstract":"Introduction: Tubercular lymphadenitis is the most common form of extrapulmonary tuberculosis. Tubercular lymphadenopathy can progress to abscess and fistula formation. Further during the course of treatment paradoxical upgrading reaction of lymphnodes like appearance of new lymphnodes and sinus formation can occur. Objective: The aim of the study was to evaluate the role of repeated aspirations as an adjunct to ATT in the treatment of tubercular lymphadenitis presenting with abscess. Material and Methods: The study involved 180 cases of cervical lymphadenopathy who presented in the ENToutpatient Department of Bundelkhand Medical College Sagar between Jan 2016 to Sep 2017. 102 cases were diagnosed by FNAC and 3 cases were diagnosed by excision biopsy as tubercular lymphadenitis. Only new cases of were included Out of the 105 cases of diagnosed with tubercular lymphadenitis 15 cases presented with cold abscess initially. All thepatients were started onanti-tubercular treatment. 10 cases developed abscess during the course of treatment. All cases presenting with abscess were subjected to repeated aspiration biweekly. Results: All cases of tubercular lymphadenitis and abscess showed complete recovery with 6 months of treatment. Conclusion:Repeated aspirations in cold abscess as an adjuvant to ATT is a less invasive procedure than surgical excision and reduces the complications like sinus formation. Close supervision by the ENT specialist is mandatory during the course of medical treatment to combat paradoxical upgrading reactions especially abscess formation.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126482522","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 : 2019-03-31DOI: 10.17511/jooo.2019.i01.04
Ganeshbala Arivazhagan, S. Govindaraj, Dr.Harishvel, G. Babu
Aim: To analyse the post operative outcome in patients with CSOM – Atticoantral type and compare the outcomes in terms of disease clearance and improvement in hearing. Material and Methods: 50 Patients who were diagnosed as Chronic Suppurative otitis Media of Attico-antral type, detailed history & clinical examination and investigations were performed. Per-operative findings (status of ossicles, middle ear, antrum, mastoid), Post operative follow up (1, 3 and 6 months)disease clearance and hearing status was done. Results: Out of total 50 patients, Canal Wall Down Procedures (Modified radical mastoidectomy with Tympanoplasty) had a good success rate in disease clearance when compared with Canal Wall Up Procedures (Cortical Mastoidectomy/ Atticotomy With Tympanoplasty). Irrespective of canal wall up (or) canal wall down procedures, Type II Tympanoplasty show better results of hearing improvement when compared to other surgical procedures. Conclusion: In our study, postoperative surgical outcome were statistically analyzed using Chi square test, in which Canal wall down procedures showed good result in terms of disease clearance and Type II tympanoplasty showed good result in terms of hearing improvement.
{"title":"Prospective study of treatment outcome in chronic suppurative otitis media (Attico - antral Disease)","authors":"Ganeshbala Arivazhagan, S. Govindaraj, Dr.Harishvel, G. Babu","doi":"10.17511/jooo.2019.i01.04","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.04","url":null,"abstract":"Aim: To analyse the post operative outcome in patients with CSOM – Atticoantral type and compare the outcomes in terms of disease clearance and improvement in hearing. Material and Methods: 50 Patients who were diagnosed as Chronic Suppurative otitis Media of Attico-antral type, detailed history & clinical examination and investigations were performed. Per-operative findings (status of ossicles, middle ear, antrum, mastoid), Post operative follow up (1, 3 and 6 months)disease clearance and hearing status was done. Results: Out of total 50 patients, Canal Wall Down Procedures (Modified radical mastoidectomy with Tympanoplasty) had a good success rate in disease clearance when compared with Canal Wall Up Procedures (Cortical Mastoidectomy/ Atticotomy With Tympanoplasty). Irrespective of canal wall up (or) canal wall down procedures, Type II Tympanoplasty show better results of hearing improvement when compared to other surgical procedures. Conclusion: In our study, postoperative surgical outcome were statistically analyzed using Chi square test, in which Canal wall down procedures showed good result in terms of disease clearance and Type II tympanoplasty showed good result in terms of hearing improvement.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128061774","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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