Pub Date : 2023-12-15DOI: 10.18231/j.ijceo.2023.116
Snehal Mahadik, Z. S. Saifee, Ayushi Neema
To evaluate the surgical outcome of use of autologous blood as an adhesive agent in pterygium excision with conjunctival auto-grafting. To observe the effectiveness of autologous blood adherence on the scleral bed and to know whether autologous blood technique can be made as a standard procedure in pterygium surgery or not.The present study is a retrospective observational study. The records of 94 cases of primary pterygium surgery done during August 2022- January 2023 were taken. All patients underwent comprehensive ocular examination pertinent to the disease. Pterygium was dissected and remaining subconjunctival pterygium tissue was separated and excised. The conjunctival limbal auto-graft was taken secured in place by autologous blood and dressing done. Follow-up was done on second post operative day,1st week and 1 month. The study displayed excellent surgical outcome with minimal post operative complications, which too resolved in a week. The most common complication was subconjunctival hemorrhage in 38 cases followed by graft edema in 32 cases. Though graft displacement was observed in 4 cases, they were later rearranged successfully. We did not observe even a single graft loss in our study.Pterygium excision with conjunctival auto-grafting with autologous blood is very safe, less time consuming, easy to perform with less learning curve, economical with excellent postoperative outcome and most importantly more patient satisfaction, thus, making it equivalent to or rather superior to other comparable procedures.
{"title":"Evaluating surgical outcome of pterygium excision with conjunctival autograft using autologous blood: Can it be a new norm?","authors":"Snehal Mahadik, Z. S. Saifee, Ayushi Neema","doi":"10.18231/j.ijceo.2023.116","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.116","url":null,"abstract":"To evaluate the surgical outcome of use of autologous blood as an adhesive agent in pterygium excision with conjunctival auto-grafting. To observe the effectiveness of autologous blood adherence on the scleral bed and to know whether autologous blood technique can be made as a standard procedure in pterygium surgery or not.The present study is a retrospective observational study. The records of 94 cases of primary pterygium surgery done during August 2022- January 2023 were taken. All patients underwent comprehensive ocular examination pertinent to the disease. Pterygium was dissected and remaining subconjunctival pterygium tissue was separated and excised. The conjunctival limbal auto-graft was taken secured in place by autologous blood and dressing done. Follow-up was done on second post operative day,1st week and 1 month. The study displayed excellent surgical outcome with minimal post operative complications, which too resolved in a week. The most common complication was subconjunctival hemorrhage in 38 cases followed by graft edema in 32 cases. Though graft displacement was observed in 4 cases, they were later rearranged successfully. We did not observe even a single graft loss in our study.Pterygium excision with conjunctival auto-grafting with autologous blood is very safe, less time consuming, easy to perform with less learning curve, economical with excellent postoperative outcome and most importantly more patient satisfaction, thus, making it equivalent to or rather superior to other comparable procedures.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177408","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 : 2023-12-15DOI: 10.18231/j.ijceo.2023.096
S. Kadir, R. P. Maurya, S. M. Noman, Tanima Roy
The goal is to assess the effectiveness and safety of trabeculectomy with collagen implants for glaucoma patients who cannot be managed medically. This research is a case series that intervenes without randomization and focuses on potential outcomes. The study consisted of 76 treated eyes of 76 patients with uncontrollable glaucoma. A thorough examination of the eyes was performed on all patients, and the results were documented. Each patient underwent conventional trabeculectomy surgery using the fornix-based approach. Additionally, a subconjunctival collagen implant known as Ologen was also utilized. We recorded preoperative data such as age, gender, best-corrected visual acuity, intraocular pressure, glaucoma type, and a few preoperative antiglaucoma medications. We recorded the intraocular pressure after surgery, the number of glaucoma medications given after surgery, and any complications that occurred during the postoperative period. Each patient was monitored for a minimum of six months. Before the operation, the average intraocular pressure (IOP) was 34.21 ± 12.5, and the patient took at least two IOP-lowering medications (average 2.3). The postoperative IOP was measured after three months and found to be 13.85±5.42mm Hg, with a p-value of 0.060. On average, the blood pressure decreased by 16.42±6.42 mmHg after six months, with a p-value of 0.056. After six months, it was observed that the medication significantly reduced 1.22 in intraocular pressure (P=<0.001), leading to a notable decrease of 17.79 mmHg. The success rate stood at a commendable 97.36% at the three-month mark, but it reduced to an alarming 88.15% by the last visit. Within just one month after the operation, several complications arose, including three cases of hyphaema, one case of the shallow anterior chamber, and two cases of wound leak. All patients showed gradual improvement with conservative management. However, three of them developed cataracts within three months. For patients who have not responded to topical antiglaucoma medications, to manage intraocular pressure is a dependable and safe surgical procedure that offers an efficient treatment option.
{"title":"Trabeculectomy with collagen implant for the treatment of glaucoma","authors":"S. Kadir, R. P. Maurya, S. M. Noman, Tanima Roy","doi":"10.18231/j.ijceo.2023.096","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.096","url":null,"abstract":"The goal is to assess the effectiveness and safety of trabeculectomy with collagen implants for glaucoma patients who cannot be managed medically. This research is a case series that intervenes without randomization and focuses on potential outcomes. The study consisted of 76 treated eyes of 76 patients with uncontrollable glaucoma. A thorough examination of the eyes was performed on all patients, and the results were documented. Each patient underwent conventional trabeculectomy surgery using the fornix-based approach. Additionally, a subconjunctival collagen implant known as Ologen was also utilized. We recorded preoperative data such as age, gender, best-corrected visual acuity, intraocular pressure, glaucoma type, and a few preoperative antiglaucoma medications. We recorded the intraocular pressure after surgery, the number of glaucoma medications given after surgery, and any complications that occurred during the postoperative period. Each patient was monitored for a minimum of six months. Before the operation, the average intraocular pressure (IOP) was 34.21 ± 12.5, and the patient took at least two IOP-lowering medications (average 2.3). The postoperative IOP was measured after three months and found to be 13.85±5.42mm Hg, with a p-value of 0.060. On average, the blood pressure decreased by 16.42±6.42 mmHg after six months, with a p-value of 0.056. After six months, it was observed that the medication significantly reduced 1.22 in intraocular pressure (P=<0.001), leading to a notable decrease of 17.79 mmHg. The success rate stood at a commendable 97.36% at the three-month mark, but it reduced to an alarming 88.15% by the last visit. Within just one month after the operation, several complications arose, including three cases of hyphaema, one case of the shallow anterior chamber, and two cases of wound leak. All patients showed gradual improvement with conservative management. However, three of them developed cataracts within three months. For patients who have not responded to topical antiglaucoma medications, to manage intraocular pressure is a dependable and safe surgical procedure that offers an efficient treatment option.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177642","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}
Aim of this study was to assess the different difficulties North Karnataka's ophthalmologists encountered during the COVID-19 pandemic. A online questionnaire was prepared to evaluate the various difficulties faced by the ophthalmologists following the lockdown period in their respective practice areas. Data was collected from the responding ophthalmologists on Google forms and analyzed using SPSS software. A total number of 160 responses were obtained. Most of them (32.59%) were in the age group 40–50 years and were working in private practice (35%). 78.12% of ophthalmologists returned to performing surgical procedures after a gap of more than a month post-lockdown. 38.12% of the participants reported a decrease in their surgical workload of more than 90% within this time frame. Significant fear of getting infected with COVID-19 in the operation theatres was reported. 65.65% of participants used N-95 masks while working. Revenue generation was affected significantly during this lockdown. : It is quite evident that the eye care practitioners have been affected significantly, with patient and staff safety being the major concerns.
{"title":"Challenges faced by ophthalmologists during COVID-19 era","authors":"Prajwalli Reddy, Sumeet Deshpande, Shreya Mishra, Swathy Reddy, Zeba Fatima","doi":"10.18231/j.ijceo.2023.109","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.109","url":null,"abstract":"Aim of this study was to assess the different difficulties North Karnataka's ophthalmologists encountered during the COVID-19 pandemic. A online questionnaire was prepared to evaluate the various difficulties faced by the ophthalmologists following the lockdown period in their respective practice areas. Data was collected from the responding ophthalmologists on Google forms and analyzed using SPSS software. A total number of 160 responses were obtained. Most of them (32.59%) were in the age group 40–50 years and were working in private practice (35%). 78.12% of ophthalmologists returned to performing surgical procedures after a gap of more than a month post-lockdown. 38.12% of the participants reported a decrease in their surgical workload of more than 90% within this time frame. Significant fear of getting infected with COVID-19 in the operation theatres was reported. 65.65% of participants used N-95 masks while working. Revenue generation was affected significantly during this lockdown. : It is quite evident that the eye care practitioners have been affected significantly, with patient and staff safety being the major concerns.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"59 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139178975","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 : 2023-12-15DOI: 10.18231/j.ijceo.2023.107
Amari V Hun, Shivani B Jariwala
The study aimed to estimate the level of stereoacuity in medical undergraduate students, factors associated with reduced stereoacuity, and time taken to interpret plates. Cross-sectional study was done at the Medical College of South Gujarat from April 2021 to June 2022, enrolling 400 consenting students. Detailed ocular history was taken; best corrected visual acuity was assessed for distance and near after cycloplegic refraction for cases with subnormal visual acuity and power of glasses documented. Level of Stereopsis was assessed using TNO random dot stereoacuity chart and time taken to read plates 1 and 5 was recorded. Data were entered and appropriate statistical tests were applied. Out of 400 students, 64.25% had a refractive error. Simple myopia was most prevalent refractive error (43.25%), followed by compound myopic astigmatism (19.5%). Seven students had anisometropic amblyopia and two had strabismic amblyopia. 19.75% cases had subnormal stereopsis. Among them, 10.25% cases had simple myopia, 7.25% had high compound myopic astigmatism, 1.75% had anisometropic amblyopia and 0.5% cases had strabismic amblyopia. Average time taken by emmetrope to read plate 1 and plate 5 was 13.93 ± 14.03 and 19.03 ± 20.66 respectively and for cases with refractive errors, time taken was 17.59 ± 13.95 and 27.83 ± 20.77 respectively. This was statistically significant (P <0.05). Most of the students had good stereoacuity as they were already wearing refractive correction. Commonest cause of subnormal stereopsis ware simple myopia, compound myopic astigmatism and amblyopia. Time taken to read the plates is more for refractive error as compared to emmetropes.
{"title":"Assessment of stereoacuity (3D vision) using TNO random dot stereo acuity chart in medical undergraduate students: A cross-sectional study","authors":"Amari V Hun, Shivani B Jariwala","doi":"10.18231/j.ijceo.2023.107","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.107","url":null,"abstract":"The study aimed to estimate the level of stereoacuity in medical undergraduate students, factors associated with reduced stereoacuity, and time taken to interpret plates. Cross-sectional study was done at the Medical College of South Gujarat from April 2021 to June 2022, enrolling 400 consenting students. Detailed ocular history was taken; best corrected visual acuity was assessed for distance and near after cycloplegic refraction for cases with subnormal visual acuity and power of glasses documented. Level of Stereopsis was assessed using TNO random dot stereoacuity chart and time taken to read plates 1 and 5 was recorded. Data were entered and appropriate statistical tests were applied. Out of 400 students, 64.25% had a refractive error. Simple myopia was most prevalent refractive error (43.25%), followed by compound myopic astigmatism (19.5%). Seven students had anisometropic amblyopia and two had strabismic amblyopia. 19.75% cases had subnormal stereopsis. Among them, 10.25% cases had simple myopia, 7.25% had high compound myopic astigmatism, 1.75% had anisometropic amblyopia and 0.5% cases had strabismic amblyopia. Average time taken by emmetrope to read plate 1 and plate 5 was 13.93 ± 14.03 and 19.03 ± 20.66 respectively and for cases with refractive errors, time taken was 17.59 ± 13.95 and 27.83 ± 20.77 respectively. This was statistically significant (P <0.05). Most of the students had good stereoacuity as they were already wearing refractive correction. Commonest cause of subnormal stereopsis ware simple myopia, compound myopic astigmatism and amblyopia. Time taken to read the plates is more for refractive error as compared to emmetropes.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"321 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177831","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 : 2023-12-15DOI: 10.18231/j.ijceo.2023.121
Parthasarathi Roy, Sarbaraj Nag
Although HSV keratitis is one of the leading infectious causes of blindness world-wide, its misdiagnosis is not infrequent in clinical practise. We present here six eyes of five cases, all of which were initially misdiagnosed as bacterial / fungal ulcers. All these ulcers had some characteristics in common like, overt/ impending sloughing ulcer with punched out margin and clear-cut lamella planar separation. To the best of our knowledge these characterisations of HSV keratitis were not discussed earlier in literature. Diagnosis rested on clinical findings and response to antiviral therapy. A possible pathophysiology based on anatomical distribution of corneal nerves was discussed. Placement of this distinct group of ulcers in the classification of infective HSK, between dendritic, geographical, punctate ulcers at one end of the spectrum and neurotrophic ulcers at the other, and named as 'neuropathic ulcers' is hereby suggested.: Apart from dendritic, geographical, punctate ulcers at one end of the spectrum and neurotrophic ulcers at the other, there seemed to be another distinct group of herpetic ulcers in between. This new group was characterised by sloughing of that area of the cornea, which was innervated by the HSV infected corneal nerve. The process of sloughing might be aggressive or slow and seemed to progress in an orderly fashion. The area of cornea supplied by the affected nerve was separated from normal cornea by a punched-out border of demarcation followed by lamellar cleavage (separation) following the architecture of lamella- planar distribution of the affected corneal nerve. The lamellar separation could be demonstrated by the pooling of fluorescein dye in the cleaved inter lamellar space. Treatment with oral and local Acyclovir established healing.
{"title":"Herpetic keratitis with new characterisations - A unique case series highlighting punched-out ulcer margin with lamellar cleavage","authors":"Parthasarathi Roy, Sarbaraj Nag","doi":"10.18231/j.ijceo.2023.121","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.121","url":null,"abstract":"Although HSV keratitis is one of the leading infectious causes of blindness world-wide, its misdiagnosis is not infrequent in clinical practise. We present here six eyes of five cases, all of which were initially misdiagnosed as bacterial / fungal ulcers. All these ulcers had some characteristics in common like, overt/ impending sloughing ulcer with punched out margin and clear-cut lamella planar separation. To the best of our knowledge these characterisations of HSV keratitis were not discussed earlier in literature. Diagnosis rested on clinical findings and response to antiviral therapy. A possible pathophysiology based on anatomical distribution of corneal nerves was discussed. Placement of this distinct group of ulcers in the classification of infective HSK, between dendritic, geographical, punctate ulcers at one end of the spectrum and neurotrophic ulcers at the other, and named as 'neuropathic ulcers' is hereby suggested.: Apart from dendritic, geographical, punctate ulcers at one end of the spectrum and neurotrophic ulcers at the other, there seemed to be another distinct group of herpetic ulcers in between. This new group was characterised by sloughing of that area of the cornea, which was innervated by the HSV infected corneal nerve. The process of sloughing might be aggressive or slow and seemed to progress in an orderly fashion. The area of cornea supplied by the affected nerve was separated from normal cornea by a punched-out border of demarcation followed by lamellar cleavage (separation) following the architecture of lamella- planar distribution of the affected corneal nerve. The lamellar separation could be demonstrated by the pooling of fluorescein dye in the cleaved inter lamellar space. Treatment with oral and local Acyclovir established healing.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"23 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139178857","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 : 2023-12-15DOI: 10.18231/j.ijceo.2023.092
Jamshedi Ali, Gaurav Dubey, Zeba Hayat, Prasenjit Das, Simi Afroz
Mental optometry is a newly recognized word that refers to the interaction of the mind, brain, and sensory perceptions. The pattern established by behavioural optometry's research and assumption linking bodily orientation to the physical field of vision will be followed by the mind's eye, emotions, and actions. All three theories imply the presence of such an idea as a fundamental component of their systems, even if it isn't formally stated. The database was compiled using PubMed, PubMed Central (PMC), the Cochrane library, Google scholar, and research gate. Mental Optometry provides a neurobiologically informed knowledge of mood, emotion, and thinking. Visual stimulus interpretations, enabling for therapeutic treatments to help patients recognize and rectify skewed judgments. Optometrists have an important role in patients with mental illness. Finally, we must evaluate how enhancing ocular health and visual suppleness may assist our patients improve their overall feeling of well-being.
心理验光是一个新近被认可的词，指的是心灵、大脑和感官知觉的相互作用。行为视光学的研究和假设将身体方位与物理视野联系起来，所建立的模式将被心灵之眼、情感和行动所遵循。所有这三种理论都暗示存在这样一种思想，作为其体系的基本组成部分，即使没有正式说明。该数据库通过 PubMed、PubMed Central (PMC)、Cochrane 图书馆、Google scholar 和 research gate 编辑而成。心理验光提供了有关情绪、情感和思维的神经生物学知识。对视觉刺激进行解释，帮助患者认识和纠正错误的判断，从而进行治疗。验光师在精神病患者中发挥着重要作用。最后，我们必须评估如何通过增强眼部健康和视觉柔韧性来帮助我们的患者改善他们的整体幸福感。
{"title":"Mental optometry: Perceive to see with the mind’s eye","authors":"Jamshedi Ali, Gaurav Dubey, Zeba Hayat, Prasenjit Das, Simi Afroz","doi":"10.18231/j.ijceo.2023.092","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.092","url":null,"abstract":"Mental optometry is a newly recognized word that refers to the interaction of the mind, brain, and sensory perceptions. The pattern established by behavioural optometry's research and assumption linking bodily orientation to the physical field of vision will be followed by the mind's eye, emotions, and actions. All three theories imply the presence of such an idea as a fundamental component of their systems, even if it isn't formally stated. The database was compiled using PubMed, PubMed Central (PMC), the Cochrane library, Google scholar, and research gate. Mental Optometry provides a neurobiologically informed knowledge of mood, emotion, and thinking. Visual stimulus interpretations, enabling for therapeutic treatments to help patients recognize and rectify skewed judgments. Optometrists have an important role in patients with mental illness. Finally, we must evaluate how enhancing ocular health and visual suppleness may assist our patients improve their overall feeling of well-being.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"865 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177417","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 : 2023-12-15DOI: 10.18231/j.ijceo.2023.114
Aksha Shetty, Anasuya Ganguly, Suvarna Chodankar, U. Usgaonkar
Myopia is a multifactorial condition. Myopia is largely influenced by hereditary and environmental variables. Vitamins D, E, and C, omega-3 fatty acids, and antioxidants have been noted as essential for preserving healthy eye function and possibly reducing the development of myopia. : This study was conducted to compare dietary consumption between myopes and emmetropes.: A cross-sectional study was conducted in the outpatient department of ophthalmology in the state of Goa, India. Children aged between 7 and 15 years were included. Children with visual acuity of less than 0.1 logMAR later underwent objective evaluation using retinoscopy and subjective refraction. The spherical equivalent (SE), and myopia were defined as SE 0.5 D in at least one eye. Children with logMAR visual acuity of 0.1 in both eyes, no glasses, or an ophthalmic history were classified as emmetropic (SE< 0.50D). A daily intake interview was taken using a 24-hour dietary recall, and a detailed interview of the subject's food consumption was taken.: A total of 60 children who visited the outpatient department of ophthalmology were included in the analysis. The sample consisted of 31 emmetropes and 29 myopes The mean age of the sample was 10 ± 2.29 years. Almost half the population was male (32 children [53.33%]). The mean refractive error in myopic children was -2.02 ± 1.449 D. The mean axial length in emmetrope children was 22.84 ± 0.972 mm, and in myopic children it was 23.81 ± 0.91mm (P = 0.629). Emmetropes showed higher dietary nutritional consumption than myopes in all dietary components, but the results were not statistically significant. In our study, we could not link Diet and myopia statistically. Although there is a clear indication that emmetropes demonstrated better dietary consumption compared to myopes.
{"title":"Dietary intake and its association with myopia in children in Goa","authors":"Aksha Shetty, Anasuya Ganguly, Suvarna Chodankar, U. Usgaonkar","doi":"10.18231/j.ijceo.2023.114","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.114","url":null,"abstract":"Myopia is a multifactorial condition. Myopia is largely influenced by hereditary and environmental variables. Vitamins D, E, and C, omega-3 fatty acids, and antioxidants have been noted as essential for preserving healthy eye function and possibly reducing the development of myopia. : This study was conducted to compare dietary consumption between myopes and emmetropes.: A cross-sectional study was conducted in the outpatient department of ophthalmology in the state of Goa, India. Children aged between 7 and 15 years were included. Children with visual acuity of less than 0.1 logMAR later underwent objective evaluation using retinoscopy and subjective refraction. The spherical equivalent (SE), and myopia were defined as SE 0.5 D in at least one eye. Children with logMAR visual acuity of 0.1 in both eyes, no glasses, or an ophthalmic history were classified as emmetropic (SE< 0.50D). A daily intake interview was taken using a 24-hour dietary recall, and a detailed interview of the subject's food consumption was taken.: A total of 60 children who visited the outpatient department of ophthalmology were included in the analysis. The sample consisted of 31 emmetropes and 29 myopes The mean age of the sample was 10 ± 2.29 years. Almost half the population was male (32 children [53.33%]). The mean refractive error in myopic children was -2.02 ± 1.449 D. The mean axial length in emmetrope children was 22.84 ± 0.972 mm, and in myopic children it was 23.81 ± 0.91mm (P = 0.629). Emmetropes showed higher dietary nutritional consumption than myopes in all dietary components, but the results were not statistically significant. In our study, we could not link Diet and myopia statistically. Although there is a clear indication that emmetropes demonstrated better dietary consumption compared to myopes.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"548 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177932","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 : 2023-12-15DOI: 10.18231/j.ijceo.2023.090
R. P. Maurya, Sneha Gupta, Kokil Tiwari
{"title":"Topical immunomodulators in ophthalmology","authors":"R. P. Maurya, Sneha Gupta, Kokil Tiwari","doi":"10.18231/j.ijceo.2023.090","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.090","url":null,"abstract":"","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"85 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139178894","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}
The present study was undertaken to study the tear film status preoperatively and post-operatively in patients undergoing phacoemulsification surgery. The study was conducted as prospective study on 100 patients undergoing phacoemulsification surgery during the study period of 1 year. Work up for tear film status including Schirmer’s test, staining of cornea and conjunctiva with fluorescein dye, TBUT (tear film break up time) was done preoperatively and postoperatively after phacoemulsification. Mean Schirmer’s value at preoperative assessment was 27.45±4.95 whereas that at post operative day 7, 15 and 30 was 9.09±2.19, 16.73±5.12 and 24.45±4.05 respectively. Similarly, mean TBUT at preoperative level was 11.11±1.16 which reduced to 6.63±1.57 at day 7, 7.37±1.44 at day 15 and 9.77±0.91 at day 30. Test of significance (ANOVA) showed statistically significant difference in mean Schirmer’s and TBUT values at various follow ups post-operatively as compared to baseline (p<0.01). Cataract surgery can lead to dry eye due to incision itself as well as due to intra-operative exposure to the microscope light. Thus, artificial tears must be prescribed to improve the quality of life during immediate post-operative period. However, gradually, tear film status improved. We only followed up patients till one month, a long term follow up is recommended to assess the time taken for the tear film to recover to its preoperative status.
{"title":"Study of tear film status in patients undergoing phacoemulsification surgery","authors":"Anjali Sharma, Hemlata Yadav, Poulomi Ghosh, Megha Gautam, Aditya Sharma","doi":"10.18231/j.ijceo.2023.102","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.102","url":null,"abstract":"The present study was undertaken to study the tear film status preoperatively and post-operatively in patients undergoing phacoemulsification surgery. The study was conducted as prospective study on 100 patients undergoing phacoemulsification surgery during the study period of 1 year. Work up for tear film status including Schirmer’s test, staining of cornea and conjunctiva with fluorescein dye, TBUT (tear film break up time) was done preoperatively and postoperatively after phacoemulsification. Mean Schirmer’s value at preoperative assessment was 27.45±4.95 whereas that at post operative day 7, 15 and 30 was 9.09±2.19, 16.73±5.12 and 24.45±4.05 respectively. Similarly, mean TBUT at preoperative level was 11.11±1.16 which reduced to 6.63±1.57 at day 7, 7.37±1.44 at day 15 and 9.77±0.91 at day 30. Test of significance (ANOVA) showed statistically significant difference in mean Schirmer’s and TBUT values at various follow ups post-operatively as compared to baseline (p<0.01). Cataract surgery can lead to dry eye due to incision itself as well as due to intra-operative exposure to the microscope light. Thus, artificial tears must be prescribed to improve the quality of life during immediate post-operative period. However, gradually, tear film status improved. We only followed up patients till one month, a long term follow up is recommended to assess the time taken for the tear film to recover to its preoperative status.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"7 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139178962","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}
The aim of this cross-sectional study is to measure symptoms of mask-associated dry eye disease symptoms among health workers during the COVID-19 pandemic. This was a cross-sectional study which included Health care workers willing to participate in the Questionnaire based study from March 2022 to May 2022. After initial consent participants completed the questionnaire on the duration of mask wear, type of mask, presence and the severity of Dry Eye Disease (DED) symptoms.A total of 930 completed data had been analyzed. Out of them 651(70%) had reported to have DED symptoms either sometimes or often. About two-third 65% (605) health care workers were in the age group of 18 to 29 years, 55% (465) had been using face mask between 4 to 8 hours per day. Less than a quarter 20% had reported to be having previous dry eye symptoms. Among them 68% (126) reported worsening symptoms. Almost half 45% wore spectacles, among them 72% reported fogging of their glasses while wearing mask. Age group 18 to 29 years were reported to have significant association with DED symptoms along with usage of N95 mask and male gender using Chi square test (P <0.001).Our study reported ocular discomfort in majority of Health care workers who are in the fore front in this Covid-19 pandemic for long hours, hence counseling of proper wearing of face mask and ocular treatment as and when needed to maintain their ocular surface health by consulting ophthalmologist is recommended.
{"title":"Prevalence of mask associated dry eye disease symptoms among health care workers during COVID-19 pandemic in Puducherry, India","authors":"Ganapathy Kalaiselvi, Vennila Selvaraj, Dharmeswari Thangaraju","doi":"10.18231/j.ijceo.2023.100","DOIUrl":"https://doi.org/10.18231/j.ijceo.2023.100","url":null,"abstract":"The aim of this cross-sectional study is to measure symptoms of mask-associated dry eye disease symptoms among health workers during the COVID-19 pandemic. This was a cross-sectional study which included Health care workers willing to participate in the Questionnaire based study from March 2022 to May 2022. After initial consent participants completed the questionnaire on the duration of mask wear, type of mask, presence and the severity of Dry Eye Disease (DED) symptoms.A total of 930 completed data had been analyzed. Out of them 651(70%) had reported to have DED symptoms either sometimes or often. About two-third 65% (605) health care workers were in the age group of 18 to 29 years, 55% (465) had been using face mask between 4 to 8 hours per day. Less than a quarter 20% had reported to be having previous dry eye symptoms. Among them 68% (126) reported worsening symptoms. Almost half 45% wore spectacles, among them 72% reported fogging of their glasses while wearing mask. Age group 18 to 29 years were reported to have significant association with DED symptoms along with usage of N95 mask and male gender using Chi square test (P <0.001).Our study reported ocular discomfort in majority of Health care workers who are in the fore front in this Covid-19 pandemic for long hours, hence counseling of proper wearing of face mask and ocular treatment as and when needed to maintain their ocular surface health by consulting ophthalmologist is recommended.","PeriodicalId":13485,"journal":{"name":"Indian Journal of Clinical and Experimental Ophthalmology","volume":"897 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139178238","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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