{"title":"Lenses in Glaucoma","authors":"Aditi Singh, M. Menon","doi":"10.7869/DJO.338","DOIUrl":"https://doi.org/10.7869/DJO.338","url":null,"abstract":"","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"21 1","pages":"55-57"},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80079080","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}
C. Chakraborti, N. Barua, Sheuli Kumar, A. Das, R. Christi
1Chandana Chakraborti, 2Nabanita Barua, 1Sheuli Kumar, 3Anjan Kumar Das, 1Rosy Kahakashan Christi 1Department of Ophthalmology, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India 2Department of Ophthalmology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India 3Department of Pathology, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India
{"title":"An Unusual Case Of Ruptured Post-Traumatic Iris Implantation Cyst With Co-Existent Anterior Chamber Cilia","authors":"C. Chakraborti, N. Barua, Sheuli Kumar, A. Das, R. Christi","doi":"10.7869/djo.334","DOIUrl":"https://doi.org/10.7869/djo.334","url":null,"abstract":"1Chandana Chakraborti, 2Nabanita Barua, 1Sheuli Kumar, 3Anjan Kumar Das, 1Rosy Kahakashan Christi 1Department of Ophthalmology, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India 2Department of Ophthalmology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India 3Department of Pathology, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"2 1","pages":"41-43"},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83664168","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}
E. Tirkey, S. Chandravanshi, Choudhary Yehsan Abdulrahman, S. Jain
Pseudo-Foster Kennedy syndrome is characterized by unilateral papilledema with contralateral optic atrophy in the absence of intracranial space occupying lesions. A 40-year old obese AsianIndian female presented with painless progressive diminution of vision in her right eye since one month and constant headache for two months. Fundoscopy showed optic disc pallor in the right eye and papilledema in the left eye. Serum prolactin level was raised. Cerebrospinal fluid manometry revealed high opening pressure value of 38 cm of water with normal composition. MRI scan of the brain detected empty sella syndrome. Pseudo-Foster Kennedy syndrome due to IIH was diagnosed and treated with oral acetazolamide 250 mg, four times a day which resulted in complete resolution of papilledema and headache over a period of two months. Here we report a case of pseudo-Foster Kennedy syndrome which is directly attributed to idiopathic intracranial hypertension and associated with empty sella syndrome and hyperprolactinaemia.
{"title":"Pseudo-Foster Kennedy Syndrome due to Idiopathic Intracranial Hypertension Associated with Empty Sella Syndrome and Hyperprolactinaemia: A Rare Case Report","authors":"E. Tirkey, S. Chandravanshi, Choudhary Yehsan Abdulrahman, S. Jain","doi":"10.7869/DJO.336","DOIUrl":"https://doi.org/10.7869/DJO.336","url":null,"abstract":"Pseudo-Foster Kennedy syndrome is characterized by unilateral papilledema with contralateral optic atrophy in the absence of intracranial space occupying lesions. A 40-year old obese AsianIndian female presented with painless progressive diminution of vision in her right eye since one month and constant headache for two months. Fundoscopy showed optic disc pallor in the right eye and papilledema in the left eye. Serum prolactin level was raised. Cerebrospinal fluid manometry revealed high opening pressure value of 38 cm of water with normal composition. MRI scan of the brain detected empty sella syndrome. Pseudo-Foster Kennedy syndrome due to IIH was diagnosed and treated with oral acetazolamide 250 mg, four times a day which resulted in complete resolution of papilledema and headache over a period of two months. Here we report a case of pseudo-Foster Kennedy syndrome which is directly attributed to idiopathic intracranial hypertension and associated with empty sella syndrome and hyperprolactinaemia.","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"15 1","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75878234","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}
Kanika Jain, T. Dewan, Purnima Paliwal, M. Singh, Sonali Gupta
A 24 year old male, resident of Delhi, presented with complaints of a painless progressive reddish lump on the lower surface in the left eye since the past two months. On examination, a sessile 10 X 6 mm wide fleshy pink, highly vasular mass was present in the middle 2/3rd of the lower palpebral conjunctiva of the left eye. The patient was clinically diagnosed as a case of conjunctival papilloma and underwent wide surgical excision. Histopathological evaluation revealed this to be ocular rhinosporidiosis. No history suggestive of as to how the infection was acquired was obtained and other mucous memberanes were unaffected which were evaluated postoperatively to rule out other sites of inoculation. The largest reported case series of rhinosporidiosis of 462 cases in South Western India found that the disease mainly occurs in the nose and nasopharynx (81.1%), while eyes were affected in 14.2%. Many case series of ocular rhinosporidiosis from South and Southwestern India have been reported but no case reports could be found from Northern India. This case highlights the importance of histopathological evaluation of all conjunctival lesions which helps in the proper diagnosis of the case and its appropriate management. “meso-in the middle of, “-myceto-fungi and “-zoea” -animals. This is a heterogenous group of microorganisms at the animal fungal boundary. These are a small group of protists, which are mostly parasites of fish and other animals. The disease is endemic in South India, Sri Lanka, South America and Africa. It is presumed to be transmitted by exposure to the pathogen when taking a bath in stagnant water pools where animals also bathe. Traumatic auto-inoculation from one site to another is common. It affects both adults and children. Floor and inferior turbinate are the most common sites of inoculation presenting as unilateral nasal obstruction, epistaxis or rhinorrhea. Ocular rhinosporidiosis most often presents as a polypoid mass of the palpebral conjunctiva. 3 It may also present as a lacrimal sac diverticulum, 4 recurrent chalazion, 5 conjunctival cyst, 6 chronic follicular conjunctivitis in contact lens wearers, 7 peripheral keratitis, 8 scleral melting, 9 ciliary staphyloma 10 or simulate a tumour of eyelid 11 or periorbital skin. 12 The diagnosis is confirmed by histopathology of the biopsied specimen. Definitive management is wide surgical excision with wide area electrocoagulation of the lesion base. Recurrences are rare. 13 Abstract The belonged to a lower socio-economic strata and
{"title":"Ocular Rhinosporidiosis Presenting As A Rapidly Growing Conjunctival Papilloma","authors":"Kanika Jain, T. Dewan, Purnima Paliwal, M. Singh, Sonali Gupta","doi":"10.7869/DJO.331","DOIUrl":"https://doi.org/10.7869/DJO.331","url":null,"abstract":"A 24 year old male, resident of Delhi, presented with complaints of a painless progressive reddish lump on the lower surface in the left eye since the past two months. On examination, a sessile 10 X 6 mm wide fleshy pink, highly vasular mass was present in the middle 2/3rd of the lower palpebral conjunctiva of the left eye. The patient was clinically diagnosed as a case of conjunctival papilloma and underwent wide surgical excision. Histopathological evaluation revealed this to be ocular rhinosporidiosis. No history suggestive of as to how the infection was acquired was obtained and other mucous memberanes were unaffected which were evaluated postoperatively to rule out other sites of inoculation. The largest reported case series of rhinosporidiosis of 462 cases in South Western India found that the disease mainly occurs in the nose and nasopharynx (81.1%), while eyes were affected in 14.2%. Many case series of ocular rhinosporidiosis from South and Southwestern India have been reported but no case reports could be found from Northern India. This case highlights the importance of histopathological evaluation of all conjunctival lesions which helps in the proper diagnosis of the case and its appropriate management. “meso-in the middle of, “-myceto-fungi and “-zoea” -animals. This is a heterogenous group of microorganisms at the animal fungal boundary. These are a small group of protists, which are mostly parasites of fish and other animals. The disease is endemic in South India, Sri Lanka, South America and Africa. It is presumed to be transmitted by exposure to the pathogen when taking a bath in stagnant water pools where animals also bathe. Traumatic auto-inoculation from one site to another is common. It affects both adults and children. Floor and inferior turbinate are the most common sites of inoculation presenting as unilateral nasal obstruction, epistaxis or rhinorrhea. Ocular rhinosporidiosis most often presents as a polypoid mass of the palpebral conjunctiva. 3 It may also present as a lacrimal sac diverticulum, 4 recurrent chalazion, 5 conjunctival cyst, 6 chronic follicular conjunctivitis in contact lens wearers, 7 peripheral keratitis, 8 scleral melting, 9 ciliary staphyloma 10 or simulate a tumour of eyelid 11 or periorbital skin. 12 The diagnosis is confirmed by histopathology of the biopsied specimen. Definitive management is wide surgical excision with wide area electrocoagulation of the lesion base. Recurrences are rare. 13 Abstract The belonged to a lower socio-economic strata and","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"2 2 1","pages":"32-34"},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76034467","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}
{"title":"Recalcitrant Candidal Corneal Ulcer- A Therapeutic Challenge","authors":"B. Kumar, N. Farooqui","doi":"10.7869/DJO.335","DOIUrl":"https://doi.org/10.7869/DJO.335","url":null,"abstract":"","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"1 1","pages":"44-47"},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90491376","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 and Objective:- The current study was conducted to find out the correlation between Pattern reversal VEP (visual evoked potential) parameters, standard automated perimeter parameters and cup disc ratio (CDR) in newly diagnosed cases of POAG (primary open angle glaucoma). Materials and Methods:- The study included 72 individuals of both the genders. The subjects underwent routine ophthalmic examination of anterior and posterior segment, IOP (intraocular pressure) measurement, visual field testing by Humphery’s automated perimeter and Pattern reversal VEP (visual evoked potential) testing. The subjects were classified into mild, moderate and severe based on MD (Mean deviation). Results:- In our study, the mean PSD (pattern standard deviation) and CDR (cup disc ratio) value increased with increase in the severity of glaucoma. The findings of our study also showed that increased PSD and CDR mirrored with increase in P100, N75 and N145 latency and decrease in P100 amplitude. The PSD was positively correlated with the latencies of VEP and negatively correlated with the amplitude of VEP waves (p<0.001). Conclusion:- We conclude that VEP can be used as a reliable tool for monitoring the progression of glaucoma. cupping of optic nerve head with presence of open angles and absence of any secondary cause of raised IOP. 2,3 Visual evoked potential (VEP) is an important diagnostic tool that can be used to study the optic nerve head and visual field changes in cases of POAG. Increased latencies and decreased amplitude of VEP both have been documented in cases of glaucoma. 4 The results of the previous studies show a statistically significant correlation between magnitude of change in VEP parameters and PSD on automated static perimetry. The above correlation suggests slowing of neural conduction from retina to the visual cortex in the brain. It also supports the reliability of the usage of VEP test in cases of glaucoma. Researchers suggest that the glaucomatous visual field defect could be attributed to damage of the retinal ganglion cells and their axons. VEP test is compatible with the functions of retinal ganglion cells so it provides specific information. Visual field testing does not selectively reveal the structures of visual pathway involved in the etiopathogenesis of glaucoma. 5 The current goal of treatment of glaucoma patients is neuroprotection. The neuroprotective drugs can help in survival of nonfunctional retinal ganglion cells that are still alive. VEP testing can be used as a diagnostic tool to detect these abnormal nonfunctional retinal ganglion cells and monitor the effect of neuroprotective treatment. 6 The latency of response of retinal ganglion cells is the indicator of their health which can be studied by VEP. 7,8 As currently existing glaucoma detecting techniques are Abstract non-specific, costly, time consuming and subjective in nature so ophthalmologists are always in search of specific and reliable low cost technique. VEP can be
{"title":"Correlation Between VEP Latency, CDR and PSD On Standard Automated Perimetry In Newly Diagnosed POAG Cases","authors":"S. Baisakhiya, G. Goyal, P. Garg, Z. Khan","doi":"10.7869/djo.327","DOIUrl":"https://doi.org/10.7869/djo.327","url":null,"abstract":"Aim and Objective:- The current study was conducted to find out the correlation between Pattern reversal VEP (visual evoked potential) parameters, standard automated perimeter parameters and cup disc ratio (CDR) in newly diagnosed cases of POAG (primary open angle glaucoma). Materials and Methods:- The study included 72 individuals of both the genders. The subjects underwent routine ophthalmic examination of anterior and posterior segment, IOP (intraocular pressure) measurement, visual field testing by Humphery’s automated perimeter and Pattern reversal VEP (visual evoked potential) testing. The subjects were classified into mild, moderate and severe based on MD (Mean deviation). Results:- In our study, the mean PSD (pattern standard deviation) and CDR (cup disc ratio) value increased with increase in the severity of glaucoma. The findings of our study also showed that increased PSD and CDR mirrored with increase in P100, N75 and N145 latency and decrease in P100 amplitude. The PSD was positively correlated with the latencies of VEP and negatively correlated with the amplitude of VEP waves (p<0.001). Conclusion:- We conclude that VEP can be used as a reliable tool for monitoring the progression of glaucoma. cupping of optic nerve head with presence of open angles and absence of any secondary cause of raised IOP. 2,3 Visual evoked potential (VEP) is an important diagnostic tool that can be used to study the optic nerve head and visual field changes in cases of POAG. Increased latencies and decreased amplitude of VEP both have been documented in cases of glaucoma. 4 The results of the previous studies show a statistically significant correlation between magnitude of change in VEP parameters and PSD on automated static perimetry. The above correlation suggests slowing of neural conduction from retina to the visual cortex in the brain. It also supports the reliability of the usage of VEP test in cases of glaucoma. Researchers suggest that the glaucomatous visual field defect could be attributed to damage of the retinal ganglion cells and their axons. VEP test is compatible with the functions of retinal ganglion cells so it provides specific information. Visual field testing does not selectively reveal the structures of visual pathway involved in the etiopathogenesis of glaucoma. 5 The current goal of treatment of glaucoma patients is neuroprotection. The neuroprotective drugs can help in survival of nonfunctional retinal ganglion cells that are still alive. VEP testing can be used as a diagnostic tool to detect these abnormal nonfunctional retinal ganglion cells and monitor the effect of neuroprotective treatment. 6 The latency of response of retinal ganglion cells is the indicator of their health which can be studied by VEP. 7,8 As currently existing glaucoma detecting techniques are Abstract non-specific, costly, time consuming and subjective in nature so ophthalmologists are always in search of specific and reliable low cost technique. VEP can be ","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"2 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89378481","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}
Babitha Valiyaveettil, Padma B. Prabhu, P. T. Asmin, Raju Kuzhippally Vallon
Aim and objectives:- This study tries to estimate the relationship between alignment of spectacle, decentration, spherical equivalent and type of lens with induced prism in spectacles. Design:- Descriptive cross sectional study. Materials and Methods:- Symptomatic cooperative ammetropes, using spectacles and between the age of 10 and 70 years were included in this study. Induced prism in spectacles were calculated by the Prentice formula. Results:- The study group included 29 ammetropic patients having asthenopic symptoms while using spectacles. 65.52% (n=19) were females. The mean age of this group was 48.33 years, with a SD of ± 17.45. This study showed a statistically significant positive correlation between spherical equivalent and induced prism and there is no significant correlation between decentration and induced prism. Conclusion:- Spherical equivalent is considered as an important factor affecting the induced prism rather than decentration and alignment problem. refractive error. Decentration can be due to faulty fit or secondary to mal-alignment of glasses due to misuse. The role of spherical and cylindrical errors, type of lens used (convex or concave) and the alignment of glasses in inducing prismatic effect among spectacle corrected anisometropics with asthenopia is studied here. A descriptive cross sectional study was conducted after getting approval from institutional ethics committee. The study period was six months. Subjects having spectacles corrected anisometropia with persistent asthenopic symptoms were included. For this study asthenopia was defined as headache with or without eye pain, watering and irritation on constant near work. All consecutive cases with one or more symptoms in either or both eyes during sustained near work with constant and regular ( a minimum of 8 hours per day) use of spectacles for a period of atleast four months were selected. Spherical equivalent was calculated from the absolute retinoscopy reading. Spectacles with centered optical centre, history of headache Abstract not related to constant near work, symptoms less than four months duration, irregular spectacle wearers, associated accomodation-convergence anomalies and latent squints were excluded. Age, gender, socioeconomic status and occupation of the patients were noted. The visual acuity, duration of spectacle wear and power of spectacles, alignment of spectacles, inter pupillary distance and decentration of optical centre in millimetres were recorded. Inter pupillary distance was measured with millimetre ruler. The optical centre of spectacle was found out by lensmeter. The prism induced was calculated by using Prentice formula P= CF [C = the distance of the image from optic axis in centimetres (decentration); F= the focal power of the lens]. The measure of horizontal and vertical prism were calculated separately. In spectacles having both horizontal and vertical prisms, the residual prism was calculated by the formula Pr= 2 (Pr=
{"title":"Predictors of Unwanted Prismatic Effect Among Bespectacled Symptomatic Ammetropes (Refractive Error Less Than 4D) With Displaced Optical Centre","authors":"Babitha Valiyaveettil, Padma B. Prabhu, P. T. Asmin, Raju Kuzhippally Vallon","doi":"10.7869/DJO.330","DOIUrl":"https://doi.org/10.7869/DJO.330","url":null,"abstract":"Aim and objectives:- This study tries to estimate the relationship between alignment of spectacle, decentration, spherical equivalent and type of lens with induced prism in spectacles. Design:- Descriptive cross sectional study. Materials and Methods:- Symptomatic cooperative ammetropes, using spectacles and between the age of 10 and 70 years were included in this study. Induced prism in spectacles were calculated by the Prentice formula. Results:- The study group included 29 ammetropic patients having asthenopic symptoms while using spectacles. 65.52% (n=19) were females. The mean age of this group was 48.33 years, with a SD of ± 17.45. This study showed a statistically significant positive correlation between spherical equivalent and induced prism and there is no significant correlation between decentration and induced prism. Conclusion:- Spherical equivalent is considered as an important factor affecting the induced prism rather than decentration and alignment problem. refractive error. Decentration can be due to faulty fit or secondary to mal-alignment of glasses due to misuse. The role of spherical and cylindrical errors, type of lens used (convex or concave) and the alignment of glasses in inducing prismatic effect among spectacle corrected anisometropics with asthenopia is studied here. A descriptive cross sectional study was conducted after getting approval from institutional ethics committee. The study period was six months. Subjects having spectacles corrected anisometropia with persistent asthenopic symptoms were included. For this study asthenopia was defined as headache with or without eye pain, watering and irritation on constant near work. All consecutive cases with one or more symptoms in either or both eyes during sustained near work with constant and regular ( a minimum of 8 hours per day) use of spectacles for a period of atleast four months were selected. Spherical equivalent was calculated from the absolute retinoscopy reading. Spectacles with centered optical centre, history of headache Abstract not related to constant near work, symptoms less than four months duration, irregular spectacle wearers, associated accomodation-convergence anomalies and latent squints were excluded. Age, gender, socioeconomic status and occupation of the patients were noted. The visual acuity, duration of spectacle wear and power of spectacles, alignment of spectacles, inter pupillary distance and decentration of optical centre in millimetres were recorded. Inter pupillary distance was measured with millimetre ruler. The optical centre of spectacle was found out by lensmeter. The prism induced was calculated by using Prentice formula P= CF [C = the distance of the image from optic axis in centimetres (decentration); F= the focal power of the lens]. The measure of horizontal and vertical prism were calculated separately. In spectacles having both horizontal and vertical prisms, the residual prism was calculated by the formula Pr= 2 (Pr=","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"91 1","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80488252","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}
Purpose:- The purpose of the present study is to report authors’ experience of functional outcome of Silicone intubation on patency of lacrimal system in canalicular obstruction and revision surgeries. Materials and Methods:- This study was conducted at Sardar Patel Medical College from January 2015 to March 2017. A total of 32 cases were enrolled in this study. Twelve patients of canalicular block and 20 patients of various failed DCR techniques were recruited for the study. Two patients had failed DCR twice, and 18 patients had failed DCR once. Twelve of these previous failed DCR were endoscopic DCR, and 6 were external dacryocystorhinostomy (E-DCR). All cases were operated by a single surgeon using the same technique of intubation. Results:- In our study we found that Silicone intubation is an effective method for treating canalicular block and failed DCR. Silicone tube is soft, relatively inert, and flexible, causing minimal injury to the delicate canaliculi and nasal mucosa. It maintained duct patency by maintaining an opening. The main outcome measures were the resolution of epiphora and the anatomical and functional successes by patency on follow up. Conclusion:- The success rates reported for silicone intubation range from 69% to 100% in various studies. The 94.5% success rate noted in the present study is entirely comparable to these previously reported results, with minimal complication. duct obstruction. Despite meticulous surgery, failures are often met with. Epiphora after Dacryocystorhinostomy (DCR) is a distressing situation for both patient and the surgeon. Failure rate for external DCR has been reported to be 5%–10% 4-6 or less and 35%–40% 7-9 for endonasal DCR. The most common causes of DCR failure are common canalicular obstruction and obstruction at the rhinostomy site due to reduction in osteotomy size 2 , granulation tissue formation 3 , fibrosis in anastomosis and defective identification and anastomosis. Silicone intubation has been shown to be successful in the management of failed DCR and canalicular block. Silicone intubation is a simple procedure; the effectiveness of this procedure was assessed. A basic surgical principle is to reach the most successful results with the least possible complication. In the modern surgical era, achieving successful results in a cost effective fashion is also important. The aim of this study to evaluate the success rate of silicone intubation in canalicular block as primary surgery and in failed DCR as revised surgery. Abstract were enrolled in this study. These included 12 patients of canalicular block, that were operated for the first time and 20 patients of various failed DCR techniques. Two patients had failed DCR twice, and 18 patients had failed DCR once. 12 of these previous failed DCR were endoscopic DCR, and 6 were external dacryocystorhinostomy (DCR). The inclusion criteria for the procedures were patients having epiphora after previous surgery and common canalicular block. Exc
{"title":"Evaluation of Functional Outcome of Silicone Intubation on Patency of Lacrimal System in Canalicular Obstruction and Revision Surgeries","authors":"Rashmi A Joshi, Sarita Maharia, A. Kochar","doi":"10.7869/DJO.329","DOIUrl":"https://doi.org/10.7869/DJO.329","url":null,"abstract":"Purpose:- The purpose of the present study is to report authors’ experience of functional outcome of Silicone intubation on patency of lacrimal system in canalicular obstruction and revision surgeries. Materials and Methods:- This study was conducted at Sardar Patel Medical College from January 2015 to March 2017. A total of 32 cases were enrolled in this study. Twelve patients of canalicular block and 20 patients of various failed DCR techniques were recruited for the study. Two patients had failed DCR twice, and 18 patients had failed DCR once. Twelve of these previous failed DCR were endoscopic DCR, and 6 were external dacryocystorhinostomy (E-DCR). All cases were operated by a single surgeon using the same technique of intubation. Results:- In our study we found that Silicone intubation is an effective method for treating canalicular block and failed DCR. Silicone tube is soft, relatively inert, and flexible, causing minimal injury to the delicate canaliculi and nasal mucosa. It maintained duct patency by maintaining an opening. The main outcome measures were the resolution of epiphora and the anatomical and functional successes by patency on follow up. Conclusion:- The success rates reported for silicone intubation range from 69% to 100% in various studies. The 94.5% success rate noted in the present study is entirely comparable to these previously reported results, with minimal complication. duct obstruction. Despite meticulous surgery, failures are often met with. Epiphora after Dacryocystorhinostomy (DCR) is a distressing situation for both patient and the surgeon. Failure rate for external DCR has been reported to be 5%–10% 4-6 or less and 35%–40% 7-9 for endonasal DCR. The most common causes of DCR failure are common canalicular obstruction and obstruction at the rhinostomy site due to reduction in osteotomy size 2 , granulation tissue formation 3 , fibrosis in anastomosis and defective identification and anastomosis. Silicone intubation has been shown to be successful in the management of failed DCR and canalicular block. Silicone intubation is a simple procedure; the effectiveness of this procedure was assessed. A basic surgical principle is to reach the most successful results with the least possible complication. In the modern surgical era, achieving successful results in a cost effective fashion is also important. The aim of this study to evaluate the success rate of silicone intubation in canalicular block as primary surgery and in failed DCR as revised surgery. Abstract were enrolled in this study. These included 12 patients of canalicular block, that were operated for the first time and 20 patients of various failed DCR techniques. Two patients had failed DCR twice, and 18 patients had failed DCR once. 12 of these previous failed DCR were endoscopic DCR, and 6 were external dacryocystorhinostomy (DCR). The inclusion criteria for the procedures were patients having epiphora after previous surgery and common canalicular block. Exc","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"12 1","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77156877","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}
M. Vallinayagam, Rathna Kumar, Baba Durairaj, Sasidharan Adiyapatham, T. Ravi
Background:- Dry eye is an ocular surface disorder. It is an occupational hazard in welders and significantly affects the quality of life. Early diagnosis is imperative as it is potentially treatable. Awareness about regular ophthalmic evaluation and use of personal protective Equipments (PPE) would be beneficial in reducing ocular morbidity. Our aim was to estimate the prevalence of dry eye in welders of Puducherry. Materials and Methods:- A cross-sectional study was conducted with 200 welders from Puducherry. They were examined for the presence of dry eye using Schirmer’s test, and dry eye was graded based on the severity. Comparison of two proportions was employed and Chi–square test was used to detect the association between variables. Results:- The prevalence of dry eye in welders was observed to be 42.5%. While 32.94% of welders with bilateral dry eye showed similar grades of severity in both eyes, 27.06% displayed varying levels of severity. Dry eye was noted only in the right eye in 23.53% welders and only in the left eye in 16.47%. There was a significant correlation between the prevalence of dry eye and the duration (in years) of exposure to welding (X2=6.78, p= 0.034). Furthermore, the study demonstrates a significant association between dry eye and working hours (per day) in two different study groups (<9 hrs and ≥ 9 hrs) (Z=6.3, P=0.0001). Conclusion:- Prevalence of dry eye in welders is considerably high. The impact of dry eye on the quality of life should not be underestimated. Dry eye in welders is an important occupational hazard which requires prompt treatment, to reduce the ocular morbidity and improve the quality of life. A recommendation from this study would be to educate the welders and create awareness and to prevent this occupational disease by implementing regular usage of personal protective equipments. allergic disorders of with Abstract months were excluded from the study. Schirmer’s test was conducted in the vicinity of welding shops at normal room temperature. The diagnosis and grading of dry eye was performed using a standard 5×35 mm strip of Whatman-41 filter paper. The patients were categorised into 4 different grades based on the severity of dry eye syndrome. Tear Film
{"title":"Dry Eye In Welders Of Puducherry: A Rising Occupational Hazard","authors":"M. Vallinayagam, Rathna Kumar, Baba Durairaj, Sasidharan Adiyapatham, T. Ravi","doi":"10.7869/djo.326","DOIUrl":"https://doi.org/10.7869/djo.326","url":null,"abstract":"Background:- Dry eye is an ocular surface disorder. It is an occupational hazard in welders and significantly affects the quality of life. Early diagnosis is imperative as it is potentially treatable. Awareness about regular ophthalmic evaluation and use of personal protective Equipments (PPE) would be beneficial in reducing ocular morbidity. Our aim was to estimate the prevalence of dry eye in welders of Puducherry. Materials and Methods:- A cross-sectional study was conducted with 200 welders from Puducherry. They were examined for the presence of dry eye using Schirmer’s test, and dry eye was graded based on the severity. Comparison of two proportions was employed and Chi–square test was used to detect the association between variables. Results:- The prevalence of dry eye in welders was observed to be 42.5%. While 32.94% of welders with bilateral dry eye showed similar grades of severity in both eyes, 27.06% displayed varying levels of severity. Dry eye was noted only in the right eye in 23.53% welders and only in the left eye in 16.47%. There was a significant correlation between the prevalence of dry eye and the duration (in years) of exposure to welding (X2=6.78, p= 0.034). Furthermore, the study demonstrates a significant association between dry eye and working hours (per day) in two different study groups (<9 hrs and ≥ 9 hrs) (Z=6.3, P=0.0001). Conclusion:- Prevalence of dry eye in welders is considerably high. The impact of dry eye on the quality of life should not be underestimated. Dry eye in welders is an important occupational hazard which requires prompt treatment, to reduce the ocular morbidity and improve the quality of life. A recommendation from this study would be to educate the welders and create awareness and to prevent this occupational disease by implementing regular usage of personal protective equipments. allergic disorders of with Abstract months were excluded from the study. Schirmer’s test was conducted in the vicinity of welding shops at normal room temperature. The diagnosis and grading of dry eye was performed using a standard 5×35 mm strip of Whatman-41 filter paper. The patients were categorised into 4 different grades based on the severity of dry eye syndrome. Tear Film","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"77 1","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78521874","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}
Ami Tank, Falguni Mehta, Deepika Singhal, Anand K. Shah, S. Acharya
Background:- One of the available treatments of corneal blindness is Keratoplasty. Although there are various techniques practiced by corneal surgeons; Descemet`s stripping endothelial keratoplasty (DSEK) with its technical advantages and manageable complications is rapidly becoming the preferred treatment for corneal endothelial dysfunction. The present study evaluates outcomes of DSEK in terms of its efficacy (visual acuity and refractive outcome). Objective:- To document Visual Outcomes Post Descemet Stripping Endothelial Keratoplasty (DSEK) amongst patients with endothelial dysfunction. Materials and Methods:- DSEK as a part of treatment was performed on 50 eyes of 50 subjects with endothelial pathology at a tertiary eye care institute in Gujarat. The subjects were enrolled based on pre fixed inclusion criteria and the results were evaluated in terms of Visual acuity Pre and Post DSEK surgery. Post DSEK surgery, the subjects were followed serially as the operating surgeon was the same in all the DSEK patients. Results:- The mean age of the study population was 63.90 ± 16.32 years. Majority were males (66%). The difference between mean pre-operative BCVA (1.6 + 1.0) and 1 week follow up (1.13 + 1.01), 1 month follow up (0.7 + 1.0), 6 month follow up (0.65 + 1.1) was statistically significant with p value < 0.01. Conclusion:- After DSEK surgery, a significant improvement in post-operative visual acuity was documented at each follow up. No significant change in spherical and cylindrical refractive errors was noted. Abstract cells per mm 2 — have been lowered in India to at least 2,000 cells per mm 2 . 4 the present study, we have evaluate the outcomes of DSEK in terms of its efficacy (visual acuity and refractive outcome).
{"title":"Documenting Visual Outcome of Descemet`s Stripping Endothelial Keratoplasty in A Tertiary Care Setting From Gujarat","authors":"Ami Tank, Falguni Mehta, Deepika Singhal, Anand K. Shah, S. Acharya","doi":"10.7869/djo.328","DOIUrl":"https://doi.org/10.7869/djo.328","url":null,"abstract":"Background:- One of the available treatments of corneal blindness is Keratoplasty. Although there are various techniques practiced by corneal surgeons; Descemet`s stripping endothelial keratoplasty (DSEK) with its technical advantages and manageable complications is rapidly becoming the preferred treatment for corneal endothelial dysfunction. The present study evaluates outcomes of DSEK in terms of its efficacy (visual acuity and refractive outcome). Objective:- To document Visual Outcomes Post Descemet Stripping Endothelial Keratoplasty (DSEK) amongst patients with endothelial dysfunction. Materials and Methods:- DSEK as a part of treatment was performed on 50 eyes of 50 subjects with endothelial pathology at a tertiary eye care institute in Gujarat. The subjects were enrolled based on pre fixed inclusion criteria and the results were evaluated in terms of Visual acuity Pre and Post DSEK surgery. Post DSEK surgery, the subjects were followed serially as the operating surgeon was the same in all the DSEK patients. Results:- The mean age of the study population was 63.90 ± 16.32 years. Majority were males (66%). The difference between mean pre-operative BCVA (1.6 + 1.0) and 1 week follow up (1.13 + 1.01), 1 month follow up (0.7 + 1.0), 6 month follow up (0.65 + 1.1) was statistically significant with p value < 0.01. Conclusion:- After DSEK surgery, a significant improvement in post-operative visual acuity was documented at each follow up. No significant change in spherical and cylindrical refractive errors was noted. Abstract cells per mm 2 — have been lowered in India to at least 2,000 cells per mm 2 . 4 the present study, we have evaluate the outcomes of DSEK in terms of its efficacy (visual acuity and refractive outcome).","PeriodicalId":23047,"journal":{"name":"The Official Scientific Journal of Delhi Ophthalmological Society","volume":"92 1","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83856073","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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