Pub Date : 2024-05-01DOI: 10.4103/jcor.jcor_152_23
Surinder K. Sharma, A. Sharma, V. Mahajan
Ocular involvement in autoimmune bullous dermatoses (AIBD) remains underappreciated. The objective was to study the prevalence and characteristics of ocular involvement in patients with AIBD. The medical records of 25 patients (males: females 11:14) aged between 27 and 85 years (mean ± standard deviation = 44.9 ± 15.6 years) with AIBD were analyzed retrospectively for clinico-epidemiological attributes and the presence of ocular abnormalities. There were 20 (80%) pemphigus patients, of which most were pemphigus vulgaris (PV, n = 14) and pemphigus foliaceus (PF, n = 6). Other 5 (20%) patients included bullous pemphigoid (BP, n = 4) and cicatricial pemphigoid (CP, n = 1). Seventeen (68%) patients comprising 11 (78.6%) of PV, 3 (50%) of PF, 2 (50%) of BP, and 1 (100%) of CP had 27 ocular abnormalities. Erosions of lid margins (n = 3, 27.3%), blepharitis with meibomitis (n = 1, 9.1%), chalazion (n = 1, 9.1%), and conjunctival vesicles over bulbar conjunctivae (n = 2, 18.2%), conjunctivitis (PV = 5, 45.5%, PF = 1, 33.3%), and symblepharon and keratoconjunctivitis sicca in one (9.1%) patient each, respectively, were major ocular manifestations in pemphigus. Entropion with trichiasis, shallow fornices, and corneal opacities were major abnormalities in patients with BP (n = 2, 100%) and CP (n = 1, 100%). Ocular comorbidities vary in prevalence and severity between subtypes of AIBD. These are mainly from complications of ocular surface disease predominantly affecting the anterior segment of the eye. They are more severe in patients with CP compared to others. The study is limited by a single-center, retrospective-study design, a small number of patients in each group for stratification, and long-term follow-up.
{"title":"Ocular manifestations in patients with autoimmune bullous dermatoses: A hospital-based retrospective study","authors":"Surinder K. Sharma, A. Sharma, V. Mahajan","doi":"10.4103/jcor.jcor_152_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_152_23","url":null,"abstract":"\u0000 \u0000 Ocular involvement in autoimmune bullous dermatoses (AIBD) remains underappreciated.\u0000 \u0000 \u0000 \u0000 The objective was to study the prevalence and characteristics of ocular involvement in patients with AIBD.\u0000 \u0000 \u0000 \u0000 The medical records of 25 patients (males: females 11:14) aged between 27 and 85 years (mean ± standard deviation = 44.9 ± 15.6 years) with AIBD were analyzed retrospectively for clinico-epidemiological attributes and the presence of ocular abnormalities.\u0000 \u0000 \u0000 \u0000 There were 20 (80%) pemphigus patients, of which most were pemphigus vulgaris (PV, n = 14) and pemphigus foliaceus (PF, n = 6). Other 5 (20%) patients included bullous pemphigoid (BP, n = 4) and cicatricial pemphigoid (CP, n = 1). Seventeen (68%) patients comprising 11 (78.6%) of PV, 3 (50%) of PF, 2 (50%) of BP, and 1 (100%) of CP had 27 ocular abnormalities. Erosions of lid margins (n = 3, 27.3%), blepharitis with meibomitis (n = 1, 9.1%), chalazion (n = 1, 9.1%), and conjunctival vesicles over bulbar conjunctivae (n = 2, 18.2%), conjunctivitis (PV = 5, 45.5%, PF = 1, 33.3%), and symblepharon and keratoconjunctivitis sicca in one (9.1%) patient each, respectively, were major ocular manifestations in pemphigus. Entropion with trichiasis, shallow fornices, and corneal opacities were major abnormalities in patients with BP (n = 2, 100%) and CP (n = 1, 100%).\u0000 \u0000 \u0000 \u0000 Ocular comorbidities vary in prevalence and severity between subtypes of AIBD. These are mainly from complications of ocular surface disease predominantly affecting the anterior segment of the eye. They are more severe in patients with CP compared to others. The study is limited by a single-center, retrospective-study design, a small number of patients in each group for stratification, and long-term follow-up.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137725","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 : 2024-05-01DOI: 10.4103/jcor.jcor_118_23
B. Preethi, K. Kiran Kumar, N. Malepati
The purpose of the study was to evaluate the outcomes of deep anterior lamellar keratoplasty (DALK) in children and adolescents with advanced keratoconus (KC) at a tertiary eye care center in India. This was a retrospective cross-sectional study. All cases of KC under the age group of 18 years, operated for DALK at a tertiary eye care center in South India, were evaluated from January 2018 to January 2022; outcome measures were best-corrected visual acuity (BCVA), graft clarity at final follow-up, and complications. Of 27 eyes of 25 cases, 16 were male and 9 were female, with a mean age of presentation at 14.9 years. In stromal dissection technique, big bubble was attempted in 23 eyes and achieved in 20 eyes; manual dissection was done for the rest of the cases. Final BCVA varied from 0.1 to 0.6 logMAR units. Twenty-three eyes had excellent graft clarity at final follow-up. Complications noted in the study were intraoperative microperforation in four cases, postoperatively suture-related complications in three cases, and corneal graft rejection in one case. DALK in pediatric age group for advanced KC is an effective treatment option.
{"title":"Deep anterior lamellar keratoplasty in advanced keratoconus in children: A 4-year study","authors":"B. Preethi, K. Kiran Kumar, N. Malepati","doi":"10.4103/jcor.jcor_118_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_118_23","url":null,"abstract":"\u0000 \u0000 The purpose of the study was to evaluate the outcomes of deep anterior lamellar keratoplasty (DALK) in children and adolescents with advanced keratoconus (KC) at a tertiary eye care center in India.\u0000 \u0000 \u0000 \u0000 This was a retrospective cross-sectional study.\u0000 \u0000 \u0000 \u0000 All cases of KC under the age group of 18 years, operated for DALK at a tertiary eye care center in South India, were evaluated from January 2018 to January 2022; outcome measures were best-corrected visual acuity (BCVA), graft clarity at final follow-up, and complications.\u0000 \u0000 \u0000 \u0000 Of 27 eyes of 25 cases, 16 were male and 9 were female, with a mean age of presentation at 14.9 years. In stromal dissection technique, big bubble was attempted in 23 eyes and achieved in 20 eyes; manual dissection was done for the rest of the cases. Final BCVA varied from 0.1 to 0.6 logMAR units. Twenty-three eyes had excellent graft clarity at final follow-up. Complications noted in the study were intraoperative microperforation in four cases, postoperatively suture-related complications in three cases, and corneal graft rejection in one case.\u0000 \u0000 \u0000 \u0000 DALK in pediatric age group for advanced KC is an effective treatment option.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"31 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142674","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 : 2024-05-01DOI: 10.4103/jcor.jcor_149_23
Bhavya Kadiri, U. Vivekanand, Sarita Lobo
To compare the performance of the Dry Eye Questionnaire (DEQ-5) questionnaire with the Ocular Surface Disease Index (OSDI) questionnaire and check its application in large screening camps or nonclinic-based settings. Cross-sectional observation study. To evaluate the DEQ 5 questionnaire by comparing its performance to that of OSDI in assessing dry eye. A cross-sectional study comparing the performance of two questionnaires was conducted. Demographic information was collected. The Cronbach’s alpha reliability and correlation were determined using the Pearson correlation coefficient. The reliability of both the DEQ 5 and OSDI was 0.52 and 0.78, respectively. There was a statistically significant correlation between both questionnaires. (r = 0.6, P < 0.050). DEQ-5 questionnaire can serve as a useful tool for evaluating and monitoring in various dry eye settings in comparison to OSDI.
{"title":"Comparative analysis of Dry Eye Questionnaire 5 and Ocular Surface Disease Index in assessing dry eye symptoms","authors":"Bhavya Kadiri, U. Vivekanand, Sarita Lobo","doi":"10.4103/jcor.jcor_149_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_149_23","url":null,"abstract":"\u0000 \u0000 To compare the performance of the Dry Eye Questionnaire (DEQ-5) questionnaire with the Ocular Surface Disease Index (OSDI) questionnaire and check its application in large screening camps or nonclinic-based settings.\u0000 \u0000 \u0000 \u0000 Cross-sectional observation study.\u0000 \u0000 \u0000 \u0000 To evaluate the DEQ 5 questionnaire by comparing its performance to that of OSDI in assessing dry eye.\u0000 \u0000 \u0000 \u0000 A cross-sectional study comparing the performance of two questionnaires was conducted. Demographic information was collected. The Cronbach’s alpha reliability and correlation were determined using the Pearson correlation coefficient.\u0000 \u0000 \u0000 \u0000 The reliability of both the DEQ 5 and OSDI was 0.52 and 0.78, respectively. There was a statistically significant correlation between both questionnaires. (r = 0.6, P < 0.050).\u0000 \u0000 \u0000 \u0000 DEQ-5 questionnaire can serve as a useful tool for evaluating and monitoring in various dry eye settings in comparison to OSDI.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130453","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}
Prolonged pupil cycle time (PCT) is a complication of type II diabetes and becomes more protracted as the disease progresses. PCT can be used as a quick and accurate clinical test to determine how much autonomic neuropathy is influencing a diabetic patient’s pupil. The aim of the study was to compare the PCT of type II diabetes patients with that of the healthy control group and analyze the impact of several factors, including age, sex, duration of diabetes, and grade of diabetic retinopathy on PCT. The study was conducted from August 2022 to August 2023. One hundred people were arbitrarily selected, 50 of whom had diabetes and 50 healthy controls. To start rhythmic cycles of contraction and relaxation, a narrow, horizontally aligned beam of fixed proportions was focused on the inferior area of the pupil. The cycle period was then monitored in milliseconds using a handheld stopwatch. The mean PCT of diabetics was compared with nondiabetics and its correlation with different variables such as age, sex, diabetes duration, and grade of retinopathy was done. Fifty diabetic patients (28 females and 22 males) aged 42–74 years and 50 controls (32 females and 18 males) aged 44–70 were included in the study. The mean PCT of the diabetics was 1130 ± 186 ms, whereas it was 940 ± 132 ms in the controls; thus, the mean PCT was longer in the diabetics. It was also found that the mean PCT increased with increasing grades of retinopathy. A positive correlation was also noted between mean PCT and duration of diabetes. PCT is a fast, simple, and reliable clinical test of optic nerve function. Being objective and quantifiable for each eye separately is a huge benefit. The PCT measurements might be used in the clinical evaluation of an autonomic nervous system. It is a simple, inexpensive yet quick, and effective tool to assess pupillary autonomic neuropathy in the diabetics.
{"title":"Pupil cycle time and its significance in patients with diabetic retinopathy","authors":"Prasenjit Kalita, Ankita Gogoi, Jyoti Bhuyan, Manjit Boro","doi":"10.4103/jcor.jcor_136_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_136_23","url":null,"abstract":"\u0000 \u0000 Prolonged pupil cycle time (PCT) is a complication of type II diabetes and becomes more protracted as the disease progresses. PCT can be used as a quick and accurate clinical test to determine how much autonomic neuropathy is influencing a diabetic patient’s pupil.\u0000 \u0000 \u0000 \u0000 The aim of the study was to compare the PCT of type II diabetes patients with that of the healthy control group and analyze the impact of several factors, including age, sex, duration of diabetes, and grade of diabetic retinopathy on PCT.\u0000 \u0000 \u0000 \u0000 The study was conducted from August 2022 to August 2023. One hundred people were arbitrarily selected, 50 of whom had diabetes and 50 healthy controls.\u0000 \u0000 \u0000 \u0000 To start rhythmic cycles of contraction and relaxation, a narrow, horizontally aligned beam of fixed proportions was focused on the inferior area of the pupil. The cycle period was then monitored in milliseconds using a handheld stopwatch. The mean PCT of diabetics was compared with nondiabetics and its correlation with different variables such as age, sex, diabetes duration, and grade of retinopathy was done.\u0000 \u0000 \u0000 \u0000 Fifty diabetic patients (28 females and 22 males) aged 42–74 years and 50 controls (32 females and 18 males) aged 44–70 were included in the study. The mean PCT of the diabetics was 1130 ± 186 ms, whereas it was 940 ± 132 ms in the controls; thus, the mean PCT was longer in the diabetics. It was also found that the mean PCT increased with increasing grades of retinopathy. A positive correlation was also noted between mean PCT and duration of diabetes.\u0000 \u0000 \u0000 \u0000 PCT is a fast, simple, and reliable clinical test of optic nerve function. Being objective and quantifiable for each eye separately is a huge benefit. The PCT measurements might be used in the clinical evaluation of an autonomic nervous system. It is a simple, inexpensive yet quick, and effective tool to assess pupillary autonomic neuropathy in the diabetics.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"2 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136011","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}
Mohd Azaz Quraishi, Pushpanjali Badole, Amit S. Nene, Pratik Shenoy, Smitesh Shah, Onkar H. Pirdankar
{"title":"Presumed ocular histoplasmosis syndrome: A case of masked identity","authors":"Mohd Azaz Quraishi, Pushpanjali Badole, Amit S. Nene, Pratik Shenoy, Smitesh Shah, Onkar H. Pirdankar","doi":"10.4103/jcor.jcor_7_24","DOIUrl":"https://doi.org/10.4103/jcor.jcor_7_24","url":null,"abstract":"","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"110 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133469","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 : 2024-05-01DOI: 10.4103/jcor.jcor_148_23
Alok Pratap Singh, Archit Pandharipande, Anubha Ojha, Sanjeev Yadav, M. R. Behera, Kumudini Sharma
The purpose of the study was to analyze the occurrence of severe, typical cytomegalovirus (CMV) retinitis (CMVR) in human immunodeficiency virus (HIV) negative, partially immunosuppressed patients, emphasizing inconsistency in the clinical presentation of CMVR and to evaluate the role of combined anti-CMV therapy in the management of such patients. This study was a retrospective, observational, noncomparative case series. We examined and treated consecutive HIV-negative adult patients of CMVR. Blood-based polymerase chain reaction analysis of the CMV genome was done pre- and posttreatment. Details of underlying systemic conditions were collected. Patients were treated with simultaneous administration of intravitreal and intravenous (IV) anti-CMV therapy. Follow-up was for 1 year. All outcomes were determined retrospectively. A total of 6 eyes of 4 consecutive patients were diagnosed with CMVR in HIV-negative patients. Patients were only partially immunosuppressed but revealed typical severe fulminant CMVR. Patients received a total of 2 intravitreal ganciclovir injections, and IV ganciclovir/oral valganciclovir was given. All patients achieved complete healing within the treatment period. As opposed to the general perception, typical, fulminant, severe CMVR may occur in patients with limited immune dysfunction. Our report underlines this inconsistency in the clinical presentation of CMVR in partially immunosuppressed patients. The immune status of the patients seems a significant factor in determining the clinical phenotypes of CMVR. Combined intravitreal and IV ganciclovir/oral valganciclovir therapy was successful in treating this group of CMVR patients.
{"title":"Typical cytomegalovirus retinitis in non-human immunodeficiency virus partially immunosuppressed patients: A case series","authors":"Alok Pratap Singh, Archit Pandharipande, Anubha Ojha, Sanjeev Yadav, M. R. Behera, Kumudini Sharma","doi":"10.4103/jcor.jcor_148_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_148_23","url":null,"abstract":"\u0000 \u0000 The purpose of the study was to analyze the occurrence of severe, typical cytomegalovirus (CMV) retinitis (CMVR) in human immunodeficiency virus (HIV) negative, partially immunosuppressed patients, emphasizing inconsistency in the clinical presentation of CMVR and to evaluate the role of combined anti-CMV therapy in the management of such patients.\u0000 \u0000 \u0000 \u0000 This study was a retrospective, observational, noncomparative case series. We examined and treated consecutive HIV-negative adult patients of CMVR. Blood-based polymerase chain reaction analysis of the CMV genome was done pre- and posttreatment. Details of underlying systemic conditions were collected. Patients were treated with simultaneous administration of intravitreal and intravenous (IV) anti-CMV therapy. Follow-up was for 1 year. All outcomes were determined retrospectively.\u0000 \u0000 \u0000 \u0000 A total of 6 eyes of 4 consecutive patients were diagnosed with CMVR in HIV-negative patients. Patients were only partially immunosuppressed but revealed typical severe fulminant CMVR. Patients received a total of 2 intravitreal ganciclovir injections, and IV ganciclovir/oral valganciclovir was given. All patients achieved complete healing within the treatment period.\u0000 \u0000 \u0000 \u0000 As opposed to the general perception, typical, fulminant, severe CMVR may occur in patients with limited immune dysfunction. Our report underlines this inconsistency in the clinical presentation of CMVR in partially immunosuppressed patients. The immune status of the patients seems a significant factor in determining the clinical phenotypes of CMVR. Combined intravitreal and IV ganciclovir/oral valganciclovir therapy was successful in treating this group of CMVR patients.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131427","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 : 2024-05-01DOI: 10.4103/jcor.jcor_114_23
Sonal Shah, Onkar H. Pirdankar, Lomesh D. Patil, Siddharth Sheth, Pooja Jain, Rahul Saradge, Smitesh Shah
The purpose is to describe image quality metrics such as modulation transfer function (MTF) and Strehl ratio and higher order aberration (HOA) with corneo scleral lens (CSL) in keratoconus. A 25-year-old male visited the outpatient department with a complaint of diminution of distance vision in the right eye. His best-corrected visual acuity was 6/60 and 6/6 partial in the right and left eyes, respectively. Slit-lamp examination revealed right eye keratoconus and left eye was Forme fruste keratoconus. There was a history of corneal collagen cross-linking with riboflavin in the right eye. The patient was dispensed with corneo-scleral contact lens and the left eye was managed with spectacle. Corneal HOA, MTF, and Strehl ratio were measured without and with CSL using iTrace aberrometer. A significant reduction in corneal HOA and improvement in image quality metrics were noted with CSL.
{"title":"Modulation transfer function and higher order aberrations with and without corneo scleral lens in an eye with keratoconus","authors":"Sonal Shah, Onkar H. Pirdankar, Lomesh D. Patil, Siddharth Sheth, Pooja Jain, Rahul Saradge, Smitesh Shah","doi":"10.4103/jcor.jcor_114_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_114_23","url":null,"abstract":"The purpose is to describe image quality metrics such as modulation transfer function (MTF) and Strehl ratio and higher order aberration (HOA) with corneo scleral lens (CSL) in keratoconus. A 25-year-old male visited the outpatient department with a complaint of diminution of distance vision in the right eye. His best-corrected visual acuity was 6/60 and 6/6 partial in the right and left eyes, respectively. Slit-lamp examination revealed right eye keratoconus and left eye was Forme fruste keratoconus. There was a history of corneal collagen cross-linking with riboflavin in the right eye. The patient was dispensed with corneo-scleral contact lens and the left eye was managed with spectacle. Corneal HOA, MTF, and Strehl ratio were measured without and with CSL using iTrace aberrometer. A significant reduction in corneal HOA and improvement in image quality metrics were noted with CSL.","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":" 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130751","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 : 2024-05-01DOI: 10.4103/jcor.jcor_126_23
Ashi Khurana, Mahendra Singh, Anuprakshi Malik, Pradeep Agarwal, L. Chauhan
The purpose of the study was to measure the mental well-being of patients suffering from low vision using the Depression, Anxiety, and Stress Scale (DASS). Low-vision patients who visited the low-vision clinic of CL Gupta Eye Institute were studied using the DASS. Patients were excluded if they were <18 years old or could not understand the questionnaire due to an intellectual disability. Sociodemographic characters (such as age, gender, marital status, and education) were recorded before the administration of the study questionnaire. In this study of 60 low-vision patients, high rates of psychological distress were observed, with 85% experiencing depression, 81.7% anxiety, and 75% stress. Demographic variables such as age, gender, marital status, and education did not significantly affect these rates. However, individuals with severe visual impairment (VI) or blindness had significantly higher prevalence rates for depression (P = 0.003), anxiety (P = 0.001), and stress (P = 0.013). This study reveals a high prevalence of depression, anxiety, and stress among low-vision patients, with the most pronounced impact seen in individuals with severe VI or blindness. These findings underscore the urgent need for targeted mental health interventions to improve the well-being of low-vision patients, especially those with severe VI. Tailored support can significantly enhance their overall quality of life and psychological health.
{"title":"Psychological distress among low-vision patients","authors":"Ashi Khurana, Mahendra Singh, Anuprakshi Malik, Pradeep Agarwal, L. Chauhan","doi":"10.4103/jcor.jcor_126_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_126_23","url":null,"abstract":"\u0000 \u0000 The purpose of the study was to measure the mental well-being of patients suffering from low vision using the Depression, Anxiety, and Stress Scale (DASS).\u0000 \u0000 \u0000 \u0000 Low-vision patients who visited the low-vision clinic of CL Gupta Eye Institute were studied using the DASS. Patients were excluded if they were <18 years old or could not understand the questionnaire due to an intellectual disability. Sociodemographic characters (such as age, gender, marital status, and education) were recorded before the administration of the study questionnaire.\u0000 \u0000 \u0000 \u0000 In this study of 60 low-vision patients, high rates of psychological distress were observed, with 85% experiencing depression, 81.7% anxiety, and 75% stress. Demographic variables such as age, gender, marital status, and education did not significantly affect these rates. However, individuals with severe visual impairment (VI) or blindness had significantly higher prevalence rates for depression (P = 0.003), anxiety (P = 0.001), and stress (P = 0.013).\u0000 \u0000 \u0000 \u0000 This study reveals a high prevalence of depression, anxiety, and stress among low-vision patients, with the most pronounced impact seen in individuals with severe VI or blindness. These findings underscore the urgent need for targeted mental health interventions to improve the well-being of low-vision patients, especially those with severe VI. Tailored support can significantly enhance their overall quality of life and psychological health.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"9 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137758","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 : 2024-05-01DOI: 10.4103/jcor.jcor_154_23
Ketaki Bhat, Kanav Gupta, R. Khandelwal
The study was aimed to assess the clinical features of ocular trauma and to classify and compare mechanical ocular injuries. This retrospective study was done on 299 patients with ocular injuries from January 2018 to May 2019. We reviewed case record forms for visual acuity (VA) and anterior segment findings. Fundus findings and intraocular pressure values were also noted. When indicated, radiological examinations such as computed tomography, magnetic resonance imaging, B-scan, and X-ray orbit were performed. The SPSS 11.0 package was used for data analysis. Of the 299 instances in this study, 104 (34.78%) were in the 30–45 age group. The impact on males was 4.8 times greater than that on females. The most frequent cause among the 102 participants (34.11%) was industrial work. Out of 216 cases of closed-globe injuries, more than half, i.e., 113 cases (52.31%), were in zone I. Ocular trauma is more common among young males, with industrial work being the most common cause. A unilateral, closed-globe injury was more common compared to bilateral and open injuries. In open-globe injuries, zone II was more commonly affected, while in closed injuries, zone I was more common. Visual impairment was more severe in open-globe injuries. With regard to the prediction of final VA, our results were comparable to the ocular trauma score study, thus affirming its utility.
{"title":"Ocular trauma study in rural indian population – clinical features and visual outcomes based on ocular trauma score","authors":"Ketaki Bhat, Kanav Gupta, R. Khandelwal","doi":"10.4103/jcor.jcor_154_23","DOIUrl":"https://doi.org/10.4103/jcor.jcor_154_23","url":null,"abstract":"\u0000 \u0000 The study was aimed to assess the clinical features of ocular trauma and to classify and compare mechanical ocular injuries.\u0000 \u0000 \u0000 \u0000 This retrospective study was done on 299 patients with ocular injuries from January 2018 to May 2019. We reviewed case record forms for visual acuity (VA) and anterior segment findings. Fundus findings and intraocular pressure values were also noted. When indicated, radiological examinations such as computed tomography, magnetic resonance imaging, B-scan, and X-ray orbit were performed. The SPSS 11.0 package was used for data analysis.\u0000 \u0000 \u0000 \u0000 Of the 299 instances in this study, 104 (34.78%) were in the 30–45 age group. The impact on males was 4.8 times greater than that on females. The most frequent cause among the 102 participants (34.11%) was industrial work. Out of 216 cases of closed-globe injuries, more than half, i.e., 113 cases (52.31%), were in zone I.\u0000 \u0000 \u0000 \u0000 Ocular trauma is more common among young males, with industrial work being the most common cause. A unilateral, closed-globe injury was more common compared to bilateral and open injuries. In open-globe injuries, zone II was more commonly affected, while in closed injuries, zone I was more common. Visual impairment was more severe in open-globe injuries. With regard to the prediction of final VA, our results were comparable to the ocular trauma score study, thus affirming its utility.\u0000","PeriodicalId":33073,"journal":{"name":"Journal of Clinical Ophthalmology and Research","volume":"225 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144873","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 : 2024-05-01DOI: 10.4103/jcor.jcor_117_23
Yashi Bansal, S. Bandhu, Mohammad Hifz Ur Rahman, Sahil Garg, Yukta Pasricha
Refractive errors are common vision disorders globally. Advancements in refractive surgeries have provided new options for vision correction. However, uptake depends on awareness and personal attitudes. This study aimed to assess the awareness, attitudes, and preferences regarding refractive procedures among medical undergraduates. This cross-sectional study was conducted among 133 medical students. A prevalidated questionnaire was used to collect data on demographics, spectacles/contact lens use, awareness of procedures, willingness to undergo surgery, and recommend it to others. Data were analyzed using descriptive statistics and Chi-square tests. Most students (92.5%) were aware of refractive surgeries. Spectacles were used by 70.7% and contact lenses by 57.9%. Most users were comfortable with their method. Less than half (47.4%) planned to undergo refractive surgery themselves, although 63.2% would recommend it to family/friends. Laser-assisted in situ keratomileusis (LASIK) was the preferred choice (44.4%). Those willing to undergo surgery were more likely to advise it to others (P < 0.001). This study found a high awareness but lower personal acceptance of refractive surgery among medical students. LASIK was the most preferred procedure. Updated education about advances in refractive correction is needed in the medical curriculum. This can enable future physicians to better counsel patients regarding vision correction options.
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