Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_111_22
A. Mohankumar, A. Priyankka, Supriya Gautham, M. Khatri, M. Rajan
Central serous chorioretinopathy (CSCR) is a condition which is characterized by fluid accumulation in the subretinal space causing mild-to-moderate visual disturbances. A variety of risk factors including stress, steroid usage and high achieving personality have been identified as causes of CSCR. Chronic and recurrent subretinal fluid can cause irreversible damage to retina and vision loss; hence, early identification of risk factors is crucial in management and prevention of recurrence. In this case report, we describe a case of young male who developed acute CSCR following the use of 5% topical minoxidil for androgenic alopecia which was successfully managed by discontinuing the drug and focal laser.
{"title":"Acute central serous chorioretinopathy following topical minoxidil use for androgenic alopecia - A case report","authors":"A. Mohankumar, A. Priyankka, Supriya Gautham, M. Khatri, M. Rajan","doi":"10.4103/tjosr.tjosr_111_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_111_22","url":null,"abstract":"Central serous chorioretinopathy (CSCR) is a condition which is characterized by fluid accumulation in the subretinal space causing mild-to-moderate visual disturbances. A variety of risk factors including stress, steroid usage and high achieving personality have been identified as causes of CSCR. Chronic and recurrent subretinal fluid can cause irreversible damage to retina and vision loss; hence, early identification of risk factors is crucial in management and prevention of recurrence. In this case report, we describe a case of young male who developed acute CSCR following the use of 5% topical minoxidil for androgenic alopecia which was successfully managed by discontinuing the drug and focal laser.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"22 9","pages":"236 - 238"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41261629","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 : 2023-04-01DOI: 10.4103/tjosr.tjosr_98_22
Ramya Chelliah, R. Rangasamy, Ganesh Veeraraghavan, K. Mahalingam, Sheela Ramani, S. Pattabiraman, N. Narayanan
Objective: To study the prevalence of keratoconus among college students. Design: Cross-sectional study. Participants: Three hundred and eighty-six medical undergraduate students studying in the medical college were recruited for the study after excluding the subjects who had other ocular pathology causing reduced vision or who had undergone surgery other than for keratoconus. Methods: Relevant history, visual acuity, keratometry, and corneal topography were done using the Tomey-topographic modelling system. Main Outcome Measures: KCI, KSI and Kmax were used to identify keratoconus (KCI >5% or KSI >30%) and keratoconus suspects (KSI >15% or Kmax >47.2D, who do not meet the criteria for keratoconus). Results: In our study, 15 participants (3.9%) had keratoconus and 20 (5.2%) participants were labelled keratoconus suspect. Conclusion: With the higher prevalence and younger age of presentation for keratoconus in India, topographical screening for keratoconus is being suggested to be done in the college-age group who do not achieve 6/6 as best-corrected visual acuity despite looking normal in clinical examination. This will aid in early detection and better management.
{"title":"Screening for keratoconus among students in a medical college in South India: A pilot study","authors":"Ramya Chelliah, R. Rangasamy, Ganesh Veeraraghavan, K. Mahalingam, Sheela Ramani, S. Pattabiraman, N. Narayanan","doi":"10.4103/tjosr.tjosr_98_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_98_22","url":null,"abstract":"Objective: To study the prevalence of keratoconus among college students. Design: Cross-sectional study. Participants: Three hundred and eighty-six medical undergraduate students studying in the medical college were recruited for the study after excluding the subjects who had other ocular pathology causing reduced vision or who had undergone surgery other than for keratoconus. Methods: Relevant history, visual acuity, keratometry, and corneal topography were done using the Tomey-topographic modelling system. Main Outcome Measures: KCI, KSI and Kmax were used to identify keratoconus (KCI >5% or KSI >30%) and keratoconus suspects (KSI >15% or Kmax >47.2D, who do not meet the criteria for keratoconus). Results: In our study, 15 participants (3.9%) had keratoconus and 20 (5.2%) participants were labelled keratoconus suspect. Conclusion: With the higher prevalence and younger age of presentation for keratoconus in India, topographical screening for keratoconus is being suggested to be done in the college-age group who do not achieve 6/6 as best-corrected visual acuity despite looking normal in clinical examination. This will aid in early detection and better management.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"192 - 195"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43688633","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 : 2023-04-01DOI: 10.4103/tjosr.tjosr_135_22
Devendra Maheshwari, C. Drishti, S. Rajagopal, M. Pillai, R. Ramakrishnan
Context: Intraocular pressure (IOP) remains the only treatable risk factor in the management of glaucoma patients. Therefore, an accurate IOP measurement is essential for ophthalmic examination. The accuracy of IOP measurement can be affected by factors like central corneal thickness (CCT), astigmatism and biomechanics of the cornea. The purpose of our study was to assess the agreement of IOP measured by Goldmann applanation tonometer (GAT), iCare and non-contact tonometer (NCT) in different IOP group. Aim: To compare IOP measured by NCT, iCare and GAT in different IOP groups. Study Design: Cross-sectional study. Methods and Material: 201 eyes of 101 subjects were enrolled in this study. The patients were divided into three groups: group 1: <10 mmHg, group 2: 11–20 mmHg and group 3: 21–30 mmHg. IOP measurement was done in NCT– iCare–GAT sequence. CCT values were obtained by pachymetry and scatter plot was performed. Results: The IOP intervariability In group 1 , NCT–GAT [r = 0.30, P = 0.238, intraclass correlation coefficient (ICC) = 0.37], iCare–GAT (r = 0.53, P = 0.028 ICC = 0.65); group 2 NCT–GAT (r = 0.74, P < 0.001, ICC = 0.85), iCare–GAT (r = 0.76, P < 0.001, ICC = 0.84); group 3 NCT vs GAT (r = 0.55, P = 0.001, ICC = 0.70), iCare vs GAT (r = 0.52, P = 0.002, ICC = 0.66). IOP measurements of the three methods were significantly correlated with CCT. Bland–Altman analysis showed significant agreement between the three devices (P < 0.01). Conclusions: iCare showed a better agreement with GAT when compared over a wide range of IOP. The three tonometers were similar in a low IOP range while there was an overestimation with NCT in higher IOP groups. NCT seemed to be influenced more by CCT followed by GAT and iCare.
背景:眼压(IOP)仍然是青光眼患者管理中唯一可治疗的危险因素。因此，准确的IOP测量对于眼科检查至关重要。眼压测量的准确性受角膜中央厚度(CCT)、散光和角膜生物力学等因素的影响。本研究的目的是评估Goldmann眼压仪(GAT)、iCare和非接触式眼压仪(NCT)在不同眼压组中的一致性。目的:比较NCT、iCare和GAT在不同眼压组的眼压测量结果。研究设计:横断面研究。方法与材料:选取101例受试者201只眼。将患者分为3组:1组<10 mmHg, 2组11-20 mmHg, 3组21-30 mmHg。眼压测量采用NCT - iCare-GAT序列。采用厚测法获得CCT值，并进行散点图分析。结果:IOP互变性在第一组，NCT-GAT [r = 0.30, P = 0.238，类内相关系数(ICC) = 0.37]、iCare-GAT (r = 0.53, P = 0.028 ICC = 0.65);第二组NCT-GAT (r = 0.74, P < 0.001, ICC = 0.85)、iCare-GAT (r = 0.76, P < 0.001, ICC = 0.84);第三组NCT vs GAT (r = 0.55, P = 0.001, ICC = 0.70)， iCare vs GAT (r = 0.52, P = 0.002, ICC = 0.66)。三种方法的IOP测量值与CCT显著相关。Bland-Altman分析显示三种器械之间具有显著的一致性(P < 0.01)。结论:与大范围IOP相比，iCare与GAT表现出更好的一致性。三种眼压计在低IOP范围内相似，而NCT在高IOP组中存在高估。NCT似乎更受有条件现金转移的影响，其次是GAT和iCare。
{"title":"Intervariability in IOP measurement by using GAT, rebound tonometer and NCT in glaucoma patients","authors":"Devendra Maheshwari, C. Drishti, S. Rajagopal, M. Pillai, R. Ramakrishnan","doi":"10.4103/tjosr.tjosr_135_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_135_22","url":null,"abstract":"Context: Intraocular pressure (IOP) remains the only treatable risk factor in the management of glaucoma patients. Therefore, an accurate IOP measurement is essential for ophthalmic examination. The accuracy of IOP measurement can be affected by factors like central corneal thickness (CCT), astigmatism and biomechanics of the cornea. The purpose of our study was to assess the agreement of IOP measured by Goldmann applanation tonometer (GAT), iCare and non-contact tonometer (NCT) in different IOP group. Aim: To compare IOP measured by NCT, iCare and GAT in different IOP groups. Study Design: Cross-sectional study. Methods and Material: 201 eyes of 101 subjects were enrolled in this study. The patients were divided into three groups: group 1: <10 mmHg, group 2: 11–20 mmHg and group 3: 21–30 mmHg. IOP measurement was done in NCT– iCare–GAT sequence. CCT values were obtained by pachymetry and scatter plot was performed. Results: The IOP intervariability In group 1 , NCT–GAT [r = 0.30, P = 0.238, intraclass correlation coefficient (ICC) = 0.37], iCare–GAT (r = 0.53, P = 0.028 ICC = 0.65); group 2 NCT–GAT (r = 0.74, P < 0.001, ICC = 0.85), iCare–GAT (r = 0.76, P < 0.001, ICC = 0.84); group 3 NCT vs GAT (r = 0.55, P = 0.001, ICC = 0.70), iCare vs GAT (r = 0.52, P = 0.002, ICC = 0.66). IOP measurements of the three methods were significantly correlated with CCT. Bland–Altman analysis showed significant agreement between the three devices (P < 0.01). Conclusions: iCare showed a better agreement with GAT when compared over a wide range of IOP. The three tonometers were similar in a low IOP range while there was an overestimation with NCT in higher IOP groups. NCT seemed to be influenced more by CCT followed by GAT and iCare.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"177 - 181"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42421598","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 : 2023-04-01DOI: 10.4103/tjosr.tjosr_103_22
Vidhyadevi Ramasamy, S. Saudhamini, Sandhiya Venkatesan, P. Sundaram, M. Priya
Purpose: To assess the knowledge of post-operative cataract care among nursing staff. Methods: This is an interventional study conducted among 43 nurses working in ophthalmology OPD and ward for three months. A convenience sampling technique was done. Data collection was done with a 10-point checklist and a closed questionnaire consisting of 25 questions. The checklist was first assessed by an ophthalmologist. Then the nursing staff were given a validated closed-end questionnaire and made to answer. Later, a detailed theoretical PowerPoint presentation followed by a practical session, regarding post-operative cataract care, was conducted and the same questionnaire was made to answer again. Post-intervention, the checklist was assessed by the same faculty again. Results: About 51% had Bachelor of nursing, 35% had diploma in general nursing and midwifery, and 14% had diploma in general nursing. Mean work experience was 10 months, median of 9 months, and a range of 1 to 36 months. Pre-intervention checklist mean score was 6.65+/−0.93. Pre-intervention, 14% had good knowledge (i.e., more than 75% score), 63% had average knowledge (i.e., 60%–75%) and 23% had poor knowledge (i.e., less than 60% score). Pre-intervention, the mean score was 14.09+/−3.29 which improved to 18.79+/−1.71 post-intervention. Post-intervention, 72% gained good knowledge and 28% developed average knowledge. The implementation of the gained knowledge was assessed by the same checklist and it showed a mean score of 9.11+/−0.68. The quality of care improved and was practised by the nursing staff. Conclusion: Regular educational sessions, both theoretical and practical, for the nursing staff, can improve the knowledge level of nursing staff and thereby improve the quality of care given to the patients. They can also help in transferring the same knowledge to the patients.
{"title":"Effectiveness of educational intervention among nursing staff in improving post-operative cataract care in a tertiary care centre","authors":"Vidhyadevi Ramasamy, S. Saudhamini, Sandhiya Venkatesan, P. Sundaram, M. Priya","doi":"10.4103/tjosr.tjosr_103_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_103_22","url":null,"abstract":"Purpose: To assess the knowledge of post-operative cataract care among nursing staff. Methods: This is an interventional study conducted among 43 nurses working in ophthalmology OPD and ward for three months. A convenience sampling technique was done. Data collection was done with a 10-point checklist and a closed questionnaire consisting of 25 questions. The checklist was first assessed by an ophthalmologist. Then the nursing staff were given a validated closed-end questionnaire and made to answer. Later, a detailed theoretical PowerPoint presentation followed by a practical session, regarding post-operative cataract care, was conducted and the same questionnaire was made to answer again. Post-intervention, the checklist was assessed by the same faculty again. Results: About 51% had Bachelor of nursing, 35% had diploma in general nursing and midwifery, and 14% had diploma in general nursing. Mean work experience was 10 months, median of 9 months, and a range of 1 to 36 months. Pre-intervention checklist mean score was 6.65+/−0.93. Pre-intervention, 14% had good knowledge (i.e., more than 75% score), 63% had average knowledge (i.e., 60%–75%) and 23% had poor knowledge (i.e., less than 60% score). Pre-intervention, the mean score was 14.09+/−3.29 which improved to 18.79+/−1.71 post-intervention. Post-intervention, 72% gained good knowledge and 28% developed average knowledge. The implementation of the gained knowledge was assessed by the same checklist and it showed a mean score of 9.11+/−0.68. The quality of care improved and was practised by the nursing staff. Conclusion: Regular educational sessions, both theoretical and practical, for the nursing staff, can improve the knowledge level of nursing staff and thereby improve the quality of care given to the patients. They can also help in transferring the same knowledge to the patients.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"169 - 171"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42710103","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 : 2023-04-01DOI: 10.4103/tjosr.tjosr_32_23
A. Mohankumar, Sashwanthi Mohan, M. Rajan
{"title":"Uveitis crossword and OSCE","authors":"A. Mohankumar, Sashwanthi Mohan, M. Rajan","doi":"10.4103/tjosr.tjosr_32_23","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_32_23","url":null,"abstract":"","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"275 - 276"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41343123","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 : 2023-04-01DOI: 10.4103/tjosr.tjosr_75_22
A. Baskaran, Elangovan Ramalingam, Tanuja Britto, Philip Thomas, Prathiba Muthusamy
Background: Vision screening in children usually comprises of visual acuity assessment for distance alone. Binocularity is not routinely checked. This study evaluates the validity of the TNO cards stereopsis test as a screening tool for defects of binocularity in children. Methods: In this cross-sectional observational study, 200 children, aged 5–15 years, visiting the outpatient department of a tertiary eye care institute, had their near stereoacuity assessed using the TNO cards test. The number of children with amblyopia, strabismus and refractive error were compared among those who passed (120 arc sec or better) or failed (worse than 120 arc sec) the screening test. The sensitivity and specificity of TNO cards as a diagnostic test for the above conditions were calculated. Results: The sensitivity of TNO cards to diagnose amblyopia, strabismus and refractive errors was 100%, 80% and 22.1%, respectively. The specificity for the same was 96.8%, 93.3% and 100%, respectively. The area under the curve by plotting receiver-operating characteristics (ROC) for diagnosis of these conditions was 0.996, 0.871 and 0.610, respectively. Conclusion: The TNO cards test is effective in screening children for amblyopia and strabismus. However, this test needs to be combined with vision assessment for effective screening of refractive errors.
{"title":"Validity of TNO cards as a screening test for defects of binocularity in children","authors":"A. Baskaran, Elangovan Ramalingam, Tanuja Britto, Philip Thomas, Prathiba Muthusamy","doi":"10.4103/tjosr.tjosr_75_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_75_22","url":null,"abstract":"Background: Vision screening in children usually comprises of visual acuity assessment for distance alone. Binocularity is not routinely checked. This study evaluates the validity of the TNO cards stereopsis test as a screening tool for defects of binocularity in children. Methods: In this cross-sectional observational study, 200 children, aged 5–15 years, visiting the outpatient department of a tertiary eye care institute, had their near stereoacuity assessed using the TNO cards test. The number of children with amblyopia, strabismus and refractive error were compared among those who passed (120 arc sec or better) or failed (worse than 120 arc sec) the screening test. The sensitivity and specificity of TNO cards as a diagnostic test for the above conditions were calculated. Results: The sensitivity of TNO cards to diagnose amblyopia, strabismus and refractive errors was 100%, 80% and 22.1%, respectively. The specificity for the same was 96.8%, 93.3% and 100%, respectively. The area under the curve by plotting receiver-operating characteristics (ROC) for diagnosis of these conditions was 0.996, 0.871 and 0.610, respectively. Conclusion: The TNO cards test is effective in screening children for amblyopia and strabismus. However, this test needs to be combined with vision assessment for effective screening of refractive errors.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"172 - 176"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43007153","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 : 2023-04-01DOI: 10.4103/tjosr.tjosr_81_22
Malarvizhi Raman, Latha Thiagarajan, S. Sheela, Prashanth Ravi
Ocular abnormalities are not so uncommon in achondroplasia. Here we report two cases of achondroplasia from the same family where one patient was diagnosed with both eyes Juvenile open-angle glaucoma (JOAG) and treated surgically with trabeculectomy and the other with an isolated racemose haemangioma of the left eye–Wyburn–Mason syndrome. This by far is the first incidence of JOAG as well as Wyburn–Mason syndrome reported in achondroplasia.
{"title":"Two in one: Ocular abnormalities in siblings with achondroplasia","authors":"Malarvizhi Raman, Latha Thiagarajan, S. Sheela, Prashanth Ravi","doi":"10.4103/tjosr.tjosr_81_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_81_22","url":null,"abstract":"Ocular abnormalities are not so uncommon in achondroplasia. Here we report two cases of achondroplasia from the same family where one patient was diagnosed with both eyes Juvenile open-angle glaucoma (JOAG) and treated surgically with trabeculectomy and the other with an isolated racemose haemangioma of the left eye–Wyburn–Mason syndrome. This by far is the first incidence of JOAG as well as Wyburn–Mason syndrome reported in achondroplasia.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"228 - 230"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41750075","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 : 2023-04-01DOI: 10.4103/tjosr.tjosr_62_22
A. Pai, R. Sankarananthan, S. Prasad, H. Bhanumathi, T. Koshy, M. Shekhar
Purpose: To study the causes leading to the cancellation or postponement of cataract surgery on the day of surgery in a tertiary eye hospital. Methods: All adult patients diagnosed with cataract and posted for cataract surgery from 1 January 2017 to 31 December 2019 and for whom surgeries were cancelled on the day of surgery or one day preceding the surgery after the patient has presented to the hospital were included in this retrospective study. The causes for cancellation were retrieved from the patient files and the electronic medical records. Results: Out of 320,632 patients for cataract surgery, surgeries of 8483 were cancelled because of various causes, resulting in a cumulative cancellation rate of 2.65%. The most common cause for cancellation on the day of surgery was systemic illness in 2909 patients (34.3%), followed by refusal by the patient seen in 2450 patients (28.9%) and infective and inflammatory causes of the eye in 1243 patients (14.6%). Conclusion: Systemic illness is the most common cause on the day of cancellation of cataract surgery in a tertiary eye hospital, followed by the refusal by the patient to get operated on. Thorough pre-operative evaluation, systemic examination, and proper counselling play an important role in improving the efficiency of cataract surgeries.
{"title":"Causes behind cancelled or postponed cataract surgeries in a tertiary eye care hospital: A retrospective analysis","authors":"A. Pai, R. Sankarananthan, S. Prasad, H. Bhanumathi, T. Koshy, M. Shekhar","doi":"10.4103/tjosr.tjosr_62_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_62_22","url":null,"abstract":"Purpose: To study the causes leading to the cancellation or postponement of cataract surgery on the day of surgery in a tertiary eye hospital. Methods: All adult patients diagnosed with cataract and posted for cataract surgery from 1 January 2017 to 31 December 2019 and for whom surgeries were cancelled on the day of surgery or one day preceding the surgery after the patient has presented to the hospital were included in this retrospective study. The causes for cancellation were retrieved from the patient files and the electronic medical records. Results: Out of 320,632 patients for cataract surgery, surgeries of 8483 were cancelled because of various causes, resulting in a cumulative cancellation rate of 2.65%. The most common cause for cancellation on the day of surgery was systemic illness in 2909 patients (34.3%), followed by refusal by the patient seen in 2450 patients (28.9%) and infective and inflammatory causes of the eye in 1243 patients (14.6%). Conclusion: Systemic illness is the most common cause on the day of cancellation of cataract surgery in a tertiary eye hospital, followed by the refusal by the patient to get operated on. Thorough pre-operative evaluation, systemic examination, and proper counselling play an important role in improving the efficiency of cataract surgeries.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"196 - 202"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48966985","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 : 2023-01-01DOI: 10.4103/tjosr.tjosr_8_22
Prabrisha Banerjee, Bipasha Mukherjee
Ophthalmoplegic migraine or recurrent painful ophthalmoplegic neuropathy is a rare condition with childhood onset. Adult onset is extremely rare. A 43-year-old hypothyroid lady presented with right-sided ptosis and diplopia. She had right ocular motility restriction in elevation and adduction with pupillary involvement. Initially, neuroimaging was suggestive of dysthyroid optic neuropathy for which she received oral steroids with incomplete recovery. She underwent strabismus surgery in the right eye for diplopia. After 2 years, she presented with a recurrence of third nerve palsy with ptosis. Neuroimaging and systemic investigations were inconclusive. Based on clinical presentation, diagnosis of ophthalmoplegic migraine was made by the neurologist, and prophylactic treatment was started to abort further attacks. Ophthalmoplegic migraine, although rare, should be considered a differential for painful ophthalmoplegia after excluding the presence of intracranial lesion, infectious, inflammatory and vascular pathology.
{"title":"Migraine presenting as recurrent ophthalmoplegia: The wolf in sheep's clothing","authors":"Prabrisha Banerjee, Bipasha Mukherjee","doi":"10.4103/tjosr.tjosr_8_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_8_22","url":null,"abstract":"Ophthalmoplegic migraine or recurrent painful ophthalmoplegic neuropathy is a rare condition with childhood onset. Adult onset is extremely rare. A 43-year-old hypothyroid lady presented with right-sided ptosis and diplopia. She had right ocular motility restriction in elevation and adduction with pupillary involvement. Initially, neuroimaging was suggestive of dysthyroid optic neuropathy for which she received oral steroids with incomplete recovery. She underwent strabismus surgery in the right eye for diplopia. After 2 years, she presented with a recurrence of third nerve palsy with ptosis. Neuroimaging and systemic investigations were inconclusive. Based on clinical presentation, diagnosis of ophthalmoplegic migraine was made by the neurologist, and prophylactic treatment was started to abort further attacks. Ophthalmoplegic migraine, although rare, should be considered a differential for painful ophthalmoplegia after excluding the presence of intracranial lesion, infectious, inflammatory and vascular pathology.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"117 - 119"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45633765","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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