The Cryptococcus genus, include a wide group of yeast, which species are usually found in water and plants. C neoformans and C gatti are considered pathogens for humans and animals, whoever Cryptococcus laurentii, C albidus and C curvatus are considered as potential environmental pathogen for both. We describe one fungal keratitis caused by Cryptococcus albidus, in a male 41 years old, diagnosed previously with diabetes type 2, and ocular surgery for cataract extraction 7 years before, actually he presented a corneal ulcer in right eye diagnosed before as herpetic keratitis unresponsive to Aciclovir, after de first ocular observation in our hospital in Cornea Service, and samples for culture taken, the final diagnosis was Cryptococcus albidus keratitis, the treatment with antimycotic drugs, topic voriconazole 1% and oral itraconazole 100mgs each 12 hs was administered. The corneal ulcer was healed in 3 weeks and the FBCVA was 20/30.
{"title":"Successful Treatment of Cryptococcus albidus Keratitis with Voriconazole 1% Drops and Oral Itraconazole","authors":"","doi":"10.33140/jocr.04.04.02","DOIUrl":"https://doi.org/10.33140/jocr.04.04.02","url":null,"abstract":"The Cryptococcus genus, include a wide group of yeast, which species are usually found in water and plants. C neoformans and C gatti are considered pathogens for humans and animals, whoever Cryptococcus laurentii, C albidus and C curvatus are considered as potential environmental pathogen for both. We describe one fungal keratitis caused by Cryptococcus albidus, in a male 41 years old, diagnosed previously with diabetes type 2, and ocular surgery for cataract extraction 7 years before, actually he presented a corneal ulcer in right eye diagnosed before as herpetic keratitis unresponsive to Aciclovir, after de first ocular observation in our hospital in Cornea Service, and samples for culture taken, the final diagnosis was Cryptococcus albidus keratitis, the treatment with antimycotic drugs, topic voriconazole 1% and oral itraconazole 100mgs each 12 hs was administered. The corneal ulcer was healed in 3 weeks and the FBCVA was 20/30.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44694534","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: To compare central, inner and outer ring macular thickness measured with optic coherence tomography (OCT) in children with unilateral amblyopia. To analyze the differences in retinal structure among strabismic, anisometropic and combined (strabismus + anisometropia) amblyopia. Background: Amblyopia is a reduction of visual acuity in one or both eyes due to an abnormal visual input during the development of the visual system. It is mainly caused by strabismus, anisometropia or high bilateral refractive errors, and visual deprivation. Although it has been always said that the amblyopic eye is an otherwise healthy eye, the imaging techniques developed lately, especially OCT and angio OCT, may show differences in retinal structures that could have a role in the development of amblyopia and/or its response to treatment. Methods: Retrospective review of amblyopic children followed up in our hospital. 60 children with unilateral amblyopia due to anisometropia and/or strabismus, with a good quality OCT exam, were included. We analyzed 9 thickness measurements: central macular thickness (1mm ring) and 4 sectors in inner (3mm) and outer (6mm) rings. Results: Data from 60 children is included. Mean retinal thickness at the central 1mm ring was 249.15µm for amblyopic eyes vs 238.3µm for fellow eye (p=0.000). For the thickness in the other 8 sectors for inner and outer rings no statistically significant differences were found. The central retina measurement was thicker in the anisometropic amblyopia group (p=0.003), but no statistically significant difference was found in the strabismic (p=0.066) and combined group (p=0.055). Conclusions: Central retinal thickness was significantly greater in amblyopic eyes compared to fellow eyes. This difference in thickness is also statistically significant in patients with anisometropia but not in those with strabismus or strabismus + anisometropia. Further studies with more patients are recommended.
{"title":"Optical Coherence Tomography Analysis of Macular Thickness in Children with Amblyopia","authors":"","doi":"10.33140/jocr.04.04.01","DOIUrl":"https://doi.org/10.33140/jocr.04.04.01","url":null,"abstract":"Purpose: To compare central, inner and outer ring macular thickness measured with optic coherence tomography (OCT) in children with unilateral amblyopia. To analyze the differences in retinal structure among strabismic, anisometropic and combined (strabismus + anisometropia) amblyopia. Background: Amblyopia is a reduction of visual acuity in one or both eyes due to an abnormal visual input during the development of the visual system. It is mainly caused by strabismus, anisometropia or high bilateral refractive errors, and visual deprivation. Although it has been always said that the amblyopic eye is an otherwise healthy eye, the imaging techniques developed lately, especially OCT and angio OCT, may show differences in retinal structures that could have a role in the development of amblyopia and/or its response to treatment. Methods: Retrospective review of amblyopic children followed up in our hospital. 60 children with unilateral amblyopia due to anisometropia and/or strabismus, with a good quality OCT exam, were included. We analyzed 9 thickness measurements: central macular thickness (1mm ring) and 4 sectors in inner (3mm) and outer (6mm) rings. Results: Data from 60 children is included. Mean retinal thickness at the central 1mm ring was 249.15µm for amblyopic eyes vs 238.3µm for fellow eye (p=0.000). For the thickness in the other 8 sectors for inner and outer rings no statistically significant differences were found. The central retina measurement was thicker in the anisometropic amblyopia group (p=0.003), but no statistically significant difference was found in the strabismic (p=0.066) and combined group (p=0.055). Conclusions: Central retinal thickness was significantly greater in amblyopic eyes compared to fellow eyes. This difference in thickness is also statistically significant in patients with anisometropia but not in those with strabismus or strabismus + anisometropia. Further studies with more patients are recommended.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47577057","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 : 2020-09-30DOI: 10.24966/OCR-8887/100072
Chiara Fariselli
Purpose: To study the different trends of eye position changes under narcosis in Infantile Intermittent Exotropia (IXT) compared to Infantile Esotropia (ET). To discuss the possible causes of the difference. Methods: Twenty-nine patients, aged 2 to 15 years, undergoing surgery for infantile concomitant strabismus at University Eye Clinic of Bologna, between January 2017 and December 2019, took part in this prospective study. Of them, 13 had basic or simulated divergence excess IXT and 16 had ET. Eye position was measured preoperatively and under general anesthesia with a modified Paliaga Test for the measure of interlimbal distance (ILD). In IXT patients the prolonged occlusion test was performed preoperatively. Neuromuscular blocking agents were not used to induce general anaesthesia. Results: In IXT patients the difference between preoperative and intraoperative ILD was not statistically significant (Wilcoxon, p>0.05), and showed a great variability, as under narcosis ILD decreased in 38.46%, did not change in 30.77%, and increased in 30.77% of patients; while in ET patients it increased under narcosis, with a statistical significance (Wilcoxon, p=0.002). Conclusion: Differences in the determinants of the ocular deviation may be suspected in ET and IXT, particularly regarding the role of esotonus, that is the baseline innervation to the extraocular muscles which opposes the position of rest in the awake state and which is suppressed under narcosis. While esotonus is increased in ET, it could be even decreased in IXT where other innervational phenomena, like active divergence, may be involved in determining the deviation.
{"title":"Eye Position Changes Under General Anesthesia In Infantile Strabismus: Differences Between Esotropia And Exotropia","authors":"Chiara Fariselli","doi":"10.24966/OCR-8887/100072","DOIUrl":"https://doi.org/10.24966/OCR-8887/100072","url":null,"abstract":"Purpose: To study the different trends of eye position changes under narcosis in Infantile Intermittent Exotropia (IXT) compared to Infantile Esotropia (ET). To discuss the possible causes of the difference. Methods: Twenty-nine patients, aged 2 to 15 years, undergoing surgery for infantile concomitant strabismus at University Eye Clinic of Bologna, between January 2017 and December 2019, took part in this prospective study. Of them, 13 had basic or simulated divergence excess IXT and 16 had ET. Eye position was measured preoperatively and under general anesthesia with a modified Paliaga Test for the measure of interlimbal distance (ILD). In IXT patients the prolonged occlusion test was performed preoperatively. Neuromuscular blocking agents were not used to induce general anaesthesia. Results: In IXT patients the difference between preoperative and intraoperative ILD was not statistically significant (Wilcoxon, p>0.05), and showed a great variability, as under narcosis ILD decreased in 38.46%, did not change in 30.77%, and increased in 30.77% of patients; while in ET patients it increased under narcosis, with a statistical significance (Wilcoxon, p=0.002). Conclusion: Differences in the determinants of the ocular deviation may be suspected in ET and IXT, particularly regarding the role of esotonus, that is the baseline innervation to the extraocular muscles which opposes the position of rest in the awake state and which is suppressed under narcosis. While esotonus is increased in ET, it could be even decreased in IXT where other innervational phenomena, like active divergence, may be involved in determining the deviation.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42518070","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}
Introduction: Myopia is a global issue though prevalence varies from country to country but a huge number of people suffer from complications of myopia. It is a multifactorial disorder and there is no know way to prevent the development of myopia, but lots of research is ongoing to prevent the progression of myopia and RGP contact lens is one the debatable issue to halt the progression. Methods: It was a prospective analytic study done at Green Eye Hospital, Dhanmondi, Dhaka, Bangladesh. The study was conducted from January 2018 to December 2019 total two-year period. There were 160 patient enroll in the study, they were divided into two groups. In Group: A, 80 patients those who were using RGP contact lens and the patient were selected by non-random purposive sampling method, on the other hand, group: B had 80 patients those were selected by quota sampling to match with the group: A patient by demographically. Data were collected thrice, first at entry point, second after one-year and third after two-year. Results: Data was normally distributed so we did Independent “t” test, chi-squared and ANOVA with the help of Statistical Package for the Social Sciences (SPSS) version 22. All the demographic variable was non-significant. Mean and SD of refractive error at entry point was 3.6813 ± 1.9172 and 3.7281 ± 1.9658 respectively (P: 0.8788 95% CI -0.6532 to 0.5595). After two-year it was 3.9031 ± 2.3076 and 5.0031 ± 2.4673 respectively (P: 0.0041 CI -1.845992 to -0.354008). Conclusion: RGP contact lens can reduce the progression of myopia. And it is the time to increase optometric service in country-wide.
简介:近视是一个全球性的问题，虽然患病率因国家而异，但有大量的人患有近视并发症。它是一种多因素疾病，目前还没有已知的方法来预防近视的发展，但许多研究正在进行中，以防止近视的发展，RGP隐形眼镜是一个有争议的问题，以阻止近视的发展。方法:前瞻性分析研究在孟加拉国达卡达蒙迪绿眼医院进行。该研究于2018年1月至2019年12月进行，共为期两年。共有160名患者参加了这项研究，他们被分为两组。A组使用RGP隐形眼镜的患者80例，采用非随机有目的抽样方法，B组80例，采用定额抽样方法，与A组进行人口统计学匹配。数据收集了三次，第一次是在入院时，第二次是在一年后，第三次是在两年后。结果:数据为正态分布，我们使用SPSS (Statistical Package for the Social Sciences) version 22进行了独立t检验、卡方检验和方差分析。所有人口统计学变量均不显著。入点屈光不正的平均值为3.6813±1.9172,SD为3.7281±1.9658 (P: 0.8788, 95% CI为-0.6532 ~ 0.5595)。两年后分别为3.9031±2.3076和5.0031±2.4673 (P: 0.0041 CI -1.845992 ~ -0.354008)。结论:RGP隐形眼镜可减缓近视的发展。是时候在全国范围内增加验光服务了。
{"title":"Rigid Gas Permeable Contact Lens Can Reduce the Progression of Myopia?","authors":"","doi":"10.33140/jocr.04.03.02","DOIUrl":"https://doi.org/10.33140/jocr.04.03.02","url":null,"abstract":"Introduction: Myopia is a global issue though prevalence varies from country to country but a huge number of people suffer from complications of myopia. It is a multifactorial disorder and there is no know way to prevent the development of myopia, but lots of research is ongoing to prevent the progression of myopia and RGP contact lens is one the debatable issue to halt the progression. Methods: It was a prospective analytic study done at Green Eye Hospital, Dhanmondi, Dhaka, Bangladesh. The study was conducted from January 2018 to December 2019 total two-year period. There were 160 patient enroll in the study, they were divided into two groups. In Group: A, 80 patients those who were using RGP contact lens and the patient were selected by non-random purposive sampling method, on the other hand, group: B had 80 patients those were selected by quota sampling to match with the group: A patient by demographically. Data were collected thrice, first at entry point, second after one-year and third after two-year. Results: Data was normally distributed so we did Independent “t” test, chi-squared and ANOVA with the help of Statistical Package for the Social Sciences (SPSS) version 22. All the demographic variable was non-significant. Mean and SD of refractive error at entry point was 3.6813 ± 1.9172 and 3.7281 ± 1.9658 respectively (P: 0.8788 95% CI -0.6532 to 0.5595). After two-year it was 3.9031 ± 2.3076 and 5.0031 ± 2.4673 respectively (P: 0.0041 CI -1.845992 to -0.354008). Conclusion: RGP contact lens can reduce the progression of myopia. And it is the time to increase optometric service in country-wide.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41517365","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}
Objective: To analyze the profile of custom ocular prosthesis users in Nepal. Methodology: This was a retrospective study done at Drishti Eye Care System, Nepal from January 2019 to June 2019. One eyed subject who used custom prosthesis for minimum of 6 months or above of any age group were recruited in the study. Information regarding laterality, cause of loss of eye, reason for opting ocular prosthesis and source of information regarding ocular prostheses were collected from the participants. A set of questions were asked to the participants through telephonic interview after the duration of 3 to 6 months wear of ocular prosthesis to collect information on any symptoms after the wear. Results: Mean age of subjects in the study was 31.35±16.59 years (range 1.5 years – 78 years), 46.7% (n=14) were male and 53.3% (n=16) were female. Trauma was the most common cause of loss of the eye in 43.3% (n=13), followed by congenital loss and eye infections in 16.7% (n=5). 43.3% (n=13) of the subjects had lost their right eye and 56.7% (n=17) subjects had lost their left eye. 33.3% (n=10) of the subjects didn’t have any symptoms with the use of prosthesis. Milder form of symptoms like small appearance, mild discharge and pain were major complaints after the wear. Conclusion: There is a need of best prosthetic rehabilitation for the anophthalmic patients.
{"title":"Profile of Custom Ocular Prosthesis Users in a Tertiary Eye Care Centre in Nepal","authors":"","doi":"10.33140/jocr.04.03.01","DOIUrl":"https://doi.org/10.33140/jocr.04.03.01","url":null,"abstract":"Objective: To analyze the profile of custom ocular prosthesis users in Nepal. Methodology: This was a retrospective study done at Drishti Eye Care System, Nepal from January 2019 to June 2019. One eyed subject who used custom prosthesis for minimum of 6 months or above of any age group were recruited in the study. Information regarding laterality, cause of loss of eye, reason for opting ocular prosthesis and source of information regarding ocular prostheses were collected from the participants. A set of questions were asked to the participants through telephonic interview after the duration of 3 to 6 months wear of ocular prosthesis to collect information on any symptoms after the wear. Results: Mean age of subjects in the study was 31.35±16.59 years (range 1.5 years – 78 years), 46.7% (n=14) were male and 53.3% (n=16) were female. Trauma was the most common cause of loss of the eye in 43.3% (n=13), followed by congenital loss and eye infections in 16.7% (n=5). 43.3% (n=13) of the subjects had lost their right eye and 56.7% (n=17) subjects had lost their left eye. 33.3% (n=10) of the subjects didn’t have any symptoms with the use of prosthesis. Milder form of symptoms like small appearance, mild discharge and pain were major complaints after the wear. Conclusion: There is a need of best prosthetic rehabilitation for the anophthalmic patients.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48697040","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 : 2020-06-19DOI: 10.24966/ocr-8887/100070
Shaaban A M Elwan
disease spontaneously resolve within 1-3 weeks without significant complications, but in 20-50% of cases corneal infiltrates can persist for some or even Abstract Purpose: The purpose of this study to compare between the modi- fied and the ordinary method of treatment for EKC. Study Design: Prospective randomized clinical study. Methods: Three hundred fifty patients of EKC were enrolled in a prospective interventional study. The diagnosis was made by clinical picture and laboratory investigations. Group 1 had two hundred patients 120 males, 80 females (age from 18 to 60 years old) were treated by the modified method (Povidone Iodine 5% eye irrigation) and group 2 had one hundred fifty patients 100 males, 50 females (age from 18 to 58 years old) were treated with the ordinary method (normal saline eye wash). Patients were followed for 3 months up to 2 years. The main outcomes were improvement in clinical picture and recovery. Results: Ocular symptoms and signs were improved with clinical significant better results for group 1 than group 2. One hundred eighty patients (90%) of group 1 had spontaneous recovery, 14 pa tients (7%) had recovery after use of topical steroids, and 6 patients (3%) had recovery with subepithelial corneal infiltrates. Ninety pa tients (60%) of group 2 had spontaneous recovery, 15 patients (10%) had recovery after use of topical steroids, and 45 patients (30 %) had recovery with subepithelial corneal infiltrates. Conclusion: The modified method of treatment had significantly better results than the ordinary one regarding to ocular symptoms and signs improvement as well as patients recovery ( P < 0. 001). in roidal anti-inflammatory and topical corticosteroids
{"title":"Modified Treatment For Epidemic Keratoconjunctivitis","authors":"Shaaban A M Elwan","doi":"10.24966/ocr-8887/100070","DOIUrl":"https://doi.org/10.24966/ocr-8887/100070","url":null,"abstract":"disease spontaneously resolve within 1-3 weeks without significant complications, but in 20-50% of cases corneal infiltrates can persist for some or even Abstract Purpose: The purpose of this study to compare between the modi- fied and the ordinary method of treatment for EKC. Study Design: Prospective randomized clinical study. Methods: Three hundred fifty patients of EKC were enrolled in a prospective interventional study. The diagnosis was made by clinical picture and laboratory investigations. Group 1 had two hundred patients 120 males, 80 females (age from 18 to 60 years old) were treated by the modified method (Povidone Iodine 5% eye irrigation) and group 2 had one hundred fifty patients 100 males, 50 females (age from 18 to 58 years old) were treated with the ordinary method (normal saline eye wash). Patients were followed for 3 months up to 2 years. The main outcomes were improvement in clinical picture and recovery. Results: Ocular symptoms and signs were improved with clinical significant better results for group 1 than group 2. One hundred eighty patients (90%) of group 1 had spontaneous recovery, 14 pa tients (7%) had recovery after use of topical steroids, and 6 patients (3%) had recovery with subepithelial corneal infiltrates. Ninety pa tients (60%) of group 2 had spontaneous recovery, 15 patients (10%) had recovery after use of topical steroids, and 45 patients (30 %) had recovery with subepithelial corneal infiltrates. Conclusion: The modified method of treatment had significantly better results than the ordinary one regarding to ocular symptoms and signs improvement as well as patients recovery ( P < 0. 001). in roidal anti-inflammatory and topical corticosteroids","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69144373","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 : 2020-06-19DOI: 10.24966/ocr-8887/100068
Aastha Gandhi
ly transmissible Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). The key to combating this disease besides prevention is rapid and early diagnoses of cases, which includes identification of atypical presentations of this respiratory illness. We have attempted to collect information on the ophthalmological manifestations of COVID-19 for identifying such symptoms, providing diagnostic pearls, and hence mitigating transmission.
{"title":"Association Of Covid-19 With Conjunctivitis","authors":"Aastha Gandhi","doi":"10.24966/ocr-8887/100068","DOIUrl":"https://doi.org/10.24966/ocr-8887/100068","url":null,"abstract":"ly transmissible Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). The key to combating this disease besides prevention is rapid and early diagnoses of cases, which includes identification of atypical presentations of this respiratory illness. We have attempted to collect information on the ophthalmological manifestations of COVID-19 for identifying such symptoms, providing diagnostic pearls, and hence mitigating transmission.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69144342","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: The aim of this study is to assess Scheimpflug topographic elevation maps in patients with POAG and correlate the results with their perimetric changes. Methods: This was an analytical observational cross-sectional study. The study included 130 eyes of 70 subjects which were divided into 78 eyes of 44 patients diagnosed with POAG and 52 eyes of 26 control subjects. Measurement of IOP, visual field examination in patients with POAG using Humphrey Field Analyzer (2003 Carl Zeiss Meditec), Germany were done. Subjects were scanned using TMS-5 topographer (Topographic Modeling System, version 5. Tomey Corp. Nagoya, Japan) to measure central corneal thickness, mean anterior keratometry, maximum anterior and posterior topographic elevation maps in the central 3, 5, and 7 mm. Results: 78 patients with POAG classified according to visual field deterioration using Hodapp-Anderson-Parrish grading scale into mild glaucoma 33 eyes, moderate glaucoma 19 eyes, severe glaucoma 26 eyes, and 52 eyes control were included in the study. The mean age of the patients with POAG was 57.82 ± 7.78 years; 22 eyes (50%) were male and 22 eyes (50%) were female. The average age of control subjects was 56.62 ± 8.48 years; 12 eyes (46.2%) were male and 14 eyes (53.8%) were female, average CCT was 530.3 ± 23.58 µm, average mean anterior keratometry (MAK) was 42.97 ± 1.42 D, average maximum anterior elevation (MAE) in 3,5 and 7mm zone was 5.31 ± 2.28, 12.10 ± 6.94 and 44.04 ± 21.99 µm respectively and average maximum posterior elevation (MPE) in 3,5 and 7mm zone was 8.46 ± 2.10, 19.90 ± 9.39 and 62.72 ± 28.82 µm respectively in patients with POAG, whereas average CCT was 543.0 ± 31.02µm, average MAK was 43.11 ± 1.73 D, average MAE in 3,5 and 7mm zone was 4.52 ± 1.97, 5.90 ± 2.71 and 27.19 ± 8.55 µm respectively. Conclusion: Evaluation of corneal elevation topography by scheimpflug imaging showed forward shifting of the anterior and posterior corneal surfaces in POAG.
目的:本研究的目的是评估POAG患者的Scheimpflug地形高程图，并将结果与他们的周长变化联系起来。方法:这是一项分析性观察性横断面研究。该研究包括70名受试者的130只眼睛，其中44名诊断为POAG的患者的78只眼睛和26名对照组的52只眼睛。采用德国Humphrey field Analyzer (2003 Carl Zeiss Meditec)对POAG患者进行IOP测定和视野检查。使用TMS-5地形仪(Topographic Modeling System, version 5)对受试者进行扫描。Tomey公司，名古屋，日本)测量中央角膜厚度，平均前角膜测量，中央最大前和后地形高程图3,5和7mm。结果:78例POAG患者根据视野恶化程度采用hodap - anderson - parrish分级法分为轻度青光眼33眼，中度青光眼19眼，重度青光眼26眼，对照组52眼。POAG患者平均年龄57.82±7.78岁;男性22只眼(50%)，女性22只眼(50%)。对照组平均年龄56.62±8.48岁;12眼(46.2%)是男性,14眼(53.8%)是女性,有条件现金转移支付平均为530.3±23.58µm,平均意味着前角膜散光计(MAK)为42.97±1.42 D,平均最大前海拔(MAE) 3、5和7毫米区为5.31±2.28,12.10±6.94,44.04±21.99µm分别和平均海拔最大后验(MPE) 3、5和7毫米区为8.46±2.10,19.90±9.39,62.72±28.82µm分别在青光眼患者,而有条件现金转移支付平均为543.0±31.02µm,平均MAK为43.11±1.73 D, 3、5、7mm区的平均MAE分别为4.52±1.97、5.90±2.71和27.19±8.55µm。结论:角膜高程地形图显示POAG患者角膜前后表面前移。
{"title":"Correlation between Corneal Elevation Topography and Perimetric Changes in Patients with Primary Open Angle Glaucoma","authors":"","doi":"10.33140/jocr.04.02.04","DOIUrl":"https://doi.org/10.33140/jocr.04.02.04","url":null,"abstract":"Aim: The aim of this study is to assess Scheimpflug topographic elevation maps in patients with POAG and correlate the results with their perimetric changes. Methods: This was an analytical observational cross-sectional study. The study included 130 eyes of 70 subjects which were divided into 78 eyes of 44 patients diagnosed with POAG and 52 eyes of 26 control subjects. Measurement of IOP, visual field examination in patients with POAG using Humphrey Field Analyzer (2003 Carl Zeiss Meditec), Germany were done. Subjects were scanned using TMS-5 topographer (Topographic Modeling System, version 5. Tomey Corp. Nagoya, Japan) to measure central corneal thickness, mean anterior keratometry, maximum anterior and posterior topographic elevation maps in the central 3, 5, and 7 mm. Results: 78 patients with POAG classified according to visual field deterioration using Hodapp-Anderson-Parrish grading scale into mild glaucoma 33 eyes, moderate glaucoma 19 eyes, severe glaucoma 26 eyes, and 52 eyes control were included in the study. The mean age of the patients with POAG was 57.82 ± 7.78 years; 22 eyes (50%) were male and 22 eyes (50%) were female. The average age of control subjects was 56.62 ± 8.48 years; 12 eyes (46.2%) were male and 14 eyes (53.8%) were female, average CCT was 530.3 ± 23.58 µm, average mean anterior keratometry (MAK) was 42.97 ± 1.42 D, average maximum anterior elevation (MAE) in 3,5 and 7mm zone was 5.31 ± 2.28, 12.10 ± 6.94 and 44.04 ± 21.99 µm respectively and average maximum posterior elevation (MPE) in 3,5 and 7mm zone was 8.46 ± 2.10, 19.90 ± 9.39 and 62.72 ± 28.82 µm respectively in patients with POAG, whereas average CCT was 543.0 ± 31.02µm, average MAK was 43.11 ± 1.73 D, average MAE in 3,5 and 7mm zone was 4.52 ± 1.97, 5.90 ± 2.71 and 27.19 ± 8.55 µm respectively. Conclusion: Evaluation of corneal elevation topography by scheimpflug imaging showed forward shifting of the anterior and posterior corneal surfaces in POAG.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47171173","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}
Introduction: Ophthalmia or neonatal conjunctivitis is a major public health problem in developing countries. Recommendations have been issued by the World Health Organization (WHO) and the Ministry of Health of Senegal for the prevention of this scourge. The objective of the work was to assess the level of knowledge and practice of these recommendations by health workers. Methodology: This was a multicenter, prospective study conducted from March 1st to June 30th, 2013 in nine (9) health structures at the four (4) districts of Dakar. All agents who performed care at birth were included. Results: We interviewed 108 health care workers in the nine targeted structures. More than half of the respondents (54.6%) interviewed were in a maternity ward with midwives (41.7%) who were clearly in the majority. As far as knowledge is concerned, the practice of neonatal eye care was systematic for 88% of the nursing staff at birth. Regarding attitudes and practices, the majority of caregivers cleaned (67.6%) the eyes before instillation of eye drops. More than eighty-four percent (84.3%) of the caregivers surveyed routinely practiced eye care in the newborn at birth. The majority of the agents prescribed Rifamycin (47.2%) as a single dose in each eye. Paediatricians recommended one day of treatment while midwives and general practitioners recommended 7 days. Conclusion: Overall, the recommendations are not well implemented by caregivers. It would then be necessary to improve the level of information for harmonization and application of the recommendations.
{"title":"Attitudes and Practices in the Prevention of Purulent Ophthalmia Neonatal in Senegalese Hospital","authors":"","doi":"10.33140/jocr.04.02.05","DOIUrl":"https://doi.org/10.33140/jocr.04.02.05","url":null,"abstract":"Introduction: Ophthalmia or neonatal conjunctivitis is a major public health problem in developing countries. Recommendations have been issued by the World Health Organization (WHO) and the Ministry of Health of Senegal for the prevention of this scourge. The objective of the work was to assess the level of knowledge and practice of these recommendations by health workers. Methodology: This was a multicenter, prospective study conducted from March 1st to June 30th, 2013 in nine (9) health structures at the four (4) districts of Dakar. All agents who performed care at birth were included. Results: We interviewed 108 health care workers in the nine targeted structures. More than half of the respondents (54.6%) interviewed were in a maternity ward with midwives (41.7%) who were clearly in the majority. As far as knowledge is concerned, the practice of neonatal eye care was systematic for 88% of the nursing staff at birth. Regarding attitudes and practices, the majority of caregivers cleaned (67.6%) the eyes before instillation of eye drops. More than eighty-four percent (84.3%) of the caregivers surveyed routinely practiced eye care in the newborn at birth. The majority of the agents prescribed Rifamycin (47.2%) as a single dose in each eye. Paediatricians recommended one day of treatment while midwives and general practitioners recommended 7 days. Conclusion: Overall, the recommendations are not well implemented by caregivers. It would then be necessary to improve the level of information for harmonization and application of the recommendations.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41421071","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}
Context: Formaldehyde is a poisonous substance that can cause many health risks. Objective: To evaluate eye issues and generate guideline for participants working in the anatomy laboratory to avoid eye issues. Methods: Analyzed eye problem from the participants in this cross-sectional analysis study 97 students working in the anatomy laboratory at Burapha University. In-depth interview consisted of 1 administer of Faculty of Medicine, 1 administer of Allied Health Sciences, 2 Teachers, 2 Ophthalmologists, 1 Occupational Medicine and 5 students practicing in the anatomy. This research tool is divided into 3 types: questionnaire, interview and form of evaluation of the severity of health with descriptive statistics. Results: Most of them were 72.04 percent woman. Problems with the eyes include burning sensation 46.23 percent, eye irritation 43.01 percent, eye pain 25.81 percent, epiphora 24.73 percent and vision loss 15.05 percent. Assessment of severity of health impacts It was discovered that there was no effect at 55.91 percent with a slight impact of 44.09 percent, according to occupational medicine principles. Guidelines for anatomy-class students; placed in operating glasses, do not use contact lenses, do not stay long in the laboratory and be careful to touch formaldehyde immediately. Conclusion: It was discovered from this studies that from the real anatomical action there was an issue with the eye, but the issue was at a low level of health effect. As a consequence of this issue, guidelines have been created for protecting the eyes in the anatomy class. The guidelines for the prevention of eye issues resulting from this study are based on the assessment of occupational diseases and expert opinion, which is complete in comparison with previous studies. This strategy can therefore serve as a model for the avoidance of both eye diseases and other illnesses.
{"title":"Eye Problem and Guidelines for the Prevention of Eye Problems for Students in the\u0000Gross Anatomy Laboratory Class","authors":"","doi":"10.33140/jocr.04.02.03","DOIUrl":"https://doi.org/10.33140/jocr.04.02.03","url":null,"abstract":"Context: Formaldehyde is a poisonous substance that can cause many health risks.\u0000Objective: To evaluate eye issues and generate guideline for participants working in the anatomy laboratory to avoid eye issues.\u0000Methods: Analyzed eye problem from the participants in this cross-sectional analysis study 97 students working in the anatomy\u0000laboratory at Burapha University. In-depth interview consisted of 1 administer of Faculty of Medicine, 1 administer of Allied\u0000Health Sciences, 2 Teachers, 2 Ophthalmologists, 1 Occupational Medicine and 5 students practicing in the anatomy. This\u0000research tool is divided into 3 types: questionnaire, interview and form of evaluation of the severity of health with descriptive\u0000statistics.\u0000Results: Most of them were 72.04 percent woman. Problems with the eyes include burning sensation 46.23 percent, eye\u0000irritation 43.01 percent, eye pain 25.81 percent, epiphora 24.73 percent and vision loss 15.05 percent. Assessment of severity\u0000of health impacts It was discovered that there was no effect at 55.91 percent with a slight impact of 44.09 percent, according\u0000to occupational medicine principles. Guidelines for anatomy-class students; placed in operating glasses, do not use contact\u0000lenses, do not stay long in the laboratory and be careful to touch formaldehyde immediately.\u0000Conclusion: It was discovered from this studies that from the real anatomical action there was an issue with the eye, but the\u0000issue was at a low level of health effect. As a consequence of this issue, guidelines have been created for protecting the eyes\u0000in the anatomy class. The guidelines for the prevention of eye issues resulting from this study are based on the assessment of\u0000occupational diseases and expert opinion, which is complete in comparison with previous studies. This strategy can therefore\u0000serve as a model for the avoidance of both eye diseases and other illnesses.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48669097","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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