Tropical Journal of Ophthalmology and Otolaryngology最新文献

{"title":"External dacryocystorhinostomy for patients of chronic dacryocystitis with chronic rhinosinusitis","authors":"S. Agarwal, R. Arora, S. Upadhyay","doi":"10.17511/jooo.2020.i03.03","DOIUrl":"https://doi.org/10.17511/jooo.2020.i03.03","url":null,"abstract":"Introduction: Dacryocystitis is characterized as an inflammatory state of the nasolacrimal sac. It is typically caused by an obstruction within the nasolacrimal duct and subsequent stagnation of tears in the lacrimal sac. Stagnation of tears will provide a favorable environment for infectious organisms to propagate and proteinaceous debris to form. Materials and Methods: In this prospective, observational study conducted over a 5-year period (March 2011 to February 2016) in a tertiary eye care center and department of Ophthalmology and otorhinolaryngology, consecutive subjects (60 chronic sinusitis patients) were recruited with primary obstruction of the lower lacrimal drainage system due to chronic dacryocystitis who underwent external dacryocystorhinostomy (EDCR) by a single surgeon. Results: A total of 60 patients were included in this study, concerning the gender, there was a predominance of the female with 39 out of 60 patients (64.1%) and males were 21 patients. Age groups of 1-20 years are 3 patients (4.61%) and predominant age in the study was elderly more than 61 years old patients 40%. The clinical characteristics of chronic dacryocystitis are shown in table 3, epiphora was found in 51 patients (78.4%) and absent in 14 patients (21.5%). The discharge by the digital expression of the lacrimal sac was attained in 45 patients (69.2%) and not attained in 20 patients (30.8%). The previous history of exacerbation of chronic dacryocystitis identified as purulent discharge occurred in 5 patients (7.7%) and non-occurrence in 60 patients (92.3%). Conclusion: The physiopathology of the CDC is not fully known. This study reveals a possible influence of CRS on the CDC, emphasizing its action on the exacerbation of the symptoms.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128174272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral optic disc edema: causes and clinical features at a tertiary center in South India","authors":"Dr. Raghavendra Ijeri, D. Rc","doi":"10.17511/jooo.2020.i02.03","DOIUrl":"https://doi.org/10.17511/jooo.2020.i02.03","url":null,"abstract":"Aims: Bilateral optic disc edema: causes and clinical features at a tertiary center in South India. Bilateral Optic disc edema is one of the important fundus findings. Many times it indicates systemic pathology. The current study evaluated various causes of bilateral optic disc edema. \u0000Settings and Design: Prospective study. \u0000Methods and Material: This prospective study was conducted at a tertiary hospital in north Karnataka part of India (southern India). This study was conducted from June 2016 to November 2018. Detailed ocular examination including vision, slit-lamp examination, Visual field analysis, detailed fundus evaluation using an indirect ophthalmoscope, 78 Dioptre lens and fundus camera was done. Systemic investigations like blood examination and radiological investigations like Computerized tomography (C.T), Magnetic Resonance Imaging (MRI) were done whenever required. \u0000Results: A total of sixty-three cases with bilateral optic disc edema was recorded in this study. Thirty were females and thirty-three were males. Out of these, 36 cases had papilledema (increased intracranial pressure), 7 cases had optic neuritis, 6 cases of hypertensive retinopathy, 5 patients had Vogt Koyanagi Harada Syndrome (VKH), 3 had neuroretinitis, Cytomegalovirus (CMV) retinitis in 2 cases and in 4 cases causes could not be found. Total of 36 (57.14%) patients had papilledema, 7 (11.11%) had optic neuritis, 3 (4.8%) patient had neuroretinitis, 6 (9.52%) cases of hypertensive retinopathy, 5 (7.9%) patient had VKH, CMV retinitis in 2 (3.2%) and 4 (6.3%) idiopathic. \u0000Conclusions: Papilledema was the commonest cause followed by optic neuritis for bilateral optic disc edema.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116179592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of knowledge and attitude about eye donation among 1st-year medical students","authors":"R. Gotekar, A. Joshi","doi":"10.17511/jooo.2020.i02.01","DOIUrl":"https://doi.org/10.17511/jooo.2020.i02.01","url":null,"abstract":"the only modality available for those who are blind from corneal diseases. Medical students, as future doctors of the society, can be an effective tool for planning, educating, sensitizing, motivating the general public to pledge for eye donation. For this purpose, an assessment of the knowledge and awareness about eye donation among medical students is important. Materials and Methods : The study was conducted at Bharati Vidyapeeth Deemed to be University medical college and hospital, Sangli. The students admitted for the first year MBBS were enrolled for a pretested, questionnaire to collect data validating their knowledge and awareness about eye donation, sources of information about eye donation, reason/s for willingness and reason/s for non-willingness to donate eye/s. A total of 137 students participated in the study. Results: In this study 71 (51.72 %) participant students had a knowledge that the ideal time of eye removal was within 6 hours of death. 120 (87.59 %) participants expressed their will for eye donation. Perceived reasons for not pledging eyes by the students 17 (12.40 %) felt, eye donation was against their religious belief 03 (2.1%), fear of misuse of eyes, 24 (17.51 %) and 15 (10.94%) do not wish to be mutilated. Conclusion: This study revealed that all first-year MBBS student participants are well aware of eye donations and120 (87.59 %) are willing to pledge for eye donation.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"120 1-3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116705539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic flexible fiber optic laryngoscopy and 70-degree hopkins rod lens laryngoscopic study in patient with hoarseness and dysphagia: a comparative study","authors":"K. Meena, R. Maran","doi":"10.17511/jooo.2020.i01.02","DOIUrl":"https://doi.org/10.17511/jooo.2020.i01.02","url":null,"abstract":"Diagnostic exible ber optic laryngoscopy and 70-degree hopkins rod lens laryngoscopic study in patient with hoarseness and dysphagia: a comparative study Meena K.1, Maran R.2* DOI: https://doi.org/10.17511/jooo.2020.i01.02 1 Kapil Meena, Assistant Professor, Department of ENT, Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, India. 2* Rakesh Maran, Associate Professor, Department of ENT, Chirayu Medical College & Hospital, Bhopal, Madhya Pradesh, India.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116399490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of retinopathy of prematurity in neonatal intensive care unit in a tertiary care centre in central India","authors":"A. Athale, Sandeep Jain","doi":"10.17511/jooo.2020.i01.01","DOIUrl":"https://doi.org/10.17511/jooo.2020.i01.01","url":null,"abstract":".","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122895677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ophthalmic manifestations of thyroid disease and the association of serum levels of T3, T4 and TSH with thyroid eye disease","authors":"Priyanka Chandrakant Choudhari, U. Usgaonkar, Dipti Shrivastav","doi":"10.17511/jooo.2019.i08.04","DOIUrl":"https://doi.org/10.17511/jooo.2019.i08.04","url":null,"abstract":"Aim: To study the ophthalmic manifestations in thyroid disease and the association of serum levels of T3, T4 and TSH with thyroid eye disease. Material and methods: The present study was a prospective case series study. It included 72 patients with thyroid disease with either hypo, hyper or euthyroid status visiting ophthalmology department from March to October 2019, at GMC, Bambolim, Goa. Data was entered on SPSS software and analysed by using one-way ANOVA test to study the proportions of thyroid eye disease signs in various thyroid disease types and to establish their relationship with serum levels of T3, T4 and TSH and the duration of thyroid disease. Result: The most common thyroid eye disease was found to be dry eye (41 patients) followed by upper lid retraction (19 patients) and proptosis (14 patients). Serum level of T3 at the time of study was found to be significantly correlated with the severity and the frequency of upper lid retraction. Serum levels of T4 at the time of diagnosis of hyperthyroid was found to be significantly related with the severity and the frequency of the proptosis. Rest all signs of thyroid eye disease (Chemosis, congestion, dry eye) and intraocular pressure were found to be not associated or related with serum levels of T3, T4 and TSH at the time of examination or at the time of diagnosis. Conclusion: Duration of thyroid disease was not found to be significantly related with the frequency and severity of any of the thyroid eye disease signs which were studied with the p value being more than 0.05 in each subgroup.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128388896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of B-scan, CT scan and biopsy findings in orbital masses (space occupying lesions)","authors":"M. Pandarpurkar, G. Shilpa, K. Amruthavalli, N. R. Kumar","doi":"10.17511/jooo.2019.i08.02","DOIUrl":"https://doi.org/10.17511/jooo.2019.i08.02","url":null,"abstract":"Introduction : Orbital masses or space occupying lesions, involving the orbit, produce symptoms and signs by compression, infiltration and/or infarction of orbital structures. A wide variety of processes can produce space-occupying lesions in and around the orbit. Imaging can be done to precisely localize a lesion, to help establish a diagnosis or generate a differential diagnosis that guides management. Material and Methods : Over a period of 18 months, patients with space occupying lesion of the orbit, in the age group of 1 to 70 years are included in the study. Proptosis assessment was done. Results: All the patients were subjected to B scan, CT scan and biopsy. On comparing the findings of B-Scan, CT Scan and biopsy (biopsy findings being taken as gold standard), B-Scan accurately diagnosed 83.33% of the cases, where as CT scan diagnosed only 60% of the cases accurately. Rest of the cases, there was no correlation between the B-Scan/CT scan and biopsy. Conclusions: B-Scan appears to be the better diagnosing tool in identifying most of the orbital lesions when compared to the CT scan. Considering radiation exposure, repeated examination, cost effectiveness and time consumption, B-Scan is advantageous over CT scan in the initial work up and follow up of cases. 2 cases of lymphangioma were identified during the study. In both cases B-Scan showed irregular outline, borders are moderately well defined. Tumor is not encapsulated and extends diffusely through the orbit. Internal structure is irregular due to mix of high and low reflectivity. CT scan showed lesion with irregular margin, multiloculated, heterogenous lesion and enhance prominently with contrast. On histopathology, they appeared as large lymphatic channels in loose connective tissue stroma, focally disorganized smooth muscle in wall of larger channels, peripheral lymphoid aggregates are seen (Figure 4,5). Optic nerve gliomais demonstrated as smooth fusiform or ovoid mass replacing the normal optic nerve void with low- medium reflectivity, whereas on CT, it is seen as nopdular or fusiform enlargement of the optic nerve with contrast enhancement. On histopathology – low grade pilocyticastrocytomas with round to spindled nuclei and dendrite like cytoplasmic processes, with marked pleomorphism, necrosis, vascular proliferation and tumor cells in pools of mucin are seen. One case of lymphoma identified in the present study was accurately diagnosed by B-Scan, which was well circumscribed with smooth contour, diffuse/irregularly shaped, attached to extraocular muscle, but CT scan demonstrated it as a Pseudotumor. Both B-Scan and CT were unable to identify the case of mucormycosis in the present study. B-Scan identified it as infiltrative mass and CT identified it as carcinoma maxillary antrum involving the orbit.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"93 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128923302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ablution exercise – may prevent dacryocystitis","authors":"Jayati Pandey, A. Ranjan, R. Gupta, P. Khan","doi":"10.17511/jooo.2019.i08.03","DOIUrl":"https://doi.org/10.17511/jooo.2019.i08.03","url":null,"abstract":"Background: Dacryocystitis is an infection and inflammation of the lacrimal sac and most common cause of ocular morbidity in India. It’s accounting for 87.1% of epiphora and causes social discomfort due to continuous watering from the eyes. It is more common in India as being tropical country. It has higher incidence among lower socioeconomic status. Hygiene plays an important role in its aetiology. Objective: This study was aimed to survey the demographic characteristics of patients received external dacryocystorhinostomy (DCR) surgery to correlate with religious aspect of the patients. Material & Methods: The present study is a retrospective study conducted at Ophthalmology Department from the hospital records of patients who underwent external DCR for epiphora from January 2013 to December 2017. Results: Out of 305 cases underwent DCR (n=305), maximum (n=179, 58.69%) were above the age of 40 years out of which maximum were in age group of 41-50 years (n=78, 24.57%), majority of them were females 70.49% (n=215) with males being only 29.51% (n=90). Out of 305 cases majority were Hindus (n=236, 77.38%) with Muslims being only 14.43%(n=44) while 8.19% included Christians, Sikhs, Jains and other religions. Conclusion: Overall finding showed in comparisons of men with the females of middle age and above and Muslims despite contributing to major population had less rate of DCR surgery than Hindus. This led to our view that some practices in Muslims might be preventing dacryocystitis in Muslims where ablution exercise might be one of them.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131258311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coblation Assisted Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma- An Institutional Observational Study","authors":"K. Rout, K. Mani, P. Sahoo","doi":"10.17511/jooo.2019.i08.06","DOIUrl":"https://doi.org/10.17511/jooo.2019.i08.06","url":null,"abstract":"Objective: The purpose of our case series is to highlight the role of coblation in endoscopic JNA excision in terms of blood loss, duration of surgery and hospital stay. This was a Retrospective study done at Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha between January 2014 to June 2019 which includes 12 patients of JNA. Material and Method: The present case series was of 12 cases of JNA removal by endoscopic approach using coblation. Proper history taking and clinical examination was done in all cases. All patients were male between age group 5 to 20 years in the present series. In all patients preoperative CECT and MRI was done and staged according to Radkowski staging system. Out of 12 patients, 9 patients (Radkowski stage IB, IIA & IIB) were operated without embolization & 3 patients (Radkowski stage IIB & IIIA) were embolized 24 hr before operation. Result: The present study suggests that coblation decreases the chances of intraoperative bleeding, provides clear surgical field thus reduces operative time. Coblation helps in debulking of tumor, preserving anatomical integrity, increases chance of complete removal and reduces the recurrence. Coblation decreases use of frequent and multiple instrumentation. So use of coblation in JNA removal (with or without preoperative embolization) gives advantage of safe and effective results. Conclusion: Hence, none of the 12 patients required post-operative blood transfusion and follow-up showed no complications in any of the cases.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129200062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Irreversible visual loss and posterior uveitis as the initial manifestation of Behcet’s Disease","authors":"Radha Annamalai, Ansu Ann John, M. Muthayya","doi":"10.17511/jooo.2019.i08.08","DOIUrl":"https://doi.org/10.17511/jooo.2019.i08.08","url":null,"abstract":"We report a rare case of rapid onset, severe visual loss in a young male patient with Behcet’s disease who had ocular disease as an initial manifestation. Vision was perception of light with inaccurate projection in both eyes. Anterior segment showed no inflammation. Fundus examination revealed vitritis, total optic atrophy, branch retinal vein occlusion and cellophane maculopathy. Visual evoked potential showed delayed P 100 responses in the left eye suggestive of left anterior visual pathway conduction defect. Systemic examination showed no active symptom complex. There was no response to oral corticosteroids or immunosuppressive drugs. Though rare in the Indian population, Behcet’s disease can be severe, progress rapidly and is less responsive to conventional treatment as in our patient. This case is presented for its rarity, as ocular features were the initial and only manifestation. Despite immediate therapy with corticosteroids and immunosuppressives, continued inflammation resulted in visual loss.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115876237","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}