Tropical Journal of Ophthalmology and Otolaryngology最新文献

{"title":"Visual Outcome of Corneal Laceration Repair in a Tertiary Hospital, Southwestern, Nigeria","authors":"O. Omotoye, I. Ajayi, K. Ajite, S. Dada, Emmanuel Chinwedu","doi":"10.17511/jooo.2019.i01.03","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.03","url":null,"abstract":"Objective: This study aimed at assessing the visual outcome of patients that had corneal laceration repair with their influencing factors in order to reduce the significant consequential vision loss in the patients. Design: A cross sectional study. Subjects: All patients who had open globe injury and corneal repair procedures. Methods: Clinic and theatre records of all patients who had open globe injury and corneal repair procedures between January 2015 and July 2017 were retrieved. Demographic characteristics, main eye complaints, duration of symptoms, laterality, presenting visual acuity, corneal repair procedures and six weeks post operative visual acuity were obtained from the records. All patients who had open globe injury but had primary Enucleation or Evisceration were excluded from the study. Data obtained were recorded and analyzed using Statistical Package for Social Sciences (SPSS) version 25. Results: Forty patients had corneal repair procedure constituting 22.2% of all ophthalmic procedures. There were 30 (75.0%) males and 10(25.0%) females. At the oculoplastic clinic, majority of the patients 33 (82.5%) presented with monocular blindness (VA<3/60) while, only the dependent group of patients 5 (12.5%) presented with normal visual acuity ≥6/18. There was 10% improvement in vision after corneal repair procedure. There was positive correlation between pre-operative visual acuity and post-operative visual acuity. Conclusion: Corneal laceration injury has a relatively high incidence with a 10% improvement in vision after corneal repair procedure. Timely presentation, prompt clinical assessment and early intervention when non-avoidable ocular injury occurs remain the key to a good functional post-operative vision.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131926746","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":"Maggots in the ear – a case series","authors":"Srīnivāsa, D. Arivazhagan, Dr.Balu K.G., Darshan Kayarkar","doi":"10.17511/jooo.2019.i01.06","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.06","url":null,"abstract":"Myiasis of the ear is an infestation of the ear by maggots (the larval stage of flies).In literature there are only few cases reported about aural myiasis. It is more common to occur in tropical regions, were humidity and warm weather provide a good environment for this infestation. In this paper, we report 9 cases of unilateral ear ache and ear discharge presented to our department. Otoscopic examination showed 5 -15 live larvae in all of them with blood stained serosanguineous discharge. The removed larvae were identified by microbiologist to belong to the Sarcophagidae family.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130054493","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":"Audiological evaluation following snake bite - Case Report","authors":"S. Govindaraj, D. Arivazhagan, A Jinsha, M. S. Lakshmi","doi":"10.17511/jooo.2019.i01.05","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.05","url":null,"abstract":"We are reporting a case with hearing loss following krait snake bite. Case was diagnosed as snake bite and treated in the emergency department and after stabilising she was referred to the oto-rhinolaryngology department for evaluation of sudden hearing loss. Audiological evaluation was carried out to identify degree, type of hearing loss and site of lesion. Puretone audiometry showed bilateral moderate sensory neural hearing loss. The diagnosis was confirmed with Transient evokedotoacoustic emissions and Click evoked auditory brainstem response testing. From the above audiological tests it is evident that the snake bite victim has cochlear hearing loss. This could be due to the venom carried away from the wound by the lymphatics and then is circulated by the blood stream throughout the body.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126133476","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 prospective study of prevalence and types of leprosy with ocular lesions","authors":"G. Reddy, G. N. Reddy","doi":"10.17511/jooo.2019.i01.12","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.12","url":null,"abstract":"","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133863527","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":"Wilson’s disease and the eye","authors":"Jyoti Rani Acharya, Paediatric Ophthalmology Fellow, K. Veena, Fredrick Mouttapa, Anjali Khadia, Paediatric Ophthalmology Consultant","doi":"10.17511/jooo.2019.i01.07","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.07","url":null,"abstract":"Wilson's disease is known for its rarity.It is inherited as an autosomal recessive trait and characterised by excessive accumulation of free copper in the body particularly the liver, brain, cornea and kidney. We report below a case of Wilson’s disease with well documented ocular findings. Incidental detection of K-F ring and Sunflower cataract by ophthalmologist in slit lamp examination in pre-symptomatic cases of Wilson’s disease may lead to early diagnosis and prompt management.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133871273","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":"Congenital cataract- a riddle to be solved to prevent childhood blindness","authors":"A. Verma, Pragati Jain, P. Student","doi":"10.17511/jooo.2019.i01.01","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.01","url":null,"abstract":"Introduction: Congenital cataract is a significant cause of visual disability in developing countries. It may present at birth or develop within first year of life. Common causes are genetic disorders, intra uterine infections, drug induced and others. Hence management protocol depends from case to case. Timely management of cataract and rehabilitation significantly prevents visual morbidity in children. Aims and Objectives: To asses visual outcomes in congenital cataract. Material and Methods: A prospective study was done from January 2017 to July 2018, including 40 patients with age ranging from 1 month to 12 years. Detailed history and thorough examination of each patient was done. After fulfilling inclusion criteria we have planned them for small incision cataract surgery (SICS) and phacoemulsification as per the financial status of family. Only cases less than 1 year were left aphakic. IOL power was calculated using SRK-II formula. Post operative visual acuity was noted on 7 day, 15 day and 1 month. Visual rehabilitation in the form of amblyopia therapy, secondary IOL and contact lenses was given. Result: It was found that squint (20%) and amblyopia (17.5%) was associated with cataract. All 40 eyes underwent cataract extraction by phacoemulsification (60%) and SICS (40%). Among them 25% cases were left aphakic. Visual improvement was almost similar in both surgeries. Visual rehabilitation in the form of spectacles (45%), contact lenses (5%), occlusion therapy (17.5%) and secondary IOL (22.5%) were given. Conclusion: Proper counseling of parents at diagnosis helps in prompt management and improves compliance which significantly reduces visual morbidity in children. Key wordsCongenital cataract, Visual outcome, Visual rehabilitation ................................................................................................................................................... Introduction Pediatric cataract is one of the major causes of preventable childhood blindness, affecting approximately 200,000 children worldwide, with an estimated prevalence ranging from three to six per 10,000 live births [1-3]. Pediatric cataracts may be congenital if present within the first year of life, developmental if present after infancy, or traumatic. Common causes are genetic disorders, intra uterine infections, drug induced and others. Early diagnosis and treatment are of crucial importance to prevent the development of irreversible stimulus deprivation amblyopia. The management of pediatric cataract should be customized depending upon the age of onset, laterality, morphology of the cataract, and other associated ocular and systemic co-morbidities. Manuscript received: 2 December 2018 Reviewed: 11 December 2018 Author Corrected: 16 December 2018 Accepted for Publication: 19 December 2018 Despite developments in surgical techniques and intraocular lenses, the management of unilateral pediatric cataracts is still clinically challenging. Better visual outcome","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128403713","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":"Significance of normal conjunctival flora in diabetic versus healthy individuals","authors":"A. MuralidharC, S. Moinuddin, V. Anandi","doi":"10.17511/jooo.2019.i01.11","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.11","url":null,"abstract":"Introduction: Conjunctival sac is constantly exposed to theenvironment. It is more prone to colonization with various microorganisms, which are considered as normal ocular flora. The conjunctival flora in diabetic subjects may differ from that in the nondiabetic subjects. Hence the present study was conducted to determine the flora of conjunctiva in diabetic patients and non diabetics. Materials and Methods: A total of 100 patients were enrolled in the study. On the basis of history and glycemic status, 55 patients were included in the diabetic group and another 45 patients were included in thenon-diabetic group. Conjunctival swabs were collected and inoculated on bacteriological media (blood agar and chocolate agar) and mycological media (Sabourauddextrose agar). Inoculated bacteriological (37 o C) and mycological media (25 o C) were incubated for 48 hours and 2-4 weeks respectively and microbial colonies were identified after isolation as per standard microbiological procedures. Results: Microbial growth yielded from the conjunctival swabs in the diabetic patients was 67.27% and in the non diabetic individuals it was 46.67% .The most common isolated bacteria in diabeticand non diabetic groups was Staphylococcus epidermidis, which accounted for 40.54% and 38.10% respectively. S.aureus was the second most common organism which accounted for 18.91% in diabetics and 14.29% in non diabetics. Candida species was isolated in diabetic group, but not from non diabetic group. Conclusion: It is essential to differentiate the conjunctival microbial flora in normal healthy individuals and patients who are undergoing ocular surgery. The presence of microbial pathogen leads to an idea of microbial flora and antimicrobial susceptibility tests, which helps in the preoperative and post operative antimicrobial prophylactic therapy.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122777011","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":"Effect of pterygiumseverity on visual acuity and contrast sensitivity","authors":"M. Vohra, R. Agarwal, Jayant Vohra, Ashish Maggoo, S. Rohatgi, U. P India Kanpur","doi":"10.17511/jooo.2019.i01.09","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.09","url":null,"abstract":"Aim: To evaluate prospectively the effect of pterygium excision on visual acuity and contrast sensitivity before and after surgery. Material & method: A prospective observational study where in 63 eyes of 63 patients with primary pterygia were studied before and after surgery. Examination was done in which contrast sensitivity was measured with pellirobson chart pre-operatively and one month postoperatively following pterygium excision with Conjunctival Limbal Auto Graft. Result: As the grade of pterygium increases, decrement in contrast sensitivity occurs. The visual acuity significantly increased after the surgery. Mean contrast sensitivity following pterygium surgery improved from 1.49±0.21 to 1.70±0.20 (p value <0.001). Conclusion: Visual acuity and contrast sensitivity improved significantly following pterygium excision surgery.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125645081","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 to compare the conjunctival flora of non-diabetic individuals with that of diabetic patients","authors":"Dr. R. Rajeshkannan, Dr. M.J. Venkatesan, Dr. K. Ezhilvendhan, Dr. A.V. Raghavendar Rao","doi":"10.17511/jooo.2019.i01.10","DOIUrl":"https://doi.org/10.17511/jooo.2019.i01.10","url":null,"abstract":"Background: The conjunctiva is a thin, transparent and humid membrane which covers the sclera and inner surface of eyelids. The tears film helps to moist the conjunctiva. In a healthy person, surface tissues such as skin and mucous membranes are constantly in contact with environmental organisms and become colonised by various micro-organisms, bacteria and fungi which are referred to as normal flora. Aim: To compare the conjunctival flora of non-diabetic individuals with that of diabetic patients. Methodology: A prospective study for comparison of conjunctival flora of 50 non-diabetic individuals with that of 50 diabetic individual patients without any pre-existing conjunctival pathology attending the Ophthalmology Out Patient Department in Vinayaka Mission’s Kirupanada Variyar Medical College and Hospital, Salem, Tamil Nadu, which is 560 bedded hospital having all inpatients and outpatient services. Conjunctival swab was collected from each patient and inoculation of conjunctival swab for microscopy and culture and sensitivity was done. Identification of Bacteria were made using Standard Bacteriological methods. Result: We found a significant difference in bacterial isolation rate between the diabetic and non-diabetic groups. Conclusion: Organisms such as coagulase negative staphylococcus, gram negative bacteria such as E. coli, klebsiella and bacteroids were found to be more common among the diabetic patients than that of non-diabetic patients.","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129256671","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 journey of postgraduate in acquiring skills of manual SICS","authors":"Dr. Trupti Dubey, Dr. Abha Verma, Dr. Renu Choudhary","doi":"10.17511/jooo.2018.i04.09","DOIUrl":"https://doi.org/10.17511/jooo.2018.i04.09","url":null,"abstract":"","PeriodicalId":112259,"journal":{"name":"Tropical Journal of Ophthalmology and Otolaryngology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116127731","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}