International Journal of Medical Ophthalmology最新文献

{"title":"Compliance of spectacle wear among adolescents in a tertiary care hospital","authors":"Rahul Dagwar, Aakanksha Patel, R. Chauhan","doi":"10.33545/26638266.2021.V3.I2A.83","DOIUrl":"https://doi.org/10.33545/26638266.2021.V3.I2A.83","url":null,"abstract":"Context: Unaddressed refractive errors account for a large proportion of ocular morbidities among adolescents and can hamper their overall development. Hence, compliance with the use of visual aids should be ensured. Aim: To evaluate the degree of spectacle compliance and to assess the principle determinants for non-compliance among adolescents in a tertiary care hospital. Settings and Design: Hospital based, prospective observational study. Methods and Material: A prospective observational study was conducted over 2 years. 365 adolescents (10-19 years) attending ophthalmology OPD were observed and interviewed using questionnaire and possible causes associated with non-compliance identified. Results: Out of 365 adolescents, 190 (52.05 %) were females and 175 (47.95 %) males. Overall compliance rate was 47.12 %. Compliance was more with urban residence (p value 0.014), father’s education (p value 0.022), myopia (p value 0.001) and poor uncorrected visual acuity in better eye (p value 0.0015). The common causes for not wearing spectacles were peer pressure (17.62 %), parental disapproval (15.03 %), broken spectacles (13.47 %), dislike spectacles (11.92%), social stigma/misconceptions (10.87%), occasional use (8.81 %), forgetfulness (7.25 %), lost spectacles (6.22%), headache due to spectacles (5.18 %) and discomfort due to spectacles (3.63 %). Conclusion: Proper counselling of adolescents and their parents regarding importance of using spectacles is essential at the time of prescribing spectacles and it can improve spectacle compliance and visual outcome.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80527943","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 axial length and peripapillary retinal nerve fibre layerthickness by optical coherence tomographyin myopes","authors":"Rohit Shirodkar, U. Usgaonkar","doi":"10.33545/26638266.2021.V3.I2A.85","DOIUrl":"https://doi.org/10.33545/26638266.2021.V3.I2A.85","url":null,"abstract":"Background: Myopia is considered a risk factor for open-angle glaucoma. This study aimed to assess the association of axial length and degree of myopia on RNFL thickness.Material and Method: This cross-sectional study is conducted among 50 myopic patients aged between 18 to 60yrs attending ophthalmology OPD at a tertiary care hospital. The study was conducted after getting approval from institutional ethics committee and patients recruited after obtaining informed consent. The ocular examination of all the included patients was done using an auto refractometer, retinoscopy, ONH OCT for RNFL thickness measurement, fundus with IDO and 90D. The average RNFL thickness was recorded globally and separately for the superior, inferior, nasal, and temporal quadrants.Results: A total of 100 eyes were evaluated, mean age of the study population was 35.02±9.07 years with range of 21-54years. The mean of refraction errors in all the patients was -3.41±2.04D with a range of -1 to -20D and mean axial length was 24.11±1.10 with a range of 22.18 to 26.8mm. There is a significant decrease in the RNFL thickness in patients with increase in refractive error and the axial length. (p","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90729809","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":"The spectrum and burden of Vitreo-retinal diseases among ophthalmic out-patients in a tertiary care hospital: A retrospective study","authors":"Mittal G Kuchhadiya, S. Bhatt, B. Parth, Chirag D Odedara, Marium Mansuri, Jineel Bhatt","doi":"10.33545/26638266.2021.v3.i2a.79","DOIUrl":"https://doi.org/10.33545/26638266.2021.v3.i2a.79","url":null,"abstract":"Objective: To evaluate the spectrum and frequency of patients presenting with vitreo-retinal diseases at a tertiary care hospital in Gujarat.Material and Methods: A total of 92922 patients were seen on OPD basis at the Department of Ophthalmology, GMERS Medical College, Gandhi Nagar, from 01 January 2018 to 31 December 2020. Their data was obtained from the OPD register. Demographic details, evaluation of vision with refraction, anterior segment slit lamp examination, dilated posterior segment slit lamp examination with 90 D lens, indirect ophthalmoscopy with 20 D lens were done. When needed ultrasound (B Scan), Fundus Fluorescein angiography and OCT examination were also done. Data was analysed for simple frequency and inter group differences were performed using the Chi-Square test.Results: Out of the total OPD patients, 4952 patients had vitreo-retinal diseases. Diabetic retinopathy was the most common vitreo-retinal disease. Vision threatening DR was found in 884 patients having DR. Age related macular degeneration (ARMD) and Retinal Vascular occlusive diseases were the next common vitreo retinal diseases causing vision impairment. Co-existent DM and Hypertension were the most common associated systemic diseases. Hematological tests, OCT were the most commonly done investigations.Conclusion: Diabetes is major factor contributing to blindness due to vitreo retinal diseases in the form of Diabetic Retinopathy and its association with retinal vessel occlusive disease. With the changing demographic in the coming years, this problem is going to increase. The time has now come to rise up to the situation and plan the establishment of human resources, early screening, timely management and awareness of the disease and to make it affordable and easily accessible to the community.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83839797","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":"Penetrating Keratoplasty a boon in different corneal diseases to improve social life","authors":"Vikas Aili","doi":"10.33545/26638266.2021.v3.i2a.84","DOIUrl":"https://doi.org/10.33545/26638266.2021.v3.i2a.84","url":null,"abstract":"PKP can visually rehabilitate many of those who suffer from visual impairment due to corneal diseases so the primary objective of this study was to report treatment results of patients, who received a total penetrating Keratoplasty for various corneal diseases. Purpose: Review the surgical treatment, anatomical and functional results, and complications of treatment in this group of patients at our institution in terms of graft survival and visual acuity.Methods: This was a hospital based prospective study done in 70 patients admitted in ophthalmology ward, department of Ophthalmology, Basaveshwar teaching general hospital, M.R. Medical college, Kalaburagi over a period of two years. Patients diagnosed with non-healing corneal ulcer, corneal perforation, bullous keratopathy, infectious keratitis, autoimmune disease, injury of the eyeball (mainly chemical burns), and other combined disorders were indicated for total penetrating Keratoplasty After a complete ocular examination, total penetrating Keratoplasty (diameter ≥ 10.0 mm) was performed. The surgical technique involved dissection of affected tissues with a margin of minimum 1.0 mm of non-affected tissue. The size of the corneal graft ranged from 10.0 to 14.0 mm,Results: This group consisted of 36 females, whose mean age was 66.13 ± 9.94 (range 39 to 80 years), and 34 males, whose mean age was 63.69 ± 14.48 (range 32 to 92 years). There was no statistically significant difference with respect to gender and age between both groups. The main cause of surgical treatment failure was persistent epithelial defect, observed in 28 (40%) operated eyes, resulting from decreased corneal sensitivity and impaired tear production. Conclusion: Our study confirms that Full Thickness Penetrating Keratoplasty: Surgical boon and effective tool in management of chronic non-healing microbial corneal ulcer refractory to medical therapy, corneal dystrophy and degenerations and various other corneal diseases at my geographical area. It not only eliminates infection but also maintain globe integrity and improve visual acuity and thus improving social life","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84914519","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":"Microbial profile of corneal ulcer in a tertiary eye care hospital at Tamil Nadu","authors":"Dr. A Vinitha, Dr. S Manavalan, Dr. V Sridevi, Dr.M. Ramya, Dr.M. Nithya","doi":"10.33545/26638266.2021.v3.i2b.95","DOIUrl":"https://doi.org/10.33545/26638266.2021.v3.i2b.95","url":null,"abstract":"Purpose: To identify the most common etiological agent in corneal ulceration in a tertiary care eye hospital. Materials and Methods: A total of 50 patients with suspected infectious corneal ulcers presenting to ophthalmology out-patient department in Rajah Muthiah Medical College and Hospital were evaluated. Sociodemographic data and information pertaining to risk factors were recorded. All patients were examined and corneal cultures and scrapings were performed. Results: Of 50 patients microbiological etiology was established in 39 cases (78%). Of these 36(72%) were male. Of 39 positive cases 42% were fungi and 36% were bacterial and 22% showed no growth. The most common isolated fungus was fusarium (67%) followed by aspergillus (33%). Streptococci was the most common isolated bacteria. Conclusion: Routine microbiological examination of patients with corneal ulcer is necessary to analyze the changing trends of the etiology.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80254302","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":"Clinical spectrum of diabetic retinopathy and its correlation with risk factors","authors":"M. Nada, Jyoti Kapoor, Monika Dahiya, Aakash K. Sharma, J. Phogat, Manoj P Shettigar","doi":"10.33545/26638266.2021.V3.I1B.65","DOIUrl":"https://doi.org/10.33545/26638266.2021.V3.I1B.65","url":null,"abstract":"Objectives: To study the clinical spectrum of diabetic retinopathy and its correlation with its risk factors.Material and Methods: A prospective, cross sectional and unmasked study was done in patients of diabetes mellitus presenting in OPD of RIO, PGIMS Rohtak. Total 60 patients were included in the study which were divided into 3 groups each of 20 patients, based on the duration of DM: Group A 10 years. Staging of retinopathy was done on the basis of International diabetic retinopathy and diabetic macular edema severity scale. Demographical factors like age and sex were correlated with duration of DM. Various clinical forms of diabetic retinopathy ranging from no apparent DR to severe NPDR to PDR were correlated to different laboratory parameters like degree of hyperglycemia, Hb, lipid profile, blood pressure, renal function tests to ascertain correlation between them.Results: Total prevalence of diabetic retinopathy in our study was 56.66%. Males were at higher risk in comparison to females. In our study, duration of disease was found to be strongly associated with diabetic retinopathy and macular edema. Hyperglycemia as measured by FBS and HbA1c is found to be an important risk factor in diabetic retinopathy. Hypertension, hypertriglyceridemia, deranged RFT and anaemia is statistically associated with diabetic retinopathy and its severity.Conclusion: Diabetic retinopathy is a leading cause of preventable blindness. Therefore early diagnosis, timely screening and control of diabetes mellitus is of utmost importance.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76341312","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 to determine association between serum uric acid and diabetic retinopathy","authors":"Sasmita Sanghai, Farhat Abrar, V. Malik","doi":"10.33545/26638266.2021.v3.i1a.81","DOIUrl":"https://doi.org/10.33545/26638266.2021.v3.i1a.81","url":null,"abstract":"Aims: To explore the role of serum uric acid (SUA) concentration in diabetic retinopathy (DR) for patients with type 2 diabetes mellitus (T2DM). Methods:The present prospective observational study was conducted in department of Ophthalmology at Chattrapati Shivaji Subharti hospital from December 2019 to November 2020. The diabetic patients were assigned to one of the following groups based on presence and severity of diabetic retinopathy with the help of fundus photographs and/or fundus fluorescein angiography. Results: On correlation analysis, it was found that there is significant relationship between Serum Uric Acid and fundus grading of diabetic retinopathy as r=.310 and p","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88353497","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":"Prevalence and risk factors associated with primary open angle glaucoma in diabetic patients in a tertiary care centre","authors":"N. Rajendran, I. Isaac, Janie Salor, J. Jacob","doi":"10.33545/26638266.2021.V3.I1A.51","DOIUrl":"https://doi.org/10.33545/26638266.2021.V3.I1A.51","url":null,"abstract":"Primary open angle glaucoma is the most common form of glaucoma accounting for at least half of all the glaucomas. It is also known as chronic open angle glaucoma and chronic simple glaucoma. It is usually asymptomatic until significant visual field loss has happened. Patients usually present with considerable amount of visual field loss in one eye and advanced disease in the other eye. Diabetes Mellitus is one among the risk factors for POAG. Objectives ▪ To study the hospital-based prevalence of POAG among the diabetic patients attending Sree Mookambika Institute of Medical Sciences (SMIMS), Kulasekharam. ▪ To study the risk factors associated with POAG. ▪ To screen all diabetic patients for glaucoma. Methods: In this study, 181 diabetic patients, both insulin dependent and non-insulin dependent, attending Sree Mookambika Institute of Medical Sciences, who came directly to Department of Ophthalmology or who were referred here for evaluation, between December 2016 and August 2018 had been screened to rule out Primary Open Angle Glaucoma (POAG). Results: The results of the study show a clear-cut evidence of increased incidence of POAG in diabetic patients, which was 5%. There is a significant association between age and POAG. No significant association was found between gender and POAG. No significant association was found between duration of DM and prevalence of POAG. Conclusion: Primary Open Angle glaucoma is mostly asymptomatic until significant visual field loss has occurred. Patients usually presents with significant visual field loss in one eye and advanced disease in the other eye. It is associated with irreversible blindness. Thus, the public health importance of detecting undiagnosed and treatable glaucoma, as blindness has economic and societal consequences for the rest of an individual’s life. Several studies have shown an association between POAG and diabetes. From my study, I came to a conclusion that there is a clear-cut evidence of increased incidence of POAG in diabetic patients, which was 5%. Study also showed significant association between age and POAG. However, no significant association was found between gender and POAG as well as between duration of DM and prevalence of POAG.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74387330","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 evaluation of retinopathy in diabetes patients with coexisting hypothyroidism","authors":"Dr. A Venkata Satish","doi":"10.33545/26638266.2021.v3.i1b.71","DOIUrl":"https://doi.org/10.33545/26638266.2021.v3.i1b.71","url":null,"abstract":"Background: Diabetes is the cause of 2.6% of global blindness which occur due to diabetic retinopathy caused by long term accumulated damage of small blood vessels in the retina. Hypothyroidism is common endocrine disorders that coexist with diabetes mellitus. Concurrent hypothyroidism, treated with thyroxin, appears to have a sparing effect on the risk of developing retinopathy among patients with type 2 diabetes.Material and method: This is a prospective observational study conducted in the department of ophthalmology. During our study period we have enrolled 240 patients with diabetes mellitus based on selection criteria and evaluated for diabetic retinopathy and hypothyroidism. A standard diagnostic criterion was followed for diagnosis of diabetes mellitus and all patients were assessed by two senior ophthalmologists for detection of retinopathy. Classification of diabetic retinopathy was based on the early treatment of diabetic retinopathy study (ETDRS).Result: Diabetic retinopathy was present in 12(30%) patients in type 2 diabetes mellitus group and 18(45%) patients in type 2 DM plus hypothyroidism group. In DM plus hypothyroidism patients, Mild nonproliferative retinopathy present in 4 (22.22%) patients, Moderate nonproliferative retinopathy 8(44.44%) patients, severe nonproliferative retinopathy 1(5.5%) patients, Early proliferative retinopathy 4(22.22%) patients and High-risk proliferative retinopathy 1(5.5%) patients.Discussion and conclusion: From present study we can conclude that that prevalence of hypothyroidism was higher among type 2DM mellitus patients in comparison to general population without type 2 DM. Diabetic retinopathy was more common on type 2 DM plus hypothyroidism group then type 2 diabetes mellitus group. We have observed that Moderate nonproliferative retinopathy is more common in both group but early proliferative retinopathy is more common in type 2 DM plus hypothyroidism group then yrs type 2 diabetes mellitus group.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80585672","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":"Case report on delayed presentation of primary congenital glaucoma","authors":"Anukriti, RN Saha","doi":"10.33545/26638266.2021.v3.i1b.67","DOIUrl":"https://doi.org/10.33545/26638266.2021.v3.i1b.67","url":null,"abstract":"An asymptomatic 5 year old child presented to OPD with corneal haze, megalocornea and raised intraocular pressure. On fundus examination there was bilateral advanced optic disc damage. Surgical interventions done included Trabeculotomy and Trabeculectomy in the left eye and Trabeculectomy alone was done in the right eye. As in this case asymptomatic nature of the disease led to it’s late presentation which itself is a cause for advanced disc damage. Therefore awareness towards the subclinical subtle signs of congenital glaucoma makes it a point of concern for pediatricians to do proper screening and referral.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86972776","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}