Kerala Journal of Ophthalmology最新文献_第8页

A comparative study on ocular manifestations in patients with polycystic ovary syndrome and healthy volunteers 多囊卵巢综合征患者与健康志愿者眼部表现的比较研究

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_111_21

Rakendu Puthiyedath, Anthrayose C. V. Kakkanatt, M. Mathai, L. Ramachandran, A. Sunny, Sreelakshmi Arun

{"title":"A comparative study on ocular manifestations in patients with polycystic ovary syndrome and healthy volunteers","authors":"Rakendu Puthiyedath, Anthrayose C. V. Kakkanatt, M. Mathai, L. Ramachandran, A. Sunny, Sreelakshmi Arun","doi":"10.4103/kjo.kjo_111_21","DOIUrl":"https://doi.org/10.4103/kjo.kjo_111_21","url":null,"abstract":"Background: Polycystic ovary syndrome is a common endocrinological disorder of females in the reproductive age group.It can produce changes in the ocular tissues and thereby affect vision.In this study,we aim to compare intraocular pressure, central corneal thickness, central macular thickness, retinal nerve fiber layer thickness, Schirmers test and tear break up time between the eyes of women with and without PCOS. Methods and Material: This study included 60 eye of 30 women with PCOS(Group 1) and 60 eyes of 30 healthy women (Group 2). Intraocular pressures (IOP) were assessed using Goldman applanation tonometry, central corneal thickness (CCT) using pachymeter, retinal nerve fiber layer (RNFL) and central macular thickness (CMT) using optical coherence tomography (OCT), Schirmers test using standardized strips and tear break up time (TBUT) were assessed for all women. Results: The Mean Central Corneal Thickness, average RNFL, superior average RNFL and nasal average RNFL thicknesses were higher in patients with PCOS than in healthy women (all p<0.01) respectively. Schirmers test results and Tear Break Up Time values were significantly lower in the PCOS group (both p<0.01). The mean IOP and CMT were similar between the 2 groups. Duration of the disease was weakly positively correlated with CCT and superior RNFL and moderately positively correlated with average RNFL. Conclusions: Women with PCOS had significant increase in central corneal and retinal nerve fiber layer (average, superior, nasal quadrant) thickness and a significant decrease in Schirmer test and TBUT values. It is advisable that all women with PCOS undergo an eye examination for dry eye. Hormonal regulations prior to corneal and refractive surgeries may help improve outcomes.","PeriodicalId":32483,"journal":{"name":"Kerala Journal of Ophthalmology","volume":"34 1","pages":"250 - 255"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44136551","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}

引用次数: 0

Waardenburg syndrome – diagnostic criteria – A puzzle 瓦登堡综合征——诊断标准——一个难题

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_120_22

Anjali Reghu

引用次数: 0

Lacteocrumenasia 乳酸菌

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_60_22

N. Sandhya, V. Namitha

引用次数: 1

Lifestyle modifications – A new dimension in glaucoma management 生活方式的改变——青光眼治疗的新维度

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_56_22

B. Saha, R. Kumari

{"title":"Lifestyle modifications – A new dimension in glaucoma management","authors":"B. Saha, R. Kumari","doi":"10.4103/kjo.kjo_56_22","DOIUrl":"https://doi.org/10.4103/kjo.kjo_56_22","url":null,"abstract":"Glaucoma, a neuro-degenerative disease of the eye, is characterized by progressive retinal ganglion cell (RGC) degeneration and a characteristic pattern of visual field loss. Despite a better understanding of the complex pathophysiology of glaucoma in the recent years, reduction of intra-ocular pressure (IOP) remains the primary outcome of different strategies of glaucoma management – medical, laser, or surgical. However, existence of various non-IOP-dependent mechanisms have broadened the targets as well as scope of glaucoma management. Lifestyle modifications have been a supplement in the management of different chronic diseases such as diabetes and hypertension. This option has been explored for glaucoma as well. Existing evidence suggests that some modifications in dietary habits, exercise, yogasanas, sleep postures, and so on have an influence on the underlying pathophysiology of glaucoma development as well as its progression. Increasing interest to investigate the potential of lifestyle modifications in glaucoma as preventive or supportive medicine in glaucoma management forms the basis of several recent research. This review aims to provide a comprehensive overview of the existing evidence relating the effect of different lifestyles, namely, dietary habits, supplements, exercises on IOP), and ocular perfusion pressure (OPP), which ultimately lead to retinal ganglion cell loss and optic neuropathy. Present knowledge indicates the presence of therapeutic potential in various lifestyle modifications over glaucomatous optic neuropathy. Although some findings are conflicting, there is a need for further exploration with well-structured clinical trials.","PeriodicalId":32483,"journal":{"name":"Kerala Journal of Ophthalmology","volume":"34 1","pages":"199 - 207"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46219203","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}

引用次数: 0

A case of eyelid avulsion injury caused by bull horn 牛角致眼睑撕脱伤1例

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_21_21

Ravina Nachnolkar, V. Naik, U. Usgaonkar

引用次数: 0

Progression patterns of normal-tension glaucoma groups classified by hierarchical cluster analysis 应用层次聚类分析对正常眼压性青光眼组的进展模式进行分类

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_38_22

J. Emmatty

引用次数: 0

Christmas tree pattern in age related cataracts 老年性白内障的圣诞树型

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_161_21

R. Selvaraj

引用次数: 0

A missing lens-congenital aphakia? 先天性无晶状体缺失？

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_1_22

Vidharthi Diwakaran, S. Venkataswamy, Sanjana Marijogaiah

引用次数: 0

“Egg in the eye appearance” of traumatic pre-existing posterior capsular defect presenting as near-total cataract 外伤性后囊膜缺损的“眼内卵”表现为近全性白内障

Kerala Journal of Ophthalmology Pub Date : 2022-09-01 DOI: 10.4103/kjo.kjo_51_22

R. Neena, M. Vikraman

引用次数: 0

The social networks of hospital staff: A realist synthesis. 医院员工的社会网络：现实主义综述。

Kerala Journal of Ophthalmology Pub Date : 2022-07-01 Epub Date: 2022-05-05 DOI: 10.1177/13558196221076699

Claire Blacklock, Amy Darwin, Mike English, Jacob McKnight, Lisa Hinton, Elinor Harriss, Geoff Wong

{"title":"The social networks of hospital staff: A realist synthesis.","authors":"Claire Blacklock, Amy Darwin, Mike English, Jacob McKnight, Lisa Hinton, Elinor Harriss, Geoff Wong","doi":"10.1177/13558196221076699","DOIUrl":"10.1177/13558196221076699","url":null,"abstract":"Objectives: The social ties people have with one another are known to influence behaviour, and how information is accessed and interpreted. It is unclear, however, how the social networks that exist in multi-professional health care workplaces might be used to improve quality in hospitals. This paper develops explanatory theory using realist synthesis to illuminate the details and significance of the social ties between health care workers. Specifically we ask: How, why, for whom, to what extent and in what context, do the social ties of staff within a hospital influence quality of service delivery, including quality improvement?Methods: From a total of 75 included documents identified through an extensive systematic literature search, data were extracted and analysed to identify emergent explanatory statements.Results: The synthesis found that within the hospital workforce, an individual's place in the social whole can be understood across four identified domains: (1) social group, (2) hierarchy, (3) bridging distance and (4) discourse. Thirty-five context-mechanism-outcome configurations were developed across these domains.Conclusions: The relative position of individual health care workers within the overall social network in hospitals is associated with influence and agency. As such, power to bring about change is inequitably and socially situated, and subject to specific contexts. The findings of this realist synthesis offer a lens through which to understand social ties in hospitals. The findings can help identify possible strategies for intervention to improve communication and distribution of power, for individual, team and wider multi-professional behavioural change in hospitals.","PeriodicalId":32483,"journal":{"name":"Kerala Journal of Ophthalmology","volume":"32 1","pages":"242-252"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9277319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88380370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0