Kerala Journal of Ophthalmology最新文献_第9页

The incidence of retinopathy of prematurity and the common risk factors associated with it: A retrospective study in a tertiary care center in Central Kerala 早产儿视网膜病变的发生率及其相关的常见危险因素:喀拉拉邦中部三级保健中心的回顾性研究

Kerala Journal of Ophthalmology Pub Date : 2022-05-01 DOI: 10.4103/kjo.kjo_73_21

D. Gopalan, M. Abraham, V. Dhanya, R. Ramachandran, Adeline Roy

{"title":"The incidence of retinopathy of prematurity and the common risk factors associated with it: A retrospective study in a tertiary care center in Central Kerala","authors":"D. Gopalan, M. Abraham, V. Dhanya, R. Ramachandran, Adeline Roy","doi":"10.4103/kjo.kjo_73_21","DOIUrl":"https://doi.org/10.4103/kjo.kjo_73_21","url":null,"abstract":"Aim: The aim of this study is to determine the incidence and risk factors for retinopathy of prematurity (ROP) among newborn babies screened at a public sector teaching hospital in Central Kerala. Materials and Methods: A retrospective case record-based study that included all newborns screened at the study center from May 2015 to May 2017. Newborn babies with significant media opacities and missing data were excluded from this study. A detailed ophthalmic assessment was done and association of ROP with maternal and perinatal risk factors was assessed. Results: Thirty-nine (6.9%, 95% confidence interval [CI]: 5.02, 9.23) of the 565 newborns screened at the department had ROP. This included 14 (2.48%) babies with Stage 1, 17 (3.01%) babies with Stage 2, and 8 (1.42%) babies with plus disease. Placenta previa or abruption (odds ratio [OR] 3.72, 95% CI: 1.32, 10.52), Respiratory distress syndrome (OR: 2.05, 95% CI: 1.05, 4.01) and hyaline membrane disease (OR: 4.19, 95% CI: 1.96, 8.99), a birth weight <2500 g (adjusted OR: 5.06, 95% CI: 1.20, 21.32) were associated with ROP. The risk of ROP reduced significantly with every unit increase of birth weight in a linear regression model (coefficient = ‒511.5, R2 = 0.03). Conclusion: The incidence of ROP is lower in this study population compared to reports from other areas of India. The significant associations with birth weight and gestational age are important as global preterm births are increasing and may possibly lead to an epidemic of ROP More ophthalmologists must be trained in the management of ROP and integrated with neonatal intensive care services.","PeriodicalId":32483,"journal":{"name":"Kerala Journal of Ophthalmology","volume":"34 1","pages":"144 - 148"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47971266","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

Spectral domain optical coherence tomographic findings in Welder's maculopathy Welder黄斑病变的光谱域光学相干断层扫描结果

Kerala Journal of Ophthalmology Pub Date : 2022-05-01 DOI: 10.4103/kjo.kjo_31_21

P. Chandrasekaran

引用次数: 0

Identifying the white forelock for early visual stimulation and speech therapy among X-men (van der Hoeve-Halbertsma-Waardenburg syndrome) in ophthalmology 识别白色前肢用于眼科X型男性早期视觉刺激和言语治疗（van der Hoeve-Halbertsma Waardenburg综合征）

Kerala Journal of Ophthalmology Pub Date : 2022-05-01 DOI: 10.4103/kjo.kjo_40_21

S. Ramesh, P. Ramesh, R. Rajasekaran, M. Ramesh

引用次数: 0

Refractive Corneal surgeries: A Review 屈光性角膜手术：综述

Kerala Journal of Ophthalmology Pub Date : 2022-01-01 DOI: 10.4103/kjo.kjo_21_22

J. Menon

引用次数: 0

Spectrum of herpetic eye disease during COVID-19 pandemic COVID-19大流行期间疱疹性眼病谱

Kerala Journal of Ophthalmology Pub Date : 2022-01-01 DOI: 10.4103/kjo.kjo_204_21

S. Bhat, Pallavi Joshi, A. Balasubramaniam, Yash Gala

{"title":"Spectrum of herpetic eye disease during COVID-19 pandemic","authors":"S. Bhat, Pallavi Joshi, A. Balasubramaniam, Yash Gala","doi":"10.4103/kjo.kjo_204_21","DOIUrl":"https://doi.org/10.4103/kjo.kjo_204_21","url":null,"abstract":"Purpose: To analyze clinical presentation, outcome and upsurge in the acute presentation of Herpetic eye disease (Herpes simplex keratits and Herpes Zoster Ophthalmicus) cases during coronavirus disease 2019 (COVID-19) pandemic. Materials and Methods: Retrospective analysis of case records of patients diagnosed with either acute HSV or HZO from April 2020 to March 2021 for demography, ocular manifestations, and management and clinical outcome was done. Results: We had 71 patients presenting to our hospital with herpetic eye disease with 50.70% being HZO. The majority (64.78%) of the patients were <50 years of age. The mean time to presentation from the onset of symptoms was earlier in HZO compared to HSV. Three patients were post-COVID-19 infection while six patients were post-COVID-19 vaccination. Stromal keratitis (48.5%) was the most common presentation in patients with HSV while keratitis and uveitis (31.57% each) were the most common presentation in HZO. 83.08% resolved without any visual sequelae. We also observed atypical presentation in the form of multidermatomal involvement and recurrence of keratitis in HZO patients. We observed an alarming two-fold increase in the number of cases that presented this year (2020–21) as compared to the same time (n = 33) in the past year (2019–20). Conclusion: This study highlights an increase in viral eye disease presenting atypically and higher incidence in young individuals during the COVID pandemic. Viral disease of the eye during the pandemic may be related to the altered immunity in coexisting asymptomatic COVID-19-infected patients and similar in postvaccinated individuals or the stress-induced immune alteration by the pandemic itself in healthy individuals. However, though this study suggests direct causal relation of either of the above as possibility and needs to be kept in mind in clinical practice, for definite association, we need further exploration and more data.","PeriodicalId":32483,"journal":{"name":"Kerala Journal of Ophthalmology","volume":"34 1","pages":"47 - 50"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41328077","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

Demographical and etiological diagnosis of infective corneal ulcer in a tertiary care center in West Bengal: A cross-sectional study 西孟加拉邦三级保健中心感染性角膜溃疡的人口统计学和病因学诊断:一项横断面研究

Kerala Journal of Ophthalmology Pub Date : 2022-01-01 DOI: 10.4103/kjo.kjo_1_21

G. Joshi, Pinaki Sengupta, Anindya Gupta

{"title":"Demographical and etiological diagnosis of infective corneal ulcer in a tertiary care center in West Bengal: A cross-sectional study","authors":"G. Joshi, Pinaki Sengupta, Anindya Gupta","doi":"10.4103/kjo.kjo_1_21","DOIUrl":"https://doi.org/10.4103/kjo.kjo_1_21","url":null,"abstract":"Purpose: The purpose was to study the demographical factors and microbial etiology associated with infective keratitis in a tertiary care center in West Bengal. Materials and Methods: In this cross-sectional study, 142 patients with suspected microbial keratitis were enrolled from June 2019 to May 2020. After taking the history and diagnosing the infective ulcer clinically, the corneal scrapings and cultures were evaluated. The smears were fixed with Gram stain and 10% potassium hydroxide wet preparation. The scrapped material was inoculated in blood agar and Sabouraud dextrose agar for culture. Results: Ocular trauma was the most common predisposing factor in 94 (70.6%) corneal ulcers (P < 0.0001). The most common etiologic agent causing corneal injury was wooden object (38.3%). Microbial etiology was established in 76 (53.52%) corneal scrapings. Out of the total culture-positive cases, 45 patients (31.7%) had pure fungal infections, 25 patients (17.6%) had pure bacterial infections, and 6 patients (4.2%) reported mixed infections. Among the fungal pathogens, Aspergillus species was the most common fungal isolate (29 cases, 56.8%), followed by Fusarium species (17 cases, 33.3%) and Candida species (5 cases, 9.8%). The most common bacterial isolate was Staphylococcus aureus (16 cases, 51.6%), followed by Pneumococcus species (7 cases, 22.5%). Conclusion: Trauma with wooden material was the most common predisposing factor for infective keratitis. Fungal ulcers predominated in the study findings. Aspergillus species and S. aureus were the most common fungal and bacterial isolates, respectively. Regional variations exist in the microbial etiology of infective keratitis.","PeriodicalId":32483,"journal":{"name":"Kerala Journal of Ophthalmology","volume":"34 1","pages":"32 - 36"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42531063","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

KJO and the Ophthalmologists of Kerala KJO与喀拉拉邦眼科学家

Kerala Journal of Ophthalmology Pub Date : 2022-01-01 DOI: 10.4103/kjo.kjo_15_22

Smita Narayanan

引用次数: 0

A rare case of Vogt–Koyanagi–Harada disease presenting simultaneously with pituitary macroadenoma 罕见的Vogt-Koyanagi-Harada病同时出现垂体大腺瘤

Kerala Journal of Ophthalmology Pub Date : 2022-01-01 DOI: 10.4103/kjo.kjo_144_21

Pradeep K Panigrahi

引用次数: 0

Journal Review 期刊评论

Kerala Journal of Ophthalmology Pub Date : 2022-01-01 DOI: 10.4103/kjo.kjo_10_22

Allen Mathew

引用次数: 0

A white daisy on intraocular lens 人工晶状体上的白色雏菊

Kerala Journal of Ophthalmology Pub Date : 2022-01-01 DOI: 10.4103/kjo.kjo_184_21

P. Jain, Pooja Sah, A. Pattnaik

引用次数: 0