International journal of ophthalmology and clinical research最新文献

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Isolated Ankyloblepharon Filiforme Adnatum in a Newborn 新生儿孤立性睑缘丝状菌
International journal of ophthalmology and clinical research Pub Date : 2018-06-30 DOI: 10.23937/2378-346x/1410086
Gupta Saroj
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引用次数: 1
Clinical Analysis of Steroid Induced Glaucoma 类固醇性青光眼的临床分析
International journal of ophthalmology and clinical research Pub Date : 2012-04-01 DOI: 10.33545/26181495.2019.v1.i1a.14
B. Krishnan
{"title":"Clinical Analysis of Steroid Induced Glaucoma","authors":"B. Krishnan","doi":"10.33545/26181495.2019.v1.i1a.14","DOIUrl":"https://doi.org/10.33545/26181495.2019.v1.i1a.14","url":null,"abstract":"INTRODUCTION: Today glaucoma is the second most common cause of blindness. \u0000Glaucoma is the most common cause of irreversible blindness in the \u0000world. The world health organisation estimates (2002) that number of \u0000people who have become blind because of glaucoma were 4.4 million \u0000(12.3% of the blind world wide) population based studies have \u0000estimated that the prevalence of glaucoma in India to be about 11.9 \u0000million and 60.5 million in the world in 2010. Glaucoma is defined as a disturbance of the structural or \u0000functional integrity of the optic nerve that can usually be arrested or \u0000diminished by adequate lowering of Intraocular pressure (IOP). \u0000Traditionally glaucoma has been classified as primary and \u0000secondary forms. Within this large group of glaucoma, primary open \u0000angle glaucoma is the most common form. AIMS OF THE STUDY: \u00001. To analyse the clinical presentation and etiological risk \u0000factors in steroid induced glaucoma and duration and type of \u0000steroid used. \u00002. To establish the diagnosis and analyse about the management \u0000options in steroid induced glaucoma. \u00003. To know the response of selective laser trabeculoplasty in \u0000treatment of steroid induced glaucoma patients. \u0000Inclusion Criteria \u00001. Patients with the history of steroid use either topically or \u0000systemically. \u00002. Persistent elevation of IOP more than 21mm of Hg or disc \u0000suspicious of glaucomatous damage. \u00003. Gonioscopically open angles. \u0000Exclusion Criteria \u00001. Normotensive glaucoma \u00002. Narrow angle glaucoma \u00003. All other secondary glaucomas \u00004. Developmental glaucoma \u0000MATERIALS AND METHODS: \u0000The study was a prospective study conducted at glaucoma \u0000services at Regional Institute of Ophthalmology from the period \u0000between June 2009 – October 2011. \u0000The study was done in 43 patients of established steroid induced \u0000glaucoma after complete evaluation. \u0000A detailed history regarding the type of steroid used, mode of use, \u0000reason for use, and duration of use was recorded. The risk factors of \u0000family history of glaucoma, primary open angle glaucoma, Diabetes \u0000mellitus, hypertension, high myopia and connective tissue disorders \u0000were also asked in detail from the patients. \u0000Patients were enquired about defective vision, defective field of \u0000vision and frequent change of glasses. \u0000Visual acuity was recorded and refraction was done in all cases to \u0000correct refractive errors. Ocular examination of both eyes with slit lamp \u0000was done to rule out other causes of glaucoma and to know about the \u0000lens changes. Gonioscopy was done using single mirror Goldmann \u0000gonioprism and angles were graded by using shaffers grading method. \u0000OBSERVATION AND ANALYSIS: \u000068 eyes of 43 patients were taken into study. Two patients were \u0000one eyed. one had leucomatous corneal opacity and other patient had \u0000evisceration done in one eye. Rest of the 16 eyes were not involved. \u0000Steroid induced glaucoma resolved in 17 eyes of 13 patients with their \u0000stoppage of steroids and with initiation of medical treatment. SUMMARY: \u0000Steroid","PeriodicalId":91712,"journal":{"name":"International journal of ophthalmology and clinical research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78664903","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
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