ABSTRACT
Purpose: This study was conducted to ensure the integrity of surgery wounds. Methods: This was a randomized prospective trial of 300 patients who underwent small-incision cataract surgery (SICS) at our hospital over a one-year period. We used 2�drops of 5% povidone-iodine at the end of each case, not only to disclose any wound leaks but also to sterilize the surface of the eye. Results: Three hundred patients underwent SICS. One hundred ten patients had postoperative wound leak in SICS due to surgical complications. Premature entry comprising 75% (83 cases), followed by floppy iris syndrome comprising 20% (22 cases) and 5% (6 cases) comprising pseudoexfoliation (PXF) syndrome. There was a drop in the number of re-surgeries from 12 to 3 cases since we started implementing this technique. Conclusion: The simple procedure is very handy and economical in identifying the leak and can reduce further complications such as endophthalmitis and re-surgeries. Among residents, this can be a boon where povidone-iodine acts as a riverbank for the outflow of aqueous, outlining the speed, location, and quantity of the leak. Siep抯 test plays an important role in identifying any postoperative wound leaks and also sterilizing the eye surface post surgery.
ABSTRACT
Background and objectives- To study the demographic profiling and awareness of hyperthyroidism among patients reporting to our hospital. Methods- A randomized retrospective study was done consisiting of 50 patients who were diagnosed with hyperthyroidism in the Out patient department of our hospital during two year period after approval by ethical committee. The data obtained were tabulated, analysed, assessed and formulated. Results- Females were more commonly affected, with age group of 60-69 being more commonly affected in the male and female category, with majority of patients belonging to the class III of kuppusamy socio-economic classification. On laterality males had more bilateral involvement with women having predominantly unilateral involvement. On treatment study, males were on a strict treatment regime as compared to their counterparts. In the socio-economic classification majority of class V category were not on any treatment. On awareness majority of male & female patients were equally unaware of the fact that they were suffering from hyperthyroidism. Conclusions- Our study showed that majority of female patients were affected, off treatment and unaware of the disease. Patients of lower socio-economic class were off treatment and unaware of the disease. As we found the group of 60-69 years were more commonly involved a thorough survey and screening of this age group is essential. With proper awareness, screening, check-ups, camps and education among we can make a remarkable difference in treatment in restoring visual function, appearance and help a reclusive patient to become socially reintegrated.
ABSTRACT
Hypertension affects millions of patients worldwide. Persistent elevation affecting the arteries and veins in eye can be the most accessible to clinically detect undiagnosed hypertension. Aim: To know the incidence of retinopathy due to hypertension in both sex and various age groups. The severity of hypertension and its relation with fundus changes is observed. Material and Methods: The Study was carried out at the department of ophthalmology in Shri Guru Gobind Singh Hospital. Detailed ophthalmic evaluation including dilated fundus and systemic examination of the patient is carried out in detail. Thereafter attempt is made to correlate the Fundus findings with age, sex, past history etc. For hypertensive retinopathy Keith-Wagener-Barker Classification is used. Result: Hypertension is most common in 5th to 6th decade of life. Males are more affected than females. Male to female ratio is 1.72. Fundus changes are observed maximum in grade II (26, 44.8%) followed by Grade I(15,21.9%), Grade III(11,19%) and minimal in Grade IV(6,10.3%).With incidence of hypertensive retinopathy in different age group shows that Grade II more number of cases 26 (44.8%) in 41-50 years of age group showing 8 cases. In complication of hypertensive retinopathy, 10 cases of macular edema, 6 cases of disc edema, 1 case of central retinal vein occlusion and 1 case of branch retinal vein occlusion are found. Conclusion: Incidence of hypertensive retinopathy is increased as age is increased with maximum presentation in 5th to 6th decade of life with male dominance with male:female ratio 1.72. Hypertensive retinopathy grade II is the most common retinopathy found. Higher systolic and diastolic blood pressure was associated with more severe retinopathy. Grade-III and Grade-IV hypertensive retinopathy was maximally associated with systemic involvement.