ABSTRACT
Purpose: To evaluate the effect of deep thermal punctal cautery in eyes with post?conjunctivitis cicatrization. Methods: This retrospective study consisted of patients who underwent deep thermal punctal cautery for post?conjunctivitis dry eye (PCDE). The diagnosis was based on a history suggestive of viral conjunctivitis in past followed by the onset of present clinical features of aqueous deficiency dry eye (ATD). All patients underwent a rheumatological evaluation to rule out underlying systemic collagen vascular disease as a cause for dry eye. The extent of cicatricial changes was noted. Best?corrected visual acuity (BCVA), Schirmer’s test, and fluorescein staining score (FSS; total score of 9) were analyzed pre? and post?cautery. Results: Out of 65 patients (117 eyes), 42 were males. The mean age at presentation was 25.769 ± 12.03 years. Thirteen patients presented with unilateral dry eye. Pre?cautery BCVA (logarithm of the minimum angle of resolution [logMAR]) and Schirmer’s test (mm) improved from 0.5251 ± 0.662 to 0.372 ± 0.595 (P value = 0.000, 95% confidence interval [CI]: 0.09–0.22), and 1.952 ± 2.763 to 4.929 ± 4.338 (P value = 0.000, 95% CI: ?3.79–?2.17); post?cautery, respectively. The pre?cautery FSS of 5.9 ± 2.82 reduced to 1.58 ± 2.38 (P value = 0.000, 95% CI: 3.46–5.17) post?cautery. The mean follow?up was 11.22 ± 13.32 months. No progression in cicatricial changes was noted in any eye during the follow?up. Re?canalization rate was 10.64%, and repeat cautery was performed with successful closure of puncta. Conclusion: Symptoms and clinical signs of ATD in PCDE patients improve with punctal cautery
ABSTRACT
The first and foremost aim of Ayurveda - “Swasthasya Swasthya Rakshanam Aaturasya Vikara Prashamanam Cha” is to maintain a healthy state of life and to remain free from the burden of diseases and sufferings so as to accomplish the ultimate goal of human life. To achieve this objective, Ayurveda has advocated certain percepts and rules which can ensure the normal functioning of human body without any hindrance. Ayurveda has suggested schedules of Swasthvritta including Dincharya, Ratricharya, Ritucharya, Rasayana, and Sadvritta as some of the practices and methods that leads to a happy, healthy and long life. In Ayurveda general principles to prevent psychic disturbances, practices preventing psychosomatic disturbances, practices regarding codes of general ethics in diet, behaviour, study, self-control etc. are explained as parts of Sadvritta. True efforts made for the observation of these schedules and conduct give rise to the effects of rejuvenation therapy called Aachar Rasayana that promotes longevity without any attack of diseases. Rasayana is one of the comprehensive disciplines of Ayurveda, which comprises a specialized use of herbs, herbo-mineral formulations, food articles and lifestyle along with self-discipline with social etiquette to achieve the optimum state of tissues that there is least effect of etiological factors on body. A careful analysis of qualities of Aachar Rasayana reveals that most of them are related to Mana, Dhi, Dhriti, along with good conduct. It inculcates the discipline related to mind, character, social, religious and personal life, so as to accord with the happiness and good of the individual and the society as a whole.
ABSTRACT
Purpose–To study the clinical prole and management of herpes zoster ophthalmicus over a period of two and half years in a tertiary health care centre. Material and methods- it is a prospective study done on 32 patients who were diagnosed with herpes zoster ophthalmicus clinically. Predisposing factors like diabetes mellitus, HIV, hepatitis B, Hepatitis C, anemia, patients having leukaemia and taking chemotherapy were evaluated. Result-Diabetes mellitus was commonest association. Common presentations were periorbital vesicular rash and corneal involvement. Conclusion: commonest presentation was periorbital vesicular rash. Systemic antivirals are efcacious in immunocompromised cases. . Patients were followed up for one year.