ABSTRACT
Background: The launch of many free low cost data packages has put India on the global map for large scale consumption of mobile data leading to exponential usage of social media. Internet has both positive and negative advantages on its users. Excessive use of social media is affecting the lifestyle of youth moreover, statistics show that addiction to social media resulted in increased health problems and change in behavior. Objectives: The objectives of the study were to study the pattern of internet and social media use and its physical and psycho-social effects on the medical students. Materials and Methods: A cross-sectional descriptive study was conducted among medical students at a tertiary care teaching hospital in a rural area using self-administered pretested questionnaire using Google forms. The descriptive statistical analysis of data was performed in the form of mean, standard deviation, percentages, and proportions. Results: The number of male and female participants was 184 (44.4%) and 230 (55.6%), respectively. Almost 37% of students spend more than 4 h on internet daily and 56% students responded that they visit social media more than 6 times/day. Headache, sleep disturbances, and burning sensation of eyes and neck pain were the prominent disabling symptoms. One hundred and twenty-seven (30.7%) students sleep for <6 h and 64.8% students stay up late to access internet and 43.9% students check social media immediately after waking up. Conclusion: Time spent on internet, social media to perform online access can be very productive but compulsive internet and social media use can have negative impact on physical and psycho-social health.
ABSTRACT
Purpose: To assess the safety and efficacy of intraoperative intravitreal dexamethasone implant in patients of juvenile idiopathic arthritis (JIA)-associated uveitis undergoing phacoemulsification with posterior chamber intraocular lens (PCIOL) implantation. Methods: Retrospectively, data of patients with JIA-associated uveitis undergoing phacoemulsification with PCIOL implantation with intraoperative dexamethasone implant injection were analyzed. Patients with a minimum follow-up of 6 months were included. Primary outcome measures were ocular inflammation, intraocular pressure (IOP), best-corrected visual acuity (BCVA), and worsening of uveitis. Results: 8 eyes of 6 patients were included. BCVA was significantly improved at 1, 3, and 6 months postoperatively 0.20 ± 0.09, P = 0.008; 0.18 ± 0.11, P = 0.008; and 0.24 ± 0.11, P = 0.01, respectively. No statistical difference noted in mean IOP at various follow-up visits. None developed worsening of uveitis or Cystoid macular edema. Conclusion: Intraoperative intravitreal dexamethasone implant is a safe and effective in preventing and managing the postoperative inflammation in children with JIA-associated uveitic cataract.
ABSTRACT
A 36-year-old immunocompetent man developed endogenous endophthalmitis 1 week after intravenous fluid infusion in a rural setting. Large submacular abscess with posterior hypopyon warranted urgent vitrectomy which revealed Aspergillus terreus on fungal culture. Intravitreal and oral antifungals lead to resolution of inflammation with satisfactory anatomic outcome but poor visual outcome due to submacular scar.