ABSTRACT
Introduction: Corneal ulcer is one of the important causesfor ocular morbidity in India. Early presentation with promptdiagnosis and treatment result in good visual rehabilitation.Aim: The aim of this study was to assess the etiology ofcorneal ulcer among patients attending the tertiary careteaching hospital of Jharkhand.Material and Methods: This was a prospective observationalhospital-based study conducted at the Department ofOphthalmology, at a tertiary care hospital, in Jharkhand.Data related to socioeconomic status, predisposing factor,and course of disease was collected. Results were analyzedon the basis of history, slit lamp examination, and appropriatelaboratory investigation.Result: During the study period of one year, 1013 patientswith the clinical diagnosis of corneal ulceration wereevaluated, mean age of the patient was 53 years and majorityof patients of infectious keratitis were in between 46 and 60(45%) age group. Incidence in male was higher than (59%)that of female. The left eye was more commonly involved(53%) as compared to the right eye (47%). Farmers (47%)followed by Industrial worker (27%) were most commonoccupation involved. Incidence of fungal keratitis (42%) washigher than bacterial (31%) and viral (11%).Conclusion: Proper diagnosis and management of cornealulcer is very much necessary among exposed population.Incidence of fungal corneal ulcer is very high amongagriculture and industrial workers and lack of awareness andpoor treatment leads to corneal blindness. Use of protectiveeye wear, masks and face shields may play a key role inprevention of the disease
ABSTRACT
Introduction: Ocular trauma is one of the common causes ofvisual morbidity. This study aims to investigate the incidenceand prognostic factors for visual outcome in patients withtraumatic cataract following cataract surgery.Material and methods: This prospective hospital-basedstudy was performed in a tertiary care centre of Jharkhandbetween February 2019 to February 2020. All patientswho underwent cataract surgery with or without primaryintraocular lens implantation with traumatic cataract wereevaluated. Age, sex, preoperative vision, postoperative visionat 3 – 6 months, Injury type, wound location and posteriorsegment involvement responsible for poor visual outcomewere assessed.Results: Forty seven eyes of 47 patients were studied whichincluded 42 males and 5 females. In 32 patients right eye andin 15 patients left eye was involved. The preoperative visualacuity in all 47 eyes was less than 6/60. The postoperativevisual acuity in 25 eyes was 6/6 – 6/18, 14 eyes had visualacuity of 6/24 – 6/60 and 8 eyes had visual acuity less than6/60. Corneal opacity and posterior segment involvementwere the main causes of poor visual acuity.Conclusion: The prognostic factors like initial visual acuity,injury type, wound location and posterior segment involvementplayed a vital role in achieving final visual acuity. Our studyalso shows that satisfactory visual results can be achieved inthe absence of posterior segment involvement and cornealscar not obscuring the visual axis.
ABSTRACT
Introduction: Cataract is the major cause of blindness inthe developing world. Study aimed at evaluation of tearfilm stability and tear secretion after phacoemulsificationcompared with MSICS.Material and methods: This prospective comparativerandomized study was performed in a tertiary centre ofJharkhand between June 2018 to March 2019. 187 patientswith senile cataract were included in this study. Group A had110 patients undergoing MSICS and group B 77 patientsundergoing phacoemulsification. Dry eye symptoms(DES)characterizedby redness, burning, stinging, foreign bodysensation, photophobia. Corneal fluorescein staining wasperformed. Basal Schirmer test was performed for assessmentof aqueous tear production. Patients were examined postoperatively on 1st week, 4th week and 3rd month.Results: Out of 187 patients 103(55.08%) were male and84(44.91%) were female. Grade of DES increased significantly1 week after each procedure compared to pre-operative dataand remained increased after 4 weeks of surgery. After 3months the symptoms decreased and returned to baseline data.Conclusion: MSICS is as effective as phacoemulsificationwith no difference between both techniques regarding tearfilm stability and tear secretion.
ABSTRACT
Introduction: Cataract is the major cause of blindness inthe developing world. Study aimed at evaluation of tearfilm stability and tear secretion after phacoemulsificationcompared with MSICS.Material and methods: This prospective comparativerandomized study was performed in a tertiary centre ofJharkhand between June 2018 to March 2019. 187 patientswith senile cataract were included in this study. Group A had110 patients undergoing MSICS and group B 77 patientsundergoing phacoemulsification. Dry eye symptoms(DES)characterizedby redness, burning, stinging, foreign bodysensation, photophobia. Corneal fluorescein staining wasperformed. Basal Schirmer test was performed for assessmentof aqueous tear production. Patients were examined postoperatively on 1st week, 4th week and 3rd month.Results: Out of 187 patients 103(55.08%) were male and84(44.91%) were female. Grade of DES increased significantly1 week after each procedure compared to pre-operative dataand remained increased after 4 weeks of surgery. After 3months the symptoms decreased and returned to baseline data.Conclusion: MSICS is as effective as phacoemulsificationwith no difference between both techniques regarding tearfilm stability and tear secretion.
ABSTRACT
Introduction: Cataract is a major cause of impaired vision andblindness. Study aimed to find out if there is any associationbetween dyslipidemia and cataract.Material and methods: This cross sectional hospital basedstudy was performed in a tertiary care center of Jharkhandbetween June 2017 to March 2018. Total 223 patients whowere diagnosed with senile cataract were included in the study.Detailed history, ophthalmologic and systemic examinationwas done. Dyslipidemia is defined as:Hypercholesterolemia(total cholesterol > 220 mg/dl), or Hypertriglyceridemia (totaltriglyceride > 150 mg/dl), or Low density lipoprotein > 130mg/dl.Results: Out of total 223 patients 134 were men and 89were women. 70% patients had dyslipidemia. Prevalenceof dyslipidemia was associated significantly (< 0.05) withnuclear and cortical cataract but not significant (> 0.05) forposterior sub capsular cataract.Conclusion: Dyslipidemia maybe considered having anassociation with nuclear and cortical cataract directly orindirectly.