ABSTRACT
Background: Vision is the most important special sense in human being. Normal vision is essential for normal physical, mental, psychological development and education. About 30% of blind population of India lose their eyesight before the age of 20 years and many of them are under 5 when they become blind. Methods: The present study is a cross sectional study of children aged 6 to 15 years from Schools in the rural area within 30 kilometers surrounding Khammam, India during september 2012 to March 2014. Results: Conjunctival abnormalities had the highest prevalence rate (4.36%) followed by Refractive errors (2.04%), Lid Abnormalities (1.35%), Corneal Abnormalities (1.02%), Squint (0.70%), Posterior segment abnormalities (0.51%), Amblyopia (0.32%), Colour vision abnormalities (0.28%) and lens abnormalities (0.23%). Conclusion: Our study is one of the few studies to be conducted in this rural setup. This Study gives us benchmark data for comparing future studies in Khammam district and also helps in providing valuable information for proper planning and conduction of future school based health programs.
ABSTRACT
Background: Ocular trauma is an important public health hazard. The objective of the study was to determine the pattern of ocular trauma among patients presenting in Mamata Medical College and Hospital, Khammam. Methods: Two years retrospective review of records of 120 patients with ocular trauma seen from Jan 2013 to Feb 2015 was done using a structured format. Results: Ocular trauma accounted for 1.2% of the total ocular patients seen at OPD and Emergency. Of the studied 120 cases, 74 patients were below 30 years of age. 17 (14.16%) patients presented to hospital within 2-7 days of injury. Conclusion: Duration of presentation has significant association with the presence of infection & other complication. The cause of injury were road traffic accidents, occupation related and sports playing & recreational activities in 54(45%), 39(32.5%) and 24(20%) respectively. Closed globe injuries accounted for 38(31.66%) and open globe for 58(48.33%) and adenexal injuries constituted 24(20%). Delay in presentation was associated with complications.
ABSTRACT
We report a case of an 18-year-old male who presented with watering and inability to close the left eye completely since 6 months and inability to move both eyes outward and to close the mouth since childhood. Ocular, facial, and systemic examination revealed that the patient had bilateral complete lateral rectus and bilateral incomplete medial rectus palsy, left-sided facial nerve paralysis, thickening of lower lip and inability to close the mouth, along with other common musculoskeletal abnormalities. This is a typical presentation of Moebius syndrome which is a very rare congenital neurological disorder characterized by bilateral facial and abducens nerve paralysis. This patient had bilateral incomplete medial rectus palsy which is suggestive of the presence of horizontal gaze palsy or occulomotor nerve involvement as a component of Moebius sequence.