Evaluation of the factors affecting visual prognosis in patients  with traumatic cataract

Background: Ocular trauma is a major cause of visual impairment throughout the world, although little is known about the factors that affect the visual outcome in traumatic cataract in developing countries. The objective of the study was to find out the associated ocular injuries and the factors affecting final visual outcome of patients with traumatic cataract.Methods: This prospective-hospital based study was conducted on 50 patients of traumatic cataract in the department of ophthalmology government medical college, Ernakulam, from January 2009 to December 2011. Patients were managed with lens extraction and intraocular lens implantation. Regular follow up of patients was done and best corrected visual acuity (BCVA) and post-operative complications were assessed at the end of six months.Results: Our study showed that majority (64%) of patients were in the age group of <40 years with male preponderance. visual outcome was significantly better in younger age group (<20 years) than the older group (>20 years) (p=0.03). There was no significant difference in final visual outcome of traumatic cataracts caused by penetrating or blunt trauma (p=0.73). Corneal tear was most common associated ocular damage followed by uveitis, lens matter in anterior chamber.Conclusions: Age of the patient affects final visual outcome after surgical treatment of traumatic cataract but type of trauma (blunt/penetrating) had no significant effect on final visual outcome. Corneal tear was most common associated ocular damage.

Download Full-text

TO ANALYZE THE EFFECT OF DAMAGE TO OTHER OCULAR TISSUES ON VISUAL OUTCOME AFTER TRAUMATIC CATARACT SURGERY.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i9.555 ◽

2019 ◽

Vol 3 (9) ◽

Author(s):

Dr. Mita V. Joshi ◽

Dr. Sudhir Mahashabde

Keyword(s):

Visual Outcome ◽

Corneal Opacity ◽

Research Centre ◽

Traumatic Cataract ◽

Visual Axis ◽

College Hospital ◽

Ocular Tissues ◽

Department Of Ophthalmology ◽

Ocular Injuries ◽

Final Visual Outcome

All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae. Subluxation of lens was seen in 2 cases and Dislocation of lens was in 1 cases. 3 cases had corneal opacity. Old retinal detachment was seen in 1 (3%) case. Out of 30 cases who had associated ocular injuries, 3 cases had vision of HM, 07 cases had vision of CF-ctf – CF-3’, 01 cases had vision of 5/60, 07 cases had vision of 6/60-6/36, 03 cases had vision of 6/24-6/18, 09 cases had vision of 6/12-6/6. Out of 7 cases without associated in injury, 2 cases had vision of 6/24-6/18, 05 cases had vision of 6/12-6/6. Conclusion: Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases. Irreversible posterior segment damage lead to impaired vision case. The final visual outcome showed good result however the final visual outcome depends upon the extent of associated ocular injuries. Effective Intervention and management are the key points in preventing monocular blindness due to traumatic cataract. Keywords: Ocular, Tissues, Traumatic, Cataract & Surgery.

Download Full-text

The subjective acceptance in presbyopic patient receiving correction based on conventional method of age v/s amplitude of accommodation

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v16i2.24893 ◽

2019 ◽

Vol 16 (2) ◽

pp. 88-91

Author(s):

Neha Priyadarshani Chaudhary ◽

Pramod Sharma Gautam

Keyword(s):

Conventional Method ◽

College Teaching ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Patient’S Satisfaction ◽

Medical College ◽

Department Of Ophthalmology ◽

Significant Difference

Objective: To observe the subjective acceptance in presbyopic patients following prescription of spectacles. Material and method: This is a hospital based cross sectional study which was conducted in 100 presbyopic patients in age group of 35 to 60 years at outpatient department of ophthalmology in Nobel Medical College Teaching Hospital, kanchanbari from 1 August 2018 to 30November 2018. The patients were divided into two groups, First group received the presbyopic correction according to conventional method of age and the second group received the prescription according to their amplitude of accommodation. Patient's satisfaction in terms of symptoms like eyestrain, headache or difficulty with the usage of glasses was noted. The data collected were subjected to statistical analysis. Conclusion: When presbyopic correction is given according to amplitude of accommodation in patients belonging to 36-45 years age group, it is tolerated better and patients are more satisfied in terms of symptoms like eyestrain and headache than getting the simple correction as per their age. However after the age of 45 years, presbyopic correction given according to age is equally tolerated well among all refractive error groups. Results: 100 patients in this study who visited our OPD with presbyopic symptoms were divided into two groups, each of 50 patients. Patient's satisfaction and tolerance was better when presbyopic correction was given on the basis of their amplitude of accommodation in age group 36-45, in comparison to the prescription given according to conventional method of their age. However, there was no statistically significant difference in the patient's satisfaction level in the two groups after the age of 45.

Download Full-text

Clinical profile and visual outcome of optic neuritis patients in tertiary care hospital

IP International Journal of Ocular Oncology and Oculoplasty ◽

10.18231/j.ijooo.2021.032 ◽

2021 ◽

Vol 7 (2) ◽

pp. 163-168

Author(s):

Vijay Prakash Kinikar ◽

Yashaswi Pendyala ◽

K. Vijay Kumar

Keyword(s):

Optic Neuritis ◽

Tertiary Care ◽

Visual Outcome ◽

Clinical Profile ◽

Care Hospital ◽

Age Group ◽

Medical College ◽

Department Of Ophthalmology ◽

Study Population ◽

Good Improvement

To study the clinical profile and visual outcome of optic neuritis Study population included patients who were clinically diagnosed as Optic neuritis at Department of Ophthalmology, Mamata medical college. A total of 30 cases were taken up for the study. Patients were examined in detail at presentation and treated with ONTT regimen and follow up done at 1 week, 1 month and 3 months.Most common age group affected was 20- 50 years with mean of 39.36yrs. Highest incidence was seen in age group of 41-50yrs which was found to be 36.7%. Higher incidence was seen in females. Females constituted 63.33%. Female to Male ratio was 1.72:1. Higher incidence of Papilitis was seen among males and RBN was more commonly seen among females. Incidence of retrobubar neuritis was slightly higher than papilitis. All presented with DOV. Pain was present in 56.66%. Loss of vision persisted more than 1 month in case of papilitis. BCVA after ONTT had very good improvement. After treatment majority had vision between 6/18-6/6 (46.38%) and was statistically significant. Also after 1month and 3 months majority had vision between 6/18-6/6 [60.52% and 64.56% respectively]. Only 3.23% had VA less than 6/60 after 3months. There was improvement in both colour vision and contrast sensitivity but was not statistically significant. Central and centrocaecal scotoma was most common visual field defect. MRI brain was done in only 11 patients due to financial constraints which revealed two MS and 3 cases of increased signal intensity in short segment of Optic nerve. The recurrence rate in our study was 6.66%.The clinical profile of ON in Indian patients is different from that in the Western population. Unlike reported in the Western literature, Papillitis is as frequent as Retrobulbar neuritis in the Indian setup, with poorer visual outcome.

Download Full-text

Study of the Amplitude of Accommodation and its Relation to Errors of Refraction: A Hospital Based Study

Journal of Nobel Medical College ◽

10.3126/jonmc.v7i2.22289 ◽

2018 ◽

Vol 7 (2) ◽

pp. 20-24

Author(s):

Neha Priyadarshani Chaudhary ◽

Pramod Sharma Gautam ◽

Sagar Dahal ◽

Devendra Acharya

Keyword(s):

Age Groups ◽

Mean Amplitude ◽

Early Age ◽

Age Group ◽

Economic Implications ◽

Medical College ◽

Department Of Ophthalmology ◽

Significant Difference ◽

The Mean ◽

Reading Distance

Background: The unique ability of the eye to vary the refractive power of the lens and to focus on things at a range of distances is called accommodation. The reduction of this ability in which the near point recedes further away from comfortable reading distance is called presbyopia. There is continuing research to understand this process and correct this affliction that affects each and every person at the peak of their productive life. With an aging population, the proportion of people above 40 years is on the rise. This will therefore have public health and economic implications. Materials and Methods: This is a hospital based retrospective study which was conducted in 100 presbyopic patients in age group of 35 to 60 years at outpatient department of ophthalmology in Nobel Medical College and Teaching Hospital, Biratnagar, from 1st October 2016 to 30th March 2017. The amplitude of accommodation was calculated by measuring near point of accommodation with the help of RAF rule and the data collected was subjected to statistical analysis. Results: Out of 100 patients in this study who visited our OPD with presbyopic complains, the no. of hypermetropic patients were highest (56%) and they presented with presbyopic symptoms at an early age as compared to myopes, while the no. of myopic patients were less(13%) and they presented late with presbyopic symptoms. The mean amplitude of accommodation was highest in myopes in all age group (3.35 D in 36-40 year age group which reduced to 2.65 D in 56-60 year age group).There was stastistically significant difference in amplitude of accommodation between myopia and hypermetropia in all age groups except in 56-60 year age group. Conlusion: The amplitude of accommodation is generally higher in myopes in all age groups as compared to hypermetropes and emmetropes and they usually develope presbyopic symtoms later in life.

Download Full-text

Preoperative factors affecting visual outcome after unilateral cataract extraction in pediatric age group

The Egyptian Journal of Cataract and Refractive Surgery ◽

10.21608/ejcrs.2019.174905 ◽

2019 ◽

Vol 25 (1) ◽

pp. 21-26

Keyword(s):

Visual Outcome ◽

Cataract Extraction ◽

Age Group ◽

Pediatric Age ◽

Factors Affecting ◽

Pediatric Age Group ◽

Preoperative Factors ◽

Unilateral Cataract

Download Full-text

The Effect of Nebulized Magnesium Sulphate on the Incidence of Postoperative Sorethroat

Academia Anesthesiologica International ◽

10.21276/aan.2020.5.1.39 ◽

2020 ◽

Vol 5 (1) ◽

pp. 185-190

Author(s):

T. Padma ◽

Raju B ◽

Raviraj GS

Keyword(s):

Clinical Study ◽

Sore Throat ◽

Normal Saline ◽

Magnesium Sulphate ◽

Age Group ◽

Postoperative Sore Throat ◽

Medical College ◽

Randomized Clinical Study ◽

Significant Difference ◽

Definition Of

Background: Postoperative sore throat (POST) is a well-recognized complication that remains unresolved in patients undergoing endotracheal intubation for general anaesthesia. The wide variation in these figures is presumably due to different skills and techniques among anesthetists and to differences between patients in the definition of sore throat. The main aim is to study the attenuating effect of Magnesium sulphate nebulization on the incidence of post-operative sore throat. Subjects and Methods: This is a prospective randomized clinical study. A total number of 100 patients of ASA grade 1 & 2, in the age group of 18 - 60 years. The study has been carried out at Sri Venkateswara Ram Narayana Ruia Government General Hospital, Sri Venkateswara Medical College, Tirupati, over a period of 12 months. Results: There was no significant difference among the groups in terms of age, gender and weight. Whereas Magnesium sulphate significantly lessens the POST during swallowing at 4th hour as compared to Normal saline (p< 0.05) and this statement can be attributed to any population. Conclusion: Post-operative sore throat is one of the most common undesirable anesthesia-associated problems in the patients undergoing GA with an endotracheal tube for routine surgical cases for up to 24 h. Magnesium sulphate was significantly reduces the incidence of POST compared to Normal saline , and it is safe, simple and effective in reducing postoperative sore throat.

Download Full-text

An Anthropometric Comparison of Inner Canthal Distance, Outer Canthal Distance and Canthal Index in the Indian and Nepalese Undergraduate Students of Nepalgunj Medical College

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v14i2.21529 ◽

2018 ◽

Vol 14 (2) ◽

pp. 12-14

Author(s):

N Adhikari ◽

M N Ambekar ◽

S KC

Keyword(s):

Undergraduate Students ◽

Indian Population ◽

Age Group ◽

Same Sex ◽

Female Undergraduate ◽

Male Population ◽

Facial Aesthetics ◽

Medical College ◽

Significant Difference ◽

Indian Male

Background: The canthal distances are one of the most important aspects in ascessing the facial aesthetics. Several authors have described changes in the canthal distances attributable to race and gender.Aims and Objectives: To compare the inner canntahl distance, outer canthal distance and canthal index in between Nepalese and Indian undergraduate students of Nepalgunj Medical College.Materials and Methods: The study was conducted to compare canthal distances and canthal index among 320 (160 Indians: 100 male,60 female and 160 Nepalese: 100 male and 60 female) undergraduate students of Nepalgunj Medical College of age group 18-24 years at Department of Anatomy, Chisapani, Banke. Inner canthal distance(ICD) and Outer canthal Distance(OCD) were measured by using round end spreading caliper and Canthal Index were calculated by ICD/OCD *100. The value obtained was compared among Indian and Nepalese students in both sexes by using student t-test.Result: The study showed that there was no any significant difference on the value of inner and outer canthal distances and canthal index observed between Nepalese and Indian population except on the value of canthal index which was significantly different between Indian male and Nepalese male population. However, when the comparison was done between the sexes, inner and outer canthal distances and canthal index of males are larger than females except on the value of canthal index of Indian males and Indian females which was non-significant.Conclusion: There occurred a sexual dimorphism within Indian and Nepalese population except on canthal index of Indian male and Indian female but there wasn't any significant differences between Nepalese and Indian population of same sex except on canthal index of Indian male and Nepalese male. JNGMC, Vol. 14 No. 2 December 2016, Page: 12-14

Download Full-text

Reference limits for routine haematological measurements in pre-school and school-children living at an urban area

Jugoslovenska medicinska biohemija ◽

10.2298/jmh0401059a ◽

2004 ◽

Vol 23 (1) ◽

pp. 59-64

Author(s):

Daniela Ardalic ◽

Slavica Spasic ◽

Brankica Gulan

Keyword(s):

Blood Count ◽

White Blood Count ◽

Age Group ◽

Mean Values ◽

Factors Affecting ◽

Significant Difference ◽

Reference Limits ◽

Laboratory Results ◽

Analyzer Cell ◽

Physiological Variations

The aim of this study is to estimate 95% reference limits for eight haematological constituents of blood in order to provide medically reliable evaluation of haematological laboratory results. Blood counts were performed using an automated haematology analyzer (Cell-Dyn 1500) on capillary blood samples from 1918 children (1?16 years old) residing in a region of Novi Beograd. Physiological variations corresponding to age and sex were studied as the most important factors affecting biological variation in haematological constituents of blood. Children were divided in four groups according to age: 1?3 yrs (281 boys and 241 girls), 4? 6 yrs (196 boys and 150 girls), 7?12 yrs (322 boys and 368 girls) and 13 ?16 yrs (174 boys and 186 girls). In this study all investigated parameters were not sex dependent until the age of 13. Boys between ages 13 and 16 years have higher mean values of haemoglobin (143.81 ? 13.40 g/L) and red blood count (4.81 ? 0.49 ? 1012/L), but lower MCV (86.6 ? 5.27 fL) than girls in same age group (136.81 ? 13.42 g/L, 4.57 ? 0.47 ? 1012/L and 88.0 ? 6.96 fL respectively). There was no significant difference according to sex in the oldest group for mean values of haematocrit (boys 0.42 ? 0.049 L/L and girls 4.57 ? 0.47 L/L), MCH (boys 29.9 ? 1.92 pg and girls 30.2 ? 1.96 pg), MCHC (boys 345.9 ? 18.4 g/L and girls 342.2 ? 19.7 g/L), platelet (boys 219.8 ? 49.6 ? 109/L and girls 225.3 ? 59.2 ? 109/L) and white blood count (boys 8.0 ? 2.60 ? 109/L and girls 8.01 ? 2.08 ? 109/L). Haemoglobin level, red blood count, haematocrit, MCV, MCH and MCHC increased with age. Levels of platelet count and white blood count decreased with age.

Download Full-text