Cross-sectional and observational study of paediatric ocular trauma presenting at tertiary eye care centre of Bihar

To study the prevalence, types and demographic profile of traditional eye medicine (TEM) use among corneal ulcer patients presenting to a tertiary eye care centre in South India.A cross-sectional study conducted on 432 new corneal ulcer patients at a tertiary eye care centre in South India from September 2018 to July 2019. Data collected included demographic profile such as name, age, sex, occupation, income, rural/urban residence, type of TEM use. Of the 432 new corneal ulcer cases, 32 used TEM. Most TEM users belonged to the age group 40- 60 years (n= 20; 62.5%). There was no difference in sex distribution. Majority of TEM users in our study resided in rural areas (n= 30; 93.75%), were involved in agriculture as occupation (n=28, 87.5%) and belonged to the lower socioeconomic status n=31(96.88%) as per Kuppuswamy classification. Profile of TEM used ranged from plant extract (n= 14; 43.75%), tongue cleaning (n= 5; 15.63%), oil (n= 7; 21.87%), breast milk (n= 4; 12.5%) and ash (n= 2; 6.25%). Use of traditional medicine is a prevalent practice in the study population. These findings offer a better understanding of health seeking behaviour of the study population which will lead to better planning, implementation and targeting of preventive and promotive eye services and awareness programmes.

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Profile of Corneal Ulcer in a Month of harvesting Season in a Tertiary Level Eye Hospital of Eastern Nepal

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v10i1.21686 ◽

2018 ◽

Vol 10 (1) ◽

pp. 32-38 ◽

Cited By ~ 1

Author(s):

Vijay Gautam ◽

Abinash Chaudhary ◽

Sanjay Kumar Singh ◽

Pooja Gautam Rai

Keyword(s):

Statistical Analysis ◽

Corneal Ulcer ◽

Ocular Trauma ◽

Tertiary Level ◽

Topical Steroids ◽

Eye Care ◽

Cross Sectional ◽

Detailed History ◽

Corneal Injury ◽

History Of

Introduction: Agricultural workers are prone to corneal injuries due to vegetative trauma especially during the harvesting season. This study reports the number of new cases of corneal injuries and corneal ulcer presenting in a month of harvesting season.Methods: This is a cross-sectional, hospital based study of all new cases of corneal injury and corneal ulcer presenting to the cornea department from 1st November, 2016 to 30th November, 2016. Typical or suspected cases of corneal ulcer of viral, immunologic or metabolic causes were excluded. Detailed history and clinical examination was carried out. Corneal scrapes in cases with corneal ulcer were taken and subjected to direct microscopy. Details of the findings were recorded in a proforma designed for the study. Statistical analysis was done by SPSS 18.Results: 259 cases presented during that period. Females were more affected (54%). Fifty-one percent of the cases presented from Nepal. Forty-eight percent gave history of ocular trauma by vegetative material. 40% presented within a week of development of symptoms, and about 40% after 2 weeks. Fifty percent of the cases had not presented to an eye care professional. 9% were using topical steroids. Progressive status of the disease was noted in 80%. Sixty-five percent presented with corneal ulcer of less than 2 mm size. Direct smear examination was carried out in 105 cases and 73% of them showed fungal elements.Conclusion: Awareness of agriculture related corneal injuries due to trauma by vegetative materials and methods to prevent such injuries is very important.

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Optimization of Surgeon Ergonomics With Three-dimensional Heads Up Display for Ophthalmic Surgeries

10.21203/rs.3.rs-519366/v1 ◽

2021 ◽

Author(s):

Yogita Gupta ◽

Radhika Tandon

Keyword(s):

Three Dimensional ◽

Cross Sectional Study ◽

3D Image ◽

Care Centre ◽

Sectional Study ◽

Eye Care ◽

Cross Sectional ◽

Surgical Microscope ◽

Before And After ◽

Display Monitor

Abstract Purpose: To describe the variables that may be utilized in the optimization of three dimensional heads up surgeries (3D-HUS) for achieving better ergonomics among ophthalmic surgeons. Methods: A cross-sectional study conducted at the operating room of a tertiary eye care centre, equipped with ARTEVO 800 3D surgical microscope and display monitor. The parameters noted were: monitor height (MH), surgeon eye to floor distance (ETFD) surgeon eye to monitor distance (ETMD) (Fig. 1a) and viewing tilt (VT) angle. The neck and eye strain of the surgeon and assistant were scored as per Borg’s CR-10 scale, before and after surgeries.Results: 15 surgeries were analysed. The minimum ETMD was 51 inches and eye strain reduced with shorted ETMD. VT and ETFD was higher for right eye surgeries. The optimum MH was between 50 to 55 inches. Overall, neck strain and eye strain were in the range of 0-3 and 0-1, respectively.Conclusion: The various parameters affecting 3D image quality, neck and eye strain are: chair height, viewing tilt angle, eye centration, monitor distance, laterality of the eye and room illumination.

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To Study the Pattern of Ocular Trauma and Predict-ing the Final Visual Outcome in Paediatric Ocular Trauma Cases in a Tertiary Eye Care Centre of Eastern India

Ophthalmology Research An International Journal ◽

10.9734/or/2020/v12i330150 ◽

2020 ◽

pp. 29-33

Author(s):

Rahul Prasad ◽

Deepti Tiwari ◽

Bibha Kumari ◽

Antabha Bandyopadhyay

Keyword(s):

Visual Acuity ◽

Ocular Trauma ◽

Visual Outcome ◽

Trauma Patients ◽

Care Centre ◽

Eastern India ◽

Eye Care ◽

Counting Finger ◽

Open Globe ◽

Common Causes

Aim: The study was done to identify causes, demographic and clinical profile and to evaluate factors influencing visual outcome in paediatric ocular trauma patients (up to 15 years). Study Design: It was a prospective interventional study Place and Duration of the Study: The study was done in a tertiary eye care centre of eastern India between January 2019 to February 2020. Materials and Methods: The study was done from January 2019 to February 2020 on children between 1 year to 15 years of either sex with ocular trauma. Demographic details, cause of injury, presenting visual acuity were noted. Follow up was done till 2 months after carrying out appropriate intervention. Results: A total 106 eyes of 106 patients were evaluated and it was observed that children who were of 7 yrs and above were more affected (67%) than below (33%). Male children (59%) were more affected than female (41%). Injuries to Adnexa were found in 52% eyes, 40% injury cases were due to closed injury while open globe injuries comprised 8% of total cases. Common causes of injury were found to be mainly blunt objects and projectile objects. Maximum correction in visual acuity (VA) of more than 6/18 was achieved in 66% eyes, 6/18-6/60 in 11% eyes, <6/60-counting finger at 1 meter in 10% eyes. Conclusion: Late reporting, poor initial visual acuity, involvement of posterior segment, and no immediate primary intervention at time of injury adversely affect visual outcome. Early intervention and globe salvaging repair should be done in all eyes of trauma.

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Intraocular endoscopy in the management of ocular trauma: clinical settings and treatment outcomes at a tertiary eye care centre

Eye ◽

10.1038/s41433-020-01179-1 ◽

2020 ◽

Author(s):

Vivek Pravin Dave ◽

Renuka Chakurkar ◽

Mudit Tyagi ◽

Raja Narayanan ◽

Rajeev Reddy Pappuru

Keyword(s):

Treatment Outcomes ◽

Ocular Trauma ◽

Clinical Settings ◽

Care Centre ◽

Eye Care

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Self Medication Practices among Patients seen in A Suburban Tertiary Eye Care Centre in Nigeria

Asian Journal of Medical Sciences ◽

10.3126/ajms.v5i2.8452 ◽

2013 ◽

Vol 5 (2) ◽

pp. 85-90 ◽

Cited By ~ 3

Author(s):

Iyiade A Ajayi ◽

Olusola J Omotoye ◽

Kayode O Ajite ◽

Christianah O Fadamiro ◽

Ebenezer A Ajayi

Keyword(s):

Medical Science ◽

High Rate ◽

P Value ◽

Care Centre ◽

Nonprescription Drugs ◽

Eye Care ◽

Self Medication ◽

Cross Sectional ◽

Low Incidence ◽

Initial Medication

Objective: To identify practice and pattern of self-medication use among new patients in ophthalmology clinic in a suburban community. Background: Self medication is a common practice all over the world. When consumers self-medicate without first consulting the eye care giver, issues of safety and inappropriateness of use arise. Methods: A cross sectional, analytic and questionnaire based study of 470 consecutive patients seen between April and June 2011 in a tertiary eye care centre in Nigeria was conducted. Data were analyzed using SPSS and p value <0.05 was considered significant. Results: The mean age was 43 ±24 years with a M: F ratio of 1:1.3. There was utilization of an initial medication in 73.6% (346) of the respondents before presentation. Of the group that utilized medication, 108(31.3%) could neither mention name nor show sample of medication used. Only 14.9% of patients consuming nonprescription drugs sought assistance from any health professional regarding proper selection or use. Majority (73.6%) of the patients got their medication following assistance sought from retail outlets of non-prescription medicine, friends, relations or self prescription. The utilized medications were inappropriate in 90% of the respondents who utilized them. The most common symptoms necessitating the utilization of initial medication were blurring of vision and itching. Conclusion: There was a high rate of self medication with blurring of vision and itching as the commonest complaints among the patients. There is still a very low incidence of preventive eye care in terms of ophthalmic check-up among our people. DOI: http://dx.doi.org/10.3126/ajms.v5i2.8452 Asian Journal of Medical Science, Volume-5(2) 2014: 85-90

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Demographic pattern and clinical characteristics of optic neuritis in a tertiary eye care centre

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v9i1.17533 ◽

2017 ◽

Vol 9 (1) ◽

pp. 51-55

Author(s):

Manita Sunam Godar ◽

Ananda Kumar Sharma ◽

Madhu Thapa ◽

Sanjeeta Sitaula ◽

Shanti Gurung

Keyword(s):

Optic Neuritis ◽

Contrast Sensitivity ◽

Colour Vision ◽

Clinical Characteristics ◽

Cross Sectional Study ◽

Visual Field Defects ◽

Care Centre ◽

Eye Care ◽

Cross Sectional ◽

Female Ratio

Purpose: To study the demographic pattern and clinical characteristics of optic neuritis cases in a tertiary eye care centre in Nepal. Design: Descriptive, cross-sectional study. Methodology: Complete ocular examination was done in all the newly diagnosed cases of optic neuritis presenting from January 1st 2012 to June 30th 2013. Demographic pattern, clinical features, visual acuity, colour vision, contrast sensitivity and visual field defects were studied. Results: Sixty seven eyes of 50 patients (28 females and 22 males) with optic neuritis were included in the study. The mean age was 34.32 years ± 13.72 years. The male: female ratio was 1:1.27. All the cases presented with complaint of blurring of vision. Painful ocular movement was noted in 58%. On ophthalmoscopic examination around 2/3rd of eyes suffered from papillitis (72%) and 1/3rd from retrobulbar optic neuritis (27%). Only one case of neuroretinitis (1%) was seen in the study. The colour vision pattern was variable. Contrast sensitivity was reduced in 94%. Centrocaecal scotoma was seen in 10.5%. Conclusion: Females were predominantly affected. Unilateral involvement was the most common presenting as papillitis.

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