scholarly journals Clinical Patterns and risk factors for rhegmatogenous retinal detachment at a tertiary eye care centre of northern India

2017 ◽  
Vol 9 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Brijesh Takkar ◽  
Shorya Azad ◽  
Indrish Bhatia ◽  
Rajvardhan Azad
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Tertiary Care ◽  
Temporal Region ◽  
Delayed Presentation ◽  
Care Centre ◽  
Retinal Break ◽  
Northern India

Purpose: To identify patterns and risk factors for rhegmatogenous retinal detachment (RD) in northern India. Methods: This was a retrospective study conducted at a tertiary care centre in northern India. 378 consecutive records of patient, operated between January 2011 to June 2012 were included for analysis. Clinical history, signs and risk factors of RD were evaluated. Comparison was done with available literature from other developing nations. Results: Mean age of the patients was 40.12 + 20.43 years (Range 12-85 years); 81% were male and half of the patients presented after 1 month of visual symptoms. Retinal breaks were discovered commonly in the temporal region, while no break was found in10% of the patients. PVR more than grade C was seen in a third of the patients. Prior surgery for cataract was found to be the most common identifiable risk factor for RD (40%). Bilateral RD was seen in 13% of the patients. Conclusion: Pseudophakia is the commonest risk factor for RD. If no retinal break is discovered pre operatively, the surgeon should seek a retinal break temporally during surgery. Bilateral RD is a serious concern for rural northern India, probably linked to delayed presentation. 

scholarly journals Risk factor and perinatal outcome of preterm delivery in a tertiary care centre in rural Haryana

2020 ◽  
Vol 9 (10) ◽  
pp. 4187
Author(s):  
Sunaina Singla ◽  
Banashree Das
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Preterm Delivery ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Preterm Births ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
History Of

Background: Aim of the study was to identify risk factors and to assess neonatal mortality and morbidity associated with preterm delivery in patient attending a tertiary care centre in rural Haryana.Methods: This retrospective cohort study was conducted in Shree Guru Gobind Singh Tricentenary Medical College, over a period of one year (January to December). All pre-term deliveries were included in the study. They were followed up from admission till delivery and till discharge from hospital. Various, parameters like maternal age, associated medical disorder, obstetric complications, gestational age, neonatal mortality, need of neonatal intensive care and condition of baby at discharge were analyzed.Results: In the present study, incidence of preterm deliveries was 16.1%. The most common risk factor found to be history of previous abortion (23.6%), preterm premature rupture of membrane (17.1%), Intra-uterine growth restriction (IUGR) with oligohydramnios (10.5%), hypertensive disorder during pregnancy (5.9%), and antepartum hemorrhage (4.6%). But majority of the patient (56.5%) no cause could be identify. Out of total 160 preterm births 3 were still born and 157 live preterm births, and out of which total Neonatal intensive care (NICU) admission were 60. Mortality rate was 100% in neonate weighing less than 1000 gm and 18% in babies weighing less than 2000 gm.Conclusions: The commonest risk factor for preterm delivery is previous history of abortion and adverse perinatal outcome is inversely proportionate to the period of gestation at the time of delivery. All efforts should be made to prolong the pregnancy beyond 34 weeks by identifying and actively managing the risk factors for better neonatal outcome.

Pseudophakic Retinal Detachment; Risk Factors, Pathogenesis, Clinical Characteristics, and Management

2020 ◽  
pp. 153-159
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Retinal Detachment ◽  
Cataract Surgery ◽  
Clinical Characteristics ◽  
Rhegmatogenous Retinal Detachment ◽  
Cataract Extraction ◽  
Common Risk Factor ◽  
Vitreous Loss ◽  
Pseudophakic Retinal Detachment

Since cataract surgery is the most common intraocular procedure, it also is the most common risk factor for rhegmatogenous retinal detachment. It has been realized that 20-40% of rhegmatogenous retinal detachments occur in eyes that have undergone cataract extraction. The risk of pseudophakic retinal detachment can be increased in myopic patients, in those patients in whom vitreous loss had occurred at the time of cataract surgery, and in patients undergoing Nd: YAG laser posterior capsulotomy. This review mentions about the risk factors, pathogenesis, clinical and management of pseudophakic retinal detachment.

scholarly journals Shorter Axial Length Is a Risk Factor for Proliferative Vitreoretinopathy Grade C in Eyes Unmodified by Surgical Invasion

2021 ◽  
Vol 10 (17) ◽  
pp. 3944
Author(s):  
Sakiko Minami ◽  
Atsuro Uchida ◽  
Norihiro Nagai ◽  
Hajime Shinoda ◽  
Toshihide Kurihara ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Retinal Detachment ◽  
Propensity Score ◽  
Confidence Interval ◽  
Axial Length ◽  
Proliferative Vitreoretinopathy ◽  
Odds Ratio ◽  
Rhegmatogenous Retinal Detachment ◽  
Surgical Failure

Purpose: To investigate the risk factors for the development of proliferative vitreoretinopathy grade C (PVR-C), independent of prior surgical invasion. Methods: Patients who underwent surgery for rhegmatogenous retinal detachment were prospectively registered with the Japan-Retinal Detachment Registry, organized by the Japanese Retina and Vitreous Society, between February 2016 and March 2017. Data obtained from general ophthalmic examinations performed before and at 1, 3, and 6 months after surgery were analyzed. Results: We included 2013 eyes of 2013 patients (men, 1326 (65.9%); mean age, 55.2 ± 15.2 years) from amongst 3446 registered patients. Preoperative PVR-C was observed in 3.6% of patients. Propensity score matching revealed that a shorter axial length (AL) was a risk factor for preoperative PVR-C (OR (Odds Ratio), 0.81; 95%CI (Confidence Interval), 0.69 to 0.96; p = 0.015), which was a risk factor for surgical failure (OR, 4.22; 95%CI, 1.12 to 15.93; p = 0.034); the association was particularly significant for eyes with an AL < 25.0 mm (p = 0.016), while it was insignificant for eyes with an AL ≥ 25.0 mm. Conclusions: A shorter AL was related to the development of PVR-C before surgical invasion. Our results will help elucidate the fundamental pathogenesis of PVR and caution clinicians to meticulously examine eyes with a shorter AL to detect retinal detachment before PVR development.

scholarly journals Analysis of risk factors in patients admitted with epistaxis

2021 ◽  
Vol 7 (6) ◽  
pp. 975
Author(s):  
Tabish Maqbool ◽  
Sajad Qadri ◽  
Showkat Ahmed Showkat ◽  
Rauf Ahmed ◽  
Kulvinder Singh Mehta
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Risk Factor ◽  
Kidney Disease ◽  
Tertiary Care ◽  
Indirect Evidence ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Severe Epistaxis

<p class="abstract"><strong>Background:</strong> Epistaxis can be classified into anterior and posterior epistaxis. All bleeding occurs as a result of disruption of the intact nasal mucosa, whether due to trauma, inflammation, or neoplasm. Management depends on the severity of the bleeding and its underlying cause.</p><p class="abstract"><strong>Methods:</strong> This study was done in department of otorhinolaryngology in a tertiary care centre from September 2018 to December 2020. A total of 143 patients were studies. All patients admitted in our department as a case of epistaxis were analysed for the risk factors present in them which could be the cause of epistaxis.</p><p class="abstract"><strong>Results:</strong> In our study it was seen the risk factor involved in majority of patients was hypertension (70%), followed closely by diabetis mellitis and deranged coagulogram (65%). Chronic kidney disease was an associated risk factor in 64% of patients. All these factors cause microangiopathies which in turn lead to bleeding.</p><p class="abstract"><strong>Conclusions:</strong> The current study can be taken as indirect evidence that while raised blood pressure is seen in patients with severe epistaxis but in general the diseases associated with microangiopathies.</p>

scholarly journals Real world perspective of coronary chronic total occlusion in third world countries: A tertiary care centre study from northern India

2021 ◽  
Vol 73 (2) ◽  
pp. 156-160
Author(s):  
Krishna Santosh Vemuri ◽  
Bhupinder Kumar Sihag ◽  
Yashpaul Sharma ◽  
Krishna prasad Nevali ◽  
Rajesh Vijayvergiya ◽  
...  
Keyword(s):  
Real World ◽  
Chronic Total Occlusion ◽  
Third World ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Total Occlusion ◽  
Centre Study ◽  
Northern India ◽  
World Perspective

scholarly journals Transperitoneal Transvesical Laparoscopic Repair of Vesicovaginal Fistulae: Experience of a Tertiary Care Centre in Northern India

2013 ◽  
Vol 7 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Vishwajeet Singh ◽  
Rahul J. Sinha ◽  
Seema Mehrotra ◽  
Dheeraj K. Gupta ◽  
Smita Gupta
Keyword(s):  
Laparoscopic Repair ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Northern India ◽  
Vesicovaginal Fistulae

Cost analysis and benefits of opt-out HIV testing at a tertiary care centre in northern India

2013 ◽  
Vol 25 (5) ◽  
pp. 341-347 ◽  
Author(s):  
Ranjana W Minz ◽  
Anju Khairwa ◽  
Ritu Aggarwal ◽  
Harwinder Kaur ◽  
Surjit Singh ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Hiv Testing ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Northern India ◽  
Opt Out

2,4-D (Ethyl ester) poisoning: experience at a tertiary care centre in Northern India

2008 ◽  
Vol 25 (1) ◽  
pp. 30-32 ◽  
Author(s):  
A Bhalla ◽  
V Suri ◽  
N Sharma ◽  
S Mahi ◽  
S Singh
Keyword(s):  
Ethyl Ester ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Northern India

scholarly journals Tubercular mastitis: An institutional experience from a tertiary care centre of northern India

2017 ◽  
Vol 8 (3) ◽  
pp. 72-75
Author(s):  
Amit Gupta ◽  
Lovenish Bains ◽  
Deepshikha Yadav ◽  
Prashant Durgapal ◽  
Manish Kumar Agrawal
Keyword(s):  
Tertiary Care ◽  
Needle Aspiration ◽  
Care Centre ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Aspiration Cytology ◽  
Northern India ◽  
Institutional Experience ◽  
Needle Aspiration Cytology ◽  
High Index Of Suspicion

Background: Tuberculous mastitis (TM) is a rare extra pulmonary presentation of tuberculosis. It may be problematic to distinguish from carcinoma breast, a condition with which it may coexist.  Fine needle aspiration cytology (FNAC) / biopsy are indispensable for diagnosis and tuberculosis culture when positive may be very valuable to guide antimicrobial therapy.Aims and Objectives:  To disseminate the message to the concerned expertise that it can present a diagnostic problem on radiological and microbiological investigations, and thus a high index of suspicion is needed.Materials and Methods: 19 cases of tubercular mastitis between  January 2012 to March 2014 were identified and included in the present study. Cytology and biopsy alongwith AFB stain was done for confirmation.Results: Age ranged between 23- 55 years (median 33 years). Axillary nodes were palpable in 9 (47.3%) patients. Acid Fast Bacilli stain which was positive in only 3 patients. All the 19 patients were started on antitubercular treatment.Conclusion: This study highlights the importance of early diagnosis and aggressive medical and if required surgical management to cure this disease.Asian Journal of Medical Sciences Vol.8(3) 2017 72-75

scholarly journals Risk factors for macular pucker after rhegmatogenous retinal detachment surgery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Toshiaki Hirakata ◽  
Yoshimune Hiratsuka ◽  
Shutaro Yamamoto ◽  
Koki Kanbayashi ◽  
Hiroaki Kobayashi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retinal Detachment ◽  
Surgical Technique ◽  
Regression Models ◽  
Rhegmatogenous Retinal Detachment ◽  
Surgical Repair ◽  
Macular Pucker ◽  
Logistic Regression Models ◽  
Retinal Breaks ◽  
Increased Risk

AbstractMacular pucker, also known as an epiretinal membrane, sometimes forms after surgical repair of a rhegmatogenous retinal detachment (RRD) and can decrease visual acuity and cause aniseikonia. However, few reports are evaluating the risk factors of macular pucker using multivariate analysis. To evaluate the risk factors for macular pucker after RRD surgery, 226 patients who underwent RRD surgery and were monitored for greater than 12 months (23.2 ± 6.4 months) after surgery were analyzed retrospectively. Of these cases, macular pucker developed in 26 cases. Multiple logistic regression models of 22 clinical characteristics were performed. An increased risk of macular pucker after RRD surgery was significantly associated with preoperative vitreous haemorrhage (Odds ratio (OR), 4.71; 95% CI 1.19–18.62), multiple retinal breaks (OR, 8.07; 95% CI 2.35–27.71), re-detachment (OR, 19.66; 95% CI 4.87–79.38), and retinal detachment area (OR, 12.91; 95% CI 2.34–71.19). Macular pucker was not associated with the surgical technique. Regardless of the surgical technique used, careful observation for postoperative macular pucker is needed after RRD surgery in high-risk cases. These findings can be used to improve the surgical management of patients with RRD. (183 words).

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