scholarly journals A CLINICAL INVESTIGATION TO ANALYZE THE INDICATIONS FOR PENETRATING KERATOPLASTY: A RETROSPECTIVE STUDY.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Archana Kumari ◽  
Sony Sinha
Keyword(s):  
Retrospective Study ◽  
Penetrating Keratoplasty ◽  
Clinical Investigation ◽  
Corneal Opacity ◽  
Indication For Surgery ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
One Year

Aim: to analyze the indications for Penetrating keratoplasty Materials and Method: The present retrospective study was conducted in the Department of Ophthalmology, Patna Medical College and Hospital, Patna, Bihar, India for the period of one year. The gender, age, laterality and indication for surgery were noted from the records, and analyzed using SPSS version 20. Results: Mean age was 54.12 years and majority of them were male. Right eyes were operated more i.e. 32 (65.3%) followed by left eyes. 18 (36.7%) belonged to Finger count close to face followed by 13 (26.5%) PLPR. Conclusion: the present study concluded that commonest indication for PKP was corneal opacity. Keywords: Keratoplasty, Corneal opacity, Indications

scholarly journals PETER’S ANOMALY

2013 ◽  
Vol 3 (1) ◽  
Author(s):  
Laya Rares
Keyword(s):  
Penetrating Keratoplasty ◽  
Corneal Opacity ◽  
Health Condition ◽  
Pressure Management ◽  
Filtration Surgery ◽  
Intra Ocular Pressure ◽  
Ocular Pressure ◽  
One Year ◽  
The Right ◽  
Peter’S Anomaly

Abstract: Peter’s anomaly is a congenital corneal anomaly characterized by central or paracentral opacity. Around 60-80% of this anomaly is bilateral. We reported a girl of one year and six months as having bilateral corneal opacity since she was born. Diagnosis was based on ophthalmological examinations: the vision of the right and left eyes was ‘fix and follow the light’; sensoric nystagmus of both eyes; intra-ocular pressure of the right eye 37 mm Hg and of the left eye 40 mm Hg; corneal diameters of both eyes were 11 mm; 5-mm-central opacity of both cornea; both eye movements to all directions were normal; anterior chambers were shallow; iris was attached to the corneal endothelium; both lenses were difficult to be evaluated due to corneal opacity; fundal reflexes in both eyes were negative. The early medication given was thymolol 0.5% to decrease the intra-ocular pressure. If her health condition improved, a penetrating keratoplasty and a filtration surgery were recommended under general anaesthesia. Key words: Peter’s anomaly, corneal opacity, intraocular pressure, management.   Abstrak: Peter’s anomaly merupakan kelainan kongenital kornea yang ditandai dengan kekeruhan pada kornea bagian sentral ataupun parasentral. Sekitar 60-80% kasus Peter’s anomaly terjadi bilateral. Kami melaporkan kasus Peter’s Anomaly pada seorang anak berusia satu tahun enam bulan dengan kekeruhan pada kedua mata sejak lahir. Diagnosis ditegakkan berdasarkan pemeriksaan oftalmologis dimana didapatkan visus okuli dekstra dan sinistra fix and follow the light, nistagmus sensoris pada kedua mata, tekanan intra okuler pada mata kanan 37 mm Hg dan pada mata kiri 40 mmHg. Diameter kornea kedua mata 11 mm, adanya  kekeruhan pada sentral kornea (stroma) dengan diameter 5 mm pada kedua mata. Pergerakan  kedua mata ke semua arah normal. Bilik mata anterior dangkal, iris melekat pada endotel kornea, lensa kedua mata sukar dievaluasi oleh karena kekeruhan pada kornea. Refleks fundus negatif pada kedua mata. Penanganan awal yang diberikan berupa medikamentosa (timolol 0,5%) untuk menurunkan tekanan intra okuler sambil menunggu keadaan umum membaik untuk dilakukan penetrating keratoplasty and filtration surgery dibawah anastesi umum. Kata Kunci: Peter’s anomaly, kekeruhan kornea, tekanan intra okuler, penanganan.

scholarly journals Maternal mortality at a tertiary health care: a retrospective study

2018 ◽  
Vol 7 (5) ◽  
pp. 1773
Author(s):  
Sona Singh ◽  
Nagendra Singh ◽  
Jagriti Kiran Nagar ◽  
Sarvesh Jain
Keyword(s):  
Retrospective Study ◽  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Age Group ◽  
Maternal Deaths ◽  
Medical College ◽  
Tertiary Centre ◽  
Hypertensive Disorders ◽  
Mortality Ratio ◽  
One Year

Background: Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy irrespective of the duration and site of pregnancy from any cause related to or aggravated by the pregnancy, but not from accidental or incidental causes. The aim of this study is to find out the causes of maternal mortality and the complications leading to maternal death.Methods: A retrospective study was conducted by reviewing the hospital records to study the maternal deaths and complication leading to maternal death over the period of one year from July 2016 June 2017 in the Department of Obstetrics and Gynecology, Bundelkhand Medical College, and associated hospital Sagar, Madhya Pradesh. All the maternal deaths were scrutinized for various aspects likely to be related to death such as age, locality of residence, antenatal care, admission death interval and the cause of death.Results: The maternal mortality ratio in the present study is 292.33/100,000 live births. There were 28 maternal deaths out of 9578 live birth during the study period. The majority of deaths occurred in the 20-30 age group. hemorrhage (32.14%) and hypertensive disorders (14.28%) are two most common direct cause of maternal deaths. 42.85% of maternal deaths occurred within the first twenty-four hours of admission. Post-operative and post abortal sepsis, amniotic fluid embolism and pulmonary embolism are other direct causes. Indirect causes of maternal deaths account for 21.42%. Severe anemia was the leading indirect causes of maternal deaths.Conclusions: Hemorrhage, hypertensive disorders, and anaemia remain the major cause of maternal deaths. Delay in decision making, provision of treatment and referral to tertiary centre contributed higher maternal mortality. This requires more efforts to recognize the direct and indirect causes of maternal deaths.

scholarly journals Childhood corneal blindness: a retrospective study in a tertiary eye hospital of eastern region of Nepal

2016 ◽  
Vol 8 (1) ◽  
pp. 18-22
Author(s):  
Paras Panjiyar ◽  
Vijay Gautam ◽  
Pooja Gautam Rai ◽  
Lila Raj Puri
Keyword(s):  
Retrospective Study ◽  
Vitamin A Deficiency ◽  
Corneal Opacity ◽  
Eastern Region ◽  
Corneal Disease ◽  
Pediatric Department ◽  
Study Results ◽  
Corneal Blindness ◽  
One Year ◽  
Patient Department

Introduction: Studies from Nepal show that most of the cases of unilateral childhood blindness are due to corneal causes. It was also observed that these corneal causes were mostly preventable or treatable. Objective: to study the patterns of corneal diseases in a pediatric out-patient department of a hospital in the eastern region of Nepal. Methods: A retrospective study of the patients who presented to the pediatric department of our hospital in the year 2014 was done with the help of the data received from the hospital recording system. Detail examination of every case was done in the out-patient-department of the hospital by pediatric ophthalmologists. Patients with only corneal disease were included, and those with corneal disease along with other ocular disease were excluded from the study. Results: Of 20,250 patients examined in the pediatric department over a one year period, 1911(9.4%) presented with isolated corneal problems. Keratitis and corneal ulcer were found in 47.8% of them. Corneal trauma was present in 5.6% and vitamin A deficiency leading to corneal opacity and keratomalacia was seen in 0.06% of the cases. Corneal blindness was observed in 66 eyes (bilateral in 3 cases). No case of trachoma or congenital corneal disease was observed. Conclusion: Childhood corneal blindness is mostly due to preventable and treatable causes. Nepal J Ophthalmol 2016; 8(15): 18-22

scholarly journals Outcome of pterygium surgery by using conjunctival autograft attachment with fibrin glue: a prospective study

2020 ◽  
Vol 9 (1) ◽  
pp. 134
Author(s):  
Happy Kaur ◽  
Babar Maqbool ◽  
Manpreet Kaur
Keyword(s):  
Prospective Study ◽  
Fibrin Glue ◽  
Operating Time ◽  
Treatment Modalities ◽  
College Hospital ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
Pterygium Surgery ◽  
One Year ◽  
A Prospective Study

Background: Pterygium is a degenerative condition of sub conjunctival tissues that proliferates as vascularised granulation tissue to invade cornea. Treatment modalities may be medical or surgical. Objectives were to asses results of pterygium surgery in patients with pterygium, in terms of operative time, post-operative symptoms, overall graft success and post-operative complications conducted at government medical college, hospital, Jammu during one year.Methods: Prospective study conducted on 25 patients by using fibrin glue over a period of one year in upgraded department of ophthalmology at GMC Jammu.Results: Mean operating time was 23.20 minutes by using fibrin glue, severity of post-operative symptoms were less. Graft successfully attached in all cases.Conclusions: Present study concluded that use of fibrin glue associated with less operating time and less post-operative discomfort in terms of severity and duration

scholarly journals Causes of Vascularised Corneal Opacity Those Were Treated by Corneal Grafting

2017 ◽  
Vol 29 (1) ◽  
pp. 23-25
Author(s):  
Md Shariful Islam Bhuiya
Keyword(s):  
Penetrating Keratoplasty ◽  
Corneal Ulcer ◽  
Economic Status ◽  
Corneal Opacity ◽  
College Hospital ◽  
Male Predominance ◽  
Medical College ◽  
Corneal Grafting ◽  
Before And After ◽  
Visual Results

One of the leading causes of blindness is corneal disorder. By keratoplasty we can restore vision of those patients to some extent and many surgeons are performing keratoplasty on vascularised cornea. Present study was done to evaluate its outcome. Patients (5-70 yrs) were recruited from eye ward of Dhaka Medical College Hospital from January, 2007 to December, 2007. Patients were selected on some criteria. Total 33 cases were evaluated before and after operation. This study was carried out to know pattern of blindness and to obtain the causes of corneal vascularisation and results of keratoplasty on these patients. Among 2 types of grafting all our patients were undergone penetrating keratoplasty. Male predominance (57.50) was marked as male are more prone to corneal diseases and trauma. Considering age group nobody is immune from corneal disease but children and young persons are more vulnerable. Socio-economic status of our maximum patients are middle-class or poor class. We got a rough idea about the causes leading to vascularisation of cornea. Amongst them; trauma, corneal ulcer, chemical injury and under nutrition are noted in our study. Out of 33 healthy grafts, visual improvement occurred in 24 cases. Visual results of grafting on vascularised corneas are variable. Our study concludes that trauma and corneal ulcer are the leading causes of corneal opacity which need penetrating keratoplasty. Whatever the cause of corneal vascularisation, prognosis of keratoplasty on such cases is not disappointing. Rather keratoplasty done on early notified corneal opacity with superficial vascularisation gives satisfactory results.Medicine Today 2017 Vol.29(1): 23-25

scholarly journals A Retrospective Study of Suicidal Death Studied in Dinajpur Medical College, Dinajpur

KYAMC Journal ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 298-300
Author(s):  
MM Rahman ◽  
MZ Rahman ◽  
MG Hossain
Keyword(s):  
Retrospective Study ◽  
Age Group ◽  
Criminal Offence ◽  
Male Choice ◽  
Police Station ◽  
Medical College ◽  
Lower Socioeconomic ◽  
The World ◽  
Suicidal Death ◽  
One Year

Suicide is one of the forms of criminal offence in our country and it is also prevailing in other countries of the world. Whenever attempts to commite suicide and does any act towards the commission of such offence, shall be punished with simple imprisonment for a term which may extend to one year or with fine or with both. Shooting, hanging and stabbing are a 'hard way' of committing suicide and typically a male choice. Poisoning and drowning are 'soft way' of committing suicide and typically a female choice. A retro spective study was conducted on suicidal death, the department of forensic medicine, Dinajpur medical college. 20 cases were examined from June 2004 to June 2006 for 2 years. All the cases were referred from 13 different police stations and one railway station of Dinajpur district. Among them the highest number of cases were brought by Kotowally police station and the lowest from Hakimpur police station. But among the 20 cases 70% were female Muslims. The highest frequency of offence was found in lower socioeconomic growth. The age group of the was from 20 - 35 years. KYAMC Journal Vol. 3, No.-2, January 2013, Page 298-300 DOI: http://dx.doi.org/10.3329/kyamcj.v3i2.15171

scholarly journals Prevalence of anemia in blood donors: a retrospective study in rural tertiary care centre (Chamba, Himachal Pradesh, India)

2018 ◽  
Vol 5 (6) ◽  
pp. 2572
Author(s):  
Shairoly Singh ◽  
Ishan Arora ◽  
Shireen Singh
Keyword(s):  
Retrospective Study ◽  
Blood Donors ◽  
Tertiary Care ◽  
Blood Bank ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Time Period ◽  
One Year ◽  
Prevalence Of Anemia

Background: In India, a large majority of blood donors are deferred due to anemia. Anemia is a temporary cause of deferral which can be easily treated. Deferrals due to anemia can be easily identified in blood bank and can be treated and managed effectively.Methods: A retrospective study was carried out in Department of Blood Bank of Pt. Jawahar Lal Nehru Govt. Medical College, Chamba (H.P) over a time period of one year from 1st Jan 2017 to 31st Dec 2017.Results: We observed that the total number of deferrals was 90 out of all blood donors forming 9%. Out of all deferrals, those due to anemia were 23 (25.5%). Prevalence of anemia in female donors is much higher, constituting 26.31% and anemia in male donors in our study is lower forming 1.8%.Conclusions: Our study concluded that percentage of anemia is much higher in females than males. Educating and counseling females about prevention and treatment of anemia would help in lowering the percentage of anemia in females in our community.

scholarly journals Bronchoscopic findings of flexible bronchoscopy: a one-year retrospective study in a tertiary care hospital

2018 ◽  
Vol 6 (2) ◽  
pp. 591
Author(s):  
Philips Antony ◽  
Hafiz Deshmukh
Keyword(s):  
Retrospective Study ◽  
Tertiary Care ◽  
Fiberoptic Bronchoscopy ◽  
Needle Aspiration ◽  
Purulent Discharge ◽  
Bronchial Biopsy ◽  
Care Hospital ◽  
Transbronchial Needle Aspiration ◽  
Medical College ◽  
One Year

Background: Since the introduction of the first flexible fiberoptic bronchoscope by Shigeto Ikeda in 1966, fiberoptic bronchoscopy (FOB) has been a valuable tool in the diagnosis of pulmonary diseases. Therefore, the aim of this study is to report our one-year experience with the yield of flexible fiberoptic bronchoscopy at MGM Medical College and Hospital, a tertiary hospital in Maharashtra.Methods: A retrospective study of fiberoptic bronchoscopy (FOB) was performed at MGM Medical College and Hospital, Aurangabad, Maharashtra during the period 2015-2016. Bronchoscopy was performed and collection of bronchial washing, bronchial brushing, bronchial biopsy and transbronchial needle aspiration was done.Results: Out of 192 patients, 140 were males and 52 were females. Majority of them were in age group 50-59 years. Main indication was pulmonary tuberculosis. Bronchial washings were done in 168 cases and brushing in 56 cases and common location for both was right upper lobe; bronchial biopsy was done in 90 cases with commonest location left main bronchus. Transbronchial needle aspiration was done in 4 cases, active bleed was seen in 6 cases and purulent discharge was seen in 24 cases. Bronchoscopic finding in majority of patients was normal tracheobronchial tree.Conclusions: The optimal use of conventional bronchoscopy and its techniques in the hands of experienced respiratory interventionists, with the adherence of the international guidelines for performing these techniques will improve the diagnostic outcomes of those patients with the least morbidity and mortality, employing better therapeutic strategies, and thus improving the overall management of those patients.

EFFICACY OF 1% TOPICAL VORICONAZOLE IN THE TREATMENT OF MYCOTIC CORNEAL ULCER : A CLINICAL STUDY

2021 ◽  
pp. 66-68
Author(s):  
Urvashi Singh ◽  
Gopal prasad singh ◽  
Alka Jha
Keyword(s):  
Complete Resolution ◽  
Corneal Ulcer ◽  
Tertiary Care Hospital ◽  
Topical Therapy ◽  
Tertiary Care ◽  
Care Hospital ◽  
Single Centre ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
One Year

Aim:To evaluate the efcacy of topical Voriconazole in the treatment of fungal corneal ulcer. Materials and methods: It was a single centre prospective tertiary care hospital based study conducted in the Upgraded Department of Ophthalmology at DARBHANGA MEDICAL COLLEGE AND HOSPITAL, Laheriasarai. It included 25 corneal ulcer patients of all demographic and socioeconomic status attending outdoor and/or indoor of Department of Ophthalmology, from April 2019 to April 2020, for a period of one year. Result: Majority of the patients were females.The decrease in ulcer size and improvement in visual acuity post treatment with topical Voriconazole was found to be statistically signicant. Conclusion: Topical therapy with 1% Voriconazole (w/v) served to be an economical mode of treating fungal corneal ulcer. It helped in the early and complete resolution of the ulcer with no adverse effects.

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