scholarly journals KASUS PTERIGIUM DI POLIKLINIK MATA RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI – DESEMBER 2011

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Margaretha Yumte ◽  
Laya Rares ◽  
J. S. M. M. Saerang

Abstract: Pterygium is a triangular-shaped tissue growth fibrovascular that grows from the conjunctiva to the cornea in the area interpalpebra. Pterygium of the conjunctiva grows wings shaped in accordance with bulbi.Prevalence pterygium Perdami Clinical Management Guidelines, the incidence is high at Indonesia pterigium equator area 13.1%.To know pterygium incident at the Ophthalmology Department Prof. Dr. R. D. Kandou Manado period January to December 2011.Retrospective descriptive study by examining the data (card patients) who had examination and treatment in Ophthalmology Department and the medical record Prof. Dr. R. D. Kandou Manado.The research results obtained from the patients of Pterygium is 213 patients were women had the highest number of 122 patients (57.28%). Pterygium largest number of people in the age group 50-59 years (30.04%). Largest Occupation  the retired of  71 patients (33.33%). Patient data obtained from recurrent patients as much as 1 patient (0.52%). The eyes are the most heavily exposed to the OS pterygium as many as 70 patients (42.20%) and the grade of the most much on the grade of patient pterygium II by 67 patients (46.20%).As much as 213 patients who had  examination and treatment with surgery pterygium, pterygium postoperative recurrence in patients with acquired and at least this proves that  pterygium postoperative complications are rare these days, although in fact this is complications that are often.Visus good 6/3-6/7,is the most visual acuity found in pterygium with grade of I, II and III, while the grade of IV to normal visual acuity is the most.In IV grade  is usually disturbing visual axis and more low visual acuity good vision, is to bad.This is proves that the higher the grade of pterygium the more high influence on our visual function is lowered. Key Word: Pterygium, recurrent data, visual acuity, grade of pterygium     Abstrak: Pterygium adalah pertumbuhan jaringan fibrovaskular berbentuk segitiga yang tumbuh dari arah konjungtiva menuju kornea pada daerah interpalpebra. Pterygium tumbuh berbentuk sayap pada konjungtiva bulbi.Prevalensi pterigium sesuai dengan Panduan Manajemen Klinis Perdami,insidens pterigium cukup tinggi di Indonesia didaerah equator 13,1%.Penelitian ini untuk mengetahui insiden pterigium di Poliklinik Mata RSUP.Prof.dr.R.D.Kandou  periode Januari sampai Desember 2011.Bersifat Deskriptif retrospektif dengan meneliti data rekam medic pasien di poliklinik mata RSUP Prof. Dr. R. D. Kandou Manado.Dari hasil penelitian didapatkan 213 penderita pterigium.Penderita Pterigium berjenis kelamin perempuan memiliki jumlah terbanyak yaitu 122 penderita (57,28%).Jumlah penderita pterigium terbanyak pada kelompok umur 50-59 tahun(30,04%).Jenis Pekerjaan terbanyak pada pensiunan yaitu71 penderita(33,33%).Dari data pasien didapatkan pasien rekuren sebanyak 1 penderita (0,52%).Bagian  mata yang paling banyak terkena pterigium pada OS yaitu sebanyak 70 penderita (42,20%) dan derajat yang paling banyak pada penderita pterigium yaitu  derajat II sebanyak 67 penderita (46,20%).Sebanyak 213 penderita yang melakukan pemeriksaan dan menjalani pengobatan maupun operasi  pterigium,pterigium postoperasi pada pasien rekuren paling sedikit didapatkan dan hal ini membuktikan bahwa komplikasi pterigium postoperasi akhir ini sudah jarang terjadi walaupun sebenarnya hal ini merupakan  komplikasi yang masih sering terjadi.Visus baik/normal 6/3-6/7,5 merupakan visus yang paling banyak  ditemukan pada pterigium dengan derajat I,II dan III sedangkan pada derajat IV untuk visus normal ini adalah  yang paling sedikit.Pada derajat IV ini biasanya sudah mengganggu aksis visual dan lebih banyak visus low  vision baik,sedang sampai buruk.Hal ini membuktikan bahwa semakin tinggi derajat pterigium maka semakin  tinggi pengaruhnya pada fungsi visual kita menjadi menurun. Kata Kunci: Pterigium,data rekuren,visus,derajat pterigium

Author(s):  
Chhaya Shori ◽  
Rakesh Shori ◽  
Gannaram Laxmiprasad ◽  
Ashalatha Alli

Background: Intraocular lens implantation is the only surgical approach available mostly in developing countries. Thus cataract constitutes as the leading cause of blindness in developing countries as many patients with cataract do not have access to hospitals and surgery. Objective was to study the clinical and ophthalmologic profile of patients undergoing cataract surgery.Methods: A hospital based cross sectional study was carried out among 100 cataract patients assigned to undergo conventional extra capsular cataract excision surgery for a period of two years in a tertiary care referral hospital. One day before the surgery these patients were admitted to the indoor wards of department of ophthalmology. From each patient, detailed history was obtained. Visual acuity was checked with Snellen’s visual acuity chart and pinhole improvement was noted.Results: Maximum prevalence was seen in the age group of 51-60 years i.e. 37% followed by 61-70 years of 30%. Thus cataract is seen more commonly in the age group of above 50 years. Prevalence of cataract was more in females (59%) as compared to 41% in males. Cortical cataract constituted 86% of total cases and remaining 14% were constituted by nuclear type of cataract. Majority of the patients i.e. 59% had visual acuity of less than 1/60 followed by 33% of having 5/60 to 1/60. 58% of the patients had against the rule type of astigmatism. 34% of the patients had with the rule type of astigmatism. Only 8% had NOA type of astigmatism.Conclusions: Increasing age and female gender were the most important risk factors in the present study. Cortical type of cataract was more common than nuclear type of cataract. Maximum had low vision.


2017 ◽  
Vol 8 (2) ◽  
pp. 425-428 ◽  
Author(s):  
Charudutt Kalamkar ◽  
Amrita Mukherjee

Purpose: Primary corneoscleral cyst is a rare disease occurring in the pediatric age group. We report a case of corneoscleral cyst with visual diminution. Methods: We conducted a case report. Results: A 7-year-old girl presented with corneal opacity in the left eye. Examination revealed a corneoscleral cyst. The corneal part of the cyst involved visual axis. Surgical excision with a scleral graft was performed, leading to an improvement in visual acuity. No recurrences were observed until the last follow-up at 18 months. Conclusions: Corneoscleral cyst should be considered in the differential diagnosis of cystic ocular surface disorders in the pediatric age group.


Author(s):  
Shazia Kanwal ◽  
Rabia Manzoor ◽  
Ghazala Iqbal ◽  
Zehwa Mazhar

Objective: To find a relationship between visual acuity and contrast sensitivity testing in low vision patients of different age groups. Effect of visual acuity and contrast sensitivity on increasing age of low vision patients. Study Design: Descriptive cross-sectional study. Materials and Methods: The study included low vision patients of different age groups. Data was collected by Performa. Visual acuity was assessed by ETDRS chart and contrast sensitivity was checked by the peli-Robson chart at different distances. Data were analyzed by using SPSS 22.00. Results: The study included a total of 64 patients with low vision of different age groups. Out of 64 patients, 31(48.44%) were males and 33(51.56%) were females. Patients with age group 1-15(15.63%). Patients with age group16-30(50%) and patients with age group above 30(34.36%). Relation between CS and VA of RE with age groups. In the age group 1-15, 2 patients have VA 0.9 and CS 0.10, in age group 16-30, 4 patients have VA 0.9 and CS 0.30 and in the age group of above 30 years 2 patients have VA 1 and CS 0.30. The relation between CS and VA of LE in different age groups of low vision patients in age group 1-15, 2 patients have VA 0.7 and CS 1.35 similarly in age group 16-30, 4 patients have VA 0.9 and CS 0.30 and in the age group above 30 years 2 patients have VA 1.3 and CS 0.75. Conclusion: It is concluded that the statistical value is significant P_ 0.00 which shows a significant result. And it shows that there is a strong relationship between visual acuity and contrast sensitivity as age increases visual acuity and contrast decreases so age has to affect visual functions.


2018 ◽  
pp. 79-82
Author(s):  
Van Minh Pham ◽  
Van Nam Phan ◽  
Thi Thu Nguyen

Objectives: To investigate the clinical characteristics of cataract patients with small pupils and to evaluate the result of cataract surgery on the eye have small pupils by phacotechnique. Subjects and methods: Descriptive study, prospective, uncontrolled interventions. Sample selection. The sample size of 70 patients with 70 eyes of cataracts with small pupils was treated by phaco technique and intraocular lens implant within posterior chamber. Follow up to 3 months. Results: 70 eyes, the percentage of men and women was not different from 54.2% (38 male) compared to 45.8% (32 female). The mean age was 80 ± 8.74, from 58 to 99 years. The disease was mainly found in the age group over 70 years old with over 80% (51.5%). Visual acuity before surgery was very poor under 3m CF (count finger) for 68.6% (48/70). Visual acuity over 1/10 was only a small amount with 2.8% (2 eyes). Pseudoexfoliation was the most common reason complications of mydriasis with 32/70 eyes (45.7%) and 22/70 eyes (31.4%) for age. The preoperative pupilarysizewas mostly small with 63/70 eyes (90.0%), non-dilated pupils (7/70 eyes) (10.0%). Average pupil size was 3.34 mm (2 - 4mm). Iris condition: iris atrophy 20/10 eyes (28.6%), iris synechiae 11/10 (15.7%), irregular iris muscle with 51, 4% and good iris muscle accounted for 48.6%. Grade of cataract: Grade III: 31/70 eyes (44.3%), Grade IV: 32/70 eyes (45.7%), Grade II: 5/70 eyes (7.1%) and V:2/70 eyes (2.9%). Pupil expander technique: OVD injection with 42/70 eyes (60%), using iris hook with 23/70 eyes (32.9%). Pupillary size before and after intervention has changed from 3.7mm to 4.48mm. Conclusions: Iris expander techniques have been shown to have good dilated pupils: 60.0% OVD injection, iris hook was 32.9%, other methods 7.1% One-week visibility of good visual acuity was higher than that of postoperative one day (12.2%) and increased at 1 month and 3 months (20.0%). Very good visual acuity was not available and low vision group was 1.4% after 3 months. Key words: cataract surgery; phacoemusification, small pupil


2021 ◽  
pp. 1-7
Author(s):  
Salam Chettian Kandi ◽  
Hayat Ahmad Khan

<b><i>Introduction:</i></b> Uncorrected refractive errors and amblyopia pose a major problem affecting schoolchildren. We had previously observed that many schoolchildren in the Hatta region presented to the ophthalmology clinic with uncorrected refractive errors and amblyopia, which led us to undertake this research. As per the WHO, the term “visual impairment” can be “low vision” or “blindness.” Based on the presenting vision, “low vision” is defined for children who have vision of &#x3c;6/18 to 3/60 or having visual field loss to &#x3c;20° in the better-seeing eye. Children defined to have “blindness” have presenting vision of &#x3c;3/60 or corresponding visual field of &#x3c;10°. <b><i>Purpose:</i></b> To estimate the magnitude of uncorrected refractive errors and amblyopia among the schoolchildren aged 6–19 years and to assess the efficacy of school-based refractive error screening programs in the Hatta region of the United Arab Emirates. <b><i>Methods:</i></b> An epidemiological, cross-sectional, descriptive study was conducted on the entire student population studying in the government schools of the region. Those who failed the Snellen visual acuity chart test and those who were wearing spectacles were evaluated comprehensively by the researcher in the Department of Ophthalmology of the Hatta Hospital. Data were entered in the Refractive Error Study in School Children (RESC) eye examination form recommended by the WHO, and were later transferred to Excel sheets and analyzed by SPSS. <b><i>Results:</i></b> 1,591 students were screened and evaluated from the end of 2016 to mid-2017. About 21.37% (<i>n</i> = 340) had impaired vision with 20.9% (<i>n</i> = 333) refractive errors, of which 58% were uncorrected. Among the refractive error group, 19% (64 subjects) had amblyopia (4% of total students). The incidence of low vision was 9.5% and blindness was 0.38%. Low vision was found to be 9.5% and blindness 0.38%, taking in to account presenting visual acuity rather than best-corrected visual acuity for defining low vision and blindness. <b><i>Conclusion:</i></b> A significant number of students were detected to have uncorrected refractive errors among the vision impaired group (59%, <i>n</i> = 197) despite a school-based vision screening program in place. Seventy-eight percent of the amblyopia cases (<i>n</i> = 50) were found to be in the 11–19 years age group. Noncompliance with optical corrections was the reason for the high number of cases. A rigorous vision screening program and refractive services, complimented with awareness among parents and teachers, are recommended.


1979 ◽  
Vol 73 (5) ◽  
pp. 161-166
Author(s):  
Dennis K. Kelleher

This article orients the reader to numerous aspects of low vision aids, including types of aids, function of aids, training sequence and considerations, a non-technical description of visual acuity, and favorable prognostic factors in using low vision aids. A brief annotated resource list is included.


2021 ◽  
Vol 15 ◽  
Author(s):  
Reem Almagati ◽  
Barry S. Kran

The Pandemic of 2020 impacted conducting in-person research. Our proposed project already had an asynchronous online component but was later morphed to add a synchronous online component, thereby eliminating the need for in-person assessment. The project compares the results of various tests between a group of children with Cerebral Visual Impairments (CVI) (N = 4) and an age-matched sample of children without CVI (N = 3) from a pediatric low vision clinic. This model was trialed with a small convenient sample of typically developing children in the same age range (N = 4). Given the positive feedback, recruitment for the larger study was done via encrypted e-mail rather than through traditional mailing. The asynchronous components included recruitment, pre-assessment information, the Flemish CVI questionnaire, Vineland-3 comprehensive parent questionnaire for assessment of age equivalent, and vision function tests, such as contrast sensitivity. The synchronous components were administered via Zoom telehealth provided by necoeyecare.org and included assessment of visual acuity via the Freiburg Visual Acuity and Contrast Test (FrACT) electronic software and assessment of visual perceptual batteries via the Children’s Visual Impairment Test for developmental ages 3–6-years (CVIT 3–6). Our virtual testing protocol was successful in the seven participants tested. This paper reviews and critiques the model that we utilized and discusses ways in which this model can be improved. Aside from public health considerations during the pandemic, this approach is more convenient for many families. In a broader perspective, this approach can be scaled for larger N studies of rare conditions, such as CVI without being confined by proximity to the researcher.


2016 ◽  
Vol 75 (1) ◽  
Author(s):  
Godwin O. Ovenseri-Ogbomo ◽  
Harriette Osafo-Agyei ◽  
Ralph E.U. Akpalaba ◽  
James Addy ◽  
Elizabeth O. Ovenseri

Patients’ perspectives on the impact of clinical interventions have been recognised as critical elements in patient care. Quality-of-life instruments are designed to measure these perspectives. We used the National Eye Institute’s 25-item Visual Function Questionnaire (NEI VFQ) to measure the impact of optical low vision devices on the quality of life of 22 low vision patients who obtained and were using low vision devices from a secondary low vision clinic in the Eastern Region, Ghana. The study employed a pre- and post-intervention technique. We found statistically significant improvements in measured visual acuity and NEI VFQ scores in 8 of the 10 domains evaluated. We conclude that optical low vision devices have a positive impact on the quality of life of low vision patients in Ghana.Keywords: low vision; quality of life; visual acuity; visual impairment; Ghana


2016 ◽  
Vol 69 (3-4) ◽  
pp. 237-245 ◽  
Author(s):  
Rong Peng ◽  
Shiyun Li ◽  
Hongbin Zhang ◽  
Honglian Zeng ◽  
Biyu Jiang ◽  
...  

Aims: To examine the association of weight status with the prevalence of blood pressure (BP), vital capacity, dental decay, and visual acuity among school-age children in Chengdu, China and to find the potential role of weight status to predict the common and frequently occurring diseases among school-age children. Methods: A cross-sectional study was conducted among 12,297 children aged 6-18 years from 10 schools in the Jinniu District of Chengdu, China. Body height, weight, waist circumference (WC), and BP were measured. Vital capacity, dental decay, and visual acuity were detected. Results: The overall prevalence of underweight, overweight, obesity, abdominal obesity, high BP, bad vital capacity weight index, dental decay, and low vision were 7.18, 13.47, 7.57, 18.90, 2.78, 21.93, 38.81, and 45.79%, respectively. After controlling for age, gender, and WC, it was found that overweight and obese children had a higher risk of developing high BP than normal weight children ([OR 4.20, p < 0.001] and [OR 8.76, p < 0.001], respectively), And adjusting for age, gender, and chest circumference, the risk of having bad vital capacity weight index among children with overweight and obesity was higher ([OR 2.15, p < 0.001] and [OR 5.40, p < 0.001], respectively), and the risk with underweight was lower (OR 0.35, p < 0.001). After eliminating the influential factors of gender and age, children who were underweight were 1.16 times (OR 1.16, p = 0.048) more likely to have caries than children with normal weight, but obese children were found to have a lower prevalence for dental cavities than children with normal weight (OR 0.79, p = 0.002). Underweight and obese children had a higher prevalence of low vision; the OR of the appearance of low vision was 1.21 (p = 0.016) for underweight children and 1.23 (p = 0.009) for obese children after adjusting the age and gender. Conclusions: Abnormal weight status among Chengdu urban school-age children was found to be a severe health problem, and it was strongly associated with BP, vital capacity, dental decay, and visual acuity.


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