scholarly journals FACTORS AFFECTING VISUAL OUTCOME IN INDIRECT TRAUMATIC OPTIC NEUROPATHY – A RETROSPECTIVE NON-RANDOMIZED STUDY

2020 ◽  
pp. 1-2
Author(s):  
Tharini. S ◽  
Subashini Kaliaperumal ◽  
Ramesh Babu K
Keyword(s):  
Visual Acuity ◽  
Optic Neuropathy ◽  
Road Traffic ◽  
Randomized Study ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Treatment Modalities ◽  
Traumatic Optic Neuropathy ◽  
Tertiary Care Centre ◽  
Factors Affecting

Purpose To study the demographic profile and factors associated with visual outcome in patients with indirect traumatic optic neuropathy. Methods A retrospective study of patients admitted with indirect traumatic optic neuropathy, in a tertiary care centre in South India, from February 2016 to February 2018 was conducted. Patients with bony impingement on the optic nerve were treated with endoscopic surgical decompression and the rest were treated with low dose steroids. Visual acuity was assessed at presentation, 2 weeks and 3 months. Results The mean age of the patients was 31.6 years (13-75 years). 19(90.4%) patients were male and road traffic accident (95.23%) was the most common cause of injury. Mean time of presentation was 3.6 hours ( 1-7 hours) Vision at presentation was perception of light and above in 8(3.1%) and no perception of Light in 13(61.9%) patients. Visual improvement was seen in 4 out of 18 patients (22.2%) in the steroid group and 1 out of 3 patients (33.3%) in the surgery group. Visual acuity at presentation was significantly associated with final visual outcome (P=0.047). Conclusion Our study demonstrated that visual acuity at presentation was the only factor associated with final vision, irrespective of associated injuries and treatment modalities.

scholarly journals Traumatic Optic Neuropathy: Early Detection and Intervention in a Tertiary Care Centre

2020 ◽  
Author(s):  
Arino John ◽  
Andrews CV Kakkanatt ◽  
Monsy Thomas Mathai ◽  
Babu Urumeese Palatty ◽  
NI Kurian ◽  
...  
Keyword(s):  
Early Detection ◽  
Optic Neuropathy ◽  
Tertiary Care ◽  
Care Centre ◽  
Traumatic Optic Neuropathy ◽  
Tertiary Care Centre

Comparison of visual acuity in primary and secondary iris claw implantation in western Maharashtra

2021 ◽  
Vol 7 (2) ◽  
pp. 442-447
Author(s):  
Divya Motwani ◽  
Rupali Maheshgauri ◽  
Prachi Bakare ◽  
Deepaswi Bhavsar ◽  
Sucheta Kaul ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Financial Burden ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Tertiary Care Centre ◽  
Significant Difference ◽  
Patient Will ◽  
Iris Claw Lens ◽  
Iris Claw

A potential complication of cataract surgery is posterior capsular rent, where PCIOL can’t be implanted. Primary Iris claw implantation means that the IC-IOL is implanted in the same setting after cataract removal. While secondary Iris claw lens implant is done in an aphakic eye without capsular support and post cataract surgeries when the eye is left aphakic. To compare the visual outcome in cases of primary and secondary iris claw lens implantation after cataract surgery.This was a hospital-based Prospective Interventional Longitudinal study,conducted on patients in a tertiary care centre, in Western Maharashtra from September 2018 to August 2020. 31 eyes underwent primary iris claw implant and 19 underwent secondary iris claw implant. Highly significant difference in visual acuity preoperatively due aphakia among subjects who underwent secondary iris claw implantation (p=0.000) was seen. Highly significant difference in visual acuity post operatively till 15 days was also seen due to less corneal oedema& inflammation in patients who underwent secondary iris claw implantation. No significant difference in visual acuity was seen on day 40 as lens was put in both the groups and the signs of inflammation had reduced (p=0.759).Overall visual outcome after 40 days is comparable in primary and secondary cases. It is better to do a primary retro fixated iris claw implantation, as in case of a secondary implant the patient will have undue anxiety, to undergo a second surgery along with increased financial burden and patient can develop complications due to aphakia.

scholarly journals Clinical Profile and Visual Outcome of Blunt Ocular Trauma in a Tertiary Care Centre of Central India: A Prospective Study

2020 ◽  
Vol 7 (11) ◽  
pp. 5063-5069
Author(s):  
Sandeep Jawade ◽  
Rahul Dagwar ◽  
Ravi Chauhan
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Central India ◽  
Visual Outcome ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Care Centre ◽  
Tertiary Care Centre

Introduction: Ocular trauma is a major cause of visual morbidity and Visual impairment leading to injury of the globe, optic nerve and adnexa ranging from superficial to vision-threatening complications. Objective: To study the factors leading to blunt ocular trauma, its characteristics, presentation and Outcome. Methods: Hospital-based prospective study conducted at the tertiary care centre of central India. The patient was assessed and if required, admitted. They were followed up on 1st week,1st month,6th month and were assessed for visual outcome and complications. Results: Male constituted 66% and female 34% of all patients. This study had patients of age ranging from 3 to 90 years. Most of the patients were found in the age group of 31-40 years(20.3%). In our study which included 103 cases, there were 20% cases of RTA and 80% cases of non-RTA. 85(82.5%) had lid oedema with chemosis of conjunctiva.87(84.4%) patients had a sub-conjunctival haemorrhage.16 patients (15.5%) presented with a corneal abrasion.32 patients(31.06%) presented with traumatic hyphaema.2 patients(1.9%) had traumatic optic neuropathy.7 patients(6.7%) presented with Berlin’s oedema and 8(8.1%) presented with angle recession glaucoma. Final visual outcome of patients was,1 patient(0.97%)had no perception of light,4 patients(3.8%) had visual acuity of perception of light and projection of rays inaccurate. 7 patients(6.7%) had vision perception of light and projection of rays accurate.45(43.68%) patients regained visual acuity of 6/6 Conclusion: Blunt trauma was more common in males. Most common age group was 4th decade. Road traffic accidents constituted a large number of blunt injuries. Road traffic accidents had a high rate of visual loss due to optic nerve injury.                                                                                                            

scholarly journals Visual Outcome of Ocular Trauma Presenting in a Tertiary Care Hospital in Sahiwal

2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Ahmad Zeeshan Jamil ◽  
Muhammad Luqman Ali Bahoo
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Visual Outcome ◽  
P Value ◽  
Care Hospital ◽  
Open Globe ◽  
Patient Reported

Purpose: To find the visual outcome of ocular trauma presenting in a tertiary care hospital in Sahiwal. Study Design: Descriptive observational study. Place and Duration of Study: This study was conducted at District Headquarter Teaching Hospital affiliated with Sahiwal Medical College, Sahiwal from January 2016 to June 2019. Material and Methods:  Four hundred and thirty five patients were included in the study by convenient sampling technique. Patient’s age, gender, occupation, activity at the time of injury, nature of object causing trauma, duration of trauma, visual acuity at the time when patient reported to hospital, the time delay before coming to the hospital were recorded. Ocular injuries were classified according to Birmingham ocular trauma terminology. Detailed ocular examination was performed. Patients were managed and post-management visual acuity at three months was recorded. Results: Mean age of patients was 29.07 ± 12.53 years. There were 219 (50.3%) closed globe and 216 (49.7%) open globe injuries. In 59 (13.6%) cases, cause of injury was metal object. In 146 (33.6%) cases injury was classified as contusion. In 164 (37.7%) cases cornea was involved. Majority of the patients were male. Eighty-seven patients presented within 1 day after trauma. In 154 (35.4%) patients, visual acuity at the time of presentation was 6/12 or better while in 171 (39.3%) cases it was less than 6/60. Chi-square test was used to calculate the difference between pre and post-management visual acuity. This difference was statistically significant with p-value less than 0.05 Conclusion:  Ocular trauma cases, if properly and timely managed, have a statistically significant increase in visual acuity.

scholarly journals CLINICAL PROFILE AND MANAGEMENT OF PATIENTS OF AMOEBIC LIVER ABSCESS IN A TERTIARY CARE CENTRE

2020 ◽  
pp. 5-7
Author(s):  
Rakesh Mishra ◽  
Debabrata Banerjee ◽  
Debarshi Jana
Keyword(s):  
Drug Treatment ◽  
Liver Abscess ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Needle Aspiration ◽  
Intestinal Disease ◽  
Amoebic Liver Abscess ◽  
Treatment Modalities ◽  
Tertiary Care Centre ◽  
Early Recovery

Introduction: Amoebiasis is caused by the protozoan Entamoeba histolytica. Most infections are asymptomatic; clinical manifestations include amoebic dysentery and extra intestinal disease. Amoebic liver abscess is the most common extraintestinal manifestation of amoebiasis. Amoebae establish hepatic infection by ascending the portal venous system. Aim: To study various aspects of Amoebic Liver Abscess like demographic profiles, clinical presentations, association with intestinal disease, radiological and laboratory findings, treatment modalities and complications. Materials and Methods: A hospital based prospective observational study was performed in the Department of Internal Medicine, Command Hospital (Eastern Command), Kolkata, from Jan 2018 to Jun 2019. All confirmed cases of amoebic liver abscess above the age of 18 years admitted in Command Hospital (EC) were included in this study. The patient were then subsequently followed up for 01 year with USG abdomen every 03 monthly. Results: Total 40 patients of Amoebic Liver Abscess with age more than 18 year were enrolled in the study. The age ranged from 26 to 70 years (mean age 46.2 year). Male patients were dominated over female. 80.0 % were from rural background. About 55% patients were addicted to alcohol & 25.0 % were known diabetics at presentation. In all, 07 (17.5%) patients with abscess size of 6 cm to 10 cm (Vol> 300 cc) were treated by needle aspiration and drug therapy. Remaining 17(42.5%) patients with abscess size more than 10 cm were treated with pigtail drainage and drug. Conclusion: There is significant advantage of pigtail drainage with drug treatment over needle aspiration with drug and only with drug treatment in terms of decrease in lesion size and early recovery.

scholarly journals A cross sectional study on demographic factors affecting low birth weight

2019 ◽  
Vol 6 (11) ◽  
pp. 4896
Author(s):  
Renu Sulakhe Vasant ◽  
Lavanya K. M. Rao ◽  
Nageswara Rao V.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Income Group ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Factors Affecting

Background: Low birth weight (LBW) is one of the commonest cause for infant and childhood morbidity and mortality. The majority of low birth weight in developing countries is due to intrauterine growth retardation, while most low birth weight in industrialized countries is due to preterm birth. LBW is the single most important factor determining the survival chances of the child. The objectives of the study were to assess the proportion of low birth weight among babies delivered by mothers at a tertiary care hospital and to analyse the relationship between low birth weight and certain socio-demographic factors.Methods: A cross-sectional study conducted in a tertiary care centre for a period of six months.Results: The prevalence of LBW was 23.5%. The proportion of mothers having low birth weight was maximum in women aged less than 18 years (35%) and more than 30 years (26.5%). Muslim women had a higher proportion of LBW (28.8%). LBW was more in women belonging to joint family (30.0%), low per capita income group and illiterates.Conclusions: The prevalence of LBW still continues to be high, almost one fourth of the babies are LBW. Different socio-demographic characteristics of the population are still the important factors determining the occurrence of LBW.

Outcomes of Steroid Therapy in Combination with Endoscopic Optic Nerve Decompression Surgery for Direct Traumatic Optic Neuropathy: A Case-Series

2021 ◽  
Vol 104 (7) ◽  
pp. 1166-1171
Keyword(s):  
Visual Acuity ◽  
Optic Nerve ◽  
Optic Neuropathy ◽  
Poor Prognosis ◽  
Combined Treatment ◽  
Treatment Protocol ◽  
Case Series ◽  
Light Perception ◽  
Traumatic Optic Neuropathy ◽  
Nerve Decompression

Background: Direct traumatic optic neuropathy (TON) carries a poor prognosis. However, the outcome of this injury is diverse and is related to time to treatment and treatment protocol. Objective: To evaluate the outcomes of the combined treatment protocol in patients with direct TON. Materials and Methods: The authors retrospectively reviewed the medical records of patients between January 2015 and August 2019. Main outcome was visual acuity (VA) improvement after the treatment. Results: Thirteen patients (15 eyes) were included. The mean age was 38.61 years with a range of 13 to 65 years. Initial VA varied from no light perception (NPL) in seven eyes of six patients, light perception (PL) in one eye, counting fingers in two eyes, 20/200 in three eyes, and 20/60 in two eyes. Average timing to treatment was 2.8 days (range 0 to 7 days). There were no side effects of high-dose corticosteroids treatment in all patients. During a follow-up period of three months, six of 13 patients (46.1%) had VA improvement. Conclusion: Despite poor prognosis of direct TON, the combined treatment protocol provides a favorable successful rate with most patients on having stable vision, and some having visual improvement from reducing intracanalicular pressure of the optic nerve. Keywords: Endoscopic optic nerve decompression; Traumatic optic neuropathy; Visual acuity; Case series

scholarly journals Ectopic pregnancy: an observational study in a tertiary care centre of Southern Rajasthan, India

2020 ◽  
Vol 9 (2) ◽  
pp. 516
Author(s):  
Shrusti Parmar ◽  
Nalini Sharma ◽  
Vimla Dhakar
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Tertiary Care ◽  
First Trimester ◽  
Treatment Modalities ◽  
Public Health Issue ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Early Presentation

Background: One among the three chief obstetric causes of bleeding in first trimester, ectopic pregnancy is the first thing to rule out as a gestation is suspected. The present study observes and analyses sociodemographic distribution, risk factors, presentation, diagnosis and treatment modalities in a tertiary care centre.Methods: An observational cross-sectional study, conducted among patients who were diagnosed and managed in department of obstetrics and gynaecology of a tertiary care centre. Data analyzed and explained as frequency, percentage, mean and standard deviation.Results: Age group between 21 to 30 years (69.9%) and multigravida (68.5%) are high risk for ectopic pregnancy (EP). Menstrual history was regular in 86.3%. Risk factors identified were previous abortion (30%) and history of pelvic inflammatory disease (30%). In 80.9% pain in abdomen was presenting complaints followed by bleeding per vaginum (60%), amenorrhoea (60%) and nausea and vomiting (32.9%). Right salpingectomy was most common in 43.8%, followed by left salpingectomy in 28.8%, methotrexate in 15.1%, left salpingo-ophorectomy in 5.5%, right salpingo-opherectomy in 5.5% and removal of tubal abortion in 1.3% patients. Laparoscopy was chosen route in majority 64.4% patients.Conclusions: Ectopic pregnancy - a gynecological catastrophe as well as a major challenge to the reproductive performance of women worldwide, should be considered a relevant public health issue. By providing adequate materials, manpower, well-equipped health facilities as well as a prompt and efficient referral system, good access roads and efficient transportation, will ensure early presentation in hospitals and prompt management of cases.

Indirect Traumatic Optic Neuropathy — Visual Outcome of Transcutaneously Electrostimulated Cases

1993 ◽  
pp. 474-477
Author(s):  
Sergey Yeolchijan ◽  
Natalija Serova ◽  
Natalija Eliseeva ◽  
Ludmila Lasareva
Keyword(s):  
Optic Neuropathy ◽  
Visual Outcome ◽  
Traumatic Optic Neuropathy
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