THE STUDY OF PREVALENCE OF LENS INDUCED GLAUCOMAAND ITS VISUAL OUTCOME AFTER TREATMENT

Lens Induced Glaucoma (LIG) is a type of secondary Glaucoma characterised by an acute rise of IOP, pain, redness, diminished vision with senile hypermature, mature or rarely immature cataract in affected eye. Definitive treatment is removal of cataractous lens after prompt control of IOP. Visual outcome is good if operated earlier, otherwise due to long duration of raised IOP leads to Glaucomatous Optic Atrophy with poor visual prognosis. It was a hospital based prospective study done in Ophthalmology department of NMCH , Patna, Bihar. Total 44 patients of LIG were included in the study. It was found that phacomorphic type of LIG was highest in prevalence i.e. 65.91% and phacolytic type 29.54%. After surgery maximum patients (81.82%) were discharged with normal IOP. After 4 weeks of surgery majority of patients had good improvement of vision. Lens Induced Glaucoma is preventable & curable condition, by spreading awareness regarding its danger and encouraging people for timely cataract surgery. Late presentation is one of the reasons for irreversible loss of vision.

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Clinical evaluation of penetrating keratoplasty and its visual outcome

Indian Journal of Clinical and Experimental Ophthalmology ◽

10.18231/j.ijceo.2021.104 ◽

2021 ◽

Vol 7 (3) ◽

pp. 528-531

Author(s):

Poorva Shrivastava ◽

Navneet Saxena

Keyword(s):

Prospective Study ◽

Study Design ◽

Clinical Evaluation ◽

Penetrating Keratoplasty ◽

Visual Outcome ◽

Secondary Glaucoma ◽

Common Complication ◽

Medical College ◽

Good Visual Outcome

The prospective study was carried out at Netaji Subhash Chandra Bose, medical college, Jabalpur, from 2017-2020, on 30 recipients, who underwent penetrating keratoplasty. The results of the surgery were studied prospectively over a period of 6 months, with follow up at 7 days, 1 month, month and 6 months. Study design: Longitudinal follow up. In our study, penetrating keratoplasty done for optical indications (67%) resulted in fairly good visual outcome, compared to those done for therapeutic indications (23%). The most common complication was corneal vascularisation (56%), and least common was secondary glaucoma (6.66%).

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Prevalence of Pre-Existing Corneal Astigmatism in Age Related Cataract Patient

Faridpur Medical College Journal ◽

10.3329/fmcj.v8i1.16887 ◽

2013 ◽

Vol 8 (1) ◽

pp. 02-04

Author(s):

Md Abdur Rashid ◽

KH Anowar Hossain ◽

AKM Rafiqul Islam

Keyword(s):

Prospective Study ◽

Cataract Surgery ◽

Visual Outcome ◽

Corneal Astigmatism ◽

Normal Vision ◽

College Hospital ◽

Medical College ◽

Cataract Patient ◽

Age Related ◽

The Mean

Cataract surgery is no more a blind rehabilitation surgery, it absolutely gives normal vision. In the era of modern cataract surgery patients expectations are also high about visual outcome. This prospective study was carried out to investigate the magnitude and pattern of pre-existing corneal astigmatism in age related cataract patient at Faridpur Medical College Hospital, Faridpur and Agha Yusuf Adhunik Hospital, Kustia, from July 2009 to June 2012. We examined 850 eyes of 730 patients who underwent cataract surgery. The mean age at the time of surgery was 61.9±8.1 (40 to 70) years. Corneal astigmatism was measured by Auto Refracto Keratometer at least two times for each patient. Astigmatism was calculated from diopteric difference of vertical reading from horizontal reading. With the rule (WTR) astigmatism was considered when steep meridian at 90°± 20°. Against the rule (ATR) astigmatism was considered when steep meridian at 180°±20°. Astigmatism is in other direction is defined as oblique. On keratometry, when vertical reading (k1) was found greater than horizontal (k2) was considered WTR astigmatism and the reverse reading for ATR astigmatism. The percentage of corneal astigmatism was 1D or less was 69.6%, more than 1D and less than 1.5D, 27.6% and more than 1.5D and less then 2D 2.8%. Prevalence of ATR astigmatism was more than WTR astigmatism and prevalence of ATR astigmatism increases significantly with age. Approximately two third of pre-operative patient had 1D or less astigmatism and one third had more than 1D corneal astigmatism. DOI: http://dx.doi.org/10.3329/fmcj.v8i1.16887 Faridpur Med. Coll. J. 2013;8(1): 02-04

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Sustaining ocular emergency and trauma services in corona crisis during the era of pan lockdown

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210838 ◽

2021 ◽

Vol 8 (3) ◽

pp. 1425

Author(s):

Suhani Sharma ◽

Anju Kochar ◽

Rashmi Joshi

Keyword(s):

Emergency Services ◽

Ocular Trauma ◽

Tertiary Care ◽

Visual Outcome ◽

Late Presentation ◽

Limited Resources ◽

Age Group ◽

Remote Areas ◽

Pediatric Age Group ◽

The Impact

Background: The impact of covid pandemic and pan lockdown on the ocular trauma and emergency department has proved the importance of ocular trauma services deliverance on national vision statics. The un-availability of ophthalmic services in remote areas and limited resources have large impact on prognostic outcomes of ocular emergencies. The presentation of ocular emergency cases and their demographic pattern is important in planning and programming of national strategy to cope up with and sustain the ocular emergency services during such pandemics.Methods: Retrospective cohort study at tertiary care center.Results: The incidence of ocular trauma was increased in male pediatric age group with most common mode of injury was wooden objects. The prognosis of visual outcome was ill- affected due to late presentation and un-availability of ocular emergency services in remote areas.Conclusions: The strategy of “Reassess-Reinforce-Resume” was proved successful in sustaining the emerging trend of ocular trauma during COVID pan- lockdown.

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Secondary glaucoma and visual outcome after paediatric cataract surgery with primary bag‐in‐the‐lens intraocular lens

Acta Ophthalmologica ◽

10.1111/aos.14244 ◽

2019 ◽

Vol 98 (3) ◽

pp. 296-304 ◽

Cited By ~ 1

Author(s):

Alf Nyström ◽

Gunilla Magnusson ◽

Madeleine Zetterberg

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

Visual Outcome ◽

Secondary Glaucoma ◽

Paediatric Cataract

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VISUAL OUTCOME IN LAMELLAR KERATOPLASTY: PROSPECTIVE STUDY AT SAROJINI DEVI EYE HOSPITAL, HYDERABAD

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/1760 ◽

2015 ◽

Vol 4 (70) ◽

pp. 12206-12212

Author(s):

Srinivas Prasad K ◽

Ravinder S ◽

Anand Kumar B ◽

Jayanti Ravilala ◽

Atul Gupta ◽

...

Keyword(s):

Prospective Study ◽

Visual Outcome ◽

Lamellar Keratoplasty

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High interstitial fluid pressure (IFP) and hypoxia as biomarkers of cisplatin chemoradiation response in advanced cervix cancer

Journal of Clinical Oncology ◽

10.1200/jco.2009.27.15_suppl.5584 ◽

2009 ◽

Vol 27 (15_suppl) ◽

pp. 5584-5584

Author(s):

A. Fyles ◽

M. Pintilie ◽

D. Hedley ◽

R. Bristow ◽

B. Wouters ◽

...

Keyword(s):

Prospective Study ◽

Interstitial Fluid ◽

Treatment Effectiveness ◽

Locally Advanced ◽

Fluid Pressure ◽

Tumour Microenvironment ◽

Cervix Cancer ◽

Interstitial Fluid Pressure ◽

Response To Treatment ◽

Definitive Treatment

5584 Background: Chemoradiotherapy (CRT) has been shown to improve survival compared to RT alone for locally advanced cervix cancer. The tumour microenvironment in cervix cancer is also known to influence disease progression and response to treatment. In this prospective study, pre-treatment tumour hypoxia and interstitial fluid pressure (IFP) were examined as potential biomarkers of improved treatment effectiveness in a cohort of patients treated with definitive radiation alone, or with the addition of concurrent cisplatin CRT. Methods: Between April 1994 and January 2006, 309 eligible patients with cervix cancer were entered into a prospective study of hypoxia and IFP prior to definitive treatment. Patients accrued between 1994 and 1999 (n = 115) were treated with RT alone, and those accrued between 2000 and 2006 (n = 194) received RT and concurrent weekly cisplatin CRT. Clinical characteristics were similar between the two cohorts except pelvic lymph node metastases were more frequent in the CRT cohort (42% vs. 19%, p = 0.0005), likely due to changes in definition of positive nodes on CT or MR imaging. The median follow-up was 3.6 years (2.9 years for CRT and 7.8 years for RT). Results: The use of CRT improved outcome in hypoxic tumors compared to RT (57% 3-yr DFS vs. 42%, p = 0.045) with a trend to improved DFS in patients with high IFP tumors (57% 3-yr DFS vs. 44% for RT alone, p = 0.056). A strong interaction was identified between IFP and treatment (CRT vs. RT, p = 0.007). After correcting for the effects of clinical prognostic factors, cisplatin significantly improved DFS in the high IFP group (p = 0.02), and showed a trend towards improved DFS in those with hypoxia (p = 0.1). In patients with both high IFP and hypoxia a similar benefit of cisplatin was seen. Conclusions: Patients with high IFP and hypoxic tumours may selectively benefit from the addition of concurrent cisplatin CRT to their treatment regimen. This observation is contrary to an effect of high IFP on impaired drug delivery, but may reflect reduced DNA repair under hypoxic conditions, which could facilitate cell killing with both radiation and cisplatin chemotherapy. No significant financial relationships to disclose.

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