scholarly journals “OCULAR MANIFESTATIONS OF DIABETES MELLITUS IN RELATION TO THE DURATION OF DIABETES AND GLYCAEMIC CONTROL – A STUDY AT A TERTIARY HEALTH CARE CENTRE”

2021 ◽  
pp. 5-7
Author(s):  
Vishnu Devaraj ◽  
Phani Kumar Sarkar ◽  
Shivam Gupta ◽  
Dipanjali Majumder
Keyword(s):  
Diabetes Mellitus ◽  
Glycaemic Control ◽  
Diabetic Patient ◽  
Blood Vessels ◽  
Vision Loss ◽  
Anterior Segment ◽  
Health Care Centre ◽  
Ocular Manifestations ◽  
Department Of Ophthalmology ◽  
Considerable Morbidity

BackGround: Diabetes mellitus results in considerable morbidity and mortality, affecting about 180 million people worldwide.The primary complications of diabetes due to damage in small blood vessels include damage to the eyes, kidneys,and nerves.Damage to the eyes,known as diabetic retinopathy,is caused by damage to the blood vessels in the retina of the eye,and can result in gradual vision loss and eventual blindness.Usually,a diabetic patient seeks the advice of ophthalmologist only when the ocular condition is in the advance stage.It is therefore,essential to examine the fundus and anterior segment of eye of every diabetic patient periodically at regular intervals,to detect early cases.This study was done to analyze the relation of duration and glycaemic control of diabetes to ocular manifestations among patients attending AGMC & GBP Hospital. Materials and Methods: This crossectional study was carried out on patients of Department of Ophthalmology at AGMC & GBP Hospital from October 2017 to April 2019.A total 85 adult subject (both male and females) of all age group were included in this study.Detailed eye examination and blood investigation like blood sugar and HbA1C was done. Results: The study showed that 26 (30.6%) patients had mild NPDR, 11(12.9%) patients had moderate NPDR, 8(9.4%) patients had severe NPDR, 2(2.4%) patients had PDR and 38(44.7%) patients had normal retina in right eye. 22(25.9%) patients had mild NPDR,10(11.8%) patients had moderate NPDR,7(8.2%) patients had severe NPDR,1(1.2%) patient had PDR and 45(52.9%) patients had no retinopathy left eye.

scholarly journals Factors influencing occlusion therapy in refractive amblyopia

2019 ◽  
Vol 5 (1) ◽  
pp. 15-21
Author(s):  
Niharika K Shetty ◽  
◽  
Indireddy Prathyusha ◽  
Keyword(s):  
Visual Acuity ◽  
Refractive Error ◽  
Vision Loss ◽  
Anterior Segment ◽  
Influential Factor ◽  
Adaptation Period ◽  
Health Care Centre ◽  
Factors Affecting ◽  
Occlusion Therapy ◽  
Myopic Astigmatism

Introduction: Amblyopia is an of important cause of preventable blindness and early detection with timely rehabilitation can prevent blindness in childhood age. It also carries a higher risk of vision loss in fellow eye. The most common method of treatment to recover the monocular function involves patching the good eye in an effort to reinforce the amblyopic eye to improve. In our study we evaluated the factors affecting occlusion therapy in amblyopia patients in terms of age, gender, amount of refractive error and the time period of occlusion as the influential factor in rehabilitation of amblyopia. Methods: In this observational study, all patients between 3 years to 25 years who attended the ophthalmic OPD at Sri Siddhartha Medical College, a tertiary health care centre for ocular evaluation and diagnosed with amblyopia were included in the study. The patients were evaluated for Visual acuity on Snellens visual acuity chart and then subjected to Refractive error evaluation on Unique RK 800 Autorefractometer. Anterior segment was evaluated on Slit lamp and Fundus examination was done on Direct and indirect ophthalmoscope. Post refraction and Post treatment visual acuity was evaluated for the patients on Snellens visual acuity chart. Results: Total of 42 patients were studied out of which 16 were males and 26 were females. All patients were between 3- 35 years of age, with maximum patients 20 (47. 6%) in the age group of 6 to 15 years. 21 patients (50%) were having a baseline visual acuity in the range of 3 meter finger counting to 6/36. The commonest refractive error was astigmatism 23(54.8%) amongst whom compound myopic astigmatism was commonest in 9 patients (21.4%). In our study the post correction visual acuity improvement was 6/24 to 6/6 which was found in maximum patients 31 (73.8%), which further improved in the post occlusion visual acuity in 35 patients (83.3%) from 6/24 to 6/6. Conclusion: In this study we found myopic astigmatism as the commonest refractive error in anisometropic amblyopias. Though we found a female preponderance, the gender association was not found significant in the visual recovery or the treatment response. A good improvement following occlusion treatment as well as refractive adaptation period

scholarly journals Neurosyphilis Presenting with Optic Neuritis

2021 ◽  
Vol 2 (5) ◽  
pp. 1-3
Author(s):  
S. C. Reddy
Keyword(s):  
Optic Neuritis ◽  
Optic Disc ◽  
Vision Loss ◽  
Anterior Segment ◽  
First Episode ◽  
Ocular Manifestations ◽  
Interstitial Keratitis ◽  
Immunodeficiency Virus ◽  
Optic Disc Swelling ◽  
The Right

The incidence of syphilis has greatly reduced in the severity of affected individuals due to the early treatment with antibiotics. However, due to the increase in the prevalence of human immunodeficiency virus (HIV) infection, it has also caused a concurrent rise in the number of neurosyphilis patients. Most common ocular manifestations include uveitis, interstitial keratitis, and vasculitis. A healthy 28-years old man presented with a progressive blurring of vision in the right eye for one month. It was his second episode. The first episode occurred 4 months back which resolved spontaneously without treatment. Vision in the right eye was 6/18. The pupil was dilated and the relative afferent pupillary defect was positive. Fundus examination showed a hyperemic swollen right optic disc with blurred margins and no macular fan or star. Vision, anterior segment, and fundus were normal in the left eye. After the investigations, he was diagnosed as a case of neurosyphilis with optic neuritis. He was treated with intravenous penicillin for two weeks followed by oral penicillin for three weeks. Vision in the right eye improved to 6/6; the optic disc swelling resolved with clear margins. He maintained good vision during the follow-up of six months. Early referral to an ophthalmologist upon suspicion of syphilis, detailed evaluation, and immediate treatment is mandatory to prevent permanent vision loss in these patients.

Serum fructosamine in the assessment of glycaemic control in diabetes mellitus

1987 ◽  
Vol 47 (3) ◽  
pp. 285-292 ◽  
Author(s):  
P. Koskinen ◽  
K. Irjala ◽  
J. Viikari ◽  
R. Panula-Ontto ◽  
M. -T. Matikainen
Keyword(s):  
Diabetes Mellitus ◽  
Glycaemic Control ◽  
Serum Fructosamine

scholarly journals “Old wine in a new bottle” - post COVID-19 infection, central serous chorioretinopathy and the steroids

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Srinivasan Sanjay ◽  
Poornachandra B. Gowda ◽  
Bhimasena Rao ◽  
Deepashri Mutalik ◽  
Padmamalini Mahendradas ◽  
...  
Keyword(s):  
Virus Disease ◽  
Anterior Segment ◽  
Central Serous Retinopathy ◽  
Oral Antibiotics ◽  
Rt Pcr ◽  
Case Presentation ◽  
Ocular Manifestations ◽  
Corrected Distance Visual Acuity ◽  
History Of ◽  
The Right

Abstract Introduction Corona virus disease (COVID-19) pandemic can cause myriad of ocular manifestations. We report a case of unilateral multi focal central serous retinopathy, post COVID-19 infection in an Asian Indian female. Case presentation A 42-year-old female presented to us with unilateral blurring, in the right eye (OD), 12 days after COVID-19 infection. She had fever, chills, shortness of breath and cough with tiredness and was COVID- RT PCR positive. She was administered intravenous and oral antibiotics with injection heparin/remdesivir, during her 7 day stay at the hospital. She was also on steroid inhalers. She had no systemic history of note. On ocular evaluation, her corrected distance visual acuity was 20/40 in OD and 20/20 in left eye (OS). Anterior segment was normal. Anterior vitreous was clear. Fundus examination of the OD showed central serous retinopathy (CSCR) with OS being normal. Conclusion CSCR can occur post COVID-19 due to steroid administration and physicians administering it should be aware of this and refer the patients to an ophthalmologist earlier.

scholarly journals Uveal Melanoma and Secondary Angle-Closure Crisis: A Case Report and Literature Review

2021 ◽  
pp. 476-480
Author(s):  
Tung Thanh Hoang ◽  
Tuan Anh Hoang ◽  
Peter McCluskey ◽  
John Grigg
Keyword(s):  
Retinal Detachment ◽  
Uveal Melanoma ◽  
Vision Loss ◽  
Serous Retinal Detachment ◽  
Anterior Segment ◽  
Angle Closure ◽  
Large Tumor ◽  
Tumor Mass ◽  
Healthy Female ◽  
Life Threatening

A 66-years-old Vietnamese healthy female patient presented with prolonged severe right ocular pain and complete vision loss in that eye. Anterior segment assessment including gonioscopy identified angle-closure configuration. A suspected ciliary body melanoma was seen through the pupil. Posterior segment examination revealed a large tumor mass and 360° retinal detachment (kissing configuration). An ultrasound examination was consistent with a uveal tumor. The painful, blind right eye with a tumor mass was enucleated. Histopathology confirmed a type A uveal spindle cell melanoma associated with total serous retinal detachment without evidence of tumor necrosis, epithelioid cells, scleral, or optic nerve infiltration. There was no evidence of metastasis after 1-year of follow-up. It is critically important to differentiate primary and secondary angle closure, especially in cases with life-threatening ocular malignancy as uveal melanoma.

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