scholarly journals Study of Congenital Ocular Anomalies Prevalent in Routine Eye OPD in a Tertiary Care Hospital

Author(s):  
Arvind Kumar ◽  
Abha Shukla ◽  
Dinesh Matoli

Aims: Congenital ocular anomalies require treatment, visual rehabilitation and genetic counselling. Goes undetected in neonates and children due to lack of routine eye checkup. Diagnosed later during eye examination or when come for disability certificate. Study Design: Prospective and observational study. Place and Duration of Study: We conducted study at tertiary care hospital, over a period of six months (from January 2018 to June 2018). Methodology: Patients with congenital ocular anomalies irrespective of their age were identified. Findings were confirmed by detailed ocular examination and investigations when required. Whatever best management like correcting refractive error, surgery, low vision aids or rehabilitation was advised. Those having acquired defects giving similar appearance as in congenital anomalies, cases of ocular trauma, infections, with prior surgical intervention were excluded. Results: Over a period of six months 128 eyes were detected with congenital ocular anomalies. The most common anomalies were microphthalmos, microcornea and iris coloboma seen in 85 eyes. Other congenital anomalies were congenital cataract, nystagmus, anophthalmos, aniridia, congenital glaucoma, Ankyloblepharon, coloboma of disc, congenital esotropia, lid coloboma, congenital ptosis, axenfield anomaly, limbal dermoid. Conclusion: Patient with congenital ocular anomalies and their parents should be counseled regarding possible current treatment, visual prognosis and genetic counselling regardless of age and time of presentation.

2021 ◽  
pp. 63-71
Author(s):  
Kangjam Radhesana Devi ◽  
R. K. Praneshwari Devi ◽  
Jyoti Priya ◽  
Ahanthembi Sanaton ◽  
Leimapokpam Roshan Singh ◽  
...  

2021 ◽  
Vol 19 (1) ◽  
pp. 62-65
Author(s):  
Sahisnuta Basnet ◽  
Eva Gauchan ◽  
Junu Shrestha ◽  
Jyoti Jha

Background: The study is aimed at highlighting the pattern of congenital defect in a tertiary care hospital. Congenital anomalies are recognized as a growing cause of neonatal morbidity and mortality in developing countries and a major cause of distress to parents.Methods: This was a prospective descriptive study conducted between September 2019 and August 2020 with the objective to determine the types of congenital anomalies among live born neonates at Manipal Teaching Hospital (MTH), Pokhara and to determine their immediate outcome. Neonatal and maternal characteristics were noted.Results: Twenty four out of 2515 live births had congenital anomalies during the study period, giving an incidence rate of 9.42 congenital anomalies per 1000 live birth per year. Single system involvement was seen in 79.2 % cases, remaining 5 (20.8%) neonates had involvement of more than one system; 54.2% of these newborns were discharged, 33.3% expired, 8.3% left against medical advice and 4.2% were referred out.Conclusions: This study highlights the importance of clinical examination of neonates to detect anomalies in our setting. Keywords: Congenital anomalies; incidence; newborn


2015 ◽  
Vol 22 (10) ◽  
pp. 1345-1350
Author(s):  
Muhammad Saad Ullah ◽  
Sohail Safdar ◽  
Muhammad Nabeel Ahmad

Objective: The main objective of the present study was to find out visual outcomeof Low Vision Devices among patients suffering from different diseases causing reduced visualacuity in the area of Dera Ghazi Khan, Southern Punjab, Pakistan. Setting: OphthalmologyDepartment, Dera Ghazi Khan which is a tertiary care hospital. Period: 10th February, 2014 to31st December, 2014. Material and Methods: Patients (n=55) presented for their low visionassessment included two groups age wise as patients equal or more than 18 years age (n=22)and patients less than 18 years (n=33). LOG MAR VA charts, contrast sensitivity test, visualfields through arc perimeters, color vision with color pencils hue 16 test along with objective andsubjective refractions were applied. All the data were entered and analyzed using SPSS version16.00. Results: Patients (n=55) aged 7-90 years presented for their low vision assessment hadmean age 23.73+ 2.9 years. The patients were divided into two age groups. First group was22 (40%) patients equal or more than 18 years age and second consisted of 33(60%) patientsless than 18 years age group. Among the patients examined, 40 (72.7%) were males and 15(27.3%) were females. Our study results revealed that the low vision devices provision wasassociated with a statistically significant improvement in both near and distance visual acuitiesand with patients’ fulfillment. Conclusion: There was a significant improvement in far and nearvisual acuity of the patients suffering from a multiplicity of blindness caused diseases by whichpatients are able to improve their quality of life and able to do their tasks without getting helpfrom others.


2021 ◽  
Vol 59 (241) ◽  
pp. 867-870
Author(s):  
Rakshya Panta Sitoula ◽  
Jamuna Gurung ◽  
Afaque Anwar

Introduction: Primary congenital glaucoma is a rare vision-threatening condition of children. Primary congenital glaucoma though a rare disease it is the most common cause of childhood glaucoma with potency to cause blindness. This study was undertaken to find the prevalence of the children with primary congenital glaucoma under 3 years of age in a tertiary care hospital. Methods: This was a descriptive cross-sectional study conducted at a tertiary eye center in Nepal in children (≤ 3 years) presented in the outpatient department of a tertiary eye hospital between June 2017 and June 2020. The study was approved by the hospital review committee and adhered to the declaration of Helsinki. A convenient sampling method was used. Point estimate at 95% Confidence Interval was calculated with frequency distribution. Data analysis was conducted using Statistical Package for the Social Sciences. Results: Out of total children under 3 years who presented to the outpatient department, 46 (0.31%) at 95% Confidence Interval (0.30-0.32) had primary congenital glaucoma. Among them, 30 children (65.2%) had bilateral involvement. Mean intraocular pressure was 42.40±8.15mm Hg. The mean age of initial presentation, horizontal corneal diameter, and axial length were 12.07±8.9 months, 12.95±1mm, and 23.89±1.7mm respectively. Consanguinity was observed in 12 (26%) children. Conclusions: From the study, we conclude that there was a low prevalence of primary congenital glaucoma among children under 3 years of age who presented to the outpatient department in a tertiary care hospital.


2013 ◽  
Vol 20 (06) ◽  
pp. 1014-1018
Author(s):  
HAMAD RANA ◽  
SHAHID MAHMOOD ◽  
SOSAN SHAHID ◽  
Muhammad Munir ◽  
Mulazam Hussain Bukhari

Introduction: Prognosis is excellent in colonic carcinoma in case of well differentiated growth. All efforts must be done todiagnose the malignancy at an earlier stage for a better outcome specially if it is well differentiated growth. Objectives: To compare thedifferent modes of presentation of carcinoma of large bowel in a tertiary care hospital and their association with pathological findings.Material & Methods: It is a cross sectional retrospective study. Patients with histological proof of carcinoma were included in the study.Data over the period of two year was collected and analyzed. Results: This study included one hundred patients. Mean age was 49.56years and 56 % of the patients were males. 40 % of the patients present between the ages of 40 to 60 years. Mean time of start ofsymptoms and the time of presentation in the hospital was 6.5 months ranges from 1 to 24 months. 76 % of the patients had history ofaltered bowel habits and 60% had anorexia and weight loss. 41.66% of patients had well differentiated growth while 37.55% of patientshad moderately differentiated adenocarcinoma. Conclusions: Majority of the patients with colonic carcinoma had well or moderatelydifferentiated growth. If they are diagnosed and properly treated at an early stage, outcome is good.


Author(s):  
Shahana I. Chandniwala

Background: The objective of this study was to know the local prevalence of congenital anomaly and study the maternal risk factors associated with it.Methods: Cross sectional descriptive study was carved out. All live babies were examined for presence of congenital anomalies and mother were looked for presence of socio-demographic factor.Results: In this study of 1 year 5767 live birth took place at tertiary care centre out of which 63 babies had congenital anomalies. Therefore, prevalence of congenital anomalies at tertiary care centre was 1.08%.Conclusions: The incidence of malformations were significantly higher in babies born to mothers over the age of 35 years and with parity 4 and above. 


2010 ◽  
Vol 17 (01) ◽  
pp. 122-127
Author(s):  
EL-MAHDI EL-BADWI EL-MAHD ◽  
Kaniz Rasul Khan ◽  
ZOHAIR JAMIL GAZZAZ ◽  
Mian Usman Farooq ◽  
KHALID OBEID DHAFAR

Objective: This study had been conducted to highlight the pattern of presenting complaints of the patients admitted in internalmedicine wards of a tertiary care hospital. Design: This observational study was conducted in internal medicine wards of Alnoor SpecialistHospital, Makkah, Saudi Arabia, from 31 -08-2004 to 14-10-2004. Methodology: The data had been collected retrospectively from the files andconsisted of demography, wards allocations, duration of stay, and frequency as well as duration of symptoms at the time of presentation. Datawas analyzed by SPSS version 16 and p<0.05 was considered as significant. Results: Out of total 103 subjects, majority 21 (20.4%) belongedto age group 65-74years. Saudis 75(73%) as well as males 59(58%) predominated. Saudis were older and stayed longer than non-saudis (55.5vs. 45.8years; p<0.05) and (9.3 vs. 6.3days; p<0.05), respectively. Most frequent symptom was fever while 41.2% symptoms had history of2-7days. Only 3.9% patients presented with >6 types of complaints. Diseases of the circulatory system were more prominent (16.5%). Morethan two third patients improved (75.7%) while 9.7% died. Conclusion: Maximum patients were within 65 to 74yrs of age. Saudis were olderand stayed longer than non-Saudis. Fever was the commonest presenting complaint. Minimum patients presented with >6 complaints anddiseases of the circulatory system predominated. A few died but most of them improved.


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