scholarly journals Profile of Custom Ocular Prosthesis Users in a Tertiary Eye Care Centre in Nepal

2020 ◽  
Vol 4 (3) ◽  

Objective: To analyze the profile of custom ocular prosthesis users in Nepal. Methodology: This was a retrospective study done at Drishti Eye Care System, Nepal from January 2019 to June 2019. One eyed subject who used custom prosthesis for minimum of 6 months or above of any age group were recruited in the study. Information regarding laterality, cause of loss of eye, reason for opting ocular prosthesis and source of information regarding ocular prostheses were collected from the participants. A set of questions were asked to the participants through telephonic interview after the duration of 3 to 6 months wear of ocular prosthesis to collect information on any symptoms after the wear. Results: Mean age of subjects in the study was 31.35±16.59 years (range 1.5 years – 78 years), 46.7% (n=14) were male and 53.3% (n=16) were female. Trauma was the most common cause of loss of the eye in 43.3% (n=13), followed by congenital loss and eye infections in 16.7% (n=5). 43.3% (n=13) of the subjects had lost their right eye and 56.7% (n=17) subjects had lost their left eye. 33.3% (n=10) of the subjects didn’t have any symptoms with the use of prosthesis. Milder form of symptoms like small appearance, mild discharge and pain were major complaints after the wear. Conclusion: There is a need of best prosthetic rehabilitation for the anophthalmic patients.

2021 ◽  
Vol 8 (40) ◽  
pp. 3459-3463
Author(s):  
Kavita Anand Dhabarde ◽  
Karuna Radhakishan Painjane ◽  
Ashok Hukumchand Madan

BACKGROUND Fundus fluorescin angiography (FFA) has been traditional gold standard for detection of cystoid macular oedema (CME) but nowadays optical coherence tomography (OCT) is used more often by to detect CME due to various conditions. Although FFA can assess CME qualitatively, OCT provides quantitative measurement of foveal thickness. The purpose of this study is to compare sensitivity of FFA and OCT for detection of CME and know the etiological distribution of CME and the ability of FFA and OCT in diagnosing CME in different aetiologies. METHODS A hospital based prospective observational diagnostic study was conducted in tertiary eye care centre in central India on 143 eyes of 103 patients. FFA and OCT findings in patients of CME diagnosed provisionally on fundus examination were studied. RESULTS Of total 103 patients studied, maximum patients 20 (19.42 %) were in age group of 55 - 59 years whereas minimum 6 (5.83 %) were in age group of 40 - 44 years. In 103 patients, 61 (59.22 %) were males and 42 (40.78 %) were females. Both eyes were involved in 41 (40.78 %) cases. Most common cause of CME was nonproliferative diabetic retinopathy (NPDR) 52 eyes (35.86 %), followed by branch retinal vein occlusion (BRVO) 32 eyes (22.06 %), then proliferative diabetic retinopathy (PDR) 14 eyes (9.6 %), central retinal vein occlusion (CRVO) 13 eyes (8.96 %). CME on OCT was seen in maximum of retinal vein occlusion patients - CRVO (84.61 %) and BRVO (84.37 %). Of 145 eyes, 114 (78.32 %) eyes had CME. CONCLUSIONS Most common cause of CME was NPDR followed by BRVO, PDR and CRVO. Sensitivity of OCT in comparison with FFA was 100 % with diagnostic accuracy of 81.38 %. Hence, one can use OCT as first modality investigation for diagnosis of CME. KEYWORDS Optical Coherence Tomography, Fundus Fluorescein Angiography, Cystoid Macular Oedema, NPDR


2021 ◽  
pp. 76-77
Author(s):  
Sonali Kajla Singh ◽  
Darshan Bhatt ◽  
B Chandrasekaran

Aim:To study the pattern of uveitis in different age groups of patients visiting Ophthalmology OPD in Chennai Materials and Methods: It is a prospective study, done over a duration of one and half year from September 2018 to February 2020. Atotal of 115 patients were enrolled in the study and divided into 3 groups, based on their age. In each group, demographic analysis, type, etiology and complications of uveitis were studied. Results: Uveitis was found to be most common in the middle age group. Anterior uveitis was the most common site of presentation in all age groups. Non-infectious causes accounted for more than 50% of the total cases, with idiopathic being the most common cause in pediatric and elderly. Conclusion: Proper evaluation and complete workup of uveitis cases, along with investigations is absolutely necessary in all age groups. Idiopathic causes are most common in pediatric and elderly population, with traumatic being most common in the middle age.


Author(s):  
Chandana Chakraborti ◽  
Nabanita Barua ◽  
Sheuli Kumar ◽  
Rosy Kahakashan Chishti ◽  
Subhadri Manna ◽  
...  

Author(s):  
Dr. Rishi Gupta

Aim: To Study the Clinical profile of Ocular Surface Squamous Neoplasia (OSSN). Design: Retrospective study. Materials and Methods: We analysed 28 cases of OSSN who presented to the out-patient department of tertiary eye care centre Hospital, over a period of 1 year from January 2017 to January 2018. Results: In patients, who presented with OSSN age ranged from 24 to 70 years, mean age being 44.80 years. Males were predominantly affected accounting for 64.28%. A nodule at the libus is the commonest presentation. About 25% of the patients were positive for HIV with mean age of presentation 32 years. Among HIV positive patients 5 cases had SCC. Conclusion: OSSN was observed more common in males. Nodular type of lesion is the commonest variety. HIV positive individuals have an increased incidence of OSSN with invasive characteristics. Hence, ophthalmologists need to be aware of this association and a thorough workup is warranted for all patients presenting with OSSN, especially in the younger age group. Keywords:   Ocular surface squamous neoplasia, Carcinoma in-situ(CIS), Squamous cell carcinoma (SCC)


2014 ◽  
Vol 34 (2) ◽  
pp. 100-103 ◽  
Author(s):  
Ajaya Kumar Dhakal ◽  
D Shrestha ◽  
A Shakya ◽  
SC Shah ◽  
H Shakya

Introduction: Acute poisonings are one of the common cause of emergency visits and hospital admissions and is potentially preventable cause of childhood mortality and morbidity. The objectives of this study were to identify the common type of poisoning in children, to determine types of poisoning according to age and to find out the common age group in which the incidence of poisoning was high.Materials and Methods: It was a descriptive observational study done in a teaching hospital in Lalitpur, Nepal in patients aged 1 month to 18 years who visited the emergency department and were admitted to hospital with history of alleged poisoning from 2009 July to 2014 January.Results: Fifty patients were included. Drugs, kerosene and organophosphorus were most common cause of poisoning. Drugs and kerosene below 10 years of age and organophosphorus and drugs above 10 years of age were common types of poisoning. Maximum numbers (50%) of children with poisoning cases were below five year of age. Mean duration of hospital stay was 2.1days and mean age of poisoning was 7.8 years with a male(54%) predominance. Majority of poisoning occurred at home (84%) and 68% of patients were symptomatic at presentation to hospital with 84% of patients presenting to hospital within six hours.Conclusion: This study showed that drugs, kerosene and organophosphorus were most common forms of poisoning. Young children were most vulnerable for acute poisoning.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10139J Nepal Paediatr Soc 2014;34(2):100-103 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maureen O’Brien Pott ◽  
Anissa S. Blanshan ◽  
Kelly M. Huneke ◽  
Barbara L. Baasch Thomas ◽  
David A. Cook

Abstract Background CPD educators and CME providers would benefit from further insight regarding barriers and supports in obtaining CME, including sources of information about CME. To address this gap, we sought to explore challenges that clinicians encounter as they seek CME, and time and monetary support allotted for CME. Methods In August 2018, we surveyed licensed US clinicians (physicians, nurse practitioners, and physician assistants), sampling 100 respondents each of family medicine physicians, internal medicine and hospitalist physicians, medicine specialist physicians, nurse practitioners, and physician assistants (1895 invited, 500 [26.3%] responded). The Internet-based questionnaire addressed barriers to obtaining CME, sources of CME information, and time and monetary support for CME. Results The most often-selected barriers were expense (338/500 [68%]) and travel time (N = 286 [57%]). The source of information about CME activities most commonly selected was online search (N = 348 [70%]). Direct email, professional associations, direct mail, and journals were also each selected by > 50% of respondents. Most respondents reported receiving 1–6 days (N = 301 [60%]) and $1000–$5000 (n = 263 [53%]) per year to use in CME activities. Most (> 70%) also reported no change in time or monetary support over the past 24 months. We found few significant differences in responses across clinician type or age group. In open-ended responses, respondents suggested eight ways to enhance CME: optimize location, reduce cost, publicize effectively, offer more courses and content, allow flexibility, ensure accessibility, make content clinically relevant, and encourage application. Conclusions Clinicians report that expense and travel time are the biggest barriers to CME. Time and money support is limited, and not increasing. Online search and email are the most frequently-used sources of information about CME. Those who organize and market CME should explore options that reduce barriers of time and money, and creatively use online tools to publicize new offerings.


2018 ◽  
Vol 38 (3) ◽  
pp. 308-311 ◽  
Author(s):  
Rebika Dhiman ◽  
Digvijay Singh ◽  
Shiva P. Gantayala ◽  
Vaitheeswaran L. Ganesan ◽  
Pradeep Sharma ◽  
...  
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