No abstract

To compare endothelial cell density, central corneal thickness changes and evaluate best corrected visual acuity after small incision and phacoemulsification cataract surgery. In this prospective study, patient were presented with significant cataract. Cataract were graded using lens opacities classification system grading. Forty three patients underwent phacoemulsification and forty-one underwent SICS. Patient with any other ocular pathology were excluded. Phacoemulsifiaction was performed, the chop-stop technique and SICS by the viscoexpression technique. The endothelial cell count and central corneal thickness were measured by non-contact specular microscope and best corrected visual acuity evaluated by snellen chart preoperatively and postoperatively on day 1, 3 and 6 week respectively.The mean endothelial cell loss (cells/mm) in phacoemulsification was 194.28 (7.16%), 311.46 (11.48%) and 412.16 (15.20%) and in SICS was 155.41 (6.17%), 230.19 (9.14%) and 296.54 (11.89%) and was statistically significant (P<0.05). There is an increase in mean base line central corneal thickness from 530.44±12.34 micron increased by 62.62 micron (11.80%), 17.88 micron (3.37%)and 6.04 micron (1.13%) in phacoemulsification and 523.24±6.63 micron increase by 38.05 micron (7.26%), 21.24 micron (4.05%) and 2.63 micron (0.50%) in SICS at day i 3 week and 6 week respectively. There was statistically significant (P<0.001). BCVA of better than 6/18 was achieved in 95.34% of the eyes after phacoemulsification and 92.68% after SICS. There was statistically significant.No significant differences in endothelial less loss, central corneal thickness and best corrected visual acuity in between phacoemulsification and SICS.

Background: This study was done to determine the prevalence of computer vision syndrome and associated ocular morbidity in a tertiary care hospital. Methods: A cross sectional observational study was conducted on  673 patients based on the inclusion criteria. The patients were asked to fulfil the computer vision syndrome survey form 3 and OSDI questionnaire. Spontaneous eye blink rate, Schirmer’s test 1, tear break up time, refraction were performed for these patients. Data was collected and analysed by SPSS software. Results: The prevalence of computer vision syndrome was 73% with 294 males and 206 females. The mean age of the patients was 30.29 years. Most of the participants were between 21-30 years. The screen time for most of the study participants (59.80%) came out to be >6 hours/day on average. The chief complaint of majority patients was blurred vision and asthenopia whereas the secondary complaint was watering and headache. Maximum patients (38.20%) from our study were students and competitive exam aspirants followed by teachers and software engineers. The screen modality used by 34.20 % patients was mobile phones > laptops. The mean SEBR was 13.50 minutes. The mean OSDI was 17.44. The screen time was significantly correlated to SEBR (p<0.0001). Also the screen time and OSDI correlation came out to be significant (p<0.0001). Conclusions: The present study revealed a significantly high prevalence of CVS among our patients. The ocular symptoms are predominantly affecting the convergence power of eyes and tear film instability causing blurred vision and dryness.

The purpose of this study is to assess the acceptance, of non-integrated acrylic implant in terms of cosmesis, patient comfort, socket component as well as the comparison of these parameter between eyes with and without implant. Materials and Methods: A total of 25 eyes with specific indications for sacrificing the eye were randomly divided with 2 groups of with and without implant. Ocular parameters were taken before and after surgery. Results: Follow up assessment was done post operatively, at 2nd week, 4th week and 6 months after surgery. In the immediate post operative period, the symptoms of pain, discharge and discomfort were present in all patient belonging to either group. However, on future follow up of 1st week these complaints were significantly less in the group without implant. At 6 months serous, non infectious discharge was present in 20% of the study population of both the groups. Evaluation of the post operative socket in terms of infection, superior sulcus deformity revealed comparable (with implant 13.3% and without implant 20%) data in terms of post operative infection, all of which were well controlled after administering appropriate antibiotics whereas, superior sulcus deformity was present in 100 %cases without implant compare to only 13% at 6 months follow up. Assessment of the complications associated with lid showed that in the group without implants ptosis was present in all cases compared to only 13% (2 cases) in the group with implant. At 6 months, lid complications in the group without implants comprised of 2 cases of entropion and 4 cases of ectropion compared to only one case of ectropion in those with implants. The results in both the group were comparable in terms of occurrence of conjunctival dehiscence and giant papillary conjunctivitis. Conclusion :The placement of an acrylic spherical implant was associated with cosmesis with a much better amplitude of movements at the cost of a relatively more prolonged convalescence.

: Aim of this study was to show the association between retinal neuro-degeneration with peripheral nerve conduction in diabetic (type-II) patients.A total of 30 diabetic patients age ranging from 35-70 years with mild/moderate non proliferative diabetic retinopathy (NPDR) and 30 non diabetic control were studied at M.D. eye hospital Prayagraj R.I.O., Prayagraj. Spectral-Domain -OCT imaging was performed with the cirrus HD-OCT (Version 6.5.0.772; Carl Zeiss Meditec, Inc.), along with nerve conduction study test. Mean ganglion cell inner Plexiform thickness was assessed in diabetic patients with neuropathy (Group-A) and without neuropathy (Group-B) in eyes. The difference between mean thickness of these two groups was found to be significant at same level of significance and confidence interval (t=4.61, p=0.014). Both the significant difference indicate that diabetic patients with neuropathy (Group A), were associated with lower mean of “ganglion cell–inner Plexiform thickness” in both the eyes as compared to without neuropathy patients (Group B). In this study we found a positive correlation between decrease in Ganglion cell-inner plexiform layer (GC-IPL) thickness and decrease peripheral nerve conduction in diabetic patients. Decrease in Ganglion cell-inner plexiform layer (GC -IPL) is predictive of early retinal neurodegeneration in diabetic patients, according to our study.