To evaluate the awareness and knowledge of Glaucoma among hospital personnel. Methods: A Crosssectional study was conducted in the hospital consisting of medical and non-medical staff excluding those who have already undergone treatment for Glaucoma. After taking an informed consent, a self-designed questionnaire was administered. Results: 513 people participated in the study with mean age of participants being 34.36+/-5.686 year. Although 95% were aware of Glaucoma, the awareness of causes and treatment of Glaucoma were high only among the clinicians (88%) & very poor (28%) among nursing & administrative staff. 41% were aware that glaucoma can lead to blindness. Conclusion: The study revealed unsatisfactory knowledge concerning glaucoma among health personnel. This alarming revelation warrants the need for enrichment of glaucoma awareness programs.
To assess the visual acuity, identify the cause for reduced vision & to advice patients regarding correction of vision in drivers for safe driving. Analysis of a cross-sectional study of people having a history of driving — two-wheeler, four-wheeler or autorickshaw was done. Best corrected visual acuity (BCVA) less than 6/6 in the better eye were selected for the study through screening camps for KSRTC bus drivers, Autorickshaw drivers and patients coming to the OPD of R L Jalappa Hospital & Research Center in Kolar district, having a history of driving a two-wheeler, four-wheeler & autorickshaw were included. Patients who have stopped driving due to reduced vision were excluded from the study. After taking an informed consent, patients underwent a comprehensive ophthalmic examination. Those patients who were identified as having decreased vision were advised regarding the necessary treatment. Out of 706 patients, 87.99 % of drivers in this study were males and majority belonged to the age group between 20-30 years. 29.17 % of patients did not have driving license though they were driving either 2 or four-wheeler vehicles or Autorickshaws. 41% of patients did not have any eye checkup prior to our examination and after our examination was done 58.9% of patients were advised spectacle correction. This highlights the need for intensified health education to encourage drivers who experience these defects to seek prompt medical help and advice. The prevalence of refractive errors among the study population also indicates the need to enforce the law on comprehensive eye examination by appropriate professionals, as enshrined in the law, rather than just measuring visual acuity prior to acquiring or renewing drivers’ licenses, as is currently the case. Keywords: Best corrected visual acuity; drivers; reduced vision; RTA
To report a case of smoldering vogt-koyanagi-harada disease with extraocular involvement. A 45-years-old male presented with diminished vision in BE for one 1 — week associated with redness, pain, watering, intolerance to light with tinnitus also gives a history of similar complaints, in the past 2years. Examination revealed both eye visual acuity CF1/2 meters. Slit-lamp examination showed conjunctival ingestion, mutton fat KP’s, sluggishly reactive pupil with multiple broken posterior synechaie. Fundus showed grade 2 vitreous cells with multiple opacities, diffuse retinochoroidal thickening with disc edema. Tonometry was 16 and 29 mmhg respectively. B-scan showed multiple vitreous echo’s, diffuse retino-choroidal complex thickening with multiple shallow serous retinal detachment. After routine investigations patient was started on topical and systemic steroids. Lumbar puncture showed 82% lymphocytic pleocytosis. The patient recovered well with 6/24 vision in BE with a resolution of fundus finding at 6week followup. High index of suspicion, timely diagnosis and management are crucial to prevent vision threatening complications in VKH disease. Keywords: Vogtkoyanagiharada disease; retinochoroidal thickening; serous retinal detachment; tinnitus; CSF pleocytosis; systemic steroids
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