Objective: It is a retrospective study to evaluate the effect of myopia on primary open-angle glaucoma by classifying the eyes into NMG (non-myopic glaucoma), HMG (highly myopic glaucoma) And MMG (mild to moderate myopic glaucoma). Methods: The study was performed on 120 patients with primary open-angle glaucoma who were medically treated. Any participant who had surgery done was excluded from the study. The relation between glaucoma and different myopia and progression were assessed on the basis of age, gender, risk factors. Results: Out of the 120 cases assessed, 46 [38 percent] were female and 74 [62 percent] were males. On the basis of age there were 9 cases between 31-40 y, 30 cases between the ages 41-50, 40 cases between 51-60, 32 cases between 61-70 and 9 cases between 71-80, on the basis of myopia 59 [49 percent] were NMG 47 [39 percent] were MMG and 14 [12 percent] were HMG. On the basis of risk factors,12 of them had Diabetes Mellitus, 7 had Hypertension, 7 had a history of steroid use, 3 had a history of migraines and 6 of them had a family history of glaucoma. In the observed one year period 73 percent if the cases were not progressive while 27 percent were progressive. In this study, it has been observed that the males are more commonly affected and the age group with the most cases was the 51 to 60 age group. The majority of the cases showed no risk factors though Diabetes Mellitus is the most common. The progression of the disease is seen more frequently in cases associated with Diabetes Mellitus and Hypertension. In MMG 12 out of the 47 cases were progressive and in NMG 15 out of the 59 cases were progressive. Conclusion: Though high myopia is important in the pathogenesis of glaucoma there was no evidence that high myopia increases the progression of the disease of the 14 cases, only 5 were progressive.
Introduction: The distal end radius fracture is a common fracture type and represents about one sixth of all skeletal fractures. They commonly occur in young males and older females. In young adults it is more common to see a fracture of the Intra-articular component in distal radius, probably due to high-energy trauma such as road traffic accidents. The patient may come with symptoms of pain and swelling around the wrist, sometimes with deformity around the wrist or tenderness at an area with no obvious deformity. Objectives: To analyse the various treatment methods and their outcomes. Materials and Methods: It is a retrospective study conducted on the distal end of radius fractures by the orthopedic department of Saveetha Medical College and Hospital in the years 2018, 2019 and 2020. All the patients were examined both clinically and radiologically. Anteroposterior (AP) and lateral views of the wrist joint on both sides were obtained at the time of injury presentation. Fractures were classified according to the AO classification and anatomical features like the presence of dorsal tilt, radial shortening and loss of radial inclination are also assessed using the Sarmiento’s modification of Lindstrom Criteria. Results: Anatomical results evaluated according to Sarmiento’s modification of Lindstrom criteria showed excellent results were more frequent with open reduction and internal fixation techniques but the most frequently used treatment modality is closed reduction and cast immobilisation. Conclusion: There is no customised treatment for all distal end of radius fractures hence the treatment depends on various factors like the fracture type, characters, patient’s demands and the surgeon’s preference.
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