Purpose – To compare the outcomes of LSCT with and with out AMT in patients of partial LSCD following chemical burns. Method – 32 eyes with unilateral LSCD were randomized into two groups. Group A included 16 eyes who underwent LSCT with AMT while group B included 16 eyes who underwent LSCT alone at a tertiary hospital. Outcome were measured in terms of improvement of visual acuity , corneal clarity, vascularization and symblepharon reduction. Patients were followed up at end of 1st week,1 month and 3rd month,6th month and 1 year. Results – There was improvement of visual acuity in both groups. Also both group shows reduction in symblepharon score and corneal vascularization. Both group shows improvement in corneal clarity. Conclusions- Both surgical technique are useful treatment modalities in patients with partial LSCD following ocular chemical injury.
Aim: Ocular trauma can result in myriad of presentations, traumatic cataract being one of them. The aim of present study is to find out etiological factors, demographic profile, factors affecting visual outcome in patients of traumatic cataract. Method and Material: A Prospective observational study was conducted in the department of Ophthalmology, Gandhi Medical College, Bhopal. A total of 50 patients were examined and findings were analyzed. Outcome measures: Final visual outcome. Result: We found that people in most productive years of life are more susceptible to injury causing traumatic cataract. Most of the injuries are sustained at workplace or home. Visual outcome in Traumatic cataract depends upon initial visual acuity and associated ocular injuries. Proper management of postoperative complications can significantly improve the visual outcome. Conclusion: Traumatic cataract is an important cause of preventable blindness. People at workplace should be aware of possible injuries. Use of adequate protective measures can decrease the incidence of traumatic cataract.
Aims- Evaluation of corneal topographic pattern & demographic prole with refractive error in paediatric ametropia. Material & Method- we conducted a prospective observational study in 644 eyes of 322 patients, who were presented with refractive error in tertiary centre in central India from a period of January 2018 to June 2019. They were included after taking consent from guardians. To rule out anterior segment pathology, slit lamp examination was carried out and best corrected visual acuity is recorded. Auto-refractometry and retinoscopy was performed to know refractive status of eye. Corneal topography was performed by CORNEAL TOPOGRAPHER Shin- Nippon's CT-1000 &fundus examination was rule out any posterior segment pathology. All procedures and investigation were done by the same surgeon. Result- Most common corneal topographic pattern with hypermetropia and myopia was symmetric and oval in majority of patients, whereas the pattern observed with astigmatism was symmetric and ABS-IS. Conclusion- Corneal topographic pattern might be related to the refractive status of the eye, it also helpful in observe early change and management of corneal disease.
Introduction – Ocular morbidities are frequently associated with closed head injury. These injuries are often ignored or treatment is delayed resulting in permanent visual loss. Aim- This study aimed to nd out the various Ophthalmic manifestation in patients of closed head injury and nd out an association between them. Method- A Prospective observational study was conducted with a total of 120 closed head injury patients in a tertiary care hospital for a period of 4 months. The initial ophthalmic examination was done within 12 hrs of admission and was reviewed daily. GCS was applied to grade the head injury and analysis was done to nd out the association. Results- Out of 120 enrolled patients, 88 cases were male and 32 were female patients in age group of 6 to70 years. Most common cause of sustaining head injury was road trafc accident followed by assault. Periorbital edema and ecchymosis was most common manifestation. RAPD was encountered as most common neuro-ophthalmic manifestation followed by disc edema and extraocular muscle restriction. Poor GCS is associated with frequent pupillary involvement. Conclusion – Young adult males are more vulnerable in sustaining ocular injury associated with head injury followed by road trafc accident. Poor GCS frequently involves pupil abnormality
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