Purpose: To evaluate patients who present with ophthalmic problems with no discernible organic cause and detect malingering in such cases. Materials and Methods: 175 patients reporting to the Ophthalmology outpatient department from January 2017 to January 2018 were included. Patients were examined by various tests in order to document the proof for the reported visual loss. Objective prism tests, Special test cards, Visually evoked potential, Electroretinogram, Visual field analysis, various non visual tasks, Stereopsis testing ,Refraction and behavior of the patient with the clinician were assessed. Data collected and analysed with descriptive statistics. Results: In 175 patients examined, 92 patients (52.6%) were proved to be malingering by above mentioned tests which is statistically significant. Conclusion: Ocular malingering should be suspected when even with the most thorough ocular examination does not reveal a plausible cause for the reported visual loss and exposes the deception behind claims of visual loss in malingerers.
This work studies various factors related to health and fitness among the ophthalmologists in India. A multi-dimensional study using a comprehensive questionnaire which addressed the areas of work patterns, fitness activity patterns, food consumption patterns, the prevalence of occupation-related musculoskeletal disorders and other health hazards, the impact of COVID-19, and career satisfaction. A total of 537 Ophthalmologists from across the country participated in the survey. Considerable number of respondents (21.34 %) reported that they do not get at least one off day per week. Majority of respondents (84.99%) gets at least 6 hours of sleep per day. Only 49.16% of ophthalmologists exercise regularly, out of which 51.77% exercise for at least 30 minutes per day, where the majority prefers walking, yoga or gym as their preferred fitness activity. Majority of respondents (67.59 %) find it difficult to spend time for fitness, majorly due to work pressure, lack of motivation and inflexible workplace. A significant number of Ophthalmologists (57.16 %) suffered from occupation-related neck and back pain. The major occupational hazards reported were psycho-social stress, injury from sharp and verbal abuse. A significant number of respondents (48.29 %) suffered from a salary cut due to COVID-19. 64.04% Ophthalmologists reported that they were content with their career with good confidence. Majority of ophthalmologists suffer from occupational health hazards. Even though there is a strong desire to spend time on fitness activities, the majority find it difficult. COVID-19 hurt Ophthalmologists due to salary cuts and contraction of the disease.
Strabismus is the common condition seen in children and adults in our society. Strabismus has variety of psychosocial impact that can affect the quality of life of the patients. Proper education and awareness regarding the condition can help to rule out the myths associated with strabismus and also building up the personality of the patients. This study was done to know the level of awareness, knowledge about the strabismus in our population and the social impact of strabismus in patients life. Material and Methods: Cross sectional study conducted on 196 patients with strabismus attending outpatient department of Minto Ophthalmic Hospital, regional institute of ophthalmology were included in the study. After taking informed consent, face to face interview conducted asking questions from structured questionnaire prepared. Data collected and analysed with descriptive statistics. Results: Out of 196 patients included in the patients, 128 were males and 68 females. About 9.6 % of patients, were unaware of the condition of strabismus, 56.3% were unaware that squint can cause visual disturbance, 63% were unaware of that strabismus can be treated, 37% of people felt like surgery is the only mode of treatment for strabismus. 60% of the study population expressed that they were rejected for being married due to strabismus because of cosmetic affect, 42.4% felt like squint can hinder the social leadership, 36 % had difficulty in getting job, 28% of the patients expressed being criticized by their friends that lowered their confidence, 75% of the patients felt that they look ugly because of strabismus. Conclusion: Strabismus apart from causing ocular problems, is associated with many psycho-social impact on life of patients. There is lack of awareness regarding the strabismus in our population. Attitude and perception of society towards patients with strabismus will affect the overall confidence, personality of the patients and hence affect quality of life. Hence awareness about the condition, treatment availability is necessary to build up the overall personality of the patients with strabismus, to have better life.
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