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  • IP Innovative Publication Pvt Ltd  (10)
  • 1
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 8, No. 4 ( 2022-12-28), p. 487-491
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 8, No. 4 ( 2022-12-28), p. 487-491
    Abstract: The study was conducted to observe the pattern of ocular morbidities in patients attending the ophthalmology department during the COVID-19 pandemic. : A prospective observational study was conducted in a tertiary eye care centre in Central India from 1 January 2020 to 31 December 2020, among a total of 982 patients with ocular manifestations who attended the outpatient department or emergency department. A detailed history was taken and a complete anterior and posterior segment examination was done. The standard investigation and treatment protocol of the institution was followed in all cases. : A total of 982 patients were enrolled in our study with a mean age of 36.42±18.05 years. Male preponderance was noted with an M: F ratio of 2.43. A wide spectrum of ocular manifestations during COVID-19 was observed. The anterior segment was involved in 85.1% and the posterior segment was involved in 14.9% and most common ocular manifestations affecting the anterior segment were noted as computer vision syndrome observed in 18.1% cases, followed by cataracts in 11.4% cases. : Various programs should be implemented to help in reducing the load of visual disability and blindness in the community which is increased after the COVID outbreak. With changing trends in geographical and socio-economical patterns of diseases, similar kinds of a pandemic may occur in the future. There should be formation of flexible government strategies for changing dynamics that can be timely implemented in the future for better management of curable/avoidable diseases.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
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  • 2
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 8, No. 1 ( 2022-3-28), p. 72-78
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 8, No. 1 ( 2022-3-28), p. 72-78
    Abstract: : The present study aimed to determine the prevalence and pattern of ocular manifestation in HIV positive patients and to correlate ocular lesions with CD4 counts in HIV positive patients. The study was conducted as an observational study on seropositive HIV patients attending ART center and OPD department of ophthalmology during the study period of 2 years. Detailed sociodemographic and clinical history was obtained. Patients were subjected to thorough ophthalmologic evaluation and necessary investigations and findings were noted. Ocular manifestations could be observed in 36 (52.2%) cases. Among them, unilateral ocular manifestations were observed in 11 (15.9%) cases and bilateral involvement in 25 (36.2%) out of 69 patients. A wide spectrum of ocular manifestations were observed, most commonly of posterior segment. Ocular manifestations were not significantly associated with CD4 count (p & #62;0.05) except CMV retinitis which was significantly associated with lower CD4 count ( & #60;150 in 14.3% cases). Papilledema was significantly associated with higher CD4 count (p & #60;0.05). Ocular manifestations in HIV positive patients has a wide range of presentation. Every HIV patient must be educated about their ocular condition and should be advised to undergo regular ophthalmic examinations. Health care professionals also should be educated and trained in every aspect so as to pick up early cases of ophthalmic manifestations of HIV and should have coordination with ART center for easy assessment, detection and treating of vision-threatening ocular lesions at the earliest possible.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
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  • 3
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 8, No. 1 ( 2022-3-28), p. 130-136
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 8, No. 1 ( 2022-3-28), p. 130-136
    Abstract: The study aimed to assess the prevalence of ocular involvement in children 6 months to 5 years attending tertiary care centre with Severe Acute Malnutrition and to detect the associated risk factors for ocular morbidity in severe acute malnutrition. : This hospital based observational study was carried out at Gandhi Medical College, during the study period of 2 years on children diagnosed with SAM belonging to 6 months to 5 years of age. Detailed history was obtained and physical, systemic and ocular examination was done. : A total of 100 severe acute malnourished children were included. Prevalence of ocular involvement in severe acute malnourished children was 72%. Conjunctival pallor was observed in 71.5% eyes and retinal hemorrhages were most common posterior segment finding. Vitamin A deficiency signs were observed in 17 eyes (8.5%). Higher birth order and number of sibling was significantly associated with higher incidence of ocular manifestations (p & #60;0.05). However, other variables showed no significant association between other variables and ocular manifestations (p & #62;0.05). Training should be given to health workers at the primary health care level and health centers on counseling mothers on feeding, growth monitoring, the preventable eye blinding diseases and hygiene during the vaccination sessions and early referral of children with eye signs to hospitals. Also education of couple regarding proper nutrition of mother and child should be encouraged and couples should be insisted to have not more than two children.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
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  • 4
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 8, No. 4 ( 2022-12-28), p. 509-513
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 8, No. 4 ( 2022-12-28), p. 509-513
    Abstract: The aim of this study was to identify the factors influencing the duration of spontaneous regression of Retinopathy of Prematurity. A prospective observational study was conducted over a duration of 1.5 years from December, 2019 to May, 2021. All the infants presenting with ROP or developed any stage later were considered for the study and were followed up as per International Classification of Retinopathy Guidelines (ICROP), 2005 guidelines till compete vascularisation. Data regarding the birth history and maternal factors were noted. In those neonates in whom the Retinopathy of Prematurity presented or progressed to type 1 ROP were treated and the rest were followed up till complete vascularisation and duration noted. Risk factors were compared in neonates undergoing spontaneous regression within 45 weeks PMA and those taking longer than 45 weeks. The Statistical analysis was performed by SPSS 23.0 version. Mean gestational age in neonates undergoing earlier spontaneous regression ( & #60;45 weeks) was 31.86±2.02 months, and that of delayed spontaneous regression group was 33±2.24 months. Mean birth weight in earlier spontaneous regression group was 1537.14±202.02 grams, and that delayed spontaneous regression group was 1406.19±229.88 grams. Mean duration of complete regression of ROP is 44.9 weeks postmenstrual age. Higher birth weight and Hyperbilirubinemia was found to significantly cause the regression of ROP within 45 weeks (P=0.021). Higher birth weight and Hyperbilirubinemia was found to cause earlier regression of ROP and hence could be a possible protective factor in the pathogenesis of ROP.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
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  • 5
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 8, No. 4 ( 2022-12-28), p. 533-537
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 8, No. 4 ( 2022-12-28), p. 533-537
    Abstract: The retinal nerve fibre layer is a most crucial indicator of optic nerve damage in glaucoma as it advances visual field loss. Thickness of the RNFL can be measured using high resolution OCT. We conducted this study to evaluate the alterations in retinal nerve fibre layer thickness measured by SD- OCT in ametropes and to find various factors affecting RNFL thickness. : Study of retinal nerve fibre layer thickness (RNFL) by Optical Coherence Tomography (OCT) in ametropes in tertiary care hospital of central India. Hospital based prospective observational study included 300 eyes of 150 participants. Visiting ophthalmology outpatient department Gandhi medical college and fulfilling the inclusion and exclusion criteria. : Patients were divided into five groups of 60 eyes each on the basis of refractive status of eyes into emetropia, low hypermetropia, moderate hypermetropia, low mypopia and moderate mypopia. Subjects were subjected to OCT scan and RNFL thickness was measured. All groups were evaluated and observations were noted and results were analysed. To find the association between degree of ametropia and RNFL thickness one way ANOVA test was used. Correlation between axial length and RNFL was assesed by pearson correlation coefficient. p value & #60;0.05 was considered as significant. : RNFL thickness in different groups followed ISNT rule with inferior quadrant showing the greatest thickness followed by the superior, nasal and temporal quadrants. The average RNFL thickness in emmetropics, Low hyperopic, Moderate hyperopic, Low myopic, Moderate myopic was 111.90μm, 110.58 μm, 114.59 μm, 103.33 μm, 93.33 μm respectively, wheras average axial length was 23.85mm, 22.36mm, 21.33mm, 24.72mm, 25.63mm. : With the help of OCT, we can differentiate the changes in RNFL thickness in various refractive errors. So, the refractive status of the eye should be kept in mind before making any ocular diagnosis in which the RNFL is a diagnostic criteria.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
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  • 6
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 8, No. 4 ( 2022-12-28), p. 538-542
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 8, No. 4 ( 2022-12-28), p. 538-542
    Abstract: To study the causes and risk factors for development of myopia and to see short term progression in children of 0 – 15 years. A prospective observational study was conducted among children attending the Ophthalmology department of a Tertiary care centre in Central India, from October 2019 to September 2021. In order to determine the refractive status of the eye, all subjects underwent visual acuity tests, anterior and posterior segment examinations, and various other investigations. Data was collected during the first year concerning their parents' use of spectacles, duration of indoor activity near work, and outdoor activity, and progression was tracked during the second year. Statistical software SPSS 23.0 version was used to tabulate and analyze the data. Amongst714 children between the age 0 – 15 years, myopia was seen in 19.9% subjects. Amongst those with myopia, 28% showed progression. In those showing progression, 50% belonged to 11 – 15-year age group, a female predilection of 64.3%, 50% with parental history of refractive error, 71.4% subjects were involved in & #62; 2 hours/day of indoor active near work and 57.1% subjects were involved in & #60; 2 hours/ day of outdoor activity. In subjects with progression of myopia, 71.4% had an increase in axial length of & #60; 1 mm. While in subjects less than 10 years of age, steeper cornea was a more common factor for progression as compared to increase in axial length, seen in 57.1% cases. Myopia progression in the growing age group is inversely correlated with time spent engaging in outdoor activity, on the other hand, it shares a strong positive correlation with time spent on indoor active near work. Corneal curvature plays a more significant role in progression of myopia as compared to axial length in younger age group.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
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  • 7
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2023
    In:  IP International Journal of Ocular Oncology and Oculoplasty Vol. 8, No. 4 ( 2023-2-28), p. 280-282
    In: IP International Journal of Ocular Oncology and Oculoplasty, IP Innovative Publication Pvt Ltd, Vol. 8, No. 4 ( 2023-2-28), p. 280-282
    Abstract: Apert syndrome is a congenital type 1 acrocephalosyndactyly characterized by craniosynostosis, dysmorphic facial features and symmetrical syndactyly. There is premature fusion of cranial sutures which leads to restriction of intracranial and orbital space expansion giving characteristic dysmorphic facial appearance. We are reporting two cases of Apert syndrome of different age groups from ophthalmic point of view, and with different sets of ocular manifestation. Of the two cases, the one who presented early had a better visual prognosis. Apert Syndrome has a social stigma and the patients often suffers social and psychological disturbances. Patient counselling, timely management by multidisciplinary approach and regular follow ups are an important aspect which can offer a better quality of life.
    Type of Medium: Online Resource
    ISSN: 2581-5024 , 2581-5016
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2023
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  • 8
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2019
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 5, No. 3 ( 2019-9-28), p. 335-338
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 5, No. 3 ( 2019-9-28), p. 335-338
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2019
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  • 9
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2023
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 9, No. 3 ( 2023-9-28), p. 359-364
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 9, No. 3 ( 2023-9-28), p. 359-364
    Abstract: Retinopathy of prematurity (ROP) is a serious condition affecting premature infants and identifying maternal risk factors is essential for its prevention. This study aimed to identify maternal risk factors associated with ROP in preterm newborns at a tertiary care center. This cross-sectional study was conducted between August 2021 and September 2022 at a tertiary care center. All preterm and low birth weight neonates attending the ROP clinic or admitted to the neonatal intensive care unit (NICU) were included, while term neonates and those weighing ≥2.5 kgs with anterior segment/posterior segment pathology other than ROP were excluded. Data on maternal and neonatal characteristics were obtained and inferential analysis was conducted using the chi-square test and Student’s t-test. Out of 410 preterm newborns included, 109 were diagnosed with ROP, indicating an institutional incidence of 26.58%. Advanced maternal age, low socio-economic status, urinary tract infection, chorioamnionitis, multiple pregnancy, pre-eclampsia, maternal anemia, history of asthma and steroid use during pregnancy were significantly associated with ROP. This study highlights the importance of addressing modifiable maternal risk factors to reduce the incidence of ROP in premature infants. Screening for ROP should be prioritized for neonates born to mothers with these risk factors to improve visual outcomes.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2023
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  • 10
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Clinical and Experimental Ophthalmology Vol. 8, No. 3 ( 2022-10-28), p. 378-382
    In: Indian Journal of Clinical and Experimental Ophthalmology, IP Innovative Publication Pvt Ltd, Vol. 8, No. 3 ( 2022-10-28), p. 378-382
    Abstract: Corneal diseases are one of the leading causes of visual loss and blindness, after cataracts and glaucoma across the globe. Management of corneal blindness requires corneal transplantation which is dependent on voluntary corneal donations and needs tremendous post-operative care and follow-up. The success of the procedure depends upon various donor and recipient factors that need to be studied. A prospective study was conducted in the eye bank of the tertiary care eye center in central India after getting the approval of the institutional ethical committee. A total of 26 eyes of 13 donors were studied, out of which 23 eyes underwent penetrating keratoplasty, among these, 3 eyes underwent therapeutic penetrating keratoplasty, 16 eyes underwent optical penetrating keratoplasty and 4 eyes underwent triple procedures. Recipients were followed up at 1 week, 1 month, and 3rd months, and data were analyzed. Graft survival was significantly better in the recipients without pre-operative corneal vascularization (p=0.004). Corneas from a donor with open eyelids showed significantly poor graft survival. This was statistically significant (p= 0.047). On the other hand, based on donor lens status, we did not find any difference in the survival of the graft. Practices like lid closure and eye drop installation should be promoted from the time of death, for preserving donor tissue quality. HCRP should be promoted and practiced at the national level as it is effective in increasing the rate of eye donation and positively affects graft outcomes.
    Type of Medium: Online Resource
    ISSN: 2395-1443 , 2395-1451
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
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