Tropical Journal of Ophthalmology and Otolaryngology 2020-05-18T07:55:07+00:00 Dr D Sharad Gedam Open Journal Systems <div id="journalDescription-3" class="journalDescription"> <p><em><strong>ISSN (Online): 2456-6454, ISSN (Print): 2581-4907, </strong></em><strong><em><span style="text-decoration: underline;">Now Monthly since July 2018</span>, Indexed with Index Copernicus</em></strong></p> <p>Tropical Journal of Ophthalmology and Otolaryngology is commencing its publication from July- December 2016. It was a half yearly, peer reviewed open access medical Journal till December 2017. It will publish Monthly from July 2019 onword.</p> <p>It full fill all criteria updated in Sepember 2015 for promotion by MCI {Medical Council of India}.&nbsp;It s Indexed with&nbsp;Index Copernicus. <a title="ICV Value" href="" target="_blank" rel="noopener"><strong>Link</strong></a><br><br>This is an open access journal which means that all content is freely available without any charges to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.<br><br>We welcome articles from all medical specialties. We accept, in English Review articles, Research/Original articles, Case Reports, Case series, Research letters &amp; Letters to Editor.<br><br>Our motto to is&nbsp; to provide an international platform to the large volume of research work which in going on all around the world. Our mission is to update medical fraternity with the latest knowledge. We are committed and promise to take this journal to greaterer heights. We request all&nbsp; readers to submit articles for the upcoming issue.<br><br>We are already indexed with Index Copernicus, Google Scholar, Cross ref, Research Boble, etc. We are making efforts to get indexed with other International and National databases shortly.</p> </div> Study of the importance of family screening of glaucoma: identifying the target 2020-04-24T07:48:13+00:00 Achyut N Pandey Parul Singh <p>Aim: To describe the value and results of family screening of glaucoma patients in the glaucoma clinic of a tertiary center in the Garhwal Himalayan region over a period of one year.</p> <p>Material and Method: 300 patients underwent comprehensive ophthalmic examination and glaucoma examination including IOP measurement by Goldman applanation tonometry, binocular dilated fundoscopy with +90D Volk lens, gonioscopy using the 4 mirror Volk goniolens.</p> <p>Results: 300 persons detected with primary glaucoma whose families were invited to participate in the family screening initiative, there were 114 first degree relatives who attended the screening with a response rate of 32%. The relatives of probands ranged in age from 18 to 89 years with 56.8% being males. 198 were diagnosed as primary angle-closure suspects, 8 as angle-closure,238 as glaucoma suspects and 132 subjects (11.6%) had definite glaucoma. Most affected subjects were in 40-70 years. The angle-closure disease was found more in females.</p> <p>Conclusion: Study also found a higher prevalence of glaucoma in siblings; especially the angle-closure entity. Targeting first degree relatives of persons with primary glaucoma may offer a relatively inexpensive way of detecting glaucoma and in the identification of suspects at risk of glaucoma who may be advocated closer monitoring.</p> 2020-03-31T00:00:00+00:00 Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society Orbital cysticercosis: varied presentations with management plan 2020-05-18T07:55:07+00:00 Noorjahan Sajid Priyangee Sen Shoeb M. <p>Introduction: Cysticercosis is a systemic parasitic disease caused by the larval form of the cestode pork tapeworm, Taenia solium. Along with subcutaneous tissue and skeletal muscles, eyes, brain, bladder wall, and heart are also the commonly involved sites of lodgment of the larva. The larval lodgment at these sites causes potentially harmful and variable clinical manifestations. Ocular cysticercosis can be extraocular or intraocular.</p> <p>Material and Methods: An immunologic reaction with fairly intense inflammatory signs and symptoms may be produced, and the surrounding structures may be compressed. Acquired strabismus, diplopia, recurrent redness, and painful proptosis are some of the clinical signs in patients with orbital cysticercosis. The present study report 8 cases of ocular cysticercosis with a variety of clinical presentations depending on the exact site of larval involvement.</p> <p>Result: Patient CT Scan was done to confirm the clinical diagnosis in most of the posterior segment and orbital lesions. Rest investigations were within normal limits.</p> <p>Conclusions: It becomes important to report these cases because of the relative rarity of the condition these days, myriads of presentation and age group, the relative concentration of cases in endemic areas, and CT Scan used as the definitive investigation to confirm orbital cysticercosis and rule out neurocysticercosis.</p> 2020-03-31T00:00:00+00:00 Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society External dacryocystorhinostomy for patients of chronic dacryocystitis with chronic rhinosinusitis 2020-05-18T07:52:44+00:00 Dr Saurabh Agarwal Renu Arora Sumit Upadhyay <p>Introduction: Dacryocystitis is characterized as an inflammatory state of the nasolacrimal sac. It is typically caused by an obstruction within the nasolacrimal duct and subsequent stagnation of tears in the lacrimal sac. Stagnation of tears will provide a favorable environment for infectious organisms to propagate and proteinaceous debris to form.</p> <p>Materials and Methods: In this prospective, observational study conducted over a 5-year period (March 2011 to February 2016) in a tertiary eye care center and department of Ophthalmology and otorhinolaryngology, consecutive subjects (60 chronic sinusitis patients) were recruited with primary obstruction of the lower lacrimal drainage system due to chronic dacryocystitis who underwent external dacryocystorhinostomy (EDCR) by a single surgeon.</p> <p>Results: A total of 60 patients were included in this study, concerning the gender, there was a predominance of the female with 39 out of 60 patients (64.1%) and males were 21 patients. Age groups of 1-20 years are 3 patients (4.61%) and predominant age in the study was elderly more than 61 years old patients 40%. The clinical characteristics of chronic dacryocystitis are shown in table 3, epiphora was found in 51 patients (78.4%) and absent in 14 patients (21.5%). The discharge by the digital expression of the lacrimal sac was attained in 45 patients (69.2%) and not attained in 20 patients (30.8%). The previous history of exacerbation of chronic dacryocystitis identified as purulent discharge occurred in 5 patients (7.7%) and non-occurrence in 60 patients (92.3%).</p> <p>Conclusion: The physiopathology of the CDC is not fully known. This study reveals a possible influence of CRS on the CDC, emphasizing its action on the exacerbation of the symptoms.</p> 2020-03-31T00:00:00+00:00 Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society Demographic and clinical profile of venomous snake bite-related ocular manifestations among the paediatric age group in a tertiary care hospital 2020-05-18T07:50:37+00:00 Subhasis Jana Soumya Ray Mousumi Banerjee <p>Background: The children having high case fatality and working children (10-14 years) actually belong to the high-risk group of snakebite cases. There is a significant lack of knowledge of the clinical-epidemic profile of snakebite cases in the pediatric age group.</p> <p>Objectives: To determine the ocular manifestations as well as the magnitude of long-standing visual impairment following snake bite among the pediatric population.</p> <p>Methods: A prospective observational cross-sectional study was conducted on all the venomous snake bite patients admitted in the pediatric ward of our institution. Bed side ophthalmological evaluation initially by recording visual acuity, ocular position, extraocular movements and anterior segment evaluation were done. Response to treatment and the residual ocular morbidity were also recorded. The collected data were analysed using appropriate statistical methods.</p> <p>Results: A total of 124 patients were presented to the pediatric department and included in the study. It was observed that males (75.81%) are a more common victim of snakebite whereas lower limb (89.50%) being the common site of snake bite.</p> <p>Total no of patients: 15 (12.09%) patients had ocular manifestations, dimness of vision is the most common symptom of neurotoxic snake bite followed by ptosis, external ophthalmoplegia, diplopia, optic neuritis, and significant persisting visual impairment. Sub conjunctival hemorrhage (90.90%) being the commonest manifestation of vasculogenic snake bite followed by retinal hemorrhage, vitreous hemorrhage, lid edema, hyphema, anterior uveitis, and significant persisting visual impairment.</p> <p>Conclusion: Early treatment and close monitoring will help to reduce ocular morbidity. Health education to increase awareness about the hazards of snakebite, early hospital referral, and effective treatment will reduce the global burden of human suffering inflicted by this neglected tropical disease.</p> 2020-03-31T00:00:00+00:00 Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society