Tropical Journal of Ophthalmology and Otolaryngology <div id="journalDescription-3" class="journalDescription"> <p><em><strong>ISSN: <a href="" target="_blank" rel="noopener">2456-6454 (Online)</a>,&nbsp; <a href="" target="_blank" rel="noopener">2581-4907 (Print)</a></strong></em></p> <p><em><strong>RNI: MPENG/2017/74152</strong></em></p> </div> en-US (Dr D Sharad Gedam) (Dr. Sharad Gedam, Mob: 8989622793 (10 AM to 5 PM, Mon- Sat)) Tue, 31 Aug 2021 00:00:00 +0530 OJS 60 Effect of donor and host factors on corneal graft transparency <p>Objective: To study the correlation between donor factors and recipients' factors on graft clarity.</p> <p>Materials and methods: The study comprised 30 cases of Keratoplasty surgery with a follow up of 6 months. All donor corneas were evaluated by Konan specular microscope for endothelial cell count; details of the donor like age, cause of death were noted. The patients were divided into two groups, Group 1 had graft failure, and Group 2 had clear corneas.</p> <p>Observation and Result: There were 12 patients in group 1 and 18 patients in group 2 with six months of follow up. The mean endothelial cell count in group 1 was 1942.3/mm2, and group 2 was 2334.8/mm2. There is a significant difference in the mean endothelial cell count between the two groups. On analysing the indication for Keratoplasty in two groups, the outcome was best for the corneal opacity group during worst for the graft failure group.</p> <p>Conclusion: Donor endothelial cell count significantly influenced graft outcome; rest donor factors (age, death enucleation interval, enucleation surgery interval) don't affect graft survival. Indication for Keratoplasty is a significant predictor of graft survival.</p> Dr. Amisha Jain, Dr. Hema Joshi, Dr. Nimish Jain Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Tue, 31 Aug 2021 00:00:00 +0530 Clinical patterns of Uveitis in a Regional Eye Institute of North India <p>Background: Uveitis encompasses many conditions, all characterized by inflammation of the uveal tract either directly or indirectly. It can occur at any age but predominantly affects patients in the working-age group.</p> <p>Objective: To report the clinical pattern of Uveitis in North India.</p> <p>Settings and Design: A prospective study in a regional eye institute.</p> <p>Methods: After taking informed consent, 100 patients with Uveitis aged 20–60 years were recruited from eye OPD between 2012- 2014. Detailed history, complete ophthalmic examination, standard diagnostic laboratory tests and radiographic studies wherever required were made.</p> <p>Statistical analysis used: Descriptive.</p> <p>Results: The mean age being 41.55 years. There were 57% males and 43% females with 32% acute uveitis and 68% chronic uveitis cases. Anterior Uveitis was seen in 83% of patients, followed by posterior Uveitis (7%), pan-uveitis (6%) and intermediate Uveitis (4%). A definite association with the systemic disease was determined in 27% of cases. The most frequently observed systemic diseases were ankylosing spondylitis, Tuberculosis and herpes zoster ophthalmicus (6% cases each). This was followed by HIV (3%), sarcoidosis (3%), ulcerative colitis (2%) and endophthalmitis (1%). No specific aetiology or association with systemic diseases could be established in 73% of cases. In most cases, the systemic disease was not suspected before eye involvement and was recognized only after the subsequent diagnostic procedures.</p> <p>Conclusion: The etiological diagnosis of Uveitis is often challenging as there are marked variations in ocular and systemic signs and symptoms. A significant number of cases may unfold with the evolution of advanced techniques.</p> Dr. Pratibha Malhotra, Dr. Mandeep Kaur, Dr. Inderjit Kaur, Dr. Prempal Kaur, Dr. Neeraj Malhotra Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Wed, 29 Sep 2021 14:39:15 +0530 A retrospective study to analyse the ocular morbidity in the slum-dwelling population of central India. <p>Background: The study aimed to evaluate the prevalence of different ocular pathologies in the slum-dwelling population of central India and to find its correlations with socio-demographic factors.</p> <p>Methodology: The study was conducted as a cross-sectional study in 84 slum areas across Bhopal, Jabalpur and areas in the vicinity using a camp-based approach during the study period of 3 years. A total of 15478 participants attended the camp, and of them, 6177 patients had various ophthalmological conditions. A detailed history was obtained, and participants were subjected to a complete ophthalmological examination. Based upon their diagnosis, they were prescribed treatment. Referral to the tertiary care centre was done when needed.</p> <p>Results: The prevalence of ocular morbidities was 39.9%. The most common ocular morbidity documented in our study was refractive errors (22.7%). Proportions of lid pathologies were significantly higher in patients belonging to less than ten years of age (36.4%). In contrast, refractive errors were observed in higher proportions of patients belonging to more than ten years of age (p&lt;0.05). Pterygium ratio was significantly higher in males, whereas ocular malignancies were higher in females (p&lt;0.05). Proportions of almost all the ocular morbidities were substantially higher in patients with low socioeconomic status (p&lt;0.05).</p> <p>Conclusion: The overall prevalence of ocular morbidities in the slum population is high. The most common ocular morbidity includes refractive error and allergic conjunctivitis. These morbidities correlated with age, gender and socioeconomic status. We recommend periodic screening of the slum population across all age range to prevent long term complications and disabilities.</p> Dr. Poorva Shrivastava, Dr Apoorva Soni, Dr. Salil Kumar, Dr. Lalit Shrivastava Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Mon, 11 Oct 2021 00:00:00 +0530 Sleep-disordered breathing a neglected risk factor in primary open-angle glaucoma <p>Background: Sleep-disordered breathing (SDB) is accompanied by large swings in blood pressure and the repetitive hypoxic period during sleep, which may accelerate anoxic optic nerve damage seen in glaucoma. There are many associated risk factors in primary open-angle glaucoma (POAG), but recently, SDB, though a neglected one, is coming up as a risk factor. However, various studies have reported controversial findings.</p> <p>Objective: To evaluate the relationship between SDB and POAG.</p> <p>Design: A hospital-based case-control study.</p> <p>Methods: A total of 400 patients between 30–70 years were recruited from eye OPD between 2008- 2010. They were divided into two groups, 200 cases with established POAG and 200 age and sex-matched healthy subjects with normal IOP in the control group. Detailed history, complete ophthalmic and ENT examination was made along with BMI, blood pressure and neck girth measurement. Both groups were interviewed with a questionnaire regarding SDB and were recorded on the Epworth sleepiness scale (ESS).</p> <p>Results: The mean age being 55.02 ± 8.66 in the POAG group and male predominance noted both in POAG and SDB patients with ESS&gt; 10 was statistically significant (p &lt; 0.05). Also, patients in the POAG group with ESS &gt; 10 had more IOP and BMI, greater neck girth, high BP and more ENT problems with p-value &lt; 0,001, which is highly significant, thus showing the relationship between SDB and POAG.</p> <p>Conclusions: Increased community awareness and earlier detection of glaucoma and its correlation with SDB results in decreased morbidity.</p> Dr. Mandeep Kaur, Dr. Inderjit Kaur, Dr. Jagdeepak Singh Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Tue, 12 Oct 2021 13:48:49 +0530