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 (Mr Daulat Ram) (Mr Daulat Ram) Mon, 31 Jan 2022 00:00:00 +0530 OJS 60 Surgical management of pterygium: comparing various techniques <p>Aim: The study aims to compare the various technique of pterygium surgery like bare sclera,conjunctival autograft with autologous blood and conjunctival autograft with sutures.</p> <p>Method andMaterial: A Prospective observational study was conducted at a tertiary centre in central India fromthe period of July 2019 to March 2021. A total of 50 patients were enrolled for the study after takingconsent. Three technique was used while performing pterygium excision Group 1- Bare sclera (3patients) Group 2- Conjunctival autograft with autologous blood (24 patients) Group 3- Conjunctivalgraft with sutures (23 patients) All the surgeries were performed by a single surgeon. Patients werefollowed up for 18 months. Postoperative complaints and recurrence were noted on everysubsequent visit.</p> <p>Result: We found that post-operative complaints (watering, foreign bodysensation) were higher among group 3 as compared to group 2. However, graft loss was found in 3patients in group 2. Recurrence was found in 2 patients belonging to group 2.</p> <p>Conclusion:Autologous blood and sutures both are good alternatives to attach the conjunctival autograft.Postoperative discomfort is more experienced with sutures although sutures have certain advantagesof fewer chances of graft loss thereby reducing recurrence</p> Sapna Raghuwanshi, Monika Singh, Shreya Tyagi, Nikhila Yadav Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Thu, 17 Feb 2022 00:00:00 +0530 A Prospective Study to Analyse the Post-Operative Outcome ofSutureless and Glueless Pterygium Autograft Surgery <p>Background: The present study was conducted to study the incidence of recurrence afterpterygium excision followed by glueless and sutureless implantation of conjunctival autograft and tostudy the outcome of surgery in terms of graft positioning.</p> <p>Material and Methods: This study wasconducted as a prospective study on 47 patients presenting with pterygium at a tertiary care centreduring the study period of 2 years. Detailed ocular and systemic examinations were done. Patientswere then subjected to pterygium excision followed by glueless and sutureless implantation ofconjunctival autograft. The patients were followed up at 48 hrs after the surgery, then at the firstweek, the first month, third-month sixth month to assess the positioning of the graft, signs ofrecurrence if any (neovascularization, formation of early pterygium tissue).</p> <p>Results: The study wasconducted on a total of 47 patients with pterygium with a mean age of 46.51±15.28 years. Themajority of patients belonged to 51 to 60 years of age (31.9%). Male predominance for pterygiumwith a male: female ratio of 1.6:1 was observed. Majority of patients presented with grade 3pterygium. Recurrence of pterygium and neovascularisation was observed in 8.5% of patients. Graftdisplacement was observed in 17% of patients.</p> <p>Conclusion: Sutureless glueless pterygiumautograft surgery is a safe procedure with less operative time and postoperative complications. Therecurrence rate and risk of neovascularization are low but the incidence of graft failure is one of themajor drawbacks of this procedure.</p> Poorva Shrivastava, Salil Kumar, Lalit Shrivastava Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Thu, 17 Feb 2022 00:00:00 +0530 The Outcome Of Intratympanic Dexamethasone Treatment On Idiopathic Sudden Sensorineural Hearing Loss <p>Introduction: Sudden sensorineural hearing loss is a frustrating symptom which when detected early can be treated with oral, intra venous or intra tympanic steroids.</p> <p>Objective: To assess the effectiveness of intra tympanic steroid injection in idiopathic sensorineural hearing loss.</p> <p>Method: A follow-up study done was among patients satisfying the case definition of idiopathic sudden sensorineural hearing loss. 35 Patients were evaluated by taking clinical history and performing complete physical examination. Pure tone audiogram was performed before and after intratympanic dexamethasone injection and recovery was analyzed.</p> <p>Result: After statistical analysis overall outcome of the hearing was found better with intratympanic dexamethasone injection therapy.</p> <p>Conclusion: Intratympanic dexamethasone therapy was useful in patients with idiopathic sudden sensorineural hearing loss.</p> Yamuna R, U M Archana, A Shaiju, Chippy Mohan Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Thu, 03 Mar 2022 00:00:00 +0530 A Study on Intraocular Pressure Elevation after Intravitreal 4mg Triamcinolone Acetonide Injection in treatment of macular edema <p>Introduction: Macular edema is one of the leading causes of impaired vision in some retinalvascular disorders. Recent clinical studies suggest that intravitreal injection of triamcinoloneacetonide (IVTA) may be a therapeutic option for the treatment of macular edema. In 1995, Penfoldet al reported a pilot study of intravitreal injection of 4mg of triamcinolone acetonide (IVTA) to treatexudative age-related macular degeneration with encouraging results.</p> <p>Materials and Methods: Aprospective, non-comparative study was performed with 87 patients (103 eyes) who received4mg/0.1mL (40g/L) IVTA injection for macular edema and who were followed up for a minimum of 3months at the Department of Ophthalmology. Patients using steroidal eye drops or systemicsteroids, those previously treated with subconjunctival or subtenon steroid injections and those witha prior history of glaucoma were excluded from the study.</p> <p>Results: Of the 103 eyes, the mean agewas 56.3±11.4 years. Indication for the IVTA was progressive declining of visual acuity due tomacular edema associated with retinal venous occlusive disorders or diabetic retinopathy. IOPincreased significantly (p&lt;0.001) from 14.95±2.83 mmHg preoperatively to a mean maximum of19.01±5.92 mmHg postoperatively.</p> <p>Conclusion: According to our results, intravitreal injection of4mg of triamcinolone acetonide can lead to significant IOP elevation in approximately one-third ofpatients, occurring at a mean of 4 weeks after injection. The findings of our study suggest that theIVTA in a dosage of 4 mg could lead to secondary ocular hypertension.</p> Ganeshkumar Jayakrishnan, Deodatt Suryavansh, P.S Giridhar Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Tue, 29 Mar 2022 00:00:00 +0530 A Rare Case of highly Recurrent Trichilemmal Cyst on The Eyelid <p>A 49-year-old male with VA (OU) 6/9 glasses 6/6 presented with complaints of gradually progressive, painless swelling of about .5*.5cm over the OS upper lid in middle 1/3rd since 1 yr. On examination, OS LID had swelled as above, rest examination was normal. He had a history of excision of similar swelling twice in the past diagnosed as a chalazion. Excision was done and the histopathological sample was sent, which reported findings consistent with trichilemmal cyst with no malignant changes. The patient remained symptom-free for 1 month however the swelling recurred. Conclusion: Occurrence of trichilemmal cyst on the eyelid in a male is an uncommon finding and can be confused as a chalazion. It can have multiple recurrences at the lid (4 times in this patient). Despite recurrences, Excision or Incision &amp; Drainage remain the best-known modality of treatment. We hereby conclude newer options can be explored to prevent the recurrence.</p> Shreya Tyagi, Himanshu Gaikwad, Poorva Shrivastava, Neha Singh Jat Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Tue, 29 Mar 2022 00:00:00 +0530