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)) Thu, 06 Jan 2022 22:37:14 +0530 OJS 60 CLINICAL PROFILE OF PROPTOSIS IN A TERTIARY EYE CARE HOSPITAL IN CENTRAL INDIA <p><strong>Introduction- </strong>Proptosis is the protrusion or forward displacement of one or both eye balls from posterior pressure on the globe due to increased orbital volume either from intraorbital or intracranial space occupying lesion. The aim of this study is to find out the aetiology, clinical features, and it’s management.</p> <p><strong>Material and Methods- </strong><strong>Study setting</strong>- Department of ophthalmology, BRLSABVM Medical College, Rajnandgaon (CG), India. <strong>Study duration</strong>- July 2017 to June 2020. <strong>Type of study</strong>- Prospective study. <strong>Sampling methods</strong>- Universal sampling method. <strong>Sample size</strong>- 875 patients presenting with ocular surface symptoms over a period of 3 year were included.</p> <p><strong>Results- </strong>In present study 875 patients presented with provisional diagnosis of proptosis, Out of them in only 48 patients confirmed proptosis was seen. In present study it was found more common in males than females. The most common etiology of proptosis in present study was orbital cellulitis, among them two had bilateral proptosis. Neoplasm was the second most common cause of proptosis affecting 13 eyes of 11 patients. The most common symptoms was protrusion of eye followed by eye pain &amp; headache. Other symptoms are diminished vision, diplopia, diminished motility, epiphora, chemosis &amp; proptosis.</p> <p><strong>Conclusion- </strong>Present study showed that the most common cause of proptosis is orbital cellulitis. The etiology and pathogenesis of proptosis is diverse, which can be vision or life threatening, highlighting the need for early and timely diagnosis of these cases, mandating various spectrum of investigations.</p> Abha Sinha Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Thu, 06 Jan 2022 00:00:00 +0530 Can Myopia Be Reversed? - A Study on the Role of Atropine Eye drops in Arresting Myopia Progression <p><strong>Purpose:<span class="Apple-converted-space">&nbsp;</span></strong></p> <ol> <li>To investigate the effect of atropine in retarding progression of myopia.</li> <li>To compare rates of retardation of myopia progression using 0.05% atropine and 0.1% atropine.</li> </ol> <p>&nbsp;</p> <p><strong>Methods:</strong></p> <p>This is a hospital based prospective study. Patients were selected from children, between 6-18 yrs of age, visiting the outpatient department of our hospital, with spherical equivalent (SE) =&gt;-1D in both the eyes (with spherical equivalent (SE) progression rate &gt;= 0.5D/year). Groups with 0.05% atropine eyedrops, 0.1% atropine eyedrops and control were allocated randomly. Myopia progression was measured by change in spherical equivalent and axial length at baseline and every 3 months till 1 year.</p> <p>&nbsp;</p> <p><strong>Results:<span class="Apple-converted-space">&nbsp;</span></strong></p> <p>In our study, a total of 48 eyes of 24 children were included, out of which 83.33% were in age group 6-12years; rest in 13-18years age group. The mean change in spherical equivalent in our study after one year was -0.72±0.21D, -0.11±0.096D and -0.19±0.18D in placebo, 0.1% and 0.05% atropine groups respectively. Also, the mean change in axial length our study after one year was 0.45±0.15mm, 0.13±0.20mm and 0.11±0.02mm in placebo, 0.1% and 0.05% atropine groups respectively. Change in both parameters were found to be statistically significant.</p> <p><strong>Conclusion:</strong></p> <p>We conclude that night time<span class="Apple-converted-space">&nbsp; </span>application of 0.05% and 0.1% atropine eyedrops<span class="Apple-converted-space">&nbsp; </span>is efficacious in retarding progressive myopia in Indian eyes. Atropine eyedrops were better tolerated in pre-adolescent children. Drop out rate was more in the adolescent population, which may be due to more amount of near work.</p> <p><strong>KEYWORDS: </strong>atropine, axial length, myopia, spherical equivalent</p> Anchal Tripathi, Ramesh Chand Gupta, Shalini Mohan Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Wed, 12 Jan 2022 00:00:00 +0530 Comparative Study of Clinical Outcome between Microscopic and Endoscopic Type I Tympanoplasty <p><strong>Introduction</strong></p> <p>Tympanoplasty is one of the most common surgical procedure in ENT, it can be performed with the help of microscope or endoscope. We carried out a prospective randomized comparative study in our tertiary care center to evaluate and compare the results of endoscopic and conventional microscopic tympanoplasty in terms of hearing outcome, surgical time and graft success rate.</p> <p><strong>Materials and Methods</strong></p> <p>This prospective randomized comparative study was conducted in Department of Otorhinolaryngology, SHKM Hospital, an associated hospital of GMC Nuh, Haryana India for a period of 12 months from October 2019 to September 2020. A total of 80 patients with central perforation were randomly divided into two equal groups of 40 patients each. In the first group, endoscope was used and in the second group microscope was used to do type 1 tympanoplasty. The patients were kept on follow-up for 6 months. The graft success rates, hearing outcomes and duration of surgery in patients were compared in both groups.</p> <p><strong>Results</strong></p> <p>Graft success rates were 90% and 92.5% for the endoscopic and microscopic group, respectively (p &gt; 0.05). Postoperative air-bone gap values were improved significantly in both groups (p &lt; 0.05). The average duration of surgery was significantly shorter in the endoscopic group (mean 42.9 min) relative to the microscopic group (mean 57.2 min) (p &lt; 0.05).</p> <p><strong>Conclusion</strong></p> <p>In the management of chronic otitis media, endoscopic transcanal tympanoplasty can be a viable alternative to conventional microscopic tympanoplasty, with comparable graft success rates and hearing outcomes.</p> Mayank Yadav, Raj Tajamul Hussain , Jasdeep Monga , 4. S.M. Naik Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Wed, 12 Jan 2022 00:00:00 +0530 Bilateral Combined central retinal artery and vein occlusion (CCRAVO) in COVID-19 patient <p>To report a case of a male patient who gave history of fever, dry cough, dyspnea and he was tested positive for COVID-19 by Reverse Transcriptase-PCR from the nasopharynx. Presented with bilateral sudden onset of decreased vision due to combined centrtal retinal artery and vein occlusion (CCRAVO), patient was treated with systemic medication including anticoagulant treatment and Intravitreal bevacizumab, visual recovery was limited in spite of treatment.</p> SUNIL GANEKAL Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Sun, 16 Jan 2022 00:00:00 +0530