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Mahadik, Sanjay
- Pseudoexfoliation Syndrome:Clinical Profile and Visual Outcome after Manual Small Incision Cataract Surgery
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PDF Views:82
Authors
Affiliations
1 PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, IN
2 Senior Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, IN
3 Professor and Head, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, IN
1 PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, IN
2 Senior Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, IN
3 Professor and Head, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 6, No 2 (2019), Pagination: 195-201Abstract
Background: Pseudoexfoliation (PXF) is an age related, systemic, elastic fibrillopathy causes serious complications during cataract surgery such as zonular dialysis, capsular rupture and vitreous loss. Aim: To study the profile of eyes with pseudoexfoliation syndrome and outcome after Manual Small Incision Cataract Surgery. Materials and Methods: This was a hospital based, prospective study was conducted at Tertiary Care Hospital between August 2016 to September 2018. PXF was diagnosed on slit lamp examination by the presence of white dandruff like material in anterior segment. Gonioscopy was done to know the status of angles, pigmentation and presence of PXF material. Results: Out of 80 patients with PXF who underwent manual small incision cataract surgery (MSICS), 17 patients had complications. Zonular Dialysis alone was found in 3 eyes (17.65%) and Zonular Dialysis with Vitreous Loss was seen in 4 eyes (23.53%). Only Posterior Capsular Rent (PCR) was found in 2 eyes (11.76%) and PCR with Vitreous Loss was found in 4 eyes (23.53%). Sphincter Tear was noted in 3 eyes (17.65%) and Iridodialysis was seen in one eye (5.88%). Conclusions: Ophthalmologists should focus on the detection of PXF especially considering the risks for intraoperative complications related to PXF. The diagnosis of PXF may also be important in the management of cataract in these patients.Keywords
Complications, Pseudoexfoliation, SICS, Vitreous Loss, Zonular Dialysis.Full Text
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- A Study of Ocular Fundus Findings in Hypertension during Pregnancy in a Tertiary Care Hospital
Abstract Views :159 |
PDF Views:96
Authors
Affiliations
1 Former PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Associate Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
3 Senior Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
4 Professor and Head, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
1 Former PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Associate Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
3 Senior Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
4 Professor and Head, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 163-170Abstract
Introduction: Hypertension is one of the most common medical disorders during pregnancy, affecting 6-8% of all pregnancies. Around 16-25% of 1st pregnancy &12-15% of subsequent pregnancies8 . Ocular fundus changes are found in 40% to 100% of pregnant women with raised blood pressure, whose severity correlates with pre-eclampsia or eclampsia. In hypertensive disorders in pregnancy, ophthalmic manifestations include conjunctival vasculopathy, hypertensive retinopathy, exudative retinal detachment, hypertensive choroidopathy. The retina is involved due to the basic pathology of vasospasm and increased capillary permeability, the consequences of vascular endothelial dysfunction. Rare complications were reversible cortical blindness, and extra-ocular muscle palsy have been documented. Methodology: The present study was conducted in the Outpatient Department (OPD) of Ophthalmology at Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik , Maharashtra. All the 182 cases included in this study underwent indirect ophthalmoscopy during the study period of 2 years (August 2018 to December 2020). Patients were collected from ANC clinic of department of obstetrics and Gynaecology OPD. Results: Prevalence of abnormal fundus findings was 10.1% in grade I hypertension while it was 100% in cases with grade II and III hypertension. A significant association was observed between severity of hypertension and abnormal fundus findings (p0.05). Conclusion: As these vascular changes in the retina usually correlate with the severity of the systemic hypertension, the eyes can truly be considered a mirror to the otherwise elusive vascular changes occurring elsewhere in the body. It thus stands to reason that observing the retinal changes holds the ability to prognosticate and also determine the severity of the disease. Fundoscopy is an essential investigation that needs to be done in all cases of hypertensive disorders of pregnancy with special emphasis in younger and primigravida women.Keywords
Conjunctival Vasculopathy, Fundus, Hypertension, Ocular, PregnancyFull Text
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