Aim: The study was done to identify causes, demographic and clinical profile and to evaluate factors influencing visual outcome in paediatric ocular trauma patients (up to 15 years). Study Design: It was a prospective interventional study Place and Duration of the Study: The study was done in a tertiary eye care centre of eastern India between January 2019 to February 2020. Materials and Methods: The study was done from January 2019 to February 2020 on children between 1 year to 15 years of either sex with ocular trauma. Demographic details, cause of injury, presenting visual acuity were noted. Follow up was done till 2 months after carrying out appropriate intervention. Results: A total 106 eyes of 106 patients were evaluated and it was observed that children who were of 7 yrs and above were more affected (67%) than below (33%). Male children (59%) were more affected than female (41%). Injuries to Adnexa were found in 52% eyes, 40% injury cases were due to closed injury while open globe injuries comprised 8% of total cases. Common causes of injury were found to be mainly blunt objects and projectile objects. Maximum correction in visual acuity (VA) of more than 6/18 was achieved in 66% eyes, 6/18-6/60 in 11% eyes, <6/60-counting finger at 1 meter in 10% eyes. Conclusion: Late reporting, poor initial visual acuity, involvement of posterior segment, and no immediate primary intervention at time of injury adversely affect visual outcome. Early intervention and globe salvaging repair should be done in all eyes of trauma.
To assess and compare the role of topical nepafenac (0.1%) v/s bromfenac (0.09%) in sustaining intra-operative mydriasis while doing cataract extraction.
The objective of this review is to emphasize on basic and clinical aspects of Neovascular glaucoma (NVG) as it is a severely blinding and intractable disease. Therefore, to prevent or reduce the extent of visual loss caused by NVG, a detailed knowledge of its causes, pathogenesis, pathology, methods of early diagnosis and management is of utmost importance. The most common diseases responsible for development of NVG are ischaemic central retinal vein occlusion (CRVO), diabetic retinopathy and ocular ischaemic syndrome. In management strategy, the key point is to maintain a high index of suspicion of development of NVG in at risk patients and prevent its development with appropriate management of causative disease. If NVG develops, early diagnosis and its management by various medical and surgical means should be done at earliest. Management of NVG essentially consists of controlling high IOP by medical and or surgical interventions. Currently we still do not have a satisfactory option for treating NVG and preventing the profound loss of vision. This review basically discusses the various advantages and limitations of various medical and surgical techniques which are being commonly employed.
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