INTRODUCTION: Obesity is one of the most prevalent disorders of the world. Obesity possesses an increased risk for both elevated IOP and systemic vascular abnormalities such as hypertension and arteriosclerosis. There are conflicting reports regarding the relationship between BMI and IOP. There is a need to evaluate these contradicting findings in our environment. AIM: To determine the relationship between intraocular pressure and body mass index, in diabetics and nondiabetic adults in Indian population. MATERIALS AND METHODS: The present study was a crosssectional analysis based on data obtained at a one day screening programme of a general population in an Eye camp conducted in Mysore. 115 subjects were studied after obtaining an informed consent. Participants underwent standardized examinations including anthropometric indices, measurement of blood pressure, rebound tonometry and ocular examination including fundoscopy and intra ocular pressure. Random blood sugar was measured for all the subjects. RESULTS: out of 115 subjects, there were 90 males (78.26%) and 25 females (21.73%). The mean age was 44.34 years +/-11.75 years. 31 (26.95%) of them were diabetic and 84(73.04%) of them were non-diabetic. Maximum number of males i.e 42(46.66%) were overweight and 9 females (36%) were overweight. Out of 51 overweight subjects, 41(80.4%) had IOP < 21mmHg and 10(19.6%) had IOP >21 mmHg. Out of the 23 obese subjects, 4(17.4%) had IOP < 21mmHg and 19(82.6%) had IOP>21mmHg which was statistically significant. The mean IOP amongst diabetics was 18.45mmHg +/-3.8 mmHg and amongst nondiabetics was 19.16 mmHg +/-3.92 mmHg which was not statistically significant. CONCLUSION: In a population of 115 screened, there was a significant correlation between IOP and BMI but there was no statistically significant relationship between BMI and diabetes.
The early detection and treatment of pulmonary hypertension in chronic obstructive pulmonary disease (COPD) becomes important to prevent right heart failure. We aimed to pulmonary hypertension in COPD patients by non-invasive methods.Materials and Methods: After Ethical committee clearance, the purpose of the study was explained to the patient and obtained informed consent from 105 Clinically diagnosed as COPD were included and ECG, Chest X-Ray, 2-D Echocardiography pulmonary hypertension is evaluated.Results: Of 105 COPD patients, 96 had PH. Prevalence of pulmonary hypertension in COPD patients were 54 (51.43%): 9 (25.71%) of mild COPD patients, 16 (45.71%) of moderate COPD and 29 (82.85%) of severe COPD.Conclusion: the chest radiography electrocardiography and 2 D-Echocardiography are the best clinical assessment and non-invasive investigations for the screening for pulmonary hypertension and subsequent development of cor pulmonale.
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