Aim: Investigate the efficiency of limbal conjunctival autograft in primary and recurrent pterygium. (2) To report the incidence of recurrence after primary and recurrent pterygium surgery using limbal conjunctival autograft. Material and Methods:It is a prospective study conducted at Department of Ophthalmology, Basaveshwar Teaching and General Hospital, Gulbarga Karnataka, India for a period of 1 year (2007 to 2008) 100 patients were operated of which 6 were recurrent pterygium and the remaining were fleshy pterygium. All patients were in age group 20 to 60 and above.Results: In this study 7% cases were in age group 20 to 30 years, 22% 31 to 40 years, 30% 41 to 50 years, 24% 51 to 60 years and 17% 60 and above. (2) Depending on occupation high incidence is seen in outdoor patients i.e., 80%, indoor 20%. (3) Depending on location, 50% nasal, 30% temporal, bilateral 20%. (4) Laterality -Right eye 52%, left eye 38%, bilateral 10%. (5) Recurrence -More common in younger patients < 40 age 6 patients developed recurrence. Conclusion:Autogenous conjunctival grafting is a safe, un complicated, quick procedure and does not involve loss of tissue and prevents recurrence of pterygium. It also reduces the risk of granuloma formation, scleral thinning and necrosis.
Dry eye refers to a heterogeneous group of conditions all characterized by inadequate lubrication of ocular surface. Dry eye is a potentially serious and chronic condition. It may severely limit a person's activity, and in extreme cases cause blindness. Postmenopausal dry eye syndrome has frustrated patients, researchers and clinicians due to the paucity of successful treatment options and difficulty in assessing efficacy of treatment modalities. Hence early detection and treatment is necessary. AIM: This study is to assess the prevalence of dry eye in postmenopausal women to prevent complications by early detection and management. MATERIAL AND METHODS: In this prospective study, 100 subjects were included in the study. Informed written consent was obtained from all patients. Ethical committee approval was taken. The study was conducted in Basaweshwar teaching and general hospital (MR Medical college) Kalburgi Karnataka between January 2014 to June 2014. Hundred postmenopausal women were categorized based on age of the patients into three groups: Group 1: 45-55 years, Group 2: 55-65 years, Group 3: 65-75 years. They were also classified based on: 1.Occupation, 2.Rural/urban dwelling, 3. Laterality of dry eye. RESULTS: In our study, most commonly dry eye manifested in 65-75 years age group(66.6)%, and more commonly seen in rural population(65%), and in people with outdoor occupation in all age group, and bilateral in all age group. CONCLUSION: Our study was compared with other studies on dry eye, and results were found to be in comparison with them. Hence dry eye needs to be periodically evaluated and to be treated accordingly.
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