An automated system was presented for glaucoma detection from color fundus photographs. The overall evaluation results indicated that the presented system was comparable in performance to glaucoma classification by a manual grader solely based on fundus image examination.
Keratoconus (KC), though one of the most common corneal degeneration, still continues to be a mystique regarding its pathogenesis, diagnosis, associations, and management; with newer discoveries and evolutions being reported. We report, what we believe to be another new association of KC- Cogan Reese syndrome with secondary glaucoma. A 32-year-old male, diagnosed as bilateral KC, presented for examination. Unilateral Cogan-Reese syndrome and associated secondary glaucoma was identified. These associations had been missed by previous ophthalmologists. The patient was managed with a rigid contact lens for KC and topical antiglaucoma agents for glaucoma. He was advised regular reviews and is under observation till date. We describe the first case known to us of a new association with KC. This case not only highlights the ophthalmologist's need to look for multiple entities linked to KC; but may also pave way for future insights regarding pathogenesis and genetics of these associated diseases.
Objective:The objective of the study was to assess the level of glaucoma awareness, knowledge, and self-care practices among health-care professionals at a medical college in Central India. Materials and Methods: A cross-sectional, questionnaire-based observational study was carried out at Durg, Chhattisgarh, India, over a period of 2 months from February 2019 to April 2019. The study included 166 consenting adult health-care professionals -clinicians (excluding ophthalmologists), non-clinical doctors, and paramedical staff. Responses to a structured questionnaire covering various aspects of glaucoma knowledge and selfpractice were obtained with a face-to-face interview. Data were reported and analyzed using descriptive statistics and Pearson's Chi-square test. Results: One hundred and fifty-four (93%) participants had heard of glaucoma. Of these, 12 members left the questionnaire incomplete and were excluded (response rate 92%). Mean age of respondents was 35 ± 9.81 years. Respondents included 42 clinicians, 48 non-clinical doctors, and 52 paramedical staff. The knowledge about association of glaucoma with raised intraocular pressure (81%) was better than optic nerve damage (64%). Majority of the participants had knowledge that increasing age (76%) and family history (76%) were risk factors for glaucoma. Most paramedics were mistaken of digital screen usage (P = 0.004), prolonged reading (P = 0.01), and stress (P = 0.012) causing glaucoma. About 25% thought that glaucoma is painful and 37% opined that central vision deteriorates earlier (P < 0.01). Only 19% had undertaken glaucoma screening for themselves. Conclusion: The study revealed unsatisfactory knowledge and deficient self-care practices concerning glaucoma among healthcare personnel including clinicians. This highlights the need to sensitize all cadres of medical staff to promote knowledge of this irreversible disease activating timely screening and adequate management for preventive ophthalmic care.
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