Aims: This study aimed to compare the Intraocular Pressure (IOP) measurements with noncontact tonometer and Goldmann Applanation Tonometer with and without uorescein. Settings And Design: This cross-sectional study included 61 eyes attending the Ophthalmology Outpatient Department of a tertiary care hospital in South India. IOP using three techniques i.e. Noncontact Tonometry (NCT), Goldmann Applanation Tonometry (GAT) with and without uorescein were recorded for each patient, at a gap of twenty minutes. The three values for each eye were noted and compared using appropriate statistical methods. Results: The mean IOP values obtained with Noncontact Tonometer (NCT), non-uorescein GAT (nGAT), and uorescein GAT (fGAT) were 12.02 ± 5.56, 9.64 ± 3.7 and 10.3 ± 3.63 mmHg respectively. IOP values measured by NCT were found to be higher than both non-uorescein GAT, and uorescein GAT values; this was statistically signicant (P=0.01). There was no statistical signicant difference between nGAT and fGAT values. Conclusion: Non-uorescein GAT (nGAT) can be a useful substitute to uorescein GAT (fGAT) and thus can prevent the complications associated with uorescein staining while not compromising the standardization of GAT. Non-contact tonometer can be used as a mass screening device.
Ophthalmomyiasis is the infestation of the eye with fly larva. It is commonly found in unhygienic areas and poor socioeconomic conditions. Internal Ophthalmomyiasis can be vision threatening leading to blindness, therefore early diagnosis and prompt treatment is required. We present a case of a 21year old male patient who presented with pain, redness and foreign body of left eye. Larva was observed on slit lamp examination. On ex-tracting them and examining, it was found to be Oestrus Ovis. The patient was treated with lubricating drops, mild topical steroid, topical antibiotics and topical betadine drops. The patient responded well to the treatment. Keywords : ophthalmomyiasis, oestrus ovis, sheep nasal botfly
Background: The focus of healthcare technology now, is to improve the quality of care and safety to the patients, a key component of which is medication-related errors. Medication errors result in an increase in the rate of hospital admissions and expenditure for the patient. Thus, it is important to identify the cause of these errors and develop a solution to curb their occurrence. Materials &Methods:A prospective, cross-sectional study was conducted on 300 randomly collected prescriptions, in a tertiary care hospital, Kolar, for a period of 2months, after obtaining the Institutional Ethical Clearance. The prescription writing errors such as errors of Omission and Commission were documented. Results: The data were analysed by using descriptive and inferential statistic.There were 93.7% omission errors (281 prescriptions), 66.3% of commission errors (199), and a total of 97.63% (292) of errors. Conclusion:The prescribers and dispensers play an important role in prescription errors and early detection and timely intervention of these errors can increase the quality of care to the patients. The findings of this study can serve as a baseline for policymakers for monitoring drug therapy and improving the process. It also draws attention to prescribing practices from across the country and among other countries, all over the world.
Aim: To study the incidence, management, and outcome of complex cataract cases in a tertiary eyecare center. Material and methods: Retrospective observational study with analysis of recordsdone for patients who were operated on for complex cataract from December 2019 to February2020. Results: 300/10,000 patients had complex cataracts requiring additional surgical skills,advanced equipment, and better patient counseling. 5.3% (16/300) of patients needed intracameraladrenaline whereas 1.3% (4/300) needed Visco mydriasis. A capsular tension ring was implanted in4.3%(13/300) of patients. 4% (12/300) underwent sphincterotomies whereas 2% (6/300) had toundergo synechiolysis. Iris hooks were used in only 0.6% of patients (2/300). Posterior capsularrent was seen in 1.6%(5/300) which was managed by placing a Posterior chamber IOL in the sulcus.2.6% (8/300) had implantation of the iris-claw lens and 2.3% (7/300) were left aphakic forsecondary IOL to be implanted at a later date. The visual outcome was better than 6/18 in 76% ofpatients. 24% of patients had an improvement in their visual acuity by a line or 2 but was less than6/18 due to corneal degenerations, corneal scarring, Retinal pathologies, and colobomas.Conclusion: Although these cataracts demand more expertise on behalf of the surgeon, theoutcome can be very rewarding if done with proper planning. The knowledge of small incisioncataract surgery is highly valuable in such situations.
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