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.
AIM:To evaluate the role of anterior chamber paracentesis in control of Intraocular pressure and visual outcome in patients with phacolytic glaucoma. SETTINGS AND DESIGN: Prospective study. MATERIALS AND METHODS: Prospective analysis was done over a period of 6 months from August 2014 to January 2015. Informed and written consent was taken from all patients. After necessary ocular and systemic examination and investigations, paracentesis was done in patients with phacolytic glaucoma prior to cataract surgery. On admission day, Presenting IOP and visual acuity was recorded. Intraocular pressure was recorded 3 hrs later following paracentesis by Applanation tonometry. Post-operative improvement in best corrected visual acuity was recorded on Day 2, Day 7 and Day 30 following cataract surgery. RESULTS: In our study we see that intraocular pressure recorded after 3 hrs in paracentesis patients should drastically reduce, in which 18 patients (60%) the IOP were in the range of 11-15 mm Hg. About 19(63.3%) showed 1 month postoperative Snellen's chart visual acuity in the range of 6/60-6/18. CONCLUSION: Immediate paracentesis in phacolytic glaucoma patients is an effective procedure which causes significant reduction in intraocular pressure and improvement in postoperative visual acuity which obliterated the requirement for IV Mannitol in most of the patients prior to cataract surgery.
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