2 research outputs found
A comparative study of the effect of antiprostaglandins and steroids on aphakic cystoid macular oedema
The present double masked, randomized and placebo control study was carried out to compare the effects of steroids and an antiprostaglandin drug on aphakic cystoid macular oedema (ACME) in 60 cases who underwent uneventful intracapsular lens extraction. These 60 eyes were equally divided into three groups depending on the type of prophylactic eye drop instilled viz. Placebo group (I), steroid group (11) and in-domethacin group (III). Angiographic incidence of ACME observed in groups I, II and III was 40%, 10% and I0%, respectively. It is concluded that prophylactic treatment with topical steroids or indomethacin have a definite role to play in reducing the incidence as well as severity of ACME. Hence, their use is recommended for the prophylaxis- of ACHE. However, to justify the superiority of indomethacin or dexamethasone over each other a large and long term compara-tive studs is suggested
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Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
BackgroundThe impact of the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for diagnosis and management of hypertension on the prevalence of hypertension in India is unknown.MethodsWe analyzed data from the Cardiac Prevent 2015 survey to estimate the change in the prevalence of hypertension. The JNC8 guidelines defined hypertension as a systolic blood pressure of ≥140 ​mmHg or diastolic blood pressure of ≥90 ​mmHg. The 2017 ACC/AHA guidelines define hypertension as a systolic blood pressure of ≥130 ​mmHg or diastolic blood pressure of ≥80 ​mmHg. We standardized the prevalence as per the 2011 census population of India. We also calculated the prevalence as per the World Health Organization (WHO) World Standard Population (2000-2025).ResultsAmong 180,335 participants (33.2% women), the mean age was 40.6 ​± ​14.9 years (41.1 ​± ​15.0 and 39.7 ​± ​14.7 years in men and women, respectively). Among them, 8,898 (4.9%), 99,791 (55.3%), 35,694 (11.9%), 23,084 (12.8%), 9,989 (5.5%) and 2,878 (1.6%) participants belonged to age group 18-19, 20-44, 45-54, 55-64, 65-74 and ​≥ ​75 years respectively. The prevalence of hypertension according to the JNC8 and 2017 ACC/AHA guidelines was 29.7% and 63.8%, respectively- an increase of 115%. With the 2011 census population of India, this suggests that currently, 486 million Indian adults have hypertension according to the 2017 ACC/AHA guidelines, an addition of 260 million as compared to the JNC8 guidelines.ConclusionAccording to the 2017 ACC/AHA guidelines, 3 in every 5 Indian adults have hypertension