A Study Of Orbital Fractures In A Tertiary Health Care Center

A retrospective study of patients with orbital fractures had 48% patients in the age group of 20 – 40 years with male : female ratio of 10:1. Road traffic accidents (71.43%) were the most common cause followed by injury due to fall (20%). Eighty five percent of patients had normal visual acuity at presentation and 65.57% patients had no ocular complaints. Diplopia was present in 14.2% of patients. Of the orbital fractures infraorbital rim was involved in 43.13%, floor in 19.6%, lateral wall in 13.7%, pure blow out in 14.28% and the roof in 2.9%. Important ocular findings were extraocular movements restriction in 9 (10.3%), infraorbital dysaesthesia in 3 (3.4%), enophthalmos in 2, RAPD and globe rupture in 1 patient each. 32 patients underwent surgical management. At the end of 4 months of follow up, 3 had restriction of EOM, 1 patient had vision loss due to globe rupture, 2 had RAPD (optic nerve compression), 1 had lagophthalmos, 1 had exotropia and 1 had atrophic bulbi

Clinical profile of amblyopia in a tertiary care teaching hospital in Southern India

siehe auch: a_i_d [aktualisierte Fassung vom 20.01.2004] Axel Diederich id-e-7343 11.11.11 ID-Archiv EATC id-e-814 id-e-892 id-e-7011 Adres : Vlasfabriekstraat 11 1060 Brussel Tel. : 02/536.11.63 of 11.18 Fax : 02/536.19.02 E-mail : [email protected] 911.jpg / internationales Archiv der Globalisierung ID-Archiv id-e-714 id-e-892 id-e-7011 agisra e.V. / Arbeitsgemeinschaft gegen internationale sexuelle und rassistische Ausbeutung ID-Archiv id-e-320 id-e-7011 id-e-3212 id-e-39 id-e-892 agisra Ar..

Ocular manifestations in lipoid proteinosis: A rare clinical entity

Lipoid proteinosis is a rare autosomal recessive genodermatosis with abnormal lipid protein complexes deposition in different parts of the body, especially in the skin and mucus membranes of the upper aerodigestive tract. Though ocular involvement in lipoid proteinosis is rare, ophthalmologists may encounter diverse ocular complications accompanying this syndrome in clinical practice. We describe a case of lipoid proteinosis involving bilateral eyelids with pathognomonic moniliform blepharosis in a 33-year-old gentleman who presented with the complaints of itching of eye lids on and off since 10 years

Posterior reversible encephalopathy syndrome

Posterior reversible encephalopathy is a relatively newly recognized disorder, which presents as a complication of pregnancy induced hypertension. Its usual presentation is blurred vision, headache, seizures and disturbance of consciousness. A 20-year-old primigravida presented with seizures, headache and loss of vision in both eyes. She was drowsy and blood pressure was 120/100 mm Hg. Ocular examination was fairly normal, except that her vision was a perception of light and fundus showed early papilledema. She was started on antihypertensives and anticonvulsants. The pregnancy was terminated. A magnetic resonance imaging revealed hyperintense areas in bilateral posterior occipitoparietal regions in T2 weighted images suggestive of posterior reversible encephalopathy syndrome (PRES). She had an improvement of vision starting from the very next day of the presentation. Treatment of this condition involves recognition of the offending factor and its removal. PRES is clinico-neuroradiological diagnosis and its knowledge can help prompt reversal and relief of anxiety to the patient

Correlation between clinical, fluorescein angiography and optical coherence tomography findings in clinically significant macular edema

Background: Macular edema is an important cause of visual morbidity in diabetic retinopathy. It can be assessed by both fluorescein angiography (FA) and optical coherence tomography (OCT). Aims: To study, if any, correlation exists between FA and OCT patterns in Clinically significant macular edema (CSME). Furthermore, to correlate macular thickness as determined by OCT to best-corrected visual acuity (BCVA). Materials and Methods: This was a prospective study which compared patterns in FA and OCT in patients with CSME. All the patients who were diagnosed as CSME underwent a complete ophthalmic examination and were subjected to FA and OCT. Those with a hazy media were excluded from the study. The results were analyzed by Fisher′s exact test. Results: A total of 32 eyes were studied. FA revealed that most of the patients had diffuse leak (59%), followed by focal leak (31%) and combined leak (10%). On OCT, isolated sponge-like retinal swelling was seen among 66% eyes, spongy retinal swelling with cystoid macular edema/serous foveal detachment in 28% eyes, and 6% had a combined pattern. There was a statistical correlation between FA and OCT findings in our study (P = 0.038). The mean central foveal thickness in our study was 321.75 ΁ 98.30 μm, and there was a statistically significant correlation between central foveal thickness and BCVA (P = 0.043). Conclusion: There is a significant correlation between OCT and FA findings for CSME. Furthermore, the foveal thickness correlates to BCVA

Posterior reversible encephalopathy syndrome

Posterior reversible encephalopathy is a relatively newly recognized disorder, which presents as a complication of pregnancy induced hypertension. Its usual presentation is blurred vision, headache, seizures and disturbance of consciousness. A 20-year-old primigravida presented with seizures, headache and loss of vision in both eyes. She was drowsy and blood pressure was 120/100 mm Hg. Ocular examination was fairly normal, except that her vision was a perception of light and fundus showed early papilledema. She was started on antihypertensives and anticonvulsants. The pregnancy was terminated. A magnetic resonance imaging revealed hyperintense areas in bilateral posterior occipitoparietal regions in T2 weighted images suggestive of posterior reversible encephalopathy syndrome (PRES). She had an improvement of vision starting from the very next day of the presentation. Treatment of this condition involves recognition of the offending factor and its removal. PRES is clinico-neuroradiological diagnosis and its knowledge can help prompt reversal and relief of anxiety to the patient

Acquired Horner′s syndrome in an infant: A case report

Horner′s syndrome has varied etiology. We report a case of acquired Horner′s syndrome in an infant. A 3-month-old female child was referred for drooping of right eye upper lid on the second postoperative day following neck surgery. On examination, she had mild ptosis of right eye; with enophthalmos and miosis. A clinical diagnosis of Horner′s syndrome was made. One percent phenylephrine test was done which dilated right pupil, suggestive of a postganglionic lesion. The sample was biopsied and revealed an infected lymphatic cyst. Horner′s syndrome is a collection of signs due to interruption of sympathetic innervation to eye and face, characterized by miosis, mild ptosis, enophthalmos, and anhydrosis. The sympathetic pathway is a three neuron pathway. The present lesion is in the third order fibers which form plexus around the internal carotid artery. Dissection along the carotid can be an important cause for interruption of the sympathetic pathway

A Clinical Study of Blunt Ocular Trauma in a Tertiary Care Centre

Purpose: To analyze blunt eye injuries with respect to mode of injury, sites involved and outcome. Method: This was a retrospective study of 32 patients with blunt ocular trauma from 2010 to 2012 in a tertiary care centre. Patient data, mode and extent of injury, management and outcome was noted and analyzed. Result: The commonest age of presentation was 10-20 years (28.125%) and the commonest mode of injury was road traffic accident (28.125%). The most commonly involved structure was conjunctiva (84.375%), followed by lid and adnexa (62.5%). Anterior segment involvement included corneal epithelial defect (7 cases), hyphaema (4 cases), iritis (3 cases) and anterior dislocation of lens (1 case). Posterior segment involvement included vitreous haemorrhage (1 case) and commotio retinae (2 cases). Conclusion: This study reinforces that blunt trauma can cause any extent of damage to ocular structures and the final visual outcome is dependent on the structures injured