Visual outcome of central serous retinopathy

Background: Central serous chorioretinopathy (CSCR) is a sporadic disorder of the outer blood retinal barrier. Increasing evidence implicates an abnormal choroidal circulation as the cause of CSCR. The study aimed at the visual outcome of central serous retinopathy for a duration of 6 months from the primary attack.Methods: Study conducted at Department of Ophthalmology in Out Patient Department of Mediciti Medical College Hospital, from June 2013 to December 2014. Total 30 patients’ eyes were treated with placebo treatment with antioxidants for a period of 6 months.Results: Highest prevalence of central serous retinopathy was seen in age group of 20-40 years in 26 eyes (85%), males are predominant i.e. out of 30 patients 27 (90%), risk factors of central serous retinopathy like Type A personality are observed in 3. Associated visual abnormalities like micropsia, central scotomas in 20% of patients, fluorescein angiography showed 60% inkblot pattern. After observation for 6 months visual acuity was spontaneously improved within 4-6 months in 70% of patients, recurrences was seen in 6 patients i.e. 20% is observed.Conclusions: Central serous retinopathy is most commonly seen among 20-40 years age group, with male predominance, unilateral in which Spontaneous resolution of central serous retinopathy is seen in 4-6 months so for which aggressive treatment is not necessary.

A study of recurrence of pterygium; following pterygium excision with conjunctival autograf

Aim: To study the recurrence rate after pterygium excision with conjunctival autograft for a period of 18 months. After surgery, patients will be followed up monthly for a period of 6 months to look for recurrence of pterygium. Material and Methods: It is a prospective study conducted at Department of Ophthalmology in Out Patient Department of Mediciti Medical College Hospital, for a period of 18 months from November 2011 to June 2013 .Total 50 patients were operated of which 3 were recurrent pterygium. All patients were in age group 30 to 60 and above. Results: Highest prevalence of pterygium was seen in age group of 40-49 years 16 eyes (32%),.Their is high incidence in outdoor patients i.e., 80%, indoor 20%. All the pterygium were nasally located with mean corneal encroachment of 3x3 mm. Right eye 56%, left eye 44%. During the follow-up period of this study, progressive pterygium recurred in 3 patients. The average duration of recurrence was 5.3months. The mean age of the patients with recurrence was 43.3 years. Conclusion: Autogenous conjunctival grafting is a safe, uncomplicated, quick procedure with low recurrence rate. It is with fewer and no sight threatening complications, Offers anatomical and physiological restoration of ocular surface , Simple procedure not requiring additional surgical skill or Instrumentation, Cost effective and does not require any special post operative care