Hannah Ranjee Prasanth

Abstract

Here with presenting a case of pseudotumor orbit initially diagnosed as orbital cellulitis which responded to steroids. A 44 year old male presented with complaints of swelling, redness, watering and inability to open the right eye for 1 day. He had no h/o trauma or insect bite. On examination, visual acuity in both eyes was 6/6. The right eye was proptosed with gross restriction of the extra ocular movements, conjunctival congestion and chemosis. The intra ocular pressure was 52 mm Hg. The left eye was normal. CT orbit showed enlargement of right lateral rectus muscle and lacrimal gland, with fat stranding and soft tissue thickening of periorbital, pre septal and perinasal regions diagnostic of pseudotumor tumour. He was started on high dose oral steroids with which he improved dramatically.   Keywords: Steroids, Orbital cellulitis

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Abstract

Aim: To determine the prevalence of major systemic co-morbidities such as diabetes mellitus, systemic hypertension, chronic kidney disease and ischaemic heart disease among patients undergoing cataract surgery and to determine the demographic details of these co-morbidities among the cohort of cataract patients. Materials and Methods: A retrospective study of cataract surgery charts of those patients operated between Jan 2017 and Dec 2018 was undertaken. Assessment of age, gender, prevalence of above mentioned systemic comorbidities and their age wise frequency distribution among the cohort of cataract patients was done. Results: Among 2444 cataract charts analysed, 378 (15.47%) were found to have comorbidities. 88.6% of cataract patients with comorbidities were found to be between 50-75 years of age with a mean ageof 63±8.997 years. 58.2% were females and 41.8% were males among the patients with  comorbidities. Hypertension and diabetes were the highest contributors occurring in 78.1% of the comorbid patients with a mean age of 63 8.2 years. Conclusion: An increasing prevalence of non-communicable diseases even in rural population, necessitates a thorough screening before cataract surgery to ensure fitness of the patients for cataract surgery. Keywords: Cataract, Diabetes mellitus, Chronic kidney disease and ischaemic heart disease, Systemic hypertension.

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Abstract

Cavernous hemangioma is a vascular hamartoma, composed of clusters of intraretinal aneurysms. It is usually unilateral, asymptomatic and rarely increase in size. Visual symptoms may occur due to macular involvement or vitreous hemorrhage. Keywords: Retinal cavernous hemangioma vision loss cluster of grapes saccular aneurysm 

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