Kumar Amruth C

Abstract

Aim: To study the relationship of diabetic retinopathy with systemic complications of diabetes. Materials and Methods: Study was conducted on 310 diabetic patients attending to Narayana medical college ophthalmology opd in Nellore between August 2017and June 2018. Patients are categorized into five groups based on the duration and severity of DR into No DR, Mild NPDR, ModerateNPDR, Severe NPDR, PDR according to the ETDRS classification. All the above patients evaluated clinically, and required investigations were done for the presence of systemic complications like nephropathy, neuropathy, cardiovascular, cerebrovascular, and diabetic foot. The relation between the duration of diabetes mellitus and stage of diabetic retinopathy and also with systemic complications assessed. Results: A total of 310 diabetic patients with a mean age of 56.5 + 11.8 years and males 211(31.7%) and females99(31.7%). Prevalence of Diabetic retinopathy was 108(34.8%) of which mild NPDR44(41.9%), moderate NPDR35(34.5%), severe NPDR 19(18.3%)and PDR10(11.4%). A significant association (P retinopathy. The overall prevalence of nephropathy, neuropathy, diabetic foot, CVS, CAD was 52.6%and they were significantly (p DR (43.5%) and complications increased with severity of retinopathy. Keywords: Diabetesmilletus, Diabetic foot, Neuropathy, Nephropathy, Retinopathy.

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Abstract

Purpose: To compare the outcomes of treatment of primary chalazion with intralesional Triamcinolone Acetonide (TA) and Incision & Curettage(I&C) in patients with failed conservative treatment. Materials and Methods Study Design: Prospective randomized study Place and Duration: The study was conducted from November 2017 to January 2019 in The Department of Ophthalmology, Narayana medical college, and Hospital, Nellore. Methodology: 40 patients with primary chalazia who, after failed conservative treatment were randomized to either intralesional TA injection (4 mg) or I&C performed under local anesthesia. Preoperative photograph of the lesion was taken. Complete resolution was considered as lesion regression of 95% to 100%. Treatment was considered a failure if no resolution was achieved after the first attempted I&C or TA injection. Lesion resolution measured as 95% to 100% regression. Results: Out of 40 patients, 20 were randomized to I&C and 20 to TA injection group. Complete resolution was achieved in 16 cases in the I&C group and 17cases in TA group. The average time of resolution in TA group was four days. No significant complications were noted in either of the groups. Conclusions: Intralesional TA injection is as effective as I&C in cases of primary chalazia. So, injection may be considered as an alternative first-line treatment in cases where no biopsy is required.   Keywords: Chalazion, Incision & curettage, Triamcinolone acetonide, Transconjunctival approach, Resolution

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