Gyan Bhaskar

Abstract

Objective: To know the demography and clinical profile of patients of vernal keratoconjunctivitis (VKC) presented in the out-patient department of regional institute of ophthalmology (RIO), IGIMS Patna, Bihar over a period of 1 year from May 2017 to April 2018. Materials and Methods: This was a retrospective study done on diagnosed patients of vernal keratoconjunctivitis. Out of total 25344 OPD patients, 1267patients were in age group of 1-25 years and either sex. Out of which 240 patients were included in this study had diagnosis of vernal keratoconjunctivitis (VKC) on the basis of their history, symptoms and clinical findings. Detailed history was taken from each patient including age at the onset of the disease, gender of the patient, any seasonal variations, his/her place of residence, any associated allergic or “atopic” illnesses. Thorough examination was done to find out visual acuity, condition of cornea, limbus, bulbar, palpebral conjunctiva and associated complications. Results: Out of 240 patients, VKC was more common in male (86.66%) than female (13.33%) patients with maximum cases seen between 6-10 years of age. Majority of cases reported in summer in the month of May and June. Palpebral form was predominant among all that is around 174(72.5%) cases followed by mixed 50(20.83%) and Limbal form 16 (6.66%). Most common symptom was itching (100%) seen in almost all cases. Palpebral papillae were commonest sign. Associated allergic conditions were found in 16 (6.66%) patients. Conclusion: Vernal keratoconjunctivitis is a recurrent bilateral disorder in which both IgE and cell mediated immunity play important roles. It primarily affects boys and onset is generally from about age of 5 years onwards and resolves around puberty. The clinical course of this disease is usually benign and self-limiting, with vision in most children remains normal but sight threatening complications may manifest if cornea gets involved. Few cases showed history of atopy and other allergic conditions. VKC is one of the leading causes of outpatient ophthalmic morbidity. Keywords: Palpebral, Bulbar, Allergic, Atopic, Keratoconjunctivitis.

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Abstract

Objective To know the outcome of pterygium surgery done by limbal- conjunctival autograft versus amniotic membrane graft using fibrin glue as a bio adhesive. This study was prospective and comparative study done at Regional Institute of Ophthalmology, IGIMS, Patna from July 2014 to June 2017. Materials and Methods: A prospective study was conducted on 96 patients with primary pterygium. Patients were divided into two groups. Group A and Group B on odd & even number basis respectively. Group A contains odd numbers of patient, in which limbal-conjunctival autograft was done and Group B pts with even numbers were subjected to amniotic membrane graft with fibrin glue. Patients were followed up on day 1, day 7, 1 month, 3 months and 6 months post–operatively. On each visit recurrence of pterygium, graft retraction, graft displacements, inflammatory reaction and comfort of pat was noted from both the group. Data was collected and analyzed with Microsoft Excel. Results: Recurrence of pterygium was seen in 3 patients (6.1%) out of 48 pts. in limbal-conjunctival autograft group A whereas in Group B, it was seen in 4 patients (8.10%) out of 48 patients in amniotic membrane graft with fibrin glue group. Keywords: Limbal- conjunctival autograft (LCAG), Amniotic membrane graft (AMG) with fibrin glue, Recurrence.

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Abstract

Introduction: This is an observational study to know causes, clinical features and type of ocular trauma in paediatric age group presented at our institute in a define study periods. Materials and Methods: Sixty children under age of fifteen, with ocular injury, who presented to emergency services/out-patient department of the Regional Institute of Ophthalmology (RIO), IGIMS Medical College and Hospital, Patna (Bihar) were included. Age, gender, mode of injury, causes of injury, site and type of ocular trauma were recorded. Results: Age of the children was divided into < 7 n=21), n=19) n=20). n=40, n=20,> Conclusions: Eye trauma is one of the major causes of irreversible blindness in children that occurs most frequently in playing outdoors. Male children were more frequently affected than female less than 7 years of age. Prevention of complications of ocular injuries may be possible by educating parents and children. Keywords: Ocular trauma, Paediatric, Open globe, Closed globe.

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