Moizuddin MD

Abstract

Objective of the Study: This study designed to identify the rate of prevalence of fundus changes in pregnancy induced hypertension population and also to analyze the correlation with blood pressure and proteinuria parameters. Materials and Methods: Patients those are attending to ophthalmology department with the diagnosed pregnancy induced hypertension were admitted in current study. Demographics, blood pressure, gravida, gestational period, and proteinuria other details were recorded. Previous history related any eye symptoms were recorded. Patients after admission in to the ward, fundus examination carried out by dilating the pupil with direct ophthalmoscope. Results: A total of 70 patients were examined. Mean age of the patient was 24.12 years (15-40). Changes in the retina were noted in 37 patients (53.29%). Grade I in 33 patients (47.14%) and Grade II in 4 patients (6.15%). There was no haemorrhages, no hard exudates, and no retinal detachments recorded in any of admitted subjects. Conclusion: According to grade I & II hypertensive related retinopathy, the retinal changes were measured in total of 53.29% in total pregnancy induced hypertension population. Hence, fundus examination in these cases assisted to assess the severity of pregnancy induced hypertension. Keywords: Proteinuria, Pregnancy induced hypertension, Retinal changes.

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Abstract

Aims: To compare the two modes of treatment in pterygium surgery in terms of postoperative outcomes and duration of surgery. Materials and Methods: Prospective study was conducted from September 2017 to June 2018 at the department of ophthalmology, Narayana medical college and hospital, Nellore. A total number of 40 cases with primary nasal pterygium were selected from outpatient department for surgical intervention. The patients were randomly divided into two groups for pterygium excision with autograft using either autologous blood (20 patients) or sutures (20 patients). After surgical intervention eyes were patched for 24 hours in both groups and two groups were compared for duration of surgery, recurrence, graft edema, graft stability and other complications. Results: In comparison to autologous blood technique granuloma was more in suture group whereas graft edema was more in autologous blood technique after pterygium excision with conjunctival autografting. Conclusion: Fixing of graft in pterygium surgery with autologous blood is a better and cost effective technique when compared with sutures without increasing complications. Keywords: Autologous blood, Conjunctiva. Pterygium excision, Sutures.

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