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Volume 50, Number 5ENG, October 2022
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J. Alejo Peyret

Practical Management of the Advanced Glaucoma Patient

[Year:2022] [Month:October] [Volume:50] [Number:5ENG] [Pages:8] [Pages No:4 - 11]

Keywords: Advanced glaucoma, progression, treatment, management

   DOI: 10.5005/hoe-10101-50501  |  (Buy Now)  |  How to cite  | 

Abstract

Glaucoma is a chronic disease that we must evaluate, evolve in time, and treat. Treatment prevents further loss of optic nerve fibers. In advanced glaucoma, these premises must be fulfilled, but with no margin of error due to the significant damage to the nerve. Diagnostic and evolutionary studies have their characteristics due to the presence of few nerve fibers. We will use the same studies but focused on studying the central vision. And, of course, the treatment must be more aggressive to comply with the premise that the damage does not increase. It is more demanding because of the need for constant low intraocular pressures (IOPs). Several failures in the management of glaucoma at the social level mean that this disease still blinds people. Controls such as treatment are essential to prevent further nerve damage and blindness.

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Chaitali Patel, Sonal D. Sisodia, Jaishree Ganjiwale, Samir Bhavsar

Current Scenario of Ocular Trauma in Covid 19 Lockdown. A drift from Yester year. Observational Study in a Tertiary Care Center in Central Gujarat, India

[Year:2022] [Month:October] [Volume:50] [Number:5ENG] [Pages:5] [Pages No:12 - 16]

Keywords: Closed Globe Injury, Shuttlecock Injury, Optical Coherence Tomography, Covid-19, Lockdown, Ocular Trauma

   DOI: 10.5005/hoe-10101-50502  |  (Buy Now)  |  How to cite  | 

Abstract

Purpose: To highlight the effect of lockdown (March 25th to May 31st, 2020) on the pattern of Ocular Injuries and compare the spectrum of trauma cases in this period to the same in 2019. Method: All cases of Ocular trauma reporting in the EYE Out Patients Department (OPD) and Trauma Centre were included in the study. The patients were individually assessed, starting from history, visual acuity, slit lamp examination and indirect ophthalmoscopy. Patients who had to undergo surgery under general anesthesia had a pre anesthetic checkup according to the COVID regimen. Informed and written consent were taken before surgery, explaining the visual prognosis in each case. The other patients were treated on an outpatient basis. BScan, X-ray orbit and Xray chest were done if needed. All were called for follow up after the initial treatment. The cases were registered digitally in (SOLACE) and also written in a trauma register kept in our department. Cases of ocular trauma from last year, during the same period were retrieved from the trauma registers, maintained in our OPD. Result: Descriptive analysis was done to explore the findings and association of Lockdown with type of Injuries using Chi Square test. This revealed that there was a marked drop in the ocular trauma cases from 106 to a bare minimum of 54. The nature of injuries also changed from road traffic accidents and industrial injuries to injuries related to domestic front. The latter included accidental injuries during playing, sports, routine work and violence. Conclusion: Due to the complete lockdown and its consequences there was a marked change in the demographic pattern of ocular injuries as compared to the year 2019.

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Alberto Diniz-Filho

Mastering Structural Glaucoma Progression

[Year:2022] [Month:October] [Volume:50] [Number:5ENG] [Pages:9] [Pages No:17 - 25]

Keywords: Glaucoma, open-angle glaucoma, optical coherence tomography, progression

   DOI: 10.5005/hoe-10101-50503  |  (Buy Now)  |  How to cite  | 

Abstract

Glaucoma is a progressive optic neuropathy and early detection is key to preventing vision loss from the disease. Many patients can show progressive structural changes despite the absence of detectable losses on visual field. These structural changes are usually quantified by imaging technologies, such as optical coherence tomography (OCT). This technology can provide quantitative and reproducible measurements of the peripapillary retinal nerve fiber layer, optic nerve head, and macula, which have been shown to be helpful in the early detection of disease progression. Therefore, clinicians should be aware on how to properly use the progression tools provided by OCT.

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