Introduction: Ocular trauma is a preventable cause of monocular blindness that results in morbidity and sight loss. In this study, we evaluated the impact of ocular trauma on the quality of life. ...Materials and Methods: In this prospective cohort study, we included all ocular trauma cases presented at Drashti Netralaya enrolled between August 2019 and August 2020. Demographic, clinical, and trauma documentation were done using a pretested online format for all the enrolled cases with specified inclusion and exclusion criteria. The life quality score was recorded using the Indian Version of Visual Function Questionnaire (VFQ). The VFQ scores were recorded before and after treatment. All data were exported into Excel sheets and analyzed with SPSS 22 using descriptive and cross-tabulation. The numerical variables were tested using one-sample t-test. P < 0.05 was considered statistically significant. Results: Our study cohort consisted of 284 patients, of which 211 (68.1%) were adults and 85 (39.9%) were children. Furthermore, 199 (70.1%) were men, and 93 (30%) were women. The mean age of the patients was 29.36 ± 17.38 years. On a comparative study, a significant difference was found between the pretreatment and posttreatment vision as well as VFQ score. Conclusion: Ocular trauma can cause sight loss and morbidity and affect the quality of life. Successful management of ocular trauma can cause a significant difference in the vision as well as quality of life.
Turning the tide of corneal blindness Oliva, Matthew S; Schottman, Tim; Gulati, Manoj
Indian Journal of Ophthalmology/Indian journal of ophthalmology,
09/2012, Volume:
60, Issue:
5
Journal Article
Peer reviewed
Open access
Corneal diseases represent the second leading cause of blindness in most developing world countries. Worldwide, major investments in public health infrastructure and primary eye care services have ...built a strong foundation for preventing future corneal blindness. However, there are an estimated 4.9 million bilaterally corneal blind persons worldwide who could potentially have their sight restored through corneal transplantation. Traditionally, barriers to increased corneal transplantation have been daunting, with limited tissue availability and lack of trained corneal surgeons making widespread keratoplasty services cost prohibitive and logistically unfeasible. The ascendancy of cataract surgical rates and more robust eye care infrastructure of several Asian and African countries now provide a solid base from which to dramatically expand corneal transplantation rates. India emerges as a clear global priority as it has the world's largest corneal blind population and strong infrastructural readiness to rapidly scale its keratoplasty numbers. Technological modernization of the eye bank infrastructure must follow suit. Two key factors are the development of professional eye bank managers and the establishment of Hospital Cornea Recovery Programs. Recent adaptation of these modern eye banking models in India have led to corresponding high growth rates in the procurement of transplantable tissues, improved utilization rates, operating efficiency realization, and increased financial sustainability. The widespread adaptation of lamellar keratoplasty techniques also holds promise to improve corneal transplant success rates. The global ophthalmic community is now poised to scale up widespread access to corneal transplantation to meet the needs of the millions who are currently blind.
The worldwide epidemic of diabetic retinopathy Zheng, Yingfeng; He, Mingguang; Congdon, Nathan
Indian Journal of Ophthalmology/Indian journal of ophthalmology,
09/2012, Volume:
60, Issue:
5
Journal Article
Peer reviewed
Open access
Diabetic retinopathy (DR), a major microvascular complication of diabetes, has a significant impact on the world's health systems. Globally, the number of people with DR will grow from 126.6 million ...in 2010 to 191.0 million by 2030, and we estimate that the number with vision-threatening diabetic retinopathy (VTDR) will increase from 37.3 million to 56.3 million, if prompt action is not taken. Despite growing evidence documenting the effectiveness of routine DR screening and early treatment, DR frequently leads to poor visual functioning and represents the leading cause of blindness in working-age populations. DR has been neglected in health-care research and planning in many low-income countries, where access to trained eye-care professionals and tertiary eye-care services may be inadequate. Demand for, as well as, supply of services may be a problem. Rates of compliance with diabetes medications and annual eye examinations may be low, the reasons for which are multifactorial. Innovative and comprehensive approaches are needed to reduce the risk of vision loss by prompt diagnosis and early treatment of VTDR.
A unique form of blindness Juneja, Abhishek; Anand, Kuljeet
Journal of Clinical Ophthalmology and Research,
05/2020, Volume:
8, Issue:
2
Journal Article