Comprehensive Ophthalmology Free Papers - aioseducation

More documents

Recommendations

Info

Comprehensive Ophthalmology Free Papers and Ciprofloxacin (90.32%). Amikacin and Gentamicin showed the least susceptibility with 8.06% and 33.87 % respectively. Also 27.41% samples were susceptible to all tested antibiotics. This pattern is consistent with those reported in other studies from similar and varied geographic location. 2,4 In conclusion as consistent with other reports, Streptococcus pnuemoniae is one of the important etiological factors for ocular infections and needs the initiation of prompt anti bacterial treatment. To our knowledge this is the first isolated analysis of in vitro susceptibility pattern of Streptococcus pnuemoniae. It can be concluded that this species shows a high susceptibility to Cefazolin and Vancomycin and therapy with these agents can be effective in controlling the ocular infections. Also fluoroquinolones still maintain a good susceptibility for this Gram positive organism and can be considered in the treatment initiation. It must be noted that these are in-vitro results, and one of the limitations of using in-vitro antibiotic sensitivity as a surrogate for in-vivo effectiveness is that antibiotic sensitivities do not always mirror the clinical response to an antibiotic for a variety of reasons, including direct topical delivery, corneal penetration of an antibiotic and host factors. 3 However this study provides a guide for treatment and would be helpful in initiating treatment where microbiology facilities are not available. However this should not replace the appropriate microbiology investigations and specific antibiotic treatment initiation based on culture and sensitivity wherever feasible. REFERENCES 1. Williamson-Noble FA, Sorsby A. Etiology of the eye diseases; developmental defects; heredity. In: Conrad B, editor. The Eye and Its Diseases. 2nd ed. Philadelphia: W. B. Saundars Company; 1950. pp. 309–21. 2. Wolfgang Haas, Chris M. Pillar, Mohana T, et. al. Monitoring Antibiotic Resistance in Ocular Microorganisms: Results From the Antibiotic Resistance Monitoring in Ocular MicRorganisms (ARMOR) 2009 Surveillance Study. Am J. Ophthalmol 2011;152:567–574 3. Sharma S, Kunimoto DY, Garg P, Rao GN. Trends in antibiotic resistance of corneal pathogens: Part I. An analysis of commonly used ocular antibiotics. Indian J. Ophthalmol 1999;47:95-100 4. M Jayahar Bharathi, R Ramakrishnan, C Shivakumar, R Meenakshi and D Lionalraj . Etiology and antibacterial susceptibility pattern of community-acquired bacterial ocular infections in a tertiary eye care hospital in south India. Indian J Ophthalmol. 2010 Nov-Dec; 58(6): 497–507. 5. M Srinivasan, Christine A Gonzales, Celine George, et. al. Epidemiology and aetiological diagnosis of corneal ulceration in Madurai, south India. British Journal of Ophthalmology 1997;81:965–971 6. Jones DB, Liesegang TJ, Robinson NM. Laboratory Diagnosis of Ocular Infections. Washington DC: Cumitech 13, American Society for Microbiology; 1981. 485
70th AIOC Proceedings, Cochin 2012 Comprehensive Eye Examination in Camps— The Wireless Way Dr. Shailesh Chandra Suman, Dr. Sil Asim Kumar, Dr.Shoumya Jyoti Datta Mazumder The eye camps in India are almost synonymous to cataract screening. Often non- cataract conditions are missed out. Most of the eye screening camps in rural India are carried out with the help of torch light only and by the ophthalmic technicians. With the help of wireless instruments (like portable slit lamp, indirect ophthalmoscope and Perkin’s tonometer) and ophthalmic team (comprising vision technician, ophthalmic assistant/optometrist, nurses, counsellor and doctors) a difference can be made. We had done study on ”comprehensive eye screening camps - the wireless way” to evaluate effectiveness of detecting non-cataract conditions during cataract screening in rural outreach camps. The patients were mostly from under served population, so need of comprehensive eye examination was immense for them. During three consecutive camps many non-cataract blinding conditions like glaucoma suspect and diabetic retinopathy were detected and sent to the base hospital for proper diagnosis and treatment. Wireless instruments have great value in comprehensive eye screening in large volume with reasonable time, cost and man-power. Rational of the study is while giving too much stress on cataract many a time we miss non-cataract blinding eye conditions and later regret. Comprehensive eye examination with reasonable utilization of time, cost, and man-power we can add value to cataract screening by picking up glaucoma suspects and different retinopathies co-existing with cataract. Wireless instruments like portable slit lamp, cordless indirect ophthalmoscope tremendously help in comprehensive examination in a shorter time. This study examines the effectiveness of this examination process. Aim and objectives of the study is (i) To evaluate the effectiveness of using wireless instruments in comprehensive eye screening in large volume outreach camps in terms of cost, man power and time. (ii) To evaluate the ability of the process to detect non-cataract blinding conditions like glaucoma and different retinopathies and prevent blindness. MATERIALS AND METHODS This was a retrospective cross sectional study to evaluate the effectiveness of wireless instruments in cataract screening camps to detect non-cataract conditions like glaucoma, Diabetic and other retinopathies. It was done in Purba Medinipur district of West Bengal in 3 consecutive camps. A regular 486
Page 1 and 2: Comprehensive Ophthalmology Free Pa

Comprehensive Ophthalmology Free Papers - aioseducation

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?