17Jul 2017

CLINICAL PROFILE AND MANAGEMENT OF DRY EYE DISEASE IN A TERTIARY HEALTH CARE CENTRE IN WESTERN ODISHA.

  • Associate professor, Department of Ophthalmology, Veer Surendra Sai Institute of Medical Science and Research, Burla, Sambalpur, Odisha-768017.
  • Senior Resident, Department of Ophthalmology, Veer Surendra Sai Institute of Medical Science and Research, Burla, Sambalpur, Odisha-768017.
  • Senior Resident, Department of Ophthalmology, Veer Surendra Sai Institute of Medical Science and Research, Burla, Sambalpur, Odisha-768017.
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Aims:- The aim of this study is to find out the clinical profile and management of all patients presenting with dry eye disease attending the Ophthalmology Department in a tertiary health care centre in western Odisha. Materials And Methods:- A subset of 60 patients (120 eyes ) of dry eye symptoms attending the Ophthalmology Department of VSS Medical College, Burla, Sambalpur over a period of two years were included. Results:- Out of 60 patients Female:Male ratio is 1.3:1. Ocular pain and fatigue are the most common symptoms (53.33%). There were decreased in blink rate 78.33% cases, tear film break up time 76.66% cases, tear meniscus height 86.66% cases and Schirmer?s test 81.66% cases, Rose Bengal staining was positive in 73.33% cases. Keratoconjunctivitis Sicca (KCS) affecting 20% of patients, vitamin A deficiency accounts for 28.3%, Stevens Johnsons Syndrome (SJS) 11.66%. Allergic conjunctivitis, Blepharitis and computer users 13.33% each, aging 3.33%, hormonal imbalance 5% and dry eyes associated with systemic disease account for 5% only. 48 cases (80%) responded well to 6 weeks medical therapy with significant improvement of their symptoms and signs. Out of 12 cases (20%) not responded to medical therapy, 10 cases (16.6%) underwent different surgical procedures of which 4 cases (6.66%) underwent punctal occlusion, 3 cases (5% underwent amniotic membrane graft (AMG), 2 cases (3.33%) ) underwent separation of symblepharon with placement of symblepharon shell and 1 case underwent tarrsorrhaphy. After 6 weeks of surgical therapy 8 case showed improvement in their symptoms and signs. Only 2 cases of SJS showed poor response. Conclusion:- Dry eye syndrome are of multifactorial in its aetiology affecting all age groups. Kerato conjunctivitis sicca commonly affect elderly of more than 40 years of age. The dry eye disease should be diagnosed early and managed with lot of care and skill.


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[Knhei Charan Tudu, S. Soni and Anuradha Pradhan. (2017); CLINICAL PROFILE AND MANAGEMENT OF DRY EYE DISEASE IN A TERTIARY HEALTH CARE CENTRE IN WESTERN ODISHA. Int. J. of Adv. Res. 5 (Jul). 609-614] (ISSN 2320-5407). www.journalijar.com


Dr. Kanhei Charan Tudu
Sambalpur University

DOI:


Article DOI: 10.21474/IJAR01/4759      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4759