RESUMEN
Purpose: : To determine the prevalence of diabetic retinopathy (DR) and its risk factors among diabetic patients in the states of Madhya Pradesh (MP) and Chhattisgarh (CG). Methods: : Diabetic patients were screened in the treating diabetologist/physician's clinic by a team that included an ophthalmologist, an optometrist, and a counselor. Demographic details, diabetic control, compliance to eye checkup, awareness regarding diabetic blindness, and visual acuity were recorded using a questionnaire. DR was graded both by indirect ophthalmoscopy and fundus photo taken with a portable fundus camera. Results: : In total, 602 subjects were screened across five selected locations of MP and CG. The prevalence of DR was 13.62%. No significant difference with gender was seen. The presence and grade of DR were related to age, diabetic age, and diabetic control. Conclusion: : This study provides the prevalence data for DR among diabetic patients from the states of MP and CG and highlights important barriers to DR screening in our country.
Asunto(s)
Diabetes Mellitus , Retinopatía Diabética , Oftalmología , Retinopatía Diabética/diagnóstico , Retinopatía Diabética/epidemiología , Fondo de Ojo , Humanos , India/epidemiología , PrevalenciaRESUMEN
PURPOSE: The aim of this study was to determine the prevalence of diabetic retinopathy (DR) and its risk factors among diabetic patients in rural and urban West Bengal (WB). METHODS: Patients were screened in the physician's clinic by a team of ophthalmologist, optometrist and counsellor. Demographic details, diabetic control, compliance to eye checkup, awareness regarding diabetic blindness, and visual acuity were recorded using a questionnaire. DR was graded both by indirect ophthalmoscopy and fundus photo taken with a portable fundus camera. RESULTS: A total of 1553 subjects were screened over 39 camps across 14 districts of WB over 17 months. The prevalence of DR was 21.51%, with a significant difference between rural (26.55%) and urban (13.89%) areas (P < 0.01). No significant difference with gender was seen (P = 0.99). Presence and grade of DR were related to age, loss of vision, diabetic age, diabetic control, awareness of diabetic blindness and last eye checkup. CONCLUSION: This study provides the first major prevalence data from WB, and gives valuable insight regarding modifiable risk factors for DR. It is also the first DR study in India to be conducted in the physician's clinic. The study results emphasise the need to "fix the missing link" between ophthalmologists and treating physicians to win the battle against DR.
Asunto(s)
Diabetes Mellitus , Retinopatía Diabética , Estudios Transversales , Retinopatía Diabética/diagnóstico , Retinopatía Diabética/epidemiología , Fondo de Ojo , Humanos , India/epidemiología , Prevalencia , Factores de RiesgoRESUMEN
Cataract is the second leading cause of preventable blindness on the globe. Several programs across the country have been running efficiently to increase the cataract surgical rates and decrease blindness due to cataract. The current COVID-19 pandemic has led to a complete halt of these programs and thus accumulating all the elective cataract procedures. At present with the better understanding of the safety precautions among the health care workers and general population the Government of India (GoI) has given clearance for functioning of eye care facilities. In order to facilitate smooth functioning of every clinic, in this paper, we prepared preferred practice pattern based on consensus discussions between leading ophthalmologists in India including representatives from major governmental and private institutions as well as the All India Ophthalmological Society leadership. These guidelines will be applicable to all practice settings including tertiary institutions, corporate and group practices and individual eye clinics. The guidelines include triage, use of personal protective equipment, precautions to be taken in the OPD and operating room as well for elective cataract screening and surgery. These guidelines have been prepared based on current situation but are expected to evolve over a period of time based on the ongoing pandemic and guidelines from GoI.
Asunto(s)
Betacoronavirus , Extracción de Catarata/normas , Consenso , Infecciones por Coronavirus/epidemiología , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Oftalmología , Pandemias , Neumonía Viral/epidemiología , COVID-19 , Infecciones por Coronavirus/transmisión , Humanos , Equipo de Protección Personal/normas , Neumonía Viral/transmisión , SARS-CoV-2RESUMEN
The effects of dosage, pH and concentration of salts were investigated for an optimized condition of color removal from the distillery spent wash. The optimization process was analyzed using custom response surface methodology (RSM). The design was employed to derive a statistical model for the effect of parameters studied on removal of color using Moringa oleifera coagulant (MOC). The dosage (20 and 60 ml), pH (7 and 8.5) and concentration of 0.25 M had been found to be the optimum conditions for maximum 56% and 67% color removal using sodium chloride (NaCl) and potassium chloride (KCl) salts respectively. The actual color removal at optimal conditions was found to be 53% and 64% respectively for NaCl and KCl salts which confirms close to RSM results. The effects of storage duration and temperature on MOC studied reveal that coagulation efficiency of MOC kept at room temperature was effective for 3 days and at 4 degrees C it performed coagulation up to 5 days.