Background: Patients with advanced cognitive impairment and cataract are an under-represented group with limited data on surgery outcomes and best practice. The burden of cataract in these groups is significant, and its functional impact can be severe and poorly recognised. We aimed to evaluate cataract surgery outcomes and optimise the surgical pathway for this group at our unit.
View Article and Find Full Text PDFPurpose: To compare outcomes of Immediate Sequential Bilateral Cataract Surgeries (ISBCS) performed by resident doctors versus consultant ophthalmologists at Moorfields Eye Hospital and its satellite centres.
Methods: The study reviewed ISBCS performed by phacoemulsification and intraocular lens implant, comparing resident ophthalmologists (Gr1) and consultant ophthalmologists (Gr2). Outcomes examined included complications, refraction (spherical equivalent (SE) > 0.
Poppers maculopathy is a complication of alkyl nitrate (poppers) inhalation. It presents with non-specific symptoms and variable signs, which can make it difficult to diagnose. We present a case of coexisting cataract and poppers maculopathy in a patient.
View Article and Find Full Text PDFMumbai, India's second largest city, has one of the highest prevalences of drug-resistant tuberculosis* (DRTB) in the world. Treatment for DRTB takes longer and is more complicated than treatment for drug-susceptible tuberculosis (TB). Approximately 300 persons receive a new DRTB diagnosis each year in Mumbai's Dharavi slum; historically, fewer than one half of these patients complete DRTB treatment.
View Article and Find Full Text PDFBackground: Tuberculosis (TB) patients with human immunodeficiency virus (HIV) co-infection have worse TB treatment outcomes compared to patients with TB alone. The distribution of unfavourable treatment outcomes differs by socio-demographic and clinical characteristics, allowing for early identification of patients at risk.
Objective: To develop a statistical model that can provide individual probabilities of unfavourable outcomes based on demographic and clinical characteristics of TB-HIV co-infected patients.
In this investigation, sensitive and reproducible methods are described for quantitative determination of deflazacort in the presence of its degradation product. The method was based on high performance liquid chromatography of the drug from its degradation product on reverse phase using Acquity UPLC BEH C18 columns (1.7 µm, 2.
View Article and Find Full Text PDFInt J Tuberc Lung Dis
July 2016
Indian J Tuberc
January 2016
India has been implementing HIV/TB collaborative activities since 2001 with rapid scale-up of infrastructure across the country during past decade in National AIDS Control Programme and Revised National TB Control Programme. India has shown over 50% reduction in new infections and around 35% reduction in AIDS-related deaths, thereby being one of the success stories globally. Substantial progress in the implementation of collaborative TB/HIV activities has occurred in India and it is marching towards target set out in the Global Plan to Stop TB and endorsed by the UN General Assembly to halve HIV associated TB deaths by 2015.
View Article and Find Full Text PDFIndian J Tuberc
October 2015
Background: Multidrug-resistant TB (MDR-TB) is a major public health concern and threat for tuberculosis control efforts worldwide. Globally, 3.6% of new TB cases and 20.
View Article and Find Full Text PDFFor certain subgroups within people living with the human immunodeficiency virus (HIV) [active tuberculosis (TB), pregnant women, children <5years old, and serodiscordant couples], the World Health Organization recommends antiretroviral therapy (ART) irrespective of CD4 count. Another subgroup which has received increased attention is "HIV-infected presumptive TB patients without TB". In this study, we assess the proportion of HIV-infected presumptive TB patients eligible for ART in Karnataka State (population 60million), India.
View Article and Find Full Text PDFIntroduction: Multidrug-resistant Tuberculosis (MDR TB) is emerging public health concern globally. Lost to follow-up (LTFU) is one of the key challenge in MDRTB treatment. In 2013, 18% of MDR TB patients were reported LTFU in India.
View Article and Find Full Text PDFInt J Tuberc Lung Dis
February 2015
Purpose: To study the results of phacoemulsification cataract surgery complicated by anterior capsule tear.
Design: Retrospective interventional controlled case series.
Methods: Consecutive series of eyes suffering intraoperative anterior capsule tear and others with uneventful cataract surgery at Moorfields Eye Hospital were investigated.
Objective: We present the outcomes of knowledge of diabetes and associated ocular complications among personnel comprising the eye care team in Oman.
Materials And Methods: A closed ended questionnaire was administered during November 2008 and November 2009 to eye care team members in six regions of Oman, where trainings were held. All participants of these trainings were included in our study.