Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : July | Volume : 12 | Issue : 7 | Page : OC13 - OC15

Ophthalmic Manifestation of Sickle Cell Patients in Eastern India

Swati Samant, Srikant Kumar Dhar, Mahesh Chandra Sahu

1. Assistant Professor, Department of Ophthalmology, IMS and SUM Hospital, Bhubaneswar, Odisha, India. 2. Associate Professor, Department of Medicine, IMS and SUM Hospital, Bhubaneswar, Odisha, India. 3. Assistant Professor, Directorate of Medical Research, IMS and SUM Hospital, Siksha O Anusandhan University, Bhubaneswar, Odisha, India.

Correspondence Address :
Dr. Srikant Kumar Dhar,
3/1, Annapurna Residensy, Mahatab Road, Old Town, Bhubaneswar-751002, Odisha, India.
E-mail: drskdhar@gmail.com

Abstract

Introduction: Sickle Cell Disease (SCD) is the most common and a serious form of an inherited blood disorder that leads to increased risk of early mortality and morbidity. Some of the ophthalmological complications of SCD include retinal changes, vitreous haemorrhage, and abnormalities of the conjunctiva. Irrecoverable Vision loss may be a manifestation if not diagnosed early and treated appropriately.

Aim: To determine different ophthalmic manifestations in SCD patients and correlate in relation to HbS window.

Materials and Methods: A total of 49 cases of sickle cell disease (HbSS) that presented to IMS & SUM Hospital were evaluated for ophthalmic manifestations in Ophthalmology OPD with comprehensive eye examination, slit lamp examination, Fundoscopy (Direct and Indirect) and OCT (Optical Coherence Tomography). Demographics and pattern of presentation were recorded in the proforma prepared for the study.

Results: Male:Female ratio was 3:1. About 2/3rd of the patients were below 40 years of age. Examination of posterior segment revealed 5 (10%) of the patients presented with proliferative retinopathy, 15 (30%) with non proliferative retinopathy, 13(26%) with optic disc changes, 7 (14%) with retinal macular changes and 2 (4%) had retinal detachment findings are significantly different at p=0.001 in ANOVA Test. Anterior segment of eye evaluation demonstrated significant (p=0.0001) changes 18 (36%) patients suffered conjunctival vascular changes, Cataract in 8(16%) patients, and hyphema in only 2 (4%) patients. Both anterior and posterior segment manifestations significantly (p=0.0027) increased with progressive increase in HbS window.

Conclusion: Sickle cell patients need periodic ophthalmic examinations to identify treatable lesions amenable to intervention and to prevent blindness. Both anterior and posterior segment manifestations increases with progressive increase in HbS window in HbSS patients.

Keywords

Fundoscopy, Optic disc, Proliferative and non-proliferative retinopathy, Retinal detachment, Sickle cell disease

How to cite this article :

Swati Samant, Srikant Kumar Dhar, Mahesh Chandra Sahu. OPHTHALMIC MANIFESTATION OF SICKLE CELL PATIENTS IN EASTERN INDIA. Journal of Clinical and Diagnostic Research [serial online] 2018 July [cited: 2018 Jul 17 ]; 12:OC13-OC15. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=July&volume=12&issue=7&page=OC13-OC15&id=11810

DOI and Others

DOI: 10.7860/JCDR/2018/36868.11810

Date of Submission: Apr 19, 2018
Date of Peer Review: May 09, 2018
Date of Acceptance: Jun 07, 2018
Date of Publishing: Jul 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: NONE.

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