Tejit Singh

Government Medical College, Jammu, Jammu City, Kashmir, India

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Publications (2)1.02 Total impact

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    ABSTRACT: Background The aim of the study is to compare the outcome of phacoemulsification in patients with and without pseudoexfoliation syndrome in Kashmir. Methods 200 patients were prospectively evaluated and divided into 2 groups. Group 1 comprised 100 cases with pseudoexfoliation and Group 2 (control) 100 cases without pseudoexfoliation. Phacoemulsification with posterior chamber intraocular lens implantation was performed by 3 surgeons. Intraoperative and postoperative observations were made in both the groups at regular intervals upto 6 months. A chi square test was used for statistical analysis. Results Patients with pseudoexfoliation were significantly older (P = 0.000), had harder cataract(P = 0.030) and smaller mean pupil diameter(P = 0.000) than the control group. Intraoperative complications were comparable between the 2 groups except the occurrence of zonular dehiscence which was seen in 7% patients of Group 1 compared to 0% in Group 2. Higher postoperative inflammatory response was seen in Group 1(P = 0.000). Decrease in intraocular pressure (IOP) at all postoperative measurements was more in Group 1(P = 0.000). The visual acuity was better in the control group in the early postoperative period (P = 0.029), however the final visual acuity at 6 months was comparable between the 2 groups. Conclusions Phacoemulsification in presence of pseudoexfoliation necessitates appropriate surgical technique to avoid intraoperative complications. Pseudoexfoliation is associated with higher inflammatory response, significant postoperative IOP drop and satisfactory visual outcome.
    Full-text · Article · Jun 2012 · BMC Ophthalmology
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    Aalia R Sufi · Tejit Singh · Kashmir Jammu
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    ABSTRACT: Acute myeloid leukemia (AML) may rarely involve the orbit as a solid tumor termed granulocytic sarcoma. This re-port describes the case of a child who presented with rapidly progressive unilateral proptosis and was diagnosed as rhab-domyosarcoma. However subsequent examination of the peri-pheral blood film revealed AML. Thus proptosis may present as the initial manifestation of AML. Introduction: The orbit, especially in children can be involved in a number of diseases either ophthalmic or non-ophthalmic. The common le-sions include orbital cellulitis, dermoid cysts, rhabdomyosar-coma and hemangioma. 1 However certain rare causes also exist, like granulocytic sarcoma. Thus the differential diagnosis should be kept in mind and a thorough clinical examination and appropriate investigations should be carried out to facilitate early treatment. Case Report: Eight years old child presented with proptosis of right eye with ocular pain and redness over a span of 15 days. Vision in right eye was 20/200 (later decreased to 20/400). Proptosis of 6 mm was noted with downward and lateral dis-placement of globe [Fig 1]. Extra ocular movements were re-stricted superiorly and inferiorly. Conjuctiva was congested and chemosed, cornea showed exposure keratitis, minimal hypopy-on, pupil reacted sluggishly to light, intraocular pressure was 22 mmHg, fundus examination revealed normal disc with dilated tortuous vessels. Left eye was normal. A provisional diagnosis of rhabdomyosarcoma was made due to the acute onset of proptosis and young age, rhabdomyosar-coma being the commoner primary orbital malignancy in chil-dren. CT Scan revealed 3 x 3 cm well defined mass in superior aspect of right orbit with contrast enhancement, superior rectus was not seen separately. No bone destruction, no intracranial extension was seen [Fig 2]. Radiologists suggested heman-gioma. Subsequently peripheral blood film (PBF) was ordered which showed lymphopenia and thrombocytopenia, hypochromic macrocytes with anisocytosis, polymorphs 30%. lymphocytes 25%, >blasts 45% [Fig 3]. Figure 1: Photograph showing unilateral proptosis.
    Full-text · Article · Oct 2011 · Online Journal of Health and Allied Sciences

Publication Stats

3 Citations
1.02 Total Impact Points


  • 2012
    • Government Medical College, Jammu
      Jammu City, Kashmir, India
  • 2011
    • Government Medical College Srinagar
      • Department of Ophthalmology
      Suryanagar, Kashmir, India