Day 1 :
Keynote Forum
Brig Gen Dr Md Kamrul Hasan Khan
Combined Military Hospital andArmed Forces Medical College,Dhaka, Bangladesh.
Keynote: Management of seasonal viral keratoconjunctivitis in a regional military hospital
Time : 12:05-12:30
Biography:
Brig Gen Dr Md Kamrul Hasan Khan has completed his medical graduation (MBBS) in 1989. He has joinded as a Medical Officer in Bangladesh Army in year 1991. Since 1998, he has been working as an ophthalmologist in different military hospitals. He obtained DO, FCPS and FICO. He underwent training in refractive surgery in home and abroad. He also obtained fellowship in Glaucoma in . Now he is working as a Professor and HOD in Armed Forces Medical College and Combined Military Hospital, Dhaka. He attended number of international ophthalmic conferences like AIOS, APACRS, APAO
Abstract:
Purpose of the study is to explore the outcomes of using Gancyclovir in seasonal viral keratoconjunctivitis in a Combined Military Hospital Chattogram.
METHODS:This study was done in eye department of Combined Military Hospital, Chattogram, from January 2013 to September 2018. Initially they were treated with artificial tear and antibiotic to prevent secondary bacterial infection. After three days of complete rest, the cases presented with static or further deteriorated condition, they were treated with Gancyclovir eye gel five times a day for two weeks. After subside of acute redness, topical dexamethasone was also applied for 4 times and 3 times at one week interval. Follow up period was 3 days, 1 week, 2 week, 4 week and 3 months.
RESULTS:2678 cases were included in our study. 78% of the patients were male and 22% were female. 95% patients were from age group of young and serving personnel(37±29 years). Gancyclovir was used in 750 (28.00%) cases. With conventional treatment, recovery of sign symptoms took 3 weeks(SD-3±1 weeks). Recovery was observed within 10 (9±2 day) days in 450 (60.00%) cases of using Gancyclovir. Short term complications as pseudomembrane form in 24% cases. and corneal ulcer developed in 1 case. SPK was remain in 22% cases even after 3 months though inactive and visually insignificant.
CONCLUSION: Patients with seasonal keratoconjunctivitis treated with Ganciclovir provide prompt resolution which save working hours of serving personnel.
Keynote Forum
Raisa Tandon
Assam Medical College and Hospital, Dibrugarh
Keynote: A tale of two cases of purtscher retinopathy
Biography:
Dr.Raisa Tandon passed MBBS from Sarojini Naidu Medical College,Agra,India in 2016 at the age of 24 years and now is pursuing post graduation in Ophthalmology in Assam Medical College,Assam,India.She has been a gold medalist in her career.
Abstract:
Purtscher Retinopathy is a rare condition associated with peripapillary infarctions secondary to severe trauma or various conditions.It’s presentation is usually bilaterally symmetrical.We herein report two unusual cases that presented in Casualty following RTA .One was diagnosed with EDH while the other suffered trauma over abdominal and inguinal area.The noticeable aspect of these patients include unilateral painless loss of vision with V/A FC 1m R/E(Case 1) and 6/24 L/E(Case 2).DFP revealed cotton wool spots and purtscher fleckens around the optic nerve and fovea.The corresponding FFA revealed capillary dropouts and blocked fluorescence in the areas of retinal whitening.They were managed with systemic steroids and tear supplements.On follow up the cases gradually improved with the resulting BCVA 3/60(Case 1),6/9(Case 2).No known treatment exists for Purtscher Retinopathy.Medical or surgical therapy directed at the underlying condition may help to prevent further deterioration.