Quality of life following LASIK surgery at a tertiary center in North India.

BACKGROUND AND AIM: Laser-assisted in situ keratomileuses (LASIK) refractive surgery is a cutting-edge and developing area of ophthalmology. Reshaping the cornea during refractive surgery helps patients become less dependent on glasses or contact lenses. The aim of the present study was to evaluate the visual outcome, quality of life, and patient satisfaction following LASIK surgery at a tertiary care center in North India using the National Eye Institute Refractive Error Quality of Life (NEIRQL-42) questionnaire. METHODS: NEI-RQL, a 42-item measure with 13 subscales. The questionnaire was administered to a sample size of 71 patients who underwent LASIK Surgery at a tertiary center in North India. Data were collected pre- and post-surgery (1,3,6 month post-LASIK) for myopic or hyperopic refractive error. Statistical analysis was done using the Friedman test and Wilcoxon signed-rank test. RESULTS: In myopic patients, the mean preoperative spherical equivalent (SE) was -4.19 ± 2.28D in the right eye and -4.26 ± 2.28D in the left eye and post-op SE -0.06±0.29 (p=0.00). The largest improvements (>25 points) on the 0 to 100 possible score range, were seen in activity limitations, dependence on correction, appearance, and satisfaction with correction subscales. The subscale glare showed a statistically significant difference (worsening) whereas a non-significant change (P> 0.05) was recorded only in the sub-optimal correction sub-scale. CONCLUSIONS: The NEIRQL-42 is a responsive tool to evaluate vision-related changes in quality of life after LASIK surgery in the Indian population. The best surgical expectancy and QoL can be expected at 6 months following surgery.

Odontoma and other congenital dental anomalies: Implications for forensic identification.

Forensic odontology plays a crucial role in establishing the identity in mass disasters and criminal cases with high accuracy. Dental anomalies and features help in such situations. Congenital and developmental dental anomalies can be easily documented to establish distinctive and individualistic characteristics of an individual. The location, number of teeth involved, and the type of anomaly vary between individuals. Similarly, dental malformations also assist greatly in the identification process. Many types of dental anomalies have been studied in the past for their individualistic characteristics in forensic examinations. One such dental anomaly is odontoma, which is a benign odontogenic malformation. This malformation may also help in the identification of the deceased, when recorded and examined accurately. An odontome is a malformed teeth-like structures consisting of enamel, dentin, and pulpal tissue, formed due to the growth of completely differentiated epithelial and mesenchymal cells. If antemortem (AM) dental records incorporate information regarding odontomes and other dental anomalies, including in radiographs, orthopantomograms or microradiographs, positive identification may be established by comparison of these records with postmortem (PM) records. In the present communication, a rare case of compound composite odontoma in the anterior mandible with multiple denticles has been discussed with a brief overview of congenital and developmental dental anomalies. The authors emphasize the importance of such rare dental anomalies and malformations which may be used for identifying the deceased in mass disasters and forensic identification.

Characteristic Features of Ear and Ear-Prints in Forensic Identification.

INTRODUCTION AND OBJECTIVES: The human external ear is a morphologically perplexing structure with wide variations in its features across individuals. Advances in forensic science have established the use of morphological features and prints of different parts of the human body in establishing the identity of an individual. The present study aims to establish such an identification process by examining the use of comparative analysis of ear prints and ear photographs. METHODOLOGY: The study examined the morphological features of ear prints of 140 participants (71 males and 69 females) ranging in age from 18 to 25 years (with a mean age of 20.22 ±â€Š1.77 years), recruited from a North Indian population. Prints of both the ears were recorded, using the inking method. The morphological features of the ear prints were compared with the photographs of the ear for their uniqueness and individualization using likelihood ratios. RESULTS: The degree ofantihelix curvature demonstrated the highest correlation (98.57%) between the morphological features visible on the ear and the expressions of these features in an ear print. The impression of earlobes, Darwin tubercle, crus of the helix, and shape of the external ear showed accuracy between 70% and 90%, whereas correlations below 70% accuracy were recorded for the other features. The likelihood ratios for 12 parameters were reported to be more than 10x, representing that the identification made using these parameters was > 10 times more likely to be true identification as compared to false positives. Moreover, 5 parameters were found to show high sensitivity, with values greater than 3 standard deviations (0.997), with an additional 9 parameters found to have good sensitivity at values greater than 2 standard deviations (<0.95). Similarly, 2 parameters were found to show high specificity, with values greater than 3 standard deviations (0.997), with an additional 18 parameters found to have good sensitivity at values greater than 2 standard deviations (<0.95). CONCLUSIONS: Elevated features of the ear, such as helix, antihelix, antitragus, tragus, and inter-tragic notch; particularly the degree of antihelix curvature, are more easily impressed and identifiable on an ear print. The results support that ear prints may provide important clues to assist in establishing the identity of an individual if several morphological features are evaluated concurrently.

Evaluation of Morphological Characteristics of the Human Ear in Young Adults.

INTRODUCTION AND OBJECTIVES: Human external ear is a morphologically complex structure and plays a vital role in the collection of sound. The present study would provide the information regarding the shape and size of the various morphological structures of the ear in normal individuals which may help the plastic surgeons to reconstruct the anatomy of the deformed ear and the physical and forensic anthropologists to study variations and establishing its use as a biometrics. The aim of the study was the morphological examination of the ear and its features to investigate the biological variations, sex differences, bilateral variations and further attempt to provide a database of external ears of a normal north Indian population. METHODS: A cross-sectional sample of 71 males and 69 females aged between 18 to 25 years were collected from Nahan city of Sirmaur District in Himachal Pradesh state of North India. Various anthroposcopic parameters were considered and evaluated through personal observation such as ear shape, form of the helix, lobule shape and its attachment to the cheeks, strength of the anti-helix, etc and were sub-divided on the basis of form, shape, elevation, etc. The SPSS statistic (IBM, Armonk, NY) software version 16 was used to evaluate the sexual dimorphism and bilateral differences. RESULTS AND CONCLUSION: The frequencies of various morphological characters of the human external ear were calculated using Crosstabs. The results indicate the oval and round shaped ears were reported in 37.3%; 35.92% males and 23.92%; 38.41% females, respectively. Normally rolled helix was more frequent (73.24% in males and 84.06% in females) and possessed frequently occurring Darwin's tubercle with nodosity form (88.03% in males and 90.58% in females). Hypertrichosis was mostly present on the complete helix in case of males (66.20%). Single knob tragus (40.14% in males and 52.90% in females) and double knob tragus (33.10% in males and 36.23% in females) were found to be with higher frequency in the studied population. Partially free earlobes (53.52% in males and 46.38% in females) were more common than the attached one (38.03% in males and 47.83% in females) in case of males only. The present study provides a database of morphoscopy of the external ears of North Indian population. The database may be useful in the reconstruction of the deformed ears and in the anthropological and forensic research for comparison purposes. The study may also be utilized in the prediction of ear shape and size of the studied population for facial reconstruction in forensic examinations.