Trabeculectomy with Mitomycin-C in Post-Traumatic Angle Recession Glaucoma in Phakic Eyes With no Prior Intraocular Intervention.

PURPOSE: : To evaluate the outcomes of primary trabeculectomy with mitomycin-C (trab MMC) in phakic eyes with post-traumatic angle recession glaucoma with no prior intraocular surgeries. METHODS: : We included 32 phakic eyes of 32 patients who underwent trab MMC between January-2002 and December-2017. Complete success was IOP between 6 and 21 mm Hg without anti-glaucoma medications (AGM) and failure was when IOP >21 mm Hg with AGM or need for additional intervention for IOP control or loss of light perception. RESULTS: : Thirty-two eyes of 32 subjects with a mean age (± standard deviation) of 30.6 ± 12.6 years were included. The majority were male (97.6%) and the major cause of blunt trauma were sports injury in 28/32 eyes (88%) and 24/32 eyes (75%) had >180-degree angle recession. The Median (interquartile range) follow-up duration was 1.3 years (0.3,3.5). There was significant IOP reduction at 1-year postoperatively (34 (28,40) to 13 (12,16) mm Hg; p < .001). The median postoperative AGM at 1-year was significantly less (4 (3,4) to 0; p < .001) with stable Log MAR visual acuity (p = .24). The complete survival of trab MMC was 88% at 1 year and was 77% from 2 to 5 years. Complications were intraoperative vitreous prolapse needing limited vitrectomy in two eyes and postoperative choroidal detachment in two eyes that resolved with conservative management. The contralateral eyes of three patients (9.7%) developed elevated IOP during the follow-up period. CONCLUSION: : Trabeculectomy with mitomycin-C in phakic eyes with traumatic angle recession glaucoma showed good safety and efficacy in the medium-term follow-up. The contralateral fellow eye needs monitoring for glaucoma in these patients.

Comparative Reliability of Rugoscopy and Dactyloscopy for the Predilection of Malocclusion and Dental Caries in Children: A Cohort Study

Objective: To identify specific predominant rugoscopy and dactyloscopy patterns in children associated with malocclusion and dental caries for the predilection of malocclusion and dental caries. Material and Methods: 800 children between 8-16 years were screened and among them, 150 were who met inclusion criteria were selected and divided into 2 Groups. Based on Angle's malocclusion, Group 1 (n = 90) was subdivided into Group 1A (30 - Class I), 1B (30 - Class II) and 1C (30 - Class III). Based on DMFT, Group 2 (n = 60) were subdivided as Group 2A (30 - Caries free) and 2B (30 - Caries active). Both Groups had an equal distribution of boys and girls. Finger and palm prints were analyzed using Cummins and Midlo; rugae patterns were analyzed using Thomas and Kotze classification. The obtained data were subjected to statistical analysis using Chi-square test. Results: Based on dermatoglyphics, predominant loop pattern was observed in all the subgroups of Group 1 (1A, 1B and 1C). Based on rugae pattern, predominant wavy pattern in Group 1A and curved pattern in both 1B and 1C were observed. In Group 2, loop dermatoglyphic pattern and wavy rugae pattern were predominant in Groups 2A and 2B. Atd angle was highest in Groups 1A (41.60) and 2B (42.36). Gender distribution showed curved pattern of palatal rugae in Group 2B (Caries active) females. Statistical significance was seen in dactyloscopy and rugoscopy patterns among both Group I and Group II (p<0.05). Conclusion: The curved rugae pattern in Group 1B and 1C can be considered as a predictor in Class II and Class III malocclusions. Gender differentiation showed predominant curved pattern in females of Group 2B (Caries active).