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Continuous B scan ultrasound guided post-traumatic sub-periosteal orbital hematoma drainage: An advantage over routine needle drainage procedure

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World Journal of Emergency Medicine 2019年第4期10卷 248-250页

作者： amar pujari Pallavi Singh Ayushi Sinha Shreya Nayak MANDeep S.Bajaj Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences

Dear editor,Traumatic orbital haemorrhage is an unfortunate complication with potential vision-threatening consequences.[1-3]The collection of blood can occur anywhere along the potential free orbital spaces,[4]but the subperiosteal collection of the blood is an important clinical variant where careful and timely intervention can give commendable rewards to the surgeon as well as to the patient.[1,2]Subperiosteal hematoma could be traumatic or non-traumatic,in turns,the non-traumatic cases may be due to bleeding tendency as in cases of leukaemia.

关键词： Traumatic orbital haemorrhage unfortunate complication consequences

Ocular mutilation: A case of bilateral self-evisceration in a patient with acute psychosis

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World Journal of Emergency Medicine 2017年第3期8卷 233-234页

作者： amar pujari Neelam Pushker Milind Changole Ritika Mukhija Dr.Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences

Self-inflicted eye injuries in psychotic patients are not uncommon, it has been well described in the literature, earlier report date back to the mid-19th century, but it was there in ancient time as well. In developi... 详细信息

关键词： in of case Figure for with

Missed retinal breaks in rhegmatogenous retinal detachment

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International Journal of Ophthalmology(English edition) 2016年第11期9卷 1629-1633页

作者： Brijesh Takkar Shorya Azad Adarsh Shashni amar pujari Indrish Bhatia Rajvardhan Azad Dr. Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi 110029 India Bharti Eye Hospital New Delhi 110029 India

AIM： To evaluate the causes and associations of missed retinal breaks（MRBs） and posterior vitreous detachment（PVD） in patients with rhegmatogenous retinal detachment（RRD）.METHODS： Case sheets of patients undergoing vitreo retinal surgery for RRD at a tertiary eye care centre were evaluated retrospectively. Out of the 378 records screened, 253 were included for analysis of MRBs and191 patients were included for analysis of PVD,depending on the inclusion criteria. Features of RRD and retinal breaks noted on examination were compared to the status of MRBs and PVD detected during surgery for possible ***： Overall, 27% patients had MRBs. Retinal holes were commonly missed in patients with lattice degeneration while missed retinal tears were associated with presence of complete PVD. Patients operated for cataract surgery were significantly associated with MRBs（P =0.033） with the odds of missing a retinal break being1.91 as compared to patients with natural lens. Advanced proliferative vitreo retinopathy（PVR） and retinal bullae were the most common reasons for missing a retinal break during examination. PVD was present in 52% of the cases and was wrongly assessed in 16%. Retinal bullae,pseudophakia/aphakia, myopia, and horse shoe retinal tears were strongly associated with presence of *** RRDs were rarely associated with PVD. CONCLUSION： Pseudophakic patients, and patients with retinal bullae or advanced PVR should be carefully screened for MRBs. Though Weiss ring is a good indicator of PVD, it may still be over diagnosed in some cases. PVD is associated with retinal bullae and pseudophakia, and inversely with traumatic RRD.

关键词： missed retinal breaks retinal detachment ocular examination posterior vitreous detachment retinalsurgery

Ultrasonographic assessment of paediatric ocular emergencies： A tertiary eye hospital based observation

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World Journal of Emergency Medicine 2018年第4期9卷 272-275页

作者： amar pujari Deepa R Swamy Rashmi Singh Ritika Mukhija Rohan Chawla Pradccp Sharma Dr. Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences New Delhi 110029 India

BACKGROUND: The purpose of this study is to assess the utility of ocular ultrasound B scan in the emergency at the fi rst point of care for detecting posterior segment and orbital pathologies in cases of paediatric ocular ***: A prospective observational study involving 122 paediatric patients presenting to eye emergency over a period of ninety days were assessed with ultrasonography for the posterior segment as well as orbital pathology whenever indicated. The ocular ultrasound was performed gently over closed ***: Posttraumatic globe injuries were the most common indication for posterior segment evaluation, which constituted 80(65.57%) eyes. Among these 52 patients had an anechoic posterior segment and 28 patients had variable findings such as vitreous haemorrhage(8.19%), retinal detachment(6.55%), choroidal detachment(4.91%), posteriorly dislocated clear lens(0.81%) and retained intraocular foreign body(5.73%). Non-traumatic cases constituted around 42(34.42%) eyes, which included corneal ulcer(7.37%), retinoblastoma(6.55%), endophthalmitis(4.91%), extraocular muscle cysticercosis(4.91%), orbital cellulitis(4.09%), periocular haemorrhage(2.45%), proptosis(1.63%), paediatric cataract(1.63%) and cryptophthalmos(0.81%). No adverse events of performing the ultrasound was ***: First point ultrasonography in paediatric ocular emergencies is a cheap, portable and an effective tool in the assertion of signifi cant posterior segment and orbital diseases.

关键词： Paediatric ocular emergencies Ultrasound B scan Posterior segment andorbital pathologies

Prevalence of pulmonary hypertension among children with Down syndrome:A systematic review and meta-analysis

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World Journal of Clinical Pediatrics 2021年第6期10卷 177-191页

作者： amar Taksande Divya pujari Patel Zeeshan Jameel Bharati Taksande Revat Meshram Department of Pediatrics Jawaharlal Nehru Medical CollegeWardha 442004MaharashtraIndia Department of Medicine Mahatma Gandhi Institute of Medical SciencesWardha 442102MaharashtraIndia

BACKGROUND Pulmonary hypertension(PH)has serious short-and long-term *** is gaining increasing importance in high risk groups such as Down syndrome(DS)as it influences their overall survival and ***,there is a dire need to collate the prevalence rates of PH in order to undertake definitive measures for early diagnosis and *** To determine the prevalence of PH in children with *** The authors individually conducted a search of electronic databases manually(Cochrane library,PubMed,EMBASE,Scopus,Web of Science).Data extraction and quality control were independently performed by two reviewers and a third reviewer resolved any conflicts of *** words used in the literature search were“pulmonary hypertension”and“pulmonary arterial hypertension”;“Down syndrome”and“trisomy 21”and“prevalence”.The data were analyzed by Comprehensive Meta-Analysis Software Version *** of bias assessment and STROBE checklist were used for quality *** Of 1578 articles identified,17 were selected for final *** pooled prevalence of PH in these studies was 25.5%.Subgroup analysis was carried out for age,gender,region,year of publication,risk of bias and etiology of *** This review highlights the increasing prevalence of PH in children with *** is crucial for pediatricians to be aware of this morbid disease and channel their efforts towards earlier diagnosis and successful ***-based studies with a larger sample size of children with DS should be carried out to better characterize the epidemiology and underlying etiology of PH in DS.

关键词： Down syndrome Pulmonary hypertension Prevalence Trisomy 21 Persistent pulmonary hypertension Congenital heart disease