Prachi Bakare - Academia.edu (original) (raw)

Papers by Prachi Bakare

European Journal of Clinical and Experimental Medicine, Aug 31, 2023

A study of knowledge attitude practices and identification of perceived barriers towards screenin... more A study of knowledge attitude practices and identification of perceived barriers towards screening for diabetic retinopathy amongst diabetics… This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY 4.0) license.

Curēus, Apr 15, 2024

Background and objective Retinopathy of prematurity (ROP) is a retinal vasoproliferative disease ... more Background and objective Retinopathy of prematurity (ROP) is a retinal vasoproliferative disease affecting premature infants. Despite improvements in neonatal care and management, ROP still remains a major cause of childhood blindness worldwide. Studying the demographic profile and screening is essential to develop predictive models, to gain insights into the cause of retinal vascular diseases and diseases of prematurity, and to determine the future management and research in ROP. The objective of the present study was to estimate the incidence of ROP, to identify the risk factors that predispose to ROP, and to assess the outcome of these cases. Hence, this study was conducted in a tertiary care hospital in Maharashtra. Method A prospective, observational study was conducted from 10 August 2022 to 10 October 2022. Infants with gestational ages < 34 weeks, birth weights < 2000 g, infants who received supplemental oxygen therapy, or patients who required NICU stay were screened for ROP. Demographic details were recorded to assess the risk factors and treatment was given according to the severity of ROP grade. Result A total of 160 eyes of 80 infants were screened and analysed. The overall incidence of "any ROP" was 19 patients (38 eyes), i.e., 24%. Out of 80 patients, six were of 28 weeks gestational age, of whom four (67%) were positive for ROP. The mean birth weight of infants with ROP was 1331.58 ± 238.532 g (p < 0.0001). ROP stage 1 was seen in five patients (26.32%), stage 2 in 10 patients (52.63%), and stage 3 in four patients (21.0%), with no subjects in stages 4 & 5. Out of 19 patients, six (32%) had type 1 ROP, and 13 (68%) had type 2 ROP. Out of 19 cases, 13 (68%) received follow-up care based on the severity of their disease, and six (32%) were treated with panretinal photocoagulation (PRP) laser. Conclusion Incidence of any ROP was 24%. Prematurity, low birth weight, and oxygen therapy remain the most significant risk factors associated with the development of ROP. Early referral, diagnosis, and timely intervention will play a monumental role in improving the prognosis of this potentially blinding disease.

$Research paper thumbnail of Estimation of the Prevalence of Uncorrected Refractive Error and Other Ocular Morbid Conditions in School Children of Industrial Area in a Non-metro City in India$

Indian Journal of Clinical and Experimental Ophthalmology, 2019

Indian Journal of Clinical and Experimental Ophthalmology

Ophthalmic surgery involves very precise surgical skill, which is difficult to teach and even mor... more Ophthalmic surgery involves very precise surgical skill, which is difficult to teach and even more cumbersome in assessment of resident’s surgical skill. Hence it’s a need of time to adopt newer tool for transferring as well as assessing surgical skill. With this concept in mind International Council of Ophthalmology (ICO) has developed various tools for assessing surgical skills. If we use this tool not only as learning tool but also to give constructive feedback on the surgical skills of resident doctors it will help in creating a competent ophthalmic surgeon and eventually help society in general. 1To develop more standardized surgical training; 2. To assess efficacy and feasibility of new tool in improving surgical skills of Post Graduate(PG) student; 3. To know the effect of constructive feedback on surgical performance. Small incision cataract surgery training is done by Rubric designed by ICO- OSCAR. The same tool was used to assess video recorded cataract surgery of resident...

Indian Journal of Clinical and Experimental Ophthalmology, 2021

A potential complication of cataract surgery is posterior capsular rent, where PCIOL can’t be imp... more A potential complication of cataract surgery is posterior capsular rent, where PCIOL can’t be implanted. Primary Iris claw implantation means that the IC-IOL is implanted in the same setting after cataract removal. While secondary Iris claw lens implant is done in an aphakic eye without capsular support and post cataract surgeries when the eye is left aphakic. To compare the visual outcome in cases of primary and secondary iris claw lens implantation after cataract surgery.This was a hospital-based Prospective Interventional Longitudinal study,conducted on patients in a tertiary care centre, in Western Maharashtra from September 2018 to August 2020. 31 eyes underwent primary iris claw implant and 19 underwent secondary iris claw implant. Highly significant difference in visual acuity preoperatively due aphakia among subjects who underwent secondary iris claw implantation (p=0.000) was seen. Highly significant difference in visual acuity post operatively till 15 days was also seen du...

Journal of Clinical Ophthalmology and Research, 2017

Purpose: To study the barriers for cataract surgery among walk-in bilateral cataract blind in a p... more Purpose: To study the barriers for cataract surgery among walk-in bilateral cataract blind in a paying outpatient department (OPD) at a tertiary eye care center in urban India. Materials and Methods: One hundred consecutive walk-in patients attending the paying OPD at a tertiary eye hospital in a tier two city of India and diagnosed to be bilateral cataract blind (better eye vision 10/200 or less) were recruited for the study. The duration of the study was 6 months. A structured interview was administered by a consultant ophthalmologist in the patient's language, and response was recorded in the pro forma. Patient was allowed to go through the system like any other regular OPD patient being advised surgery. Results: The dataset showed 67 (67%) females, 47 (47%) urban, 8 (8%) literate, 47 (47%) living within a distance of 25 km from hospital, and the average age of the patient was 67.18 years (95% confidence interval - 65.27–69.09). The top three reasons that patients cited which...

IP innovative publication pvt. ltd, 2019

Aim: To compare the short term and long term efficacy of using releasable sutures versus the conv... more Aim: To compare the short term and long term efficacy of using releasable sutures versus the conventional permanent sutures for scleral flap suturing in trabeculectomy in terms of incidence of short term hypotony and its related complications, short term shallowing of anterior chamber, long term IOP control after operations by both techniques and post-operative bleb scores. Materials and Methods: This is a prospective study carried out to compare the safety, efficacy and long term success rate of trabeculectomy with releasable suture verses trabeculectomy with permanent sutures. 60 eyes of primary uncontrolled glaucoma were subjected to trabeculectomy surgery, 30 using permanent sutures and 30 using releasable sutures. Patient were randomly assigned into 2 groups for conventional trabeculectomy with interrupted suture (group 1) and trabeculectomy with releasable suture (group 2). Patients were assessed postoperatively on visual acuity, intraocular pressure, anterior chamber depth, immediate complications, anterior chamber depth, post-operative lens changes. Results: Majority patients were male. Age occurrence of open angle glaucoma was between 51-60 years while angle closure glaucoma was between 40 to 50 years. None of the eyes had severe hyotony (IOP less than 6 mmHg in trabeculectomy with releasable suture, while hypotony was a major complication in trabeculectomy with permanent sutures group. Post-operative mean IOP from the end of 3 months till 12 months was found to be equivalent in both groups. In group 1, 5 eyes (16.66%) anterior chamber was well formed compared to 21 eye in group 2. Bleb scores in both the groups suggested, none of the patients in Group 1 had high bleb score between 2-5 days while 13 patients (43.33%) in group 2 had high bleb score. Visual field loss progressed in 5 eyes, 16.66% in group 1. While none of patients had progressive field loss in group 2. Gross hypotony in immediate post-operative period was observed in group 1 while none pts in group 2 showed post-operative hypotony. Conclusion: Suture release after trabeculectomy has been a useful adjunctive to conventional filtration surgery. It enables the filtration capacity to increase post operatively, decreasing the IOP without another invasive procedure or special instrumentation. It allows surgeon to achieve tighter closure of scleral flap with the assurance that filtration capacity can be increased as needed during post-operative period.