1. DR TRUPTI SHARMA CONSULTANT & PHACOSURGEON DR OM PARKASH EYE INSTITUTE

2. EYES ARE WINDOWS TO THE SOUL

4. DIABETES MELLITUS HYPERTENSION RHEUMATOID ARTHRITIS THYROID EYE DISEASES OTHERS

5. Cornea Corneal ulcers : bacterial keratitis fungal keratitis

6. DIABETES MELLITUS LIDS ADNEXA Recurrent infections-external hordeolum, blepharitis Preseptal cellulitis,orbital cellulitis.

7. TRUE DIABETIC CATARACT- Snow flake cataract Mechanism –Acute gyperglycemia-osmotic imbalance-lens hydration Fluid vacuoles-

8. CATARACT SENILE CATARACT Develops at an earlier age Mechanism-glycation,carbamylationof crystallins,increased oxidative damage

9. CATARACT SYMPTOMS- Gradual,progressive diminution of vision Polyopia Blurring of vision –more in bright light

10. MANAGEMENT Phacoemulsification with IOL implantation- method of choice BSL(F)- 140mg% BSL(PP)- 180mg%

11. GLAUCOMA NEOVASCULAR GLAUCOMA

12. OCULAR PARESIS Common presentation Diplopia Recent onset squint III rd Nerve Palsy VI th Nerve Palsy

13. SCREENING PROTOCOL Type 1 Diabetes Mellitus-within 3-5 years of diagnosis Type 2 Diabetes Mellitus-upon diagnosis Comprehensive eye examination&dilated fundus examination-once in 6 months GOAL- HbA1C=7% Good control of metabolic factors- Htn,hyperlipidaemia..

14. HYPERTENSION Subconjunctival haemorrhage Vascular occulusions Hypertensive retinopathy Ocular paresis

15. RHEUMATOID ARTHRITIS Sterile corneal melts, peripheral corneal ulcers Dry eye syndrome Scleritis-non-necrotising,necrotising

16. UVEITIS ASSOCIATED WITH ARTHRITIS Spondyloarthropathies- Ankylosing spondylitis,HLA-B27 ass0.

17. THYROID EYE DISEASES Soft tissue involvement Eyelid retraction Proptosis Optic neuropathy Restrictive myopathy

18. HIV Conjunctival telangectesia,molluscum Burkitt’s lymphoma, kaposi’s sarcoma Herpes zoster ophthalmicus Keratitis Anterior uveitis Secondary glaucoma

19. NEUROLOGICAL DISORDERS Headache Sometimes asymptomatic Causes-intra cranial space occupying lesions,benign intra cranial Hypertension Demyelinating diseases-optic neuritis

20. THANK YOU