Osce for mbbs students 1

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Nivetha kameswari

Education

Dr A Rajendraprasad MS DO Professor of Ophthalmology
Coimbatore Medical College Coimbatore

OSCE FOR MBBS STUDENTS

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Abstract— Purpose: To evaluate the morphological changes of the Meibomian glands in patients with evaporative “dry eye” compared to normal subjects by in vivo laser scanning confocal microscopy (LSCM). To correlate these changes to the clinical observations and tear functions. Methods: The study was based on trans-tarsal images of 30 normal and 30 diseased lids (patients with subjective complaints and objective symptoms of evaporative “dry eye”). Each participant was examined by in vivo LSCM (HRT3 Rostock corneal module). The results were compared to histological findings of normal or pathologically changed Meibomian glands. Results: Patients with evaporative “dry eye” presented with destructive changes of the Meibomian glands as follows: occlusion of the lumen, impaired morphology of the acines, lack of normal structure and infiltration with inflammatory cells. Reported ocular surface and tear function abnormalities were correlated to the Meibomian glands dysfunction (MGD). In all cases the lid hygiene and anti-inflammatory treatment demonstrated tendency to restoration of the structure. Cоnclusion: In vivo LSCM can effectively demonstrate the morphological changes of the Meibomian glands in patients with evaporative dry eye symptoms. This noninvasive technology is useful as a supplementary diagnostic tool for in vivo assessment of the histopathology of many ocular surface disorders and monitoring of the therapeutic effect in patients with MGD. Glandular acinar density and acinar unit diameter seemed to be promising new parameters of Meibomian glands in vivo confocal microscopy. The examination has the potential to change the evaporative dry eye treatment approach

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1) I am Dr Md Anisur Rahman Anjum passed MBBS from Dhaka Medical College in 1987. Diploma in Ophthalmology (DO) from the then IPGM&R (now it is Bangabandhu Sheikh Mujib Medical University BSMMU) in 1993. Felllowship in Ophthalmology FCPS from Bangladesh College of Physician and surgeon in 1997. I am now working as associate professor in General Ophthalmology in National Institute of Ophthalmology Dhaka Bangladesh which is the tertiary centre in eye care in Bangladesh. These OSPE are dedicated to the postgraduate student who are decided to builds their carrier in ophthalmology. I hope that they will be benefitted if they solve these OSPE

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