Dr.Shradha Pattnaik, S21562
Aim-Study the ocular involvement in pts of cirrhosis, retinal changes and choroidal thickness measurement
Method-Prospective study includes 97 cases of cirrhosis admitted in gastroenterology department from Aug2017 to Apr2018.Visual acquity, Fundoscopy & OCT measurement of choroidal thickness(using enhanced depth imaging) and peripapillary RNFL were done
Results-Retinopathy comprising hemorrhages,exudates found in 39pts(40%),temporal pallor in 20pts(20%),drusen in14pts(14%),choroidal atrophy in 7pts(7%),CSR in 5pts(5%),normal fundus in 11pts Peripapillary RNFL and subfoveal choroid were significantly thinner in all patients
Conclusions-This study proves that microvascular effects of portal hypertension has significant effects on retina & choroid. Abnormal volume/flow in choroid can cause photoreceptor and RPE dysfunction.Coagulation impairment results in retinal hemorrhage.Thus ocular manifestations should be looked for in these patients to avoid subsequent ocular morbidity
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