Minutes of the IPGS Meeting – Feb 2017

Prof Viney Gupta

Introduction and Follow-up of IPGI ( 10 min)

Prof Sushmita Kaushik

Minutes of the first meeting and salient points ( 10 min)

Dr. Sirisha Senthil

The way Forward
(15 min)

Discussion 5 min
Steroid Induced Glaucoma in children: The problem and possible solutions

Dr. Anil Mandal
Chairperson

Dr. Mayuri
Moderator

Dr. Madhu Bhadauria
Convener

    • SIG blindness:  Dr. Viney – 6 min
    • Strategies for prevention : Dr. Kirti  – 6 min

Stop OTC prescription and have a change in the governmental policy!

  • Areas of research: Dr. Sirisha – 12 min
  1. Why is VKC more in boys?
  2. In India we do have significant number of girls with VKC! Why?
  3. What does it decrease with inset of puberty
  4. Why do we have late onset / adult onset VKC in India?
  5. Role of sex hormones in the exacerbation or resolution of VKC?
  6. Seasonal variations in the allergic pattern in VKC?
  7. Regional distribution of VKC across India.
  • Case scenario
      • VKC recent onset topical steroid use, IOP 40, Normal disc: Dr. Prafulla (5 min).
            • Immediate management
            • Follow-up
      • VKC “sos” topical steroid use, IOP 40, Advanced GON: Dr. Manju (5 min)
            • Immediate management
            • Follow-up
  • What does “monitoring” mean – Dr. Mayuri (5 min)
  • How often should we check IOP after administering steroids in children

Management options

  1. Choice of medical management  – Dr. Purvi Bhagat (6 min)
    1. PGA, Timolol, CAI, Bromonidine
    2. Any role of SLT in older children
  1. When surgery required, what is the first choice – Dr. Sushmita (6 min)
    1. Trabeculectomy always? MMC always?
    2. Maybe a primary tube in select cases
    3. Cyclophotocoagulation in select cases
    4. Goniotomy

 

 

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