iosr-JDMS   Volume-18 ~ Issue-1 ~ January-2019

Abstract: Chondroidmyxoidsyringoma is a benign tumor of sweat glands with a mucoidstroma showing cartilaginous metaplasia. It is morphologicaly identical to pleomorphic adenoma / benign mixed tumor of salivary gland. Prevalence ranges from 1 per 1,000 to 1 per 10,000 of all primary skin neoplasms. It is twice as common in men than in women. Most commonly in nose, followed by cheek and upper lip. The present study describes the case of 30 years old male who presented with chin swelling.

[1]. Bekerecioglu M, Tercan M, Karakok M, Atik B. Benign chondroidsyringoma: A confusing clinical diagnosis. Eur J Plast Surg. 2002;25:316-8.

[2]. Bhadani PP, Sen R, Bhadani UK, Karki S, Agarwal S. Is fine needle aspiration cytology (FNAC) useful in skin adnexal masses? A study on 5 cases of pilomatrixoma. Ind J PatholMicrobiol. 2007;50:411–4

[3]. Kumar B. Chondroidsyringoma diagnosed by fine needle aspiration cytology. DiagnCytopathol. 2010;38:38–40.

[4]. Srinivasan R, Rajwanshi A, Padmanabhan V, Dey P. Fine needle aspiration cytology of chondroidsyringoma and syringocystadenomapapilliferum. A report of two cases. ActaCytol. 1993;37:535–8.

[5]. Hirsch P, Helwig EB. Chondroidsyringoma. Arch Dematol. 1961;84:835.

Abstract: Immediate Post Partum Intra Uterine Contraceptive Devices (PPIUCD) insertion provide immediate contraception, prevents repeat unintended pregnancies, reduces side effects like menstrual problems, lower abdominal pain and cramps during insertion. It is more approachable in our country where delivery may be the only time when a healthy woman comes in contact with health care personnel. Despite all the advantages of, numerous complaints and complications........

Key words: Immediate Postpartum, IUCD, LSCS, PPIUCD, PROM.

[1]. Weisberg E. Promoting the use of long-acting reversible contraceptives. Austin J Obstet Gynecol 2014;1(6):6-11.
[2]. FFPRHC Guidance: the copper intrauterine device as long-term contraception. Journal of Family Planning and Reproductive Health Care 2004 Jan;30(1):29-42.
[3]. Rodriguez MI, Even M, Espey E. Advocating for immediate postpartum LARC: increasing access, improving outcomes, and decreasing cost. Contraception;90(5):468-71.
[4]. Jain N, Akhtar N. A Study to compare the efficacy, safety & outcome of immediate postpartum intrauterine contraceptive device (PPIUCD) with that of delayed insertion. IJSR February 2015;4(2):1338-91.
[5]. Shukla M, Qureshi S, Chandrawati. Post placental intrauterine device insertion - a five year experience at a tertiary care centre in north India. Indian J Med Res 2012;136:432-5.

Abstract: BACKGROUND: Breast cancer (BC) is no longer seen as single disease but rather multifaceted disease comprised of distinct biological subtypes with diverse natural history. Molecular subtyping of Breast Cancer helps in prediction of disease outcome and therapy. METHODS: 82 patients with IDC type BC, from January ,2014 to August, 2018 in IPGME&R, Kolkata were taken in this study group. Receptors status analyzed by Immuno-histochemistry study and correlated with clinico-pathological parameters, OS and DFS studied on follow up. Exposure to different risk factors also assessed. RESULT: Most of the patients in this study were between 51-60 yrs of age. Triple negative subtype was most prevalent as compared to other subtypes. Disease free survival (DFS) was best in Lumina B (80%) followed by Luminal A (77.85). Her2 neu group had highest recurrence rate.........

Key words: Breast Cancer(BC), Overall Survival(OS), Disease Free Survival (DFS), Molecular Subtypes

[1]. Ozmen V, Cabioglu N, Dolay K, Bilir A, Kecer M, Aydiner A et al. Biological considerations in locally advanced breast cancer treated with anthracycline-based neoadjuvant chemotherapy: thymidine labelling index is an independent indicator of clinical outcome. Breast Cancer Res Treat. 2001; 68: 147–157.
[2]. Pavani et al. A cell proliferation signature is a marker of extremely poor outcome in a subpopulation of breast cancer patients. Cancer Res 2005;65:4059-4066.
[3]. Diptendra K Sarkar, Somdatta Lahiri, Sushil Pandey. Is estrogen receptor study useful in prognostication of breast cancer patients in India? Indian J Surg Oncol. 2009; 1: 37–39.
[4]. Suebwong Chuthapisith, Watthanasak Permsapaya, Malee Warnnissorn et al. Breast Cancer Subtypes Identified by the ER, PR and HER-2 Status in Thai Women. Asian Pacific Journal of Cancer Prevention, Vol 13, 2012
[5]. Irianiwati. Molecular subtypes and clinicopathological features of breastcancer. J Med Sci. Volume 45, No.1, March 2013: 45-50..

Abstract: Aim: The restoration of endodontically treated teeth is a topic that is extensively studied and yet remains controversial from many perspectives. This study aimed to evaluate the compressive strength of direct post endodontic restoration. Materials and methods: 40 extracted maxillary molars were selected. Root canal treatment was done for the teeth and then divided into 4 groups for direct post endodontic restoration: i) silver amalgam, ii) high strength glass ionomer cement, iii) composite resin iv) Cention N (a new alkasite material). The teeth were then subjected to compressive stress in a Universal Testing Machine. Results: The compressive strength of silver amalgam, Cention N and composite resin were comparable. The compressive strength of glass ionomer cement showed lesser compressive strength to the other groups. Conclusion: Silver............

[1]. Polesel A. Restoration of the endodontically treated posterior tooth. G Ital Endod. 2014;28(1):2–16.
[2]. Heiling I, Gorfil C, H S, Kopolovic K, Zalkind M. Endodontic failure caused by inadequate restoration procedures: Review and treatment recommendations. J Prosthet Dent. 2002;87:674–8.
[3]. Slutzky-Goldberg I, Slutzky H, Gorfil C, Smidt A. Restoration of Endodontically Treated Teeth Review and Treatment Recommendations. Int J Dent. 2009;2009:1–9.
[4]. Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Int. 2008;39(2):117–29.
[5]. Belli S, Eraslan O, Eskitascioglu G. Direct Restoration of Endodontically Treated Teeth: a Brief Summary of Materials and Techniques. Curr Oral Heal Reports. 2015;2(4):182–9..

Abstract: Background: Agriculture is one of the principal occupations in India in the rural sector. The agricultural workers are exposed constantly to various kinds of hazards making them vulnerable to different musculoskeletal disorders (MSDs). Aims, Settings and Design: Bhatar block in Purba Bardhaman district of West Bengal is agriculture based area. Objectives of the present study were to find out the prevalence and correlates of musculoskeletal disorders among agricultural workers in Bhatar block. Materials and Methods: A community based cross-sectional study was conducted during September to November 2017 with a sample of 210 fulltime agricultural workers. They were selected from the block by multistage random sampling. With prior consent, subjects were interviewed at the..........

Key words: Agriculture, Agricultural workers, Musculoskeletal disorders, Purba Bardhaman, West Bengal

[1]. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull. World Health Organ 2003; 81: 646-656.
[2]. Osborne A, Blake C, McNamara J, Meredith D, Phelan J, et al. Musculoskeletal disorders among Irish farmers.Occup.Med (Lond) 2010; 60: 598-603.
[3]. Bihari V, Kesavachandran C, Pangtey BS, Srivastava AK, MathurN .Musculoskeletal pain and its associated risk factors in residents of National Capital Region. Indian J Occup Environ Med 2011;15: 59-63.
[4]. Allison TR, Symmons DP, Brammah T, Haynes P, Rogers A, et al. Musculoskeletal pain is more generalised among people from ethnic minorities than among white people in Greater Manchester. Ann Rheum Dis 2002; 61: 151-156.
[5]. Ghasemkhani M, Mahmudi E, JabbariH .Musculoskeletal symptoms in workers.Int J OccupSafErgon 2008; 14: 455-462.

Abstract: Background: Alopecia is a common scalp disorder. Now a days trichoscopy is emerging as an important tool in diagnosis of various scalp alopecias. Objective: To observe trichoscopic findings of various cicatricial and non cicatricial scalp alopecias. Methods: A hospital based observational study was performed in one hundred consecutive patients with alopecia. Detailed history, clinical examination, investigation and trichoscopy was performed using a non-polarized trichoscope. Result: Out of one......

Key words: Alopecia, Trichoscopy, Cicatricial, Non cicatricial

[1]. Vora RV, Pilani AP, Kota RKS, Singhal RR, Patel TM, Bhavsar ND. Trichoscopic findings in various Scalp Alopecias. Indian Journal of Clinical Dermatology. 2017;1:53-58
[2]. Nilam Jain, Bhavana Doshi, and Uday Khopkar.Trichoscopy in Alopecias: Diagnosis Simplified.international journal of trichology.2013;IP:111.93.125.74
[3]. Inui S, Nakajima T, Itami S. Scalp dermoscopy of androgenetic alopecia in Asian people. J Dermatol 2009; 36: 82-85
[4]. William Stolz, Peter Bilek, Michael Landchaer, Amandcogneta. Basis of dermatoscopy and skin-surface microscopy. William Stolz, Peter Bilek, Michael Landchaer, Amandcogneta. Color atlas of dermatoscopy. 1st ed. Germany: Blackwell Publications;1994.7-10.
[5]. Chiramel MJ, Sharma VK, Khandpur S, Sreenivas V. Relevance of trichoscopy in the differential diagnosis of alopecia: A cross-sectional study from North India. Indian J Dermatol Venereol Leprol 2016;82:651-8

Abstract: Eccrine Acrospiroma ia a cutaneous tumor of sweat gland ,usually small 1 to 2 cm with range from 0.5 cm to 12 cm. Mostly found in head, trunk and upper limbs with slight female predilection3,4,5. We describe a large 5.5cm x 3cm, x 1cm erythmatous, grapelike pedunculated tumor in the postauricular region of a 55 year old female. The lesion was managed with adequate excision and defect was closed with rhomboid flap. A diagnosis of benign eccrine acrospiroma was made after immunohistochemistry. There was no local recurrence ten months after the operation.

Key words: Eccrine Acrospiroma.

[1]. Johnson BL Jr, Helwig EB. Eccrine acrospiroma: A clinicopathologic study. Cancer. 1969;23:641–57.
[2]. Singh Harpal, and Kundal Ramesh. Eccrine Acrospiroma: A Case Report and Review of Literature. RRJMHS 2014 ,Volume 3 ,Issue 4 , October – December
[3]. Uður. Koçer, Hasan Mete Aksoy, Yiðit Özer Tiftikcioðlu, Dilek Ertoy, Önder Karaaslan. Giant eccrine acrospiroma: A case report and review of the literature. Can J Plast Surg.11(1) (2013) 43-6.
[4]. Bradon J. Wilhelmi, Eric A. Appelt, Linda G. Phillips. A rare case of atypical eccrine acrospiroma of the scalp and a literature review.Ann Plast 1999;42:568-569
[5]. D. M. Kalainov, E. F. Dicarlo, S. S. Yang, A. J. Weiland. Recurrent eccrine acrospiroma of the hand. Journal of Hand Surgery. British and European Volume, 1996. 21B: 2:280-282

Abstract: Background: Ischemic stroke is one of the major cause of disability worldwide. High sensitive C-reactive protein plays a major role in acute stroke as a marker of inflammation. Aims: 1) To evaluate high sensitive C reactive protein as a prognostic tool in acute ischemic stroke. 2) The role of high sensitive C reactive protein in predicting the severity of acute ischemic stroke. Methods: A cross-sectional study was conducted among 100 acute ischaemic stroke patients admitted in SVMCH&RC, puducherry against their hs CRP levels for stroke prognosis. Hs CRP estimation was done within 24 to 48 hours. Result: 22% of the patients........

Key words: Ischemic stroke, high sensitivite C-reactive protein, Glasgow outcome score

[1]. Beamer NB, Coull BM, Clark M, Briley DP, Wynn M, Sexton G. Persistent inflammatory response in stroke survivors. Neurology J 1998 Jun;50(6):1722-8.
[2]. Di Napoli M, Di Gianfilippo G, Paciucci A, Villani S, Bocola V. C-reactive protein (CRP) as outcome predictor after first-ever ischemic stroke. Neurology. 1999;52:A151–A152.
[3]. Padmalatha P, Neeraja K. High Sensitive C-Reactive Protein in Cerebrovascular Ischemia. J Evolution Med Dent Sci. 2016;5(11):449–452.
[4]. Muir KW, Weir CJ, Alwan W, Squire IB, Lees KR. C-Reactive Protein and Outcome After Ischemic Stroke. Stroke J. 1999;30(5):981–985.
[5]. Chaudhuri JR, Mridula KR, Umamahesh M, Swathi A, Balaraju B, Bandaru VCS. High sensitivity C-reactive protein levels in Acute Ischemic Stroke and subtypes: A study from a tertiary care center. Ir J neurol 2013; 12(3): 92-97.

Abstract: Dengue is a mosquito-borne viral disease that has rapidly spread in all regions of world health organization (WHO) in recent years. Dengue virus is transmitted by female mosquitoes mainly of the species Aedes aegypti and, to a lesser extent, Aealbopictus. Children are the usual victim of dengue infection, there is paucity of published data regarding dengue infection in children in our country. We conducted a cross sectional descriptive study in the Dept. of paediatrics, Dhaka shichu(children) hospital, Dhaka Bangladesh during the period from January 2018 to November 2018 among the children having Dengue infection and who were admitted in the selected hospital........

Key words: Dengue fever (DF), Dengue haemorrhagic fever (DHF), Paediatrics, Subconjunctival haemorrage

[1]. Identification of Dengue Virus in Respiratory Specimens from a Patient Who Had Recently Traveled from a Region Where Dengue Virus Infection Is Endemic. J Clin Microbiol 2007; 45(5): 1523-27.
[2]. Price DD, Wilson SR. Dengue Fever. [Online].
[3]. 2008 [cited 2009 Jan 21]. Available from: URL:http://emedicine. medscaDe.com/article/78

[4]. World Health Organization. Dengue fever and dengue haemorrhagic fever. [Online], [cited 2009
[5]. Jan 26]. Available from: URL: http:// www.whoban.org/cominunicable.dis dengue.html

Abstract: Posterior reversible encephalopathy syndrome (PRES) was first described in 1996 by Hinchey et al1 as a clinical syndrome characterized by confusion or decreased level of consciousness, lethargy, nausea, headache, visual changes, and seizures. The pathogenesis of PRES is still unclear.2 The obstetric causes of PRES include preeclampsia, eclampsia and HELLP syndrome.3 Sepsis, use of immunosuppressive drugs, history of renal and autoimmune diseases, HIV syndrome, acute intermittent porphyria, organ transplantation and hypertensive encephalopathy are among...........

Key words: Posterior Reversible Encephalopathy Syndrome ( PRES ) , MRI Brain ,postpartum,post operative day (POD )

[1]. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334(8):494-500.
[2]. Powell ES, Goldman MJ. Posterior reversible encephalopathy syndrome (PRES) in a thirty-six-week gestation eclamptic. J Emerg Med. 2007;33(4):377-379.
[3]. Honca M, Polat A, Horasanlı E. Posterior Reversible Encephalopathy Syndrome in an Eclamptic Patient After Cardiac Arrest; Case Report and Literature Review. TARD. 2014;42:50-53.
[4]. Pratap JN, Down JF. Posterior reversible encephalopathy syndrome: a report of a case with atypical features. Anaesthesia. 2008;63(11):1245-1248.
[5]. Pedraza R, Marik PE. Varon J. Posterior reversible encephalopathy syndrome: a review. Crit. Care Shock. 2009;12:135–143..

Abstract: Introduction: Birth asphyxia is a combination of hypoxia and hypoperfusion of the neonate during the intra-partum period leading to long term complications. Since blood gas analysis is not commonly available, search is on for a surrogate marker of fetal hypoxia which has high accuracy and at the same time is easy to measure and does not require specialised equipment. Materials and Methods: This prospective comparative study was conducted at tertiary care hospital in Rajasthan in 50 cases and 50 controls. Women with two or more of the parameters (Meconium staining of amniotic.......

Key words: Meconium, umbilical, Apgar, fetal, hypoxia.

[1]. Utility of umbilical cord blood acid-base assessment. ACOG commmittee opinion. Int J Gynaecol Obstet 1994. 45(3):303–4.
[2]. Fox H. The incidence and significance of nucleated erythrocytes in the fetal vessels of the mature human placenta. J Obstet Gynaecol Br Commonw. 1967;74:40–3.
[3]. Kathleen M, Hanlon Lundberg, Kirby RS. Nucleated red blood cells as a marker of acidemia in term neonates. Am J Obstet Gynecol. 1999;181:196–201.
[4]. Dasari P, Phaani Jyotsana G,bBadhe Bhavana Ashok. Cord blood nucleated red blood cell count - a marker of fetal asphyxia. J Obstet Gynaecol Ind. 2008;58(1):45–8.
[5]. Ghosh B, Mittal S. Prediction of perinatal asphyxia with nucleated redblood cells in cord blood of newborns. Int J Gynaecol Obstet 2003. 2003 Jun;81(3):267–71.

Abstract: Pulp canal obliteration commonly occurs after dental trauma. It causes complete or partial obliteration of the root canal system which poses challenge for endodontic treatment. It can be caused due to other factors such as age, systemic factors , long standing low grade stimulus. The various challenges in endodontic treatment is difficulty in identifying the canal orifice which can be achieved with the help of certain specialized burs such as Muller burs, Munce discovery burs .DG 16 can also be used in locating the orifice. Negotiating such canals is a very crucial step. Many new file systems such as C pilot files, C path finder files or even modification of K files can be used. Many iatrogenic errors occur during the negotiation or location of canals such as instrument fracture or root perforation

[1]. Dr Hugo Sousa Dias. Management of pulp canal obliteration: A clinical case report and tips and tricks,Roots-International. 2018;3:06-08.
[2]. P. S. McCabe & P. M. H. Dummer. Pulp canal obliteration: an endodontic diagnosis and treatment challenge, International Endodontic Journal.2012;45:177–197.

[3]. Bernice Thomas, ManojChandak et al. Calcified Canals – A Review, International Organization of Scientific Research.2014;13:38-43.
[4]. Chandrakar Chaman et al. Root canals‑from concretion to patency, Saudi Endodontic Journal.2015 ; 5: 13-19..

Abstract: OBJECTIVES: The objectives of the study were (1)To assess serum lipid levels among healthy subjects. (2) To assess serum lipid levels among subjects with chronic generalized periodontitis. (3) To compare the serum lipid profile among healthy subjects with that of patients having periodontitis. METHODS: A cross sectional study comprising of 50 subjects, 25 subjects with chronic periodontitis and 25 healthy subjects (30-50 years). Serum lipid level (HDL,LDL,VLDL,TGL,TC) of all subjects were measured and compared. RESULTS: The mean difference between total cholesterol, triglyceride, HDL, VLDL and LDL values of test and control groups are......

Key words: Periodontal disease, Plasma lipid, hyperlipidemia

[1]. D'Aiuto F, Graziani F, Tete' S, et. al. Periodontitis: from local infection to systemic disease.Int J ImmunopatholPharmacol 2005;18(13Suppl):1-12.
[2]. Borges-Yanez SA, Irioyen-Camacho ME, MaupomeG.Risk factors and prevalence of periodontitis in community-dwelling elders in Mexico.JClinPeriodontol 2006;33:184-94.
[3]. Kinney JS, Ramseier CA, Giannobile WV. Oral fluid based biomarker of alveolar bone loss in periodontitis.Ann N Y Aced Sci.2007;098:230-51.
[4]. Losche W, KarapetowF,Pohl A ,Pohl C,KocherT.Plasma lipid and blood glucose levels in patients with destructive periodontal disease. J ClinPeriodontol 2000;27(8):537-41.
[5]. Katz J,Chaushu G, SharabiY.On the association between hypercholesterolemia, cardiovascular disease and severe periodontal disease. J ClinPeriodontol 2000;28(9):865-8.

Abstract: Appendiceal mucocele is a rare clinical entity. It can be caused by benign or malignant diseases resulting in obstruction of the appendix and consequent intraluminal accumulation of mucus secretions. Mostly it is discovered accidentally presenting as acute appendicitis. Appendiceal intussusception into the caecum associated with mucocele of the appendix is a rare cause of abdominal pain and interestingly difficult to diagnose. However, other possible differential diagnoses should be kept in mind. A 71 year-old male presented to emergency department with mild pain in right lower quadrant of abdomen for 15 days with mild tenderness in right iliac fossa on examination. On further investigation and work up, a diagnosis of mucocele of appendix was obtained. Subsequently, elective...........

[1]. Lozano GA, Tarrago VA, Garcia CC, Aznar RJ, Abril GS, Abad M. Mucocele of the appendix: presentation of 31 Cases. Cir Esp. 2010; 87(2):108-12.
[2]. Higa E, Rosai J, Pizzimbono CA, Wise L. Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendix. A re-evalutation of appendiceal mucocele. Cancer 1973;32(6):1525-41.
[3]. Rokitansky CF. A manual of pathological anatomy. Vol 2.English translation of the Vienna edition (1842). Philadelphia: Blancard and Lea, 1855:89.
[4]. Misdraji J, Yantiss RK, Graeme-Cook FM, Balis UJ, Young RH. Appendiceal mucinous neoplasms. A clinicopathologic analysis of 107 cases. Am J Surg Pathol 2003;27(8):1089-103.
[5]. Higa E, Rosai J, Pizzimbono CA, Wise L. Mucosal hyperplasia, mucinous cystadenoma, and mucinous cystadenocarcinoma of the appendyx. A re-evalutation of appendiceal mucocele. Cancer 1973;32(6):1525-41.

Abstract: Mal de Meleda is a rare ( Prevalence 1:1,00,000 ) autosomal recessive, diffuse, transgradient, nonsyndromic, non-epidermolytic, palmoplantar keratoderma (PPK) with associated scleroatrophy, nail changes, pseudoainhum around digits & perioral erythema without a tendency of spontaneous resolution .We present here a case of Mal de Meleda. A 10 year old male student from rural area presented with keratoderma involving palms, soles, dorsum of foot & hand along with involvement of knee & elbow. Diagnosis was confirmed by histopathological examination which showed hyperkeratosis without epidermolysis. This type of PPK may be confused with others types ( Greither's disease,Huriez syndrome,Olmsted's syndrome,Vohwinkal's syndrome,Papillon Lefevre syndrome ) of PPKs & disorders of cornification.

Keywords:- Mal de Meleda, Transgredient, Non-epidermolytic, palmo-plantar keratoderma.

[1]. Pandhi D, Reddy BSN. Mal de Meleda type of keratoderma. Indian J Dermatol 2001;46:252-4.
[2]. Judge MR, McLean WH, Munro CS. Disorders of keratinization. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of Dermatology, 8th ed. Singapore: Wiley-Blackwell;2010. p. 19.93-19.119.
[3]. Thappa DM. Mal de Meleda type of keratoderma. Indian J Dermatol 2002;47:196.
[4]. Athanikar SB, Inamadar AC, Palit A, Sampagavi VV, Deshmukh NS. Greither's disease. Indian J Dermatol Venereol Leprol 2003;69:292-3.
[5]. Tay YK. What syndrome is this? Greither syndrome. Pediatr Dermatol 2003;20:272-5.

Abstract: Aim: Estimation of Prevalence of Primary Open Angle Glaucoma (POAG) in Myopes and Hypertensives. Materials and Methods: 50 patients each of Myopia and Hypertension were included in the study as per inclusion criteria. An informed consent was obtained from the patients included in the study. These patients were investigated and diagnosed as Primary Open Angle Glaucoma if Intraocular Pressure(IOP) was >21mm Hg and/or Cup Disc Ratio>0.6 and/or Visual Field Defects were suggestive of Glaucoma. The study was conducted from January2017to March 2017 at Government Regional Eye Hospital, Visakhapatnam. Results: Mean Age of patients in Myopic Group was 32.7 years and Hypertensive group was 50.6 years. In the Myopic group 15% of patients had POAG, whereas in the Hypertensive group 5% of patients had POAG. Conclusion: Myopia and Systemic Hypertension are significant Risk factors for Primary Open Angle Glaucoma as per our study.

Keywords:- Myopia, Primary Open Angle Glaucoma, Hypertension.

[1]. Fatima Kyaril, 2, Mohammed M.Abdull 1,3,Andrew Bastawrous 1, Clare E.Gilbert 1, Hannah Faal4, Epidemiology of Glaucoma in sub-saharan Africa: Prevalance, Incidence and Risk factors.Middle East Afr J Opthalmol, Volume 20, Number 2, April-June 2013
[2]. Thomas R, Parikh R, George R, Kumar RS, Muliyil J. Five-year risk of progression of ocular hypertension to primary open angle glaucoma. Indian J Opthalmol 2003;151(4):329-333.
[3]. Leske MC.The epidemiology of open-angle glaucoma: A review. Am J Epidemiol 1983:118:166-191
[4]. Wolfs RC, Borger PH, Ramrattan RS, Klaver CW, Hulsman CA, Hofman A et.al. changing views on open-angle glaucoma: definitions and prevalences:The Rotterdam study. Invest Opthalmol Vis Sci.2000;41:3309-3321.
[5]. Rand AR, Damji KF, Shields MB. Sheild's text book of glaucoma. 5TH edition.Lippincott:2005;9:197..

Abstract: In animal models and human trial, pentoxifylline has shown a beneficial pharmacological effect in the treatment of serious infective condition. It increases the inheritentfibrinolytic activity of the peritoneum and it reduces the fibrinogen levels, resulting in reduction of fibrin deposition, inhibition of formation as well as expansion of fibrin clots, thus preventing entrapment of bacteria in fibrin and accelerated bacterial clearance by preventing thrombosis of subperitoneal lymphatic. Other beneficial effect include improvement in microcirculation, increased bactericidal effect of chemotherapeutic agents by improve microcirculation, increased transmembrane permeability into bacterial cell. A prospective, placebo controlled trial was conducted on 30 patients with perforated acute appendicitis. 15 patients were in the control group and others 15 in the test group. In addition to standart treatment, surgery and antibiotics, the test group received pentoxifylline 0,5 mg/kgbw/day...........

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