Objective: To determine the changes in the retinal nerve fiber layer as measured on optical coherence tomography (OCT) after phacoemulsification with intraocular lens implantation.
ABSTRACT: PURPOSE: To study the changes in Ganglion Cell Complex as measured on OCT after phacoemulsification with intra ocular lens implantation. STUDY DESIGN: Quasi experimental study PLACE AND DURATION OF STUDY: Department of Ophthalmology, Lahore General Hospital, Lahore from 1-3-2017 to 30-4-2018 MATERIALS AND METHODS: Ethical approval of the study was obtained from ‘’Ethical Review Committee’’ of Lahore General Hospital, Lahore. Patients presenting to the Eye OPD Lahore General Hospital were assessed for inclusion and exclusion criteria. All patients (n=64) diagnosed with cataract requiring surgery were included in study. Patients having any coexisting ocular pathology hindering the OCT measurement i.e. Corneal opacity, Vitreous hemorrhage, Retinal detachment were excluded from study. Retinal Ganglion Cell Complex thickness was measured in Superior, Inferior, Supero-Nasal, Supero-Temporal, Infero-Nasal and Infero-Temporal quadrants. Besides that Signal Strength on OCT was also documented. Pre-Operatively, Visual acuity was measured and OCT performed and the findings were recorded on a designed proforma. Post-Operatively, the patients were called for follow-up after one month at which time Visual acuity was again measured and OCT performed and findings recorded in the proforma. All the surgeries were performed by single surgeon. RESULTS: The thickness of Ganglion Cell Complex increased significantly (p<0.001) one month after cataract surgery. CONCLUSION: Cataract surgery does affect the measurement of Retinal Ganglion Cell Complex thickness on OCT.
Purpose: To study the emotional intelligence and empathy in allied eye care workers. Methods: After ethical approval of study, a google form was developed which included Schutte’s scale and Davis Interpersonal index questions in addition to those related to basic demographic information. The proforma was sent via social media application (whatsapp) to study participants. Allied vision sciences students enrolled in bachelors program at various colleges/universities were included in study. A total of 150 students were invited to participate in this study out of whom 119 responded. Comparison of emotional intelligence scores based upon gender, year of study and boarder/non-boarder were done by applying Mann Whitney and one way ANOVA test. Results: Female responders were predominant (77.3%) in survey while majority (32.8%) of participants were in first year of study. When compared based upon boarder versus non-boarder, the sub scale of ‘’social skills’’ showed significant difference (p=0.017) with Non-Boarders scoring higher. Also, ‘’emotional regulation’’ scores were significantly higher (p=0.050) among second year students as compared to other years. Conclusion: Among allied vision sciences students, emotional intelligence significantly differs in some subscales when measured according to being boarder or not and year of degree program.
We report a patient of choroidal mass, masquerading as amelanotic choroidal melanoma. A 48 years old male presented in outpatient department (OPD) with painless decrease in vision of left eye. Fundus examination revealed a two disc diameter, non-pigmented, sub-retinal lesion with approximately 3mm basal diameter, superior to the disc with no choroidal folds, retinal detachment or pigmentation over the lesion. B scan revealed a small nodular thickening superior to the optic nerve head with moderate to low internal reflectively and no choroidal excavation. Swept-Source optical coherence tomography (SS OCT) showed massive elevation of retina due to underlying scleral thickening. He was diagnosed as nodular posterior scleritis (NPS). The lesion regressed completely after treatment with topical and systemic Non-steroidal anti-inflammatory drugs (NSAIDs). Despite its low prevalence, NPS should be kept in differential diagnosis of an amelanotic choroidal mass.
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