Purpose: To compare per-operative and early post-operative complications between Manual Small Incision cataract surgery and Phacoemulsification in patients with Senile Cataract. Study Design: Quasi experimental study. Place and Duration of Study: Al-Ibrahim Eye Hospital Karachi from December 2018 to October 2019. Methods: Two hundred and seventy patients with senile Cataract were recruited for this study by convenient sampling technique. They were divided equally into two groups. Group I underwent Manual Small Incision Cataract Surgery (MSICS), whereas Group II underwent Phacoemulsification. Per-operative and early post-operative complications were recorded on day 1 in both groups. Data was analyzed using SPSS 24.0. Independent t-test was carried out with P-value of ≤0.05 was considered statistically significant. Results: Mean age group – I was 54.95 ± 11.0 and in Group – II was 57.09 ± 10.59 (p = 0.546). There were 72 (53.3%) males in group – I and 74 (54.8%) in group – II with a non-significant difference (p-value > 0.01). There was significant difference for posterior capsule rupture and striate keratitis between the two groups (p = 0.031 and 0.044 respectively). Rest of the study parameters was not statistically different in the both group. None of the groups had a nucleus drop and vitreous prolapse. No significant difference was seen between the two groups concerning iris trauma (p = 0.56), wound leakage (p = 0.15) and hyphema (p = 0.32). Conclusion: There is no significant difference between per-operative and early post-operative complications between MSICS and Phacoemulsification in patients with senile cataract except posterior capsular rupture and striate keratopathy which were more common in phacoemulsification group. Key Words: Cataract, Senile Cataract, Phacoemulsification, Small Incision Cataract Surgery.
Objective:To evaluate the efficacy and complications of 20 gauge vitrectomy via corneal approach for the management of congenital cataract.Method:We performed anterior capsular vitreorhexis, lens matter aspiration (LMA), primary posterior vitrectorhexis and anterior vitrectomy via corneal approach using 20 gauge vitrectomy system in children younger than two years of age with congenital cataract between January 2014 to December 2014. The intra and postoperative complications were observed.Results:Twenty nine eyes of 21 children were included in this study. Congenital cataract surgery using 20 gauge vitrectomy system via corneal approach did not reveal any intra operative complication. Post operatively all children were able to freely open their operated eyes. Conjunctival congestion at the incision site in four eyes and mild anterior chamber reaction in 8 eyes were seen on 1st daywhich resolved at one week follow up. Other major post operative complications such as inflammatory membrane, irregular pupil, posterior/anterior syneache and opacification of visual axis were not seen during follow up period.Conclusion:The 20-gauge vitrectomy system via corneal approach is easy to perform, is less time consuming, safe and effective for the management of congenital cataract in younger children.
Objective: To correlate the symptoms of dry eye with young adult riders. Study Design: Cross-sectional study. Setting: Al-Tibri Medical College, Isra University, Karachi. Period: December 2020 to November 2021. Material & Methods: 60 young riders with dry eyes between the age of 21-30 years were included in the study and their duration of years in riding bike, duration of riding bike a day, and lastly the symptoms were recorded. Data was analyzed using SPSS version 24.0 and the correlation was assessed using Pearson’s correlation. The level of significance was set at P<0.05. Results: The mean age of the riders were 25.46 ± 0.12. 70% of the riders were riding for more than 5 years, 23.3% riders were riding for more than 2 years, while only 6.7% were riding for less than 2 years. 36.1% riders rode for >8 hours/day, 26.7% for >6 hours/day, 21.7% for >4 hours/day, and 15% for 2 hours/day. Symptoms of dryness, burning, itching, crusting, blurring, and redness all showed significant difference with the duration of years as a rider as well as the number of hours the rider rode during the day. Conclusion: Dry eye symptoms significantly correlate with young adult riders and the appropriate intervention is required to treat it accordingly.
Background: Different surgical treatment options are used to treat cataracts, such as Manual Small Incision Cataract surgery (MSICS) and Phacoemulsification. The present study compares the visual outcomes of phacoemulsification and MSICS in senile cataract patients. Methodology: A quasi-experimental study was conducted with 270 patients aged between 50 and 70. Patients diagnosed with senile cataract were included in the study and divided equally into two groups, Group A patients underwent MSICS, and Group B patients underwent Phacoemulsification. Pre-operative visual acuity and Postoperative visual acuity were assessed between the two groups on the 1st day, 1st week, and 1st month. Results: Significant difference (p=0.001) was observed on 1st day of assessing uncorrected visual acuity among both interventional groups. However, no significant difference was observed in uncorrected visual acuity postoperatively on the 1st week (p=0.093) and 1st month (p=0.266). Conclusion: Both Phacoemulsification and MSICS are beneficial surgical options to treat senile cataract, with both showing similar efficacy to one another.
Die choroidale Neovaskularisation (CNV) ist ein abnormes Gefäßwachstum vom choroidalen Gefäßsystem bis zur neurosensorischen Retina durch die Bruch’sche Membran und wird in der Regel mit einer «feuchten» altersbedingten Makuladegeneration (AMD) assoziiert. Andere Ursachen sind Myopien, traumatische Rupturen der Aderhaut, multifokale Chorioiditis und Histoplasmose. Die CNV ist eine der Hauptursachen für Sehverlust. Ihre Behandlung zielt darauf ab, den Fortschritt der Erkrankung zu stoppen und das Sehvermögen zu stabilisieren. Die intravitreale Injektion von Wirkstoffen gegen den vaskulären endothelialen Wachstumsfaktor (intravitreale Anti-VEGF-Injektion) ist die Behandlungsmethode der Wahl bei CNV, unabhängig von der Ätiologie. Der Einsatz dieser Methode in der Schwangerschaft ist aufgrund seines Wirkmechanismus und des Mangels an Sicherheitsnachweisen während der Schwangerschaft umstritten. In dieser Arbeit berichten wir von einer 27-jährigen Schwangeren, die seit 2 Wochen über verschwommenes Sehen und verminderte Sehkraft in ihrem linken Auge klagte. Bei der Untersuchung betrug ihr Sehvermögen ohne Hilfsmittel im rechten Auge 6/6 und im linken Auge 6/18 partiell ohne weitere Besserung. Basierend auf der Anamnese und der Untersuchung wurde sie mit einer idiopathischen CNV während der Schwangerschaft diagnostiziert, was weltweit erst der sechste gemeldete Fall war. Aufgrund der möglichen Nebenwirkungen auf den Fötus erklärte sich die Patientin trotz umfassender Beratung nicht mit einer Behandlung einverstanden. Ihr wurde zu regelmäßigen Nachuntersuchungen sowie zu einer sofortigen intravitrealen Anti-VEGF-Injektion nach der Geburt geraten. Um ein breiteres Verständnis für die Behandlungsprotokolle und -ergebnisse von intravitrealen Anti-VEGF-Injektionen in der Schwangerschaft zu erhalten, wurde eine Literaturrecherche durchgeführt. Dies half uns, ein Verständnis für die mögliche relative Sicherheit einer solchen Behandlung zu erhalten, wenn diese im Zuge eines multidisziplinären Ansatzes individuell angepasst wird.
Background: Nasolacrimal duct obstruction is listed under the heading of congenital diseases; on other hand it is also commonly present in adult age group. In population of Sindh we found these patients frequently. Through this study we revealed the surgical options for the treatment of Nasolacrimal duct obstruction in population of Sindh provenience of Pakistan. The objective of the study was to compare the outcomes of two different intubation techniques in treatment of Nasolacrimal duct obstruction between two age groups. Comparative study was conducted in the Department of Ophthalmology Al-Ibrahim Eye Hospital Karachi from May 2018 to June 2019.Methods: Total 136 numbers of patients were included on the bases of history, clinical examination and pre-operative syringing test. Non- probability convenient sampling was applied for data collection. Total 136 numbers of patients were divided into two groups on the bases of treatment and further subgroup on the bases of age ranges. Data were analyzed by SPSS version 20.0.Results: Frequency and percentage of recovery in six months in each subgroup with application of chi-square test. Frequency and percentage of post-operative complications prolong treatment and regurgitation and patency of tube in each group and subgroups.Conclusions: The results showed significant difference between the groups. Group A showed higher success rate with minimal percentage of complications and post-operative measurements in both age ranges as compare to Group B.
Oral intake of steroids has been associated with central serous chorio-retinopathy (CSCR) for long time. We report a 23 years old male who had exposure to green laser pointer after which he developed laser maculopathy. The treating ophthalmologist started oral steroids with patient developing CSCR in his left eye. He was referred to our retina clinic for further evaluation. On examination his vision was 6/6 Part in his right eye and 6/9 Part in his left eye. His dilated fundus examination revealed small foveal scar in his right eye and dull foveal reflex in his left eye. On OCT he had laser maculopathy in right eye and left fundus findings coincided with diagnosis of central serous chorio-retinopathy (CSCR). Patient was asked to discontinue his deltacortil tablets. The patient went back to his primary ophthalmologist who restarted deltacortil tablets. CSCR developed again. Key Words: Maculopathy, burn, Steroids, Central Serous Chorio-retinopathy.
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