Introduction: The study was conducted to evaluate IOP management by surgical modalities such as combined trabeculectomy and phacoemulsification and phacoemulsification surgery alone.Vision impairment is a major public health problem and the burden is increasing with increase in aged population. Aims And Objectives: This study was undertaken for study the IOP management by surgical modalities such as combined trabeculectomy and phacoemulsification and phacoemulsification surgery alone. A pre-designed prospective study was conducted at the OPD of upgraded Department of Ophthalmology at LLRM Medical College,Meerut.A total of 60 patients were divided in to two equal groups randomly and studied.Observation And Result: Majority of the patients in both the groups were aged between 61 – 70 years.Females outnumbered males in this study which was statistically significant between the two groups.The mean pre- operative intra ocular pressure was 23.3 mm Hg in combined surgery group and 23.9 mm Hg in cataract surgery alone group.Mean Intra ocular pressure decreased regularly in each follow up more in combined group than the cataract surgery alone group.The mean intra ocular pressure after 1 years follow up in combined surgery group was 10.8 mm Hg and 13.4 mm Hg in the cataract surgery alone groups which was statistically significant. Mean BCVA before the operation was 3.2 in combined surgery group and 3.8 in cataract surgery before surgery. Mean BCVA declined after 1 year of follow up in combined surgery group was 1.9 and 2.7 in cataract surgery alone group which was statistically significant. The surgery success was complete in 80.0% of the combined surgery group and 60% of the cataract alone group. Criteria For Failure Of Surgeries Ÿ The IOP >23 MMHG at the end of 1 year or Ÿ The IOP not reduced by 20 % from base line at the end of 1 year Conclusion: This study was mainly undertaken to study the efficacy of combined trabeculectomy with cataract extraction and cataract only on primary angle closure glaucoma.This study had found that,the reduction of intra ocular pressure in both the groups but more prominent in combined surgery group than cataract alone surgery group.
ABSTRACT:This Population based Prospective interventional study was carried out in 120 eyes of 120 patients of outpatient department Detailed history was taken regarding onset, duration, preceding symptoms, ocular morbidity, data related to risk factors, past illness, systemic illness if any recorded and through clinical examination along regurgitation test, fluorescent dye disappearance test, jones dye test, probing, syringing. Epiphora is most common in the age group of 40-50 years (66 patients). Prevalence of epiphora is more in common in females (70%) than males (30%). The mean period of epiphora in our study was 1.5 years ranged from 0.5 years to 3.5 years. Syringing and probing are the main tests for the investigation of epiphora and level of block in Nasolacrimal system. Our study suggests that canalicular trephination and silicone stem intubation should be considered as an alternative treatment for distal canalicular obstructions. Highest success rates were seen in dist al lower canalicular obstructions followed by distal bicanalicular obstructions and common canalicular obstructions. Complication rates are low, particularly when compared with the DCR with Jones tube placement. No correlation was found between infectious and idiopathic causes of epiphora to the surgical outcome. Eye with proximal canalicular obstruction may have increased risk of recurrence. Factors significantly associated with recurrence of epiphora during follow up of patients after surgery included proximity of block and chronicity of disease. This study identifies punctoplasty is the surgery of choice for punctal occlusion. In unicanalicular obstruction trephination with mini monaka stent has better surgical outcome. In patients with distal common canalicular obstruction bicanalicular silicone tube intubation with external dacryocystorhinostomy is the procedure of choice. In patients with nasolacrimal duct obstruction external dacryocystorhinostomy has a good surgical outcome. Distal monocanalicular obstructions have the highest degree of symptomatic epiphora relief, followed by distal bicanalicular, common and proximal obstructions.
BACKGROUND:Ptosis is derived from the greek word for falling and is the medical terminology describing a drooping or abnormal lowering of an anatomical area. Ptosis that obstruct the pupil may interfere with the normal development of vision, resulting in amblyopia in children2 .In adult it may impair the field of vision and interfere with activities of daily living Ptosis is broadly classified into congenital and acquired,based on age of onset of the ptosis.Ptosis that is present at birth or within the first year of life is called congenital ptosis. Ptosis that presents after the age of one year is termed acquired ptosis. The treatment of ptosis depends upon the underlaying etiology. Ptosis usually does not improve over time and nearly always require corrective surgery. Depending upon the severity of congenital ptosis ,patients should be monitored every 3-12 months for sign of amblyopia due to congenital ptosis. In mild cases of congenital ptosis observation is sufficient ,if no sign of amblyopia, strabismus and abnormal head posture are present. METHODS:This study was conducted in the Upgraded Department of Ophthalmology,LLRM Medical College,Meerut during 2018–2019. Study design-A Population based Prospective interventional study was done on patients selected from OPD and camps during 2018-2019. Plan & Work: All patients with ptosis who are attending ophthalmology OPD and admitted in eye wards were included in the study provided they fulfill the inclusion criteria. RESULTS AND CONCLUSION: The subjects in our study were more males 12(66.66%) than females(33.33%). In our study there were 12(66.66%) patients of myogenic ptosis,out of them 11(61.11%) had frontalis sling surgery and 1(5.55%) had levator resection surgery. There was 2(11.11%) cases of neurogenic ptosis which was congenital in nature and in which 1(5.55%) is operated with frontalis sling &1(5.55%) with levator resection surgery. Most commonly performed surgery was frontalis sling 14(77.77%) followed by levator resection 2(11.11%) and 2(11.11%).
BACKGROUND Low vision and blindness are a growing health problems that adversely affect the quality of life of an individual. Currently, India is home to around one-third to one-fourth of the world's blind population and childhood blindness makes a significant contribution to this. 1 MATERIALS AND METHODSThe study was conducted in the Upgraded Department of Ophthalmology in LLRM Medical College, Meerut from July 2016 to June 2017. The study was done to survey the causes of low vision in students attending Blind Schools in Meerut, Western UP, to find out the percentage of preventable blindness amongst these students and to assess the acceptance of low vision aids in these students. In this study, 55 students of age group aged 5 to 18 yrs. with best Corrected Visual Acuity <= 6/18 (Snellen's chart) were included. The causes of low vision were identified. For each child the need of optical, medical or surgical interventions was recorded. The acceptance of low vision aids was analysed. RESULTSCongenital ocular anomalies (mainly microphthalmos, anophthalmos, coloboma etc.) accounted for 55.45% of low vision. Corneal pathologies (20.90%) were the second most common cause of blindness. Treatable causes included cataract, glaucoma and amblyopia accounting for 14.54%. CONCLUSIONGlobe anomalies (40%) were found to be the most predominant anatomical cause of blindness in students followed by corneal pathologies (20.90%), retinal anomalies (12.72%), optic nerve pathology (11.81%), lens anomalies (7.27%) and uveal anomalies (3.63%). A total of 14.54% of eyes had treatable causes of low vision which included amblyopia, congenital glaucoma, cataract and pathological myopia. Almost, 32.72% of the students had preventable or treatable causes indicating the need of specific public health strategies.
The study was conducted to evaluate the clinical outcomes of various glaucoma surgeries (trabeculectomy, trabeculectomy with mitomycin-C and glaucoma valve implantation) in cases of refractory glaucoma. When it becomes obvious that medication will not help then alternatives should be tried.These alternatives can be in form of :- Filtration Surgery Termed as trabeculectomy allows drainage of aqueous humor from within the eye to underneath the conjunctiva where it is absorbed. Trabeculectomy with mitomycin C-The use of antifibrotic agents such as mitomycin-C and 5-fluorouracil, along with releasable sutures or laser suture lysis, enhances the longevity of guarded procedures, Drainage Implants Glaucoma drainage devices are designed to divert aqueous humor from the anterior chamber to an external reservoir, where a fibrous capsule forms about 4-6 weeks after surgery and regulates flow. Aims of Study 1. Study the clinical outcomes of trabeculectomy,trabeculetomy with mitomycin-C and glaucoma valve implantation in management of refractory glaucoma patients. 2.Evaluate the complications of glaucoma valve surgery. 3.Study the complications of trabeculectomy,trabeculectomy with mitomycin-C. The proposed study was conducted in upgraded department of ophthalmology,LLRM Medical College,Meerut. Population characteristics were number of eyes treated,diagnosed and follow up.The study was a prospective study with random selection of patients done from the OPD.The randomly selected patients were then divided into three groups, one group was subjected to trabeculectomy, second with trabeculectomy with mitomycin-C and the other group was subjected to glaucoma valve implantation. CRITERIA FOR FAILURE OF SURGERY: Ÿ IOP > 21 mm hg at end of 1 year or Ÿ IOP not reduced by 20% from baseline at end of 1 year or Ÿ IOP <=5 mm hg at end of 1 year At 1 year postoperatively mean IOP for trabeculectomy, trabeculectomy with mitomycin-C and valve were 15.7±3.56 mmHg,15.9±3.47 mmHg and 17.6±2.27 mmHg respectively.When comparing preoperative to 1 year post operative IOP, all the surgeries demonstrated statistically significant reductions in IOP although the magnitude of IOP reduction was greater for valve than trabeculectomy,trabeculectomy with mitomycin-C.Complication profiles differed for each type of glaucoma surgery. There were no intraoperative complications for all glaucoma surgeries. The immediate complication for both trabeculectomy. Trabeculectomy with mitomycin-C was bleb leak (10%) and shallow anterior chamber (10%) while for valve implantation hyphema (20%) predominated. Although complication profiles differ between procedures, all are safe and well tolerated.This study provides support that trabeculetomy, trabeculectomy with mitomycin-C and valve implantation are safe and effective glaucoma surgeries. CONCLUSION All the three surgeries ,glaucoma valve implantation, trabeculectomy, and trabeculectomy with mitomycin-C produce significant reductions in IOP.Although complication profiles differ between procedures, all are safe and well tolerated. This study provides support that trabeculectomy, glaucoma valve implantation and trabeculectomy with mitomycin-C are indeed safe and effective.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.