Introduction: In the absence of capsular support, anterior chamber intraocular lens (IOL), iris fixated IOL and sutured scleral fixated intraocular lens (SFIOL) implantation have been performed for many years. Recently sutureless glued SFIOL have been used as a primary or secondary procedure to correct aphakia. In this study we have used sutureless and glueless technique of SFIOL implantation. Methodology: An interventional case series was conducted. Aphakic patients without capsular support, sub-luxated lens (>180˚), dislocated lens and dislocated IOL were the inclusion criteria. The patients with hazy cornea, non-dilating pupil, macular scar and glaucoma were not enrolled in the study. Results: Of 62 eyes who completed 1 month followup, 48 were men and 14 women. There was a significant improvement in uncorrected distance visual acuity after surgery (p<0.001). One month postoperative best corrected distance visual acuity was 6/18 or better in 45 eyes (72.6%). The common early postoperative complications were hypotony, corneal edema. No serious complications such as endophthalmitis and retinal detachment were seen. Conclusion: Our technique of sutureless and glueless SFIOL implantation showed good visual outcome in the absence of serious complications. SFIOL will be the only choice in eyes that have anatomic contraindications like non constricting pupil, large sectoral iridectomy and peripheral anterior synechia in which other types of lens are not suitable.
A 12 year girl presented with left eye (LE) loss of vision for four days. Fundus examination and fluorescence angiography revealed LE central retinal artery occlusion (CRAO). She had multiple rashes all over the body. IgM-Varicella antibody assay corresponded with varicella infection and she was diagnosed with CRAO associated with varicella dermatitis. 14. Ford FR. Diseases of the nervous system in infancy, childhood and adolescence. Springfi eld, Illinois: Thomas, 1966: 576-77. 15. Hatch HA. Bilateral optic neuritis following chickenpox. J Pediatr 1949; 34: 758-9. 16. Liioi JA, Aiello MV. Bilateral papilloedema with chickenpox. J Pediatr Ophthalmol Strabismus 1970; 7: 155. 17. Liesegang TJ. The varicella zoster virus. Systemic and ocular features. J Am Acad Dermatol 1984; 11:165. 18. Blue MC, Rosenblum WI. Granulomatous angiitis of the brain with herpes zoster and varicella encephalitis. Arch Pathol Lab Med 1983; 107:126. 19. Kuo YH, Yip Y, Chen SN. Retinal Vasculitis associated with Chickenpox. Am. J. Ophthalmol 2001;132(4):584-5. 20. Murdock J, Carvounis PE. Adult with chickenpox complicated by systemic vasculitis and bilateral retinal vasculitis with retinal vascular occlusions. Retin Cases Brief Rep 2016;0:1-5.
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Introduction: A large number of hormonal, metabolic, immunologic and haematological changes occur in all organ system of female body during pregnancy. Human eye and its function are no exception to these changes.Purpose: To evaluate physiological ocular changes in various trimesters of pregnancy and to compare them amongst the three trimesters.Patients and Methods: A hospital based cross sectional study, using judgmental convenient sampling method, was done in both eyes of 120 pregnant females (40 in each trimester), with known last menstrual period, attending antenatal clinic of BPKIHS, Dharan. Women with known systemic or ocular diseases like conjunctivitis, keratitis, iridocyclitis, glaucoma, refractive error, were excluded. Demographic details of all patients were recorded and detailed ocular examination, including best corrected visual acuity, slit lamp examination, vertical and horizontal keratometry, central corneal thickness and intraocular pressure were performed and recorded. A comparison of these parameters was made amongst three trimesters.Results: Visual acuity of all the subjects was 0 logMAR. Corneal curvature, both vertical and horizontal, significantly increased towards third trimester. Central corneal thickness progressively increased from first to third trimester (p= 0.019 Right eye, 0.016 Left eye). In contrary to this, intraocular pressure significantly decreased during successive stages of pregnancy (P=0.000 both eye).Conclusion: Significant increase in corneal curvature and central corneal thickness along with, decrease in intraocular pressure occur during successive trimesters of pregnancy. All pregnant women should have routine ocular examination; changes noted, if any, should receive attention and period of gestation should be considered prior to making a diagnosis.
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