Aim: Pseudoexfoliation (PXE) is a common and clinically important systemic condition in elderly people that affects the outcome of cataract surgery. It can cause various complications during cataract surgery due to pupillary rigidity and zonular weakness and instability. The purpose of this study was to evaluate the frequency and types of complications of Phacoemulsification in patients with cataract and PXE. Materials and Methods: This cross sectional, prospective study was carried out on 60 eyes of 60 patients with cataract and PXE who underwent phacoemulsification in a tertiary care hospital. Their perioperative and postoperative complications were documented and analyzed. Results: Poor pupillary dilatation in spite of use of standard mydriatic drops and NSAID was the most common perioperative finding. This single factor made subsequent steps of surgery more difficult due to poor visualisation. Conclusion: Presence of associated PXE in cataract patients significantly increases the risk of vision threatening complications. Use of flexible iris hooks for small pupils, capsular tension rings for capsular stability and high viscosity viscoelastics are useful adjunct during surgical technique for good visual outcome.
Background: The current investigation was intended to evaluate the precision of impression cytology and tissue histology in the detection of ocular surface neoplasia. Materials and Methods: We examined the histories of patients detected with ocular surface neoplasia at the Department of Ophthalmology, Kalinga Institute of Medical Sciences, Bhubaneswar. All the patients had their impressions cytology and tissue samples taken. The outcomes of both strategies were compared. Results: There were a total of 55 patients (33 males and 22 females) aged 12–99 years (average age, 51 years). Twenty patients had injuries to the right eye and 35 had injuries to the left eye. Conjunctival–corneal intraepithelial neoplasia (38.2%), squamous cell carcinoma (34.5%), squamous epithelium (10.9%), squamous papilloma (7.3%), conjunctival nevi (7.3%), Along with the most common histological research, malignant melanoma (1.8%). Compared with the histological results, impression cytology showed positive and negative assessment accuracies of 97.4% and 52.9%, respectively. In squamous neoplasms, squamous cell carcinoma exhibited a strong link with histology. The occurrence of dysplastic cells raised suspicion of malignancy. Conclusion: Because of its increased accuracy in detecting lesions, along with tissue histology, impression cytology exhibits enormous potential in identifying ocular surface neoplasia. However, impression cytology has an undesirable prognostic accuracy, indicating that it is a useful screening tool but cannot be considered as a “gold standard.”
BACKGROUND Slowly progressive auto-degenerative neuropathy and changes of the optic nerve are well known in Open angle glaucoma. Glycaemic conditions in the body importantly may effect these damages, mutually or independent of the associated ocular pathology. An objective parameter if established for determining the correlation of the both would assist to set up proper ways of diagnosis and management of patients with Diabetics with POAG. The aim of this study is to evaluate the optic nerve head (ONH) parameters of primary open-angle glaucoma (POAG) patients with and without diabetes and to investigate the effect of the metabolic control of diabetes on ONH topography. MATERIALS AND METHODS A study group of 61 eyes of 61 POAG patients with type 2 diabetes mellitus and a control group of 61 eyes of 61 POAG patients without diabetes were recruited for the study. Complete ophthalmic examinations of all patients were performed and the quantitative optic disc parameters were evaluated with HbA1c measurements of diabetic patients. RESULTS Mean RNFL thickness of the study group was statistically lower than the control group (P<0.001). The difference in other parameters of the OCT between the groups were insignificant. In the study group, the duration of the diabetes and HbA1c were not significantly correlated to any of the OCT parameters of ONH. CONCLUSION The duration of diabetes and HbA1c levels in diabetic population do not seem to show any significant correlation with the optic nerve head parameters and retinal nerve fibre thickness as measured with optical coherence tomography. However, larger and controlled studies are warranted to confirm these findings.
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.