We report a case of vertebral osteochondroma arising from the posterior C1 arch that presented with features of compressive myelopathy. Osteochondromas are usually found in extremities and are rarely seen in the spine. They are most commonly found in posterior elements in the spine, and intraspinal extension is uncommon. The most common presentation is incidental finding during routine imaging followed by palpation of painless swelling. Compressive myelopathy as a presentation of vertebral osteochondroma in a child is a rare entity. Surgical excision is the treatment of choice. Spinal osteochondromas should also be kept in mind as a cause of spinal cord or nerve root compression in children.
Objectives: To evaluate the complications of Nd:Yag laser when applied onpostoperative posterior capsule opacification (PCO), following extra capsular cataract extraction (ECCE) with intraocularlens (IOL). Design: Analytical and descriptive study. Setting: Eye OPD of DHQ Hospital, PMC and Clinic of ProfessorZia ud Din Ahmad, Faisalabad. Period: From Jan 2006 to Jan 2007. Material & Methods. There were 120 patients;age ranged from 15 years to 80 years with post operated extra capsular cataract extraction with posterior capsularopacification. A Proforma was made which included detailed history of diabetes, hypertension, time period of cataractextraction, other relevant surgical or medical history, and examination e.g. Visual acuity, slit lamp examination,intraocular pressure measurement (applanation tonometry) dilated posterior capsule examination and slit lampbiomicroscopy etc. The patients were kept under observation for 5 hour and called for follow up after one week.Results. Out of 120 patients 70 eyes showed visual improvement from 6/18 to 6/6 (58.34%), while 30 Shown visualacuity improvement from count figures to 6/24 (25%), mild anterior uveitis occurred in 8 cases (6.67%), corneal damagein 2 cases (1.6%) while transient raised Intraocular Pressure (IOP) in 7 cases (5.83%). The damage to IOL observedin 3(2.5%), the corneal damage was seen in 2 cases (1.67%). Conclusions: The Nd; Yag Laser is very effective, cheapand easy mode of treatment for PCO with minimal post laser complications.
Objective: Thyroid eye disease presents a special challenge to the ophthalmologists withpathogenetic enigma & therapeutic dilemma. The objective of the study is to determine the frequency of mode ofophthalmic manifestation of thyrotoxicosis, rating of all components of “NOSPECS” classification system and todetermine the relative magnitude of low & high index orbitopathies. Design: Cross sectional study. Setting: Thedepartment of ophthalmology Allied Hospital / Punjab Medical College (PMC) & Punjab Institute of Nuclear medicine(PINUM) Faisalabad. Period: From 1 Apr 2004 to 31 st st March.2005. Material & Methods: 100 patients of all age &sex, after having diagnosed as thyrotoxic on the basis of positive laboratory investigations were subjected to a plannedocular examination according to the given protocol. An ophthalmopathy index scoring system was adopted to tabulatethe results. Results: Among 100 thyrotoxic patients, 72 were female & 28 were male with male to female ratio 1:26.The over all mean age was 36.59 ±13.81 years with 77 % of cases lying between 21-50 year of age. Orbitopathy wasfound in 74 % of thyrotoxic patients with relative distribution of eyelid retraction 56 %, soft tissue involvement 38 %,Proptoses 16%, restrictive myopathy 11%, corneal involvement 13 % and sight loss due to optic neuropathy 7 %. Thereis more occurrence of low index orbitopathy 83 % as compared to high index orbitopathy i.e 17 %. Conclusion: Theoccurrence of dysthyroid orbitopathy is not essentially present in all hyper thyroid patients. Only 3 out of 4 develop it.The frequency of manifestation of various eye lesions in descending order is eyelid retraction, soft tissue involvement,Proptosis, corneal involvement, myopathy & vision loss. Low index orbitopathy is more common & males are at morerisk of developing orbitopathy than females.
Objective: To compare the final outcome of management of early bleb leak after trabeculectomy bypressure patching versus bleb stitch repair. Setting: Department of Ophthalmology Allied hospital/ Punjab MedicalCollege Faisalabad. Study Design: Interventional Therapeutic Trial and prospective. Period: May 1999 to July 2003.Materials and Methods: 110 glaucoma patients who developed complications after trabeculectomy were included inthe study. The occurrence of relative frequency of various complications was noted. Out of these 110 patients, 44patients having early wound leak were further selected for the study. They were divided into two groups A and B. Awas treated with pressure patching for 48 hrs while B was treated with stitch repair with 10 0/0 Nylon. The final outcomeof the results of management was noted and compared. Results: the frequency of various complications aftertrabeculectomy in 110 patients were found to be early wound leak 43.64 %, failed trabeculectomy 38.18%, hyphema6.36%, cataract 3.64%, blebitis 3.64%, tenon’s cyst 1.82%, malignant glaucoma 1.82%, scleral flap disinsertion 0.9%.The success rate in Group A was 59.1% while in Group B it was 86.4% while the failure rate remained in Group A40.9% while in Group B 13.6%. Conclusion: The success rate for managing wound leak after trabeculectomy wasbetter in repairing the bleb as compared to pressure patching (significant at p< 0.05).
Purpose: To compare the results of standard dacryocystorhinostomy with the results ofdacryocystorhinostomy done with silicon tube stentting of the lacrimal canaliculi. Study design: This is a hospitalbased, prospective, comparative and interventional study. Setting: Department of Ophthalmology, Allied HospitalPunjab Medical College Faisalabad. Period: January 2006 to December 2006. Methods: Twenty seven patients ofchronic dacryocystitis fulfilling the inclusion criteria were selected and divided in two groups. Group A consisted of 15patients who underwent standard dacryocystorhinostomy and Group B consisted of 12 patients who underwentdacryocystorhinostomy along with intubation of the lacrimal canaliculi with silastic tubes. All the patients were followedup for at least six months post-operatively. Success of the procedure, defined as the symptomatic relief of epiphoraand infection was assessed at the end of follow-up period. Results: Of the total 27 patients of chronic dacryocystitis23 (85%) were female and 4(15%) were male. The mean age of the patients was 45 years. The success of theprocedure was recorded in 14 (93.33%) patients in group-A and in 10 (83.33%) patients in group B. Quite a few andsimple complications were recorded during the study period. Conclusions: 1. Standard externaldacryocystorhinostomy is a simple and cost effective procedure forthe management of chronic dacryocystitis. 2. Silicontube stentting of the lacrimal canaliculi does not have any extra advantage in the management of chronic dacryocystitiswithout canalicular obstruction.
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