Aim: To analyze visual outcome after suprachoroidal injection of triamcinolone acetate in cystoids macular edema of different pathology. Study design: Prospective interventional study. Place and duration of study: Department of Ophthalmology, Niazi Medical & Dental College Sargodha from 1st July 2021 to 31st December 2021. Methodology: Fifty patients were suffering from uveitis (Intermediate uveitis) most common, diabetic macular edema resistant to other treatments like maximum anti-vascular endothelial growth factor injections, vascular occlusion disorders were included. All participants were followed-up at 1-week, 1-month 3 and 6 months and best corrected visual acuity and intraocular pressure was also recorded. All procedure done in the main operation theatre under full sterilization condition and consider it as a part of major procedure. Results: Females appeared to be more in number than to males. In mostly patients the cause of cystoids macular edema was uveitis (Intermediate type) (n=30) followed by vascular disorder (n=10). There was a significant improvement after treatment on visual acuity according to the given results. Conclusion: Common cause of cystoids macular edema in the present study was uveitis followed by vascular disorders. There was a significant improvement after treatment on visual acuity according to the given results. Most patients achieve good visual activity after treatment. Key words: Uveitis, Supra-choroidal injection, Cystoid macular edema, Treatment
Objectives: To evaluate the success rate of probing and syringing for congenital nasolacrimal duct obstruction in children under local anaesthesia. Study Design: Cross-sectional study. Place and Duration of Study: Ophthalmology Department, Niazi Medical Dental College, Sargodha Pakistan, from Jul 2018 to Dec 2019 Methodology: Forty-five children were included in the study, of which five had bilateral epiphora. Children of 8-12 months of age were included in this study. Probing and syringing were done under topical local anaesthesia. In this study, special modified straight 25D lacrimal probe cannula was used. Post-operative steroids and antibiotics were given to all the children for two weeks. Results: Forty Children (45 Eyes) of 8-12 months of age (less than one year) were included in this study. Single successful probing was achieved in 40 eyes (88.88%). Probing was repeated in five cases. Repeated successful probing was achieved in 3 eyes (60%) as the remaining two eyes (40%) where success was not achieved had a bone abnormality which needed an ENT examination and further intervention like Dacryocystorhinostomy (DCR) with close intubation. Conclusion: Topical local anaesthesia is a good alternative to general anaesthesia as it is not available, particularly in remote areas of Pakistan. It saves the children from the hazards of general anaesthesia and is a good choice for children who are not fit for general anaesthesia.
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