Purpose:The purpose of this study is to assess the efficacy and safety of intracameral mydriatic solution, as compared to preoperative topical mydriatics, in patients undergoing manual small incision cataract surgery (MSICS) under peribulbar anesthesia. To assess the sustainability of intracameral mydriasis in MSICS by monitoring pupil size at specific junctures during the surgery.Methods:This trial recruited 127 patients, who underwent MSICS under peribulbar block. Mydriasis in topical group was achieved with preoperative topical dilating drops while patients in intracameral group were taken up for surgery without dilation, and mydriasis was achieved intraoperatively with intracameral solution. Pupil sizes were measured serially, at six different junctures during surgery. Time duration of surgery, any intraoperative complications and first postoperative day visual acuity, corneal edema score, and anterior chamber inflammation score were noted in all patients.Results:Mean pupil size just before peribulbar block was 7.3 mm in topical group and 3.3 mm in intracameral group (P < 0.001). Mean pupil size in intracameral group increased to 7.3 mm 30 s after injecting intracameral dilating solution. Mean pupil size in both groups progressively reduced, reaching 5.5 mm (topical group) and 6.2 mm (intracameral group) just before intraocular lens implantation (P = 0.001), and measured 5.1 mm and 5.5 mm, respectively, at the end of surgery (P = 0.048). On first postoperative day, there was no significant difference in distribution of corneal edema scores, AC inflammation scores, and in median logMAR visual acuity between the two groups.Conclusions:MSICS can be performed effectively and safely utilizing intracameral mydriatic solution, without the use of preoperative dilating drops.Trial registration:CTRI/2016/06/007036
The little body of a preterm baby still have underdeveloped parts that include the lungs, digestive system, immune system and skin. At birth, neonates undergo physiological adaptations, especially those related to breathing and few minutes of severe oxygen deprivation can cause irreversible brain damage. Thankfully, medical technology has made it possible for preemies to survive the first few days, weeks or months of life until they are strong enough to make it on their own. A specially focused nursing care is very essential to care the babies that are born too soon. It includes the total care of the preterm like thermal regulation, feeding, respiratory support and infection prevention. This article serves on the nursing care that is essential for the preterm baby to prevent the risk and is a brief description of what to expect in the care for a newborn preemie.
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