Management of Glaucoma Capsulare: Outcomes and Complications of Trabeculectomy

Abstract

Purpose: To analyze the results of filtration surgery in cases of Glaucoma Capsulare.
 Study Design: Experimental study.
 Place and Duration: Al-Ibrahim Eye Hospital, Karachi, from January 2018 to December 2018.
 Methods: Forty eyes of forty patients, between 50 to 80 years of age, with Glaucoma Capsulare, not controlled with topical medication were included in the study. Patients not willing for filtration surgery and those who had any other ocular disease were excluded. Pre-operative examination, including visual acuity, retinoscopy, intra ocular pressure and fundus examination was done. Complete blood count, blood sugar and urine complete were also carried outto rule out any other illness. All collected data was analyzed through software SPSS version 20.
 Results: There were 26 (65.0%) males and 14 (35.0%) females. Mean age was 62.1 ± 12.44 years. Mean IOP was 34.0 ± 2.43 mm of Mercury. At first follow-up mean IOP (mm.Hg) was 11.44 ± 3.2 and at 12 weeks follow-up, the IOP was 10.14 ± 4.1. Angle 0 – I (closed angle) was seen in 6 (15.0%), Angle grade II – III (Open angle) was seen in 10 (25.0%) and grade III – IV (open angle) was seen in 24 (60.0%) patients. Visual acuity 6/9 were in 4 (10.0%), 6/12 – 6/18 in 10 (25.0%), 6/18 – 6/24 was in 12 (30.0%) and visual acuity 6/36 – 6/60 was noted in 14 (35.0%) patients. Early complications were flat anterior chamber in 4 (10%) and corneal edema in 4 (10%) patients. However late complications were hyphema and cataract in 2 (5%) and 25 (62.5%) patients respectively.
 Conclusion: Trabeculectomy significantly lowers the intraocular pressure in patients with Glaucoma Capsulare.
 Key Words: Glaucoma Capsulare, Trabeculectomy, Gonioscopy, Hyphema, Pseudoexfoliation glaucoma.

Screening of Metal Oxides and Hydroxides for Arsenic Removal from Water Using Molecular Dynamics Simulations

“…Drinking toxic water impacts millions of people worldwide, and our ecosystem has suffered consequently . As population and industrialization rise, access to potable water becomes increasingly challenging. − Arsenic levels in many countries like Pakistan, Bangladesh, China, Taiwan, America, India, and Mexico are alarmingly high. − It has been classified as carcinogenic and poisonous. , It can cause liver, kidney, lung, and bladder cancer if ingested continuously, even in minute amounts (ppb). − The WHO (World Health Organization) current maximum allowable arsenic concentration in drinking water is 10 g/L (ppb). − Nonetheless, many developing nations continue to adhere to the previous guideline of 50 g/L due to inadequate infrastructure and costly water treatment technologies . In July 2018, China hosted the seventh International Congress on Arsenic in the Environment, which included sustainable management and mitigation of arsenic removal .…”