Effectiveness of trabeculectomy in primary open angle glaucoma

To analyze the change of intraocular pressure [IOP] brought about by trabeculectomy and to analyze any further changes in intraocular pressure after trabeculectomy during three months follow-up. Material and Patients who presented to eye department of Khyber Teaching Hospital Peshawar and were diagnosed as primary open angle glaucoma [POAG] and selected for trabeculectomy were included in the study, from 1998 to 2001. History, examination and relevant investigations were performed. All cases of trabeculectomy were analyzed and the follow up period was three months. The total number of patients included for trabeculectomy was 44 and the total trabeculectomies performed were 50 as in six cases, bilateral operations were done. Out of 44 patients, 34 [77.2%] were male and 10 [22.8%] were female. The age of the patients ranged from 43 to 80 years. The pre-operative infra ocular pressure ranged from 12 to 60 mm of mercury. The lower ranged intra ocular pressure was those cases of primary open angle glaucoma that were on maximum medical treatment. The post-operative intra ocular pressure was recorded on 1st and 15th post-operative days, one month after surgery and three months after trabeculectomy. The mean intra ocular pressure on 1st and 15th post-operative days, one month and 3 months after surgery was 10.2, 9.8, 12.55 and 10.7 mm of mercury respectively. Overall 92% cases were declared as complete success. Trabeculctomy is a safe and effective procedure for primary open angle glaucoma

Congenital nasolacrimal duct obstruction at agency headquarter hospital Batkhela NWFP

To find out the frequency of congenital nasolacrimal duct obstruction [CNLDO] and the of its management. Material and A prospective study of 160 consecutive patients with congenital nasolacrimal duct obstruction, conducted from January 1999 to December 1999 at the Department of Ophthalmology Agency Head Quarter Hospital Batkhela, NWFP. Only patients below the age of twelve months were included the study. Diagnosis was made by history of epiphora beginning early in life with obstruction clinically confirmed on examination. Antibiotic drops and massage of the lacrimal sac was advised. Probing was carried out for the nonresolving cases at the age of one year. A total of 160 patients CNLDO were included in the study. Seventy Two [45%] of these infants presented within the first two months of life. Out of these 160 patients 18 patients were lost to followup. Out of remaining 142, 132[93%] of the patients resolved spontaneously with conservative treatment using topical antibiotics within one year. Only 10 [7%] of the patients required probing. Parents of CNLDO patients should be counseled about the disease and advised them to wait for spontaneous improvement. Probing for unresponsive cases is recommended

Management of childhood squint

To evaluate the outcome of various modalities of treatment of childhood squint.The study was conducted from November 1994 to August, 1996 at the Department of Ophthalmology, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar. A st and ard proforma was designed. After complete history and ocular examination; glasses, occlusion and surgery was advised accordingly. These children were re-examined after one month for glasses and on weekly, monthly and three monthly intervals after surgery. Out of these 50 patients 54% were males and 46% were females with the age range of 6 months and 16 years. The majority needed glasses, followed by surgery and occlusion. Improvement in visual acuity and fusion was observed and acceptable visual alignment was seen in most of the patients. A good number of patients can be managed with the use of proper glasses alone and improvement in visual acuity and binocular single vision [BSV] can be achieved with early recognition of the disease and timely intervention