ABSTRACT
To compare the effectiveness of topical and retobulbar anesthesia in term of pain relief in patients subjected to cataract surgery. This comparative study was conducted at Department of Ophthalmology, Bahawal Victoria Hospital Bahawalpur from 18th July, 2012 to 18th January, 2013. Total 100 patients with cataract were included in this study. Mean age of the patient was 64.14 +/- 8.7 years. No. of patients in RA group who reported the pain scores [0- 4] during cataract surgery, was 46 [effectiveness was positive in 92% patients], while it was 33 [effectiveness was positive in 66% patients] in TA group. A significant difference between effectiveness of both anesthetic groups was observed. [P = 0.001]. It is observed that topical anesthesia in cataract surgery is a simple, safe and noninvasive technique but it cannot be proposed as a very good alternative to retrobulbar anesthesia in cataract surgery of all patients regarding its effectiveness interms of pain relief
ABSTRACT
Objectives: The objective of this research was to evaluate the outcomes of pars plana vitrectomy (PPV) without the use of an ocular tamponade in patients with tractional retinal detachment (TRD) secondary to proliferative diabetic retinopathy (PDR) presenting to Bahawal Victoria Hospital, Bahawalpur, Pakistan. Methods: This was an interventional study conducted at the Department of Ophthalmology, Bahawal Victoria (B.V.) Hospital, Bahawalpur, Pakistan, from July 2011 to July 2012. A total of 75 patients (84 eyes) with TRD secondary to PDR were treated by PPV without using an ocular tamponade. All patients included in the study had a TRD secondary to PDR but did not have or develop retinal breaks before or during the study period. The surgical procedure included a PPV combined with the removal of the tractional retinal membranes and the application of endolaser photocoagulation to the retina. The mean follow-up period was 12 months. Results: The study included 75 patients (84 eyes). Among these, 40 patients were females and 35 males. Successful retinal reattachment was observed in 78 of the operated eyes (92.8%). In these patients, the retina remained attached until the end of the 12 month follow-up period. Improvement in best corrected visual acuity (BCVA) was seen in 63 eyes (75%). The visual acuity remained unchanged in nine eyes (10.7%). Mean improvement in BCVA was 2.00 ± 1.24 at baseline to 1.24 ± 1.22 (P = 0.010) at the end of the follow-up period. Conclusion: In the absence of retinal breaks, a TRD secondary to PDR can be successfully treated and improved by PPV without the use of an ocular tamponade.
ABSTRACT
To report different causes of ocular trauma in hospital admitted cases, their mode of presentation, management and visual outcome and to explore possible methods of reduction of ocular trauma in our setting. Hospital based retrospective descriptive and Observational study. The study was conducted in eye department of Bahawal-Victoria hospital from August 2007 to August 2009. 100 patients with first time ocular trauma of any age and sex were included in this study. Previous ocular trauma or ocular surgery patients were excluded. Visual acuity on presentation, rupture of globe, perforating injury, retinal detachment, endophthalmitis, intra-ocular foreign body and need for surgical intervention and visual outcome were determined. Out of 100 patients 88% were male and only 12% were females. 67% patients presented before 8pm. Majority [32%] of the cases were between 21-30 years of age. Open globe type injury [73%] was more common than close globe type [27%]. Most tears [46.57%] were corneal while 9% cases had FB in anterior segment and 17% in posterior segment. Regarding management 23% were managed medically while 77% required combined medical and surgical treatment. Despite of treatment, 12% eyes lost total vision due to phthisis bulbi, endophthmitis, and non-attachable retinal detachment. Ocular trauma in hospital admitted cases carries poor visual outcome due to severity and nature of trauma, late presentation, associated infection, poor socio-economic status. Visual outcome is dependent on location of wound, cleanliness, prompt and timely diagnosis and management