ABSTRACT
Objective: This study was designed to evaluate the prophylactic efficiency of intra-vitreal Bevacizumab combined with cataract surgery in patients of non-proliferative diabetic retinopathy without macular edema for the prevention of macular edema by assessing the visual outcome
Methodology: This was interventional, randomized, open-label and control study of two parallel groups of already diagnosed patients with pre-proliferative diabetic retinopathy without macular edema. The study included sixty eyes of sixty patients, having non-proliferative diabetic retinopathy without macular edema and lens opacity [grade 1 to 3]. One group [n=30] received intra-vitreal injection of Bevacizumab and the control group [n= 30] did not received intra-vitreal injection of Bevacizumab at the time of standard phaco-emulsification. Main outcome measure was best-corrected visual acuity [BCVA] at the end of two months compared with the baseline visual acuity recorded along with central macular thickness [CMT] measured on optical coherence tomography [OCT] as required
Results: The outcome was an improvement of BCVA at the end of 8[th] week compared with that at baseline in the Bevacizumab group and a worsening of visual acuity in the control group [p = 0.005]
Conclusions: Prophylactic use of intravitreal Bevacizumab combined with phacoemulsification appears to be beneficial in preventing post-surgical visual loss in eyes with NPDR by preventing the chance of macular edema
ABSTRACT
Aims and Objectives: Evaluation of epidemiological contributing factors in occurrence of ocular trauma in patients under the age of 16 years. Study Design: Descriptive and analytical study carried on 216 children. Period: 13-02-2014 to 26-12-2015. Setting: At Ophthalmological Department, Allied Hospital, PMC, Faisalabad
Patients and Methods: The patients with eye injury who presented to the ophthalmological Department of Allied Hospital, PMC, FSD from 13-02-2014 to 26-12-2015 were included in the study. The Activity at the time of injury, place of injury, identifiable objects causing trauma, age 1-16 years, any sex, use of eye protectors, were noted
Results: Out of 216 patients, there were 166 male [76.85 %] while female were 50 [23.15 %]. There were 76 patients having age between 0-5 years while 78 [36.11 %] were between 6-10 years of age. Out of 216 only 62 [28.7 %] patients were of age between 11 years to 16 years. The injuries due to knife and scissors, occurred in home and were the commonest [17.59 %]. The injuries occurring due to fire cracker and vegetable matter outside home were also common 16.20% and 13.89 % respectively. The fist and hand bite injuries in this group were least common [0.93 %]. In our setting commonest eye injuries involving corneo-scleral were [35+25] [27.78 %]. The frequency of subconjuctival hemorrhage was 11.11 %. The cases having lid tear and canicular cut were 6.48 %
Conclusion: Ocular trauma is an important cause of preventable visual morbidity particularly among younger people who are at the lower risk for chronic ocular diseases. Pediatric ocular trauma is a common cause of ophthalmic consultation