ABSTRACT
We propose a technique for combined femto laser?assisted cataract surgery (FLACS) and limited vitrectomy from the pars?plana site for optimization of surgical results in subluxated cataracts. FLACS creates a free?floating, customised capsulotomy, minimizes stress on compromised zonules, and prechops the nucleus, effectively reducing the ultrasonic power as well as the forces required to chop the nucleus. The area of zonular dehiscence creates a direct communication between the irrigation fluid and the anterior vitreous, leading to its hydration. Trans?limbal vitrectomy creates a continuum between the liquefied vitreous and the main wound, leading to further vitreous loss, and exaggeration of the zonular weakness, while pars?plana vitrectomy avoids this by cutting the liquefied vitreous, near its attachment, thereby preventing further hydration and causing lesser stress to the zonules. A combination of these procedures, along with a capsule support device, gives favorable surgical outcomes in moderate to severe subluxations.
ABSTRACT
Background and objectives: According to the WHO, India is home to 12% of the world‘s smokers. More than 1 million die each year due to tobacco in India. Cigarette smoking is one of the most extensively used potentially hazardous social habits throughout the world. Material and method: The study was conducted on 150 normal asymptomatic healthy males. Out of which 75 were controls and 75 were cigarette smokers with age-group between 17-35 years. The association of cigarette smoking and raised blood cholesterol levels was studied. Results: The study showed, cigarette had raised concentration of serum total cholesterol, triglycerides, LDL-cholesterol, VLDL-cholesterol and had reduced levels of HDL cholesterol. Conclusion: We observed a dose response relationship between the number of cigarettes smoked and cardiovascular morbidity and mortality