ABSTRACT
To study the complications of ND: YAG laser capsulotomy. Clinical trial. Department of Ophthalmology KHYBER Medical University Institute of Medical Sciences Teaching Hospital Kohat Development Authority [KDA] Kohat. Jan 2007 to June 2008. A total number of 250 patients with posterior capsular opacification were studied and look for complications after ND: YAG Laser application. One hundred and thirty five [54%] were male and one hundred fifteen[46%] patients were female. 63% of patients had right eye involvement while 37% had left eye were involved. Patients were thoroughly examined before and after the procedure. All patients were followed for minimum six months after the procedure. Data was analyzed by SPSS version 16. Chi square test was calculated for the significance of analysis. After Nd YAG laser capsulotomy there was significant improvement in visual acuity of my patients. There was transient rise of IOP in 25 [10%] of patients. Mild anterior uveitis in 20 [8.0%] of patients. Intra-ocular Lens pitting or cracks in 30 [12%] of cases. Macular edema in 20 [8.0%] of cases. Retinal detachment in 5 [2.0%] of cases. Nd YAG laser is safe, effective and non-invasive procedure outdoor procedure by which we can get better visual outcome. Which had also some serious complication for that we have to avoid and educate the patient about the complications of procedure
ABSTRACT
Purpose: To find out safety and effectiveness of supratarsal injection of Triamcinolone in cobble stone papilla e in Vernal Keratoconjunctivitis [VKC]
Design: Prospective, uncontrolled trial
Period: June 2009 to January 2010
Setting: Department of Ophthalmology KMU Institute Of Medical Sciences Hospital KDA Kohat
Material and Methods: One hundred and fifty diagnosed patients of VKC, of both sexes and age group between 5 - 40 years were included in the study. Patients with glaucoma, or steroid responder, postherpetic corneal scar, active infection of cornea or conjunctiva, tightly closed eyelids, patients who lost follow-up, and patients unwilling to be enrolled in this study were excluded from the study. The patients were enrolled and informed consent was taken. Supratarsal injection of Triamcinolone was given. Their record was maintained and all the patients were followed up for six months for evaluating their effectiveness and side effects
Results: We treated two hundred and seventy five eyes of one hundred fifty patients. Among them 80% were males. Mean age was 14 years [range: 5-40 years]. All of the patients had itching of eyes, redness, watering, photophobia, cobble-stone papillae and Tranta's dots. Mean duration of disease was 27 weeks [Range: 4 weeks to 10 months]. Patients were followed up and multiple injections were given for controlling disease. Transient redness was the most common side effect of injection therapy. Study shows 100% effectiveness of supratarsal injection of triamcinolone acetonide in VKC although recurrence was seen
Conclusions: Supratarsal injection of Triamcinolone is safe, cost-effective and simple way of management of VKC
ABSTRACT
According to Pakistan National Blindness and Visual Impairment Survey, cataract accounts for 51.5% of blindness and visual impairment in Pakistan. In most of the camp and primary level facilities intra-ocular lenses are implanted without proper estimation. The purpose of this study was to know the common keratometric, axial length values, IOL powers and whether or not it is advisable to implant intraocular lenses without proper pre-operative assessment. It was a retrospective study conducted at Department of Ophthalmology, DHQ Teaching Hospital, D.I.Khan. Review of estimated power of IOL of 1000 admitted patients was done. Out of 1000 patients, 473[47.3%] were males and 527[52.7%] females. The youngest patient was 10 years while the oldest was 80. Maximum patients presented in 51-60 years age group. Only 25[2.5%] patients were below 20 years. The range of axial length was 19.50-28.0mm. 581[58.1%] patients were having axial length 22-23.50mm. Ten [1.0%] had axial length >/= 26mm and 6[0.6%] <20.0mm. The range of estimated IOL power by SRK II formula with 118.0A constant was 10-33D. Maximum patients, 140[14.0%] were having IOL power of 20.50D. 522[52.2%] patients were having IOL power 20-22.0D. Only 26[2.6%] patients had IOL power of /= 25D. The estimated power of IOL differs from patient to patient with a wide range of 10D to 33D. Therefore assessment of IOL power by proper keratomery and biometry is desirable for good post-operative vision
Subject(s)
Humans , Male , Female , Lens Implantation, Intraocular , Phacoemulsification , Cataract , Retrospective Studies , Corneal Topography , Optics and Photonics , Predictive Value of TestsABSTRACT
This study was done to evaluate the status of tear film in patient having pterygium and to find any correlation between pterygium and dry eyes. A prospective study on the correlation of pterygium and dry eyes was done in the Department of Ophthalmology, D.H.Q Teaching Hospital, D.I. Khan, from 1st Aug 2001 to 31st July 2002. Ach patient had a complete ophthalmological examination and all information were recorded in a specially designed proforma. Status of the precorneal tear film, marginal tear film meniscus, tear film break up time [BUT] were noted. Schirmer test was also performed. We examined 120 patients, having 170 pterygia. 95 [79.16%] were males and 25 [20.84%] were females. Male to female ratio was 3.8-1. 63 [52.5%] were having normal marginal tear film meniscus, 45 [37.5%] were having decreased marginal tear film meniscus and 12 [10%] were having severe tear film abnormalities with a concave marginal tear film meniscus. Tear film break up time was also decreased with a mean of 6 seconds and a range of 3 - 14 seconds. Schirmer test was also performed, and it was also decreased with a mean of 5.70 mm and Patients with decreased teary production are more prone to the damaging effects of U-V rays in the sun light. There is a positive correlation between dry eyes and pterygium. Patients with pterygium are having decreased tear production, decreased Tear film break up time and decreased Schirmer test value