ABSTRACT
Introduction: To investigate the correlation between Macular thickness and Volume with Bestcorrected visual acuity (BCVA) in eyes with Diabetic macular edema and Type 2 diabetes. Materials and Methods: A retrospective study including 60 eyes of 60 patients evaluating Retinal thickness and macular volume measured with Spectral Domain Optical Coherence Tomography and best corrected visual acuity was measured with the Snellens Chart. Results: There is significant increase in the macular thickness and macular volume with decrease in the best corrected visual acuity. Conclusion: Diabetic macular edema causes decrease in visual acuity due increase in macular thickness and volume.
ABSTRACT
Introduction: To evaluate the effect of nepafenac 0.1% after routine phacoemulsification in patient at low risk for cystoids macular edema. Material and methods: This prospective hospital based study consists of 70 eyes of 70 subject with no risk factor for cystoid macular edema who underwent phacoemulsification by an experienced surgeon. All 70 subjects received preoperative nepafenac. 35 subjects received nepafenac post operatively (treatment). SD OCT (Spectral domain optical coherence tomography) and visual acuity measurement were taken pre op and post op (1 week, 1month). Final end point where comparison of macular thickness and visual acuity between two group. Result: All subjects in this study had excellent visual outcome post cataract extraction. There was small increase in macular thickness in both treatment and control group with no difference in visual acuity between first and second post op visits. Conclusion: There is an increase in macular thickness measured by OCT in low risk patients after phacoemulsification there was no clinical effect on final visual acuity.
ABSTRACT
Introduction: Recurrent Corneal Erosion Syndrome is a resistant condition to treat .Many modalities of treatment is available. Alcohol assisted epithelial delamination is relatively a new procedure and not widely practiced. This study evaluates the efficacy and safety of the procedure. Material & Methods: This is a retrospective study conducted in our hospital .We have enrolled 30 patients who underwent the procedure within last two years. Patients with RCE who remained symptomatic despite topical lubrication was included .Patients were followed up at 1 day, 4 days, 1 week, and 1 month. Success was defined as resolution of symptoms after 1 month of treatment. The preoperative and postoperative data were collected from EMR and analyzed. Results: Twenty nine patients were stable after the procedure. One patient required repeated treatment. There were no post operative complications. No patients lost any line of visual acuity. Conclusion: Alcohol assisted epithelial delamination is a safe and effective procedure for treating patients with recurrent corneal erosion syndrome.
ABSTRACT
Introduction: There are various techniques available for securing limbal conjunctival auto graft in the treatment of primary pterygium. purpose of this study to compare the surgical outcome and cost effectiveness of a new techniqueautologous blood with electrocautery pen and current standard of fibrin glue. Materials and methods: This retrospective study was carried out in 76 patients presented with primarypterygia who underwent pterygium surgery using autologous blood with ecp (36 eyes) and fibrin glue (40 eyes). all patients were followed up post operatively on 1stday, 7thdayand 6th month. during follow up,patients were assessed for graft displacement or loss and comfort. cost of the surgery was also compared. Results: No intraoperative complications occurred in either group. out of 36 patients, 4 graft dislodgements occurred in autologous blood with ecp group on the immediate post-operative day. while none in fibrin glue group. during the 6 months follow-up, 6 eyes in group i (16.7%) and 1 eye in group 2 (2.5%) developed recurrence. Conclusion: Autologous blood with ecp in conjunctival autografting is as effective as fibrin glue in terms of graft adherence and post-operative patient comfort. however, this method is 3 times cost effective than the commercially available fibrin glue.