ABSTRACT
The objective of this study was to determine the pattern of traumatic lens dislocations presenting at our institute. This may help develop the preventive strategies. The number of cases of traumatic lens dislocations, presented at the Department of Ophthalmology, Chandka Medical College, Larkana, Pakistan, from January 2002 to June 2015, were 59 including 61.02% [n=36] males and 38.98% [n=23] females. Cause of trauma was wood or plant impalement in 35.6% [n=21] cases, cracker blast in 13.55% [n=8] cases, fall on ground in 11.86% [n=7] cases, penetrating injuries with needle, scissors or knife in 10.16% [n=6] cases, road traffic accidents in 10.16% [n=6] cases, sports injuries [cricket ball and gulle danda] in 8.47% [n=5] cases, firearm injuries in 5.1% [n=3] cases, and fist hitting in 5.1% [n=3] cases. Lens was dislocated posteriorly in 33.90% [n=20] cases, anteriorly in 25.42% [n=15] cases, inferiorly in 11.86% [n=7] cases, medially in 10.17% [n=6] cases, laterally in 10.17% [n=6] cases, superiorly in 6.78% [n=4] cases, and a single [1.69%] case of lenticele was seen
ABSTRACT
To evaluate the outcome of low dose intralesional steroid injections used in superficial infantile capillary hemangioma [SICH] of eye lid. Prospective Study. This study was conducted at Department of Ophthalmology, Chandka Medical College Hospital Larkana from September 2001 to October 2011. Only, patients with congenital SICH involving eye lids with closure of visual axis were included in this study and SICH involving eye lids without closure of visual axis were excluded from study. The diagnosis of disease was based on history and clinical examination. All the patients were treated by mixture of low dose intralesional steroids triamcinolone 20mg [0.5ml] and dexamethasone 4mg [1.0ml]. A total of three injections were given with interval of two months. After injection, the follow-up examinations were carried out at first week, every second month for six months and then annually. After treatment, outcome was recorded. The successful outcome was labeled when there was complete regression of lesion. Out of 37 patients 28[75.67%] were female and 9[24.32%] were male with female to male ratio of 3.1:1 and age range of 2 to 12 months. All the patients had unilateral growth; with left eye lid involvement in 22[59.45%] cases and right eye lid involvement in 15[40.54%] cases. The successful outcome seen was early regression of lesion in 24[64.86%] cases by age of 2.3 years and in 13[35.13%] cases by age of 3.1 years. The outcome of this study was that, early treatment of SICH of eye lid with intralesional steroid injections resulted reliable, quick, beneficial effects and good cosmetically functional eye lid by early involution of growth
Subject(s)
Humans , Male , Female , Neoplastic Syndromes, Hereditary , Eyelid Neoplasms , Eyelids , Steroids , Injections, Intralesional , Treatment Outcome , Prospective StudiesABSTRACT
AIM: To study the pattern of presentation and to highlight the common causes of primary benign orbital lesions.of Jinnah Postgraduate Medical Centre Karachi from July 1997 to August 2001 and then from September 2001 to date (Continued) at the Department of Ophthalmology of Chandka Medical College & Hospital Larkana. Only patients with primary benign orbital lesions were included in this study. All the patients were admitted in eye ward from the out patients department. The diagnosis of the disease was based on the presentation, clinical examination, investigations and histopathology of excised mass. A total of 68 patients were included in this study. The age range was from 2 months to 60 years. Out of 68, 27 (39.7%) patients were male and 41 (60.3%) were female. The left orbit was involved in 35 (51.5%) and right orbit was involved in 33 (48.5%).revealed that superficial capillary hemangiomas of the eye lid were the most common lesion 26 (38.2%) followed by deep orbital cavernous hemangiomas 5 (7.4%), lymphangiomas 5 (7.4%), orbital varices 4 (5.9%), gliomas 7 (10.3%), meningiomas 5 (7.4%), neurofibromas 5 (7.4%), neurofibromatosis 4 (5.9%), schwannomas 2 (2.9%), and pleomorphic adenoma (benign mixed cell tumor) of lacrimal gland 5 (7.4%) cases.treatment can prevent the patient from visual and life threatening complications.