Intermittent self dilatation--still a viable option for treatment of urethral stricture disease.

The study was conducted to find out if intermittent self dilatation (ISD) is still a viable option for treatment of urethral strictures in patients who had undergone either urethral dilatation or urethrotomy prior to ISD. The study included 310 male patients with the age range from 17 to 93 years old from January 1996 to March 2007. The data was gathered from the computer data base kept by the urology unit in the hospital. A questionnaire was used to evaluate their tolerance towards the procedure and quality of life. Of the total number of patients 262 replied to the questionnaire. The mean follow up was 57.68 months with 67.7% continuing with the procedure. The procedure was well tolerated by 84.1% of patients and 79.6% had no technical difficulty. The most number of patients carrying out this procedure were in the 6th and 7th decade of life. There was a recurrence rate of urethral strictures of 16.9%. It is seen that even today ISD following an endoscopic procedure is a viable treatment option. The patients seem to tolerate this procedure well and it is an option in the elderly patient group who may not be fit or willing to undergo reconstructive surgery or urethroplasty.

Visual outcome and IOP control after cataract surgery in lens induced glaucomas.

Lens induced glaucoma is one of the important cause of secondary glaucoma in our population. Retrospective analysis of 40 cases of lens induced glaucoma presenting to Nepal Eye Hospital from January 2002 to December 2004 were analyzed to find the prevalence of sex, age, visual outcome, IOP control, and duration between appearance of symptoms and surgical invention. Females out numbered male (55:45 percent). Phacomorphic glaucoma was seen more than phacolytic type (65:35). Visual recovery was good in 45% cases (6/12-6/60) and moderately fair in 30% cases (VA <6/60). Preoperative IOP ranged from 24.0-59.0 mmHg. Postoperative IOP ranged from 14-22 mmHg. Duration between symptoms and surgery was 1 week to 4 months.

Clinical analysis of glaucoma in hospital patients.

OBJECTIVES: (i) To determine the prevalence and pattern of glaucomas presented to Nepal Eye Hospital for strategic planning. (ii) To know the most common attributable factors giving rise to secondary glaucoma. (iii) To know the incidence of Glaucoma blindness. MATERIALS AND METHODS: A retrospective hospital based analysis of medical records of patients attending Nepal Eye Hospital Glaucoma clinic over a period of 2 years (Jan 2003-Jan 2005) was done in order to know the magnitude of the disease and its pattern, for planning purpose to upgrade Glaucoma clinic services in the hospital. RESULTS: Glaucoma patients comprised of 0.74% (827) of total outpatients (110794). Male and female ratio was 49.6%:50.4%. Primary Open Angle Glaucoma (POAG) found to be more common (57.3%), followed by secondary glaucoma (20.8%), Primary Angle Closure Glaucoma (PACG) 19.9% and Congenital/Juvenile and miscellaneous (2%). Incidence of Glaucoma blindness (Absolute Glaucoma) found to be 2.17%. Almost equal predelection to sex was seen in all types of glaucomas except PACG, Lens induced Phacomorphic glaucoma and uveitic glaucoma where female outnumbered males. The disease was found to be more common in age group above 40 years.