RESUMEN
Objective: to study the success of Trabeculotomy procedure in Primary Pediatric glaucoma by measuring the change in axial length after procedure
Study Design: this was prospective, non-comparative, interventional study
Study Period: one year from July, 2011 to June, 2012
Material and Methods: this was carried out in the department of Pediatric Ophthalmology at College of Ophthalmology and Allied Vision Sciences [COAVS], King Edward Medical University [KEMU], Mayo Hospital, Lahore, Pakistan. Thirty [30] eyes of patients, from birth to 8 years of age with Primary pediatric glaucoma [PPG] were included in the study. The patients were selected after a suspicion of pediatric glaucoma from history and clinical examination. The patients were admitted from pediatric eye OPD of Mayo Hospital Lahore. Examination under general anesthesia was performed and axial length measurements were recorded. Those diagnosed as primary pediatric glaucoma underwent trabeculotomy. Post-operative serial examinations within 1[st], 3[rd] and 6[th] month were performed with recording of axial length measurements
Results: thirty eyes of 16 patients of primary pediatric glaucoma were included in this study. 9 patients [56%] were males and 7 patients [44%] were females. 2 [12.5%] patients had unilateral disease and 14 [87.5%] patients had bilateral disease. The age of patients ranged from 2 months to 96 months with a mean of 26.77 months. 16 eyes [53%] were involved in patients below 12 months of age, 5 eyes [17%] were involved in patients of 13 to 36 months. 9 eyes [30%] were involved in the patients of 37 months and above age. All patients have longer axial length than normal age matched children with higher growth rate. All underwent trabeculotomy. There was an increase in axial length in all eyes after trabeculotomy but the change in axial length was much slower than preoperative growth rate in age matched children. The change in axial length was stabilized and normalized in these cases after 6 months of surgery
Conclusion: the success of trabeculotomy procedure can be assessed by axial length measurements before and after the procedure. Ttrabeculotomy has proven to be a safe and effective procedure for control of primary pediatric glaucoma
RESUMEN
Objective: to study the success of Trabeculotomy procedure in Primary Pediatric glaucoma by measuring the change in intraocular pressure [IOP] after procedure
Study Design: this was prospective, noncomparative, interventional study
Study Period: 18 months from March, 2013 to September, 2014
Material and Methods: this was carried out in the department of Ophthalmology at Allied Hospital/Punjab Medical College, Faisalabad, Pakistan. 24 eyes of 13 patients, from birth to 42 months of age with Primary Congenital Glaucoma [PCG] were included in the study. The patients were selected after a suspicion of pediatric glaucoma from history and clinical examination. The patients were admitted from pediatric eye OPD of Allied Hospital Faisalabad. Examination under general anesthesia was performed and intraocular pressure [IOP] measurements were recorded. Those diagnosed as primary congenital glaucoma underwent trabeculotomy. Post-operative serial examinations within 1[st], 3[rd] and 6[th] month were performed with recording of IOP measurements
Results: twenty four eyes of 13 patients of primary congenital glaucoma were included in this study. 7 patients [53.84%] were males and 6 patients [46.16%] were females. 2 [15.38%] patients had unilateral disease and 11 [84.62%] patients had bilateral disease. The age of patients ranged from 2 months to 42 months with a mean of 22 months. 18 eyes [75%] were involved in patients upto 12 months of age, 5 eyes [20.83%] were involved in patients of 13 to 36 months. 1 eye [4.16%] was involved in the patient of 37 months and above age. All patients had raised intraocular pressure than normal age matched children. All underwent trabeculotomy. There was a decrease in intraocular pressure in all eyes immediately after surgery. In 22 eyes IOP remained within normal limit after 6 months of trabeculotomy but in two eyes it started to rise so was declared failed
Conclusion: the success of trabeculotomy procedure can be assessed by Intraocular pressure measurements before and after the procedure. Ttrabeculotomy has proven to be a safe and effective procedure for control of primary congenital glaucoma
RESUMEN
Among all ophthalmic diseases, cataract is the most commonest disorder not only in Pakistan but also worldwide. There are a number of causes for cataract development. The present study was carried out to evaluate the density of cataract and its relation with axial length of the eye. In this observational study, the patients with cataract in both eyes were selected by simple random technique. From June to December 2012. Place: This study was conducted in Diagnostic and Research Centre, Department of Ophthalmology, Allied Hospital, Punjab Medical College, Faisalabad. In present study 200 eyes of 100 patients were included having cataract in both eyes. Only those patients were selected who had no pathology other than cataract affecting visual acuity. The density of the cataract was assessed by measuring visual acuity. The axial lengths of both eyes were measured at the time of examination to see the relation between the axial length and density of cataract. The comparison of the two eyes regarding the evaluation of the density of cataract and its relation with axial length was performed. Out of 100 patients 74 [74%] had a denser cataract or lesser visual acuity in the eye with a longer axial length [DCLAL] and 26 [26%] had a denser cataract or a lesser visual acuity in the eye with shorter axial length [DCSAL]. On right side the axial length was 24.84 +/- 1.73 and on left side, it was 21.62 +/- 1.63. Our results showed that on right side, the visual acuity was 0.19 +/- 0.09 and on left side, it was 0.23 +/- 0.08. The axial length and visual acuity were statistically analyzed. The correlation was significant at the 0.01 level [2-tailed].The correlation coefficient was -0.04 on right side and on left, it was -0.12 showing inverse correlation between the two variables. There is a strong correlation between density of cataract and the axial length of the eyeball