Post-traumatic left thigh seroma

A forty-seven-year-old male had a left-thigh trauma after a vehicular accident. The patient developed a left-thigh swelling which was managed by aspiration of a hematoma on admission and was performed twice within 3 months. Large seroma recollected and evacuation of the seroma and excision of the well-formed fibrous capsule was performed. We present this case to increase the awareness of physicians for better prevention and treatment of post-traumatic or postoperative seromas

Effect of local administration of Lidocaine with epinephrine on ETCO2 and hemodynamics in pediatric patients undergoing cleft palate surgery

Supplementation of local epinephrine with anesthetic has a number of advantages. it prolongs the effect of anesthetics, reduces its amount required and speeds surgery by decreased bleeding into operative field. However, epinephrine has significant side effects. Increased end-tidal carbon dioxide concentration [ETCO2] has been reported if epinephrine at a concentration of 1 in 200,000 is injected into the nasal mucosa of patients undergoing general anesthesia for nasal surgery. Two concentrations of epinephrine were compared to determine the concentration effect on homodynamic and ETCO2 in pediatric patients undergoing cleft palate surgery Design: Prospective, randomized, single-blind clinical trial. Participants: Twenty four pediatric patients, aged 1 to 4 years undergoing cleft palate repair with general anesthesia were included in the study. To determine the epinephrine concentration effect on ETCO2 and hemodynamics in patients who received injections, in the hard palate, 3-3 ml mL of 1% lidocaine containing two concentrations of epinephrine [1:200,000, or 1:400,000] determined by randomization. Following local infiltration injection as mean values between 62 and 71 mmHg were maintained consistently throughout surgery. ETCO2 was transiently increased in both groups at 5 and 15 min after surgical incision, with significant difference between the two groups, P < 0.05 only at 15 min after incision. Surgeons did not complain about increase bleeding in the operative field in both groups. Amount of blood loss in group 1 is 71.25 +/- 15.49 ml compared with 72.25 +/- 13.53 ml in group II [P

Effect of Phakic IOL on contrast sensitivity, IOP and corneal endothelium

Aim: to evaluate angle-supported AC Phakic IOLs for correction of high myopia; as regards contras t sensitivity testing, IOP, and corneal endothelial count

Methods: twenty eyes of eleven patients with high myopia were enrolled in this study. Three patients were males and eight were females. Their age ranged from between 20 to 36 years with a mean of 26.36 +/- 5.14. A complete preoperative ocular examination was performed on each patient including; IOP measurement, Specular microscopy and Contrast sensitivity testing. The Safety Flex Phakic 6TM was used in this study. Follow-up examinations were made at 48 hours; 15 days; 1, 2, 3 and 6 months after surgery

Results: the preoperative refractive error ranged from -10.50D to -24.00D with a mean of -18.03 +/- 3.92D. The IOL was implanted in both eyes of 9 patients and in one eye of two patients. The preoperative mean endothelial cell density was 2863.10 +/- 412.00 cells/mm2. After surgery; the mean cell density decreased to a mean of 2764.85 +/- 400.90 cells/mm2 at 3-months and 2739.85 +/- 406.38 cells/mm2 at 6-months. Endothelial cell loss was 3.43% at 3-months and 4.3% at 6-months in comparison with the preoperative value. The preoperative mean IOP was 12.60 +/- 1.57 mm Hg; which increased to 15.75 +/- 5.01 at 2 weeks post-op. However the IOP decreased again to a mean of 13.20 +/- 1.96 mm Hg 6-month after surgery. Contrast sensitivity was measured to all patients using Cambridge low contrast gratings. Preoperatively, the mean contrast sensitivity was 142.25 +/- 70.60. After surgery, contrast sensitivity improved to a mean of 209.60 +/- 117.45

Summary: implantation of an AC-IOL in a phakic eye to correct high myopia is a technique recently revived. It represents the most satisfactory surgical procedure currently available for correcting high myopia. The simplicity and the reversibility of the method permit it to be performed by most ophthalmologists