Pakistan Journal of Ophthalmology最新文献_第10页

A Novel Technique of Suturing Sclerotomy in Pars Plana Vitrectomy 玻璃体部切除术中缝合巩膜切开术的新技术

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1538

Abdullah Muaz, Ahmad Zeeshan Jamil, Muhammad Hannan Jamil, Muhammad Rizwan, Kashif Iqbal

{"title":"A Novel Technique of Suturing Sclerotomy in Pars Plana Vitrectomy","authors":"Abdullah Muaz, Ahmad Zeeshan Jamil, Muhammad Hannan Jamil, Muhammad Rizwan, Kashif Iqbal","doi":"10.36351/pjo.v39i2.1538","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1538","url":null,"abstract":"Purpose: To describe a new technique of suturing sclerotomy after 23- gauge pars plana vitrectomy using10 – 0 nylon suture with releasable knot.\u0000Study Design: Quasi experimental study.\u0000Place and Duration of Study: Sahiwal Teaching Hospital, Sahiwal, from January 2022 to June 2022.\u0000Methods: 10 – 0 nylon sutures with releasable knots were applied to close the sclerotomy after 23 – gauge pars plana vitrectomy in 100 cases. Complications like hypotony and wound leakage were recorded. Intra ocular pressures on 1st post-operative day and after 1 week were monitored. Inflammation at suture site, pain experienced by the patient and surgeon’s convenience of suture removal under a slit lamp after 1 week were documented.\u0000Results: Patients included 58 women and 42 men. Post-operatively, there was no wound leakage and hypotony in any patient, with mean intra ocular pressure of 13.5 ± 2.0 mmHg on 1st post-operative day and 17.6 ± .0.5 mmHg after 1 week of surgery. In 4% cases inflammation was observed at suture site. The mean pain score, measured according to visual analogue scale, at post-operative day 1 and day 7 was 1.25 ± 1.19 and 1.08 ± 0.99 respectively. No discomfort was reported during removal of releasable sutures in 96% of the patients. Surgeon found it convenient to remove the sutures under slit lamp illumination.\u0000Conclusion: Closure of 23 – gauge sclerotomy using nylon 10 – 0 suture with releasable knot is a useful option. It prevents post-operative wound leakage and hypotony.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"295 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117030762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraocular Pressure Changes after Neodymium Doped: Yttrium-Aluminum-Garnet (Nd: Yag) Laser Capsulotomy 掺钕钇铝石榴石(Nd: Yag)激光囊膜切开术后眼压变化

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1468

S. Saad, Sabeen Abbasi, Mariam Shamim, Asfa Munir, Mahtab Mengal

{"title":"Intraocular Pressure Changes after Neodymium Doped: Yttrium-Aluminum-Garnet (Nd: Yag) Laser Capsulotomy","authors":"S. Saad, Sabeen Abbasi, Mariam Shamim, Asfa Munir, Mahtab Mengal","doi":"10.36351/pjo.v39i2.1468","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1468","url":null,"abstract":"Purpose: To assess the difference in intraocular pressure before and after Nd-YAG laser posterior capsulotomy.\u0000Study Design: Quasi-experimental study.\u0000Place and Duration of Study: Layton Rahmatulla Benevolent Trust Eye Hospital, Karachi, from July 2021 to October 2021.\u0000Methods: Patients of both gender with posterior capsular opacification (PCO) after cataract surgery, were included. Age ranged between 40 and 60 years. Patients with less than 6 months of surgery were excluded. Patients with posterior segment pathology like glaucoma, uveitis, high myopia, diabetic retinopathy, macular pathology, and hereditary fundus dystrophies were excluded from the study. After detailed history, complete ocular examination was performed. After pupil dilatation, YAG laser capsulotomy was done.IOP was measured with Goldmann Applanation Tonometer after instilling a topical anesthetic agent. Post-YAG, IOP was again measured at 1 hour and on day 1. Data was analyzed using SPSS version 25. Paired T-tests were used to assess the significance of any change in IOP.\u0000Results: Ninety eyes of 90 patients were inducted into the study in which 51 (57%) were male and 39 (43%) were female. The age varied from 40 to 60 years (mean 52.3 ± 10.25 years). There was no statistically significant difference between pre-YAG and post-YAG IOP. Similarly, no difference in IOP was found depending upon the age of the patients. No significant change was observed after 1 hour and 1 day in both groups with P > 0.05.\u0000Conclusion: This showed no significant change in intraocular pressure at one hour and one day, after Nd-YAG laser posterior capsulotomy.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"24 12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132793422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Congenital Optic Disc Drusen Misdiagnosed As Benign Idiopathic Intracranial Hypertension 先天性视盘结节误诊为良性特发性颅内高压

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1502

N. Shamim, Muhammad Ali Tahir, A. Cheema, A. Javed

引用次数: 0

Evaluation of the effects of electronic cigarettes on the tear film of Smokers using Keratograph and SM Tube 电子烟对吸烟者泪膜的影响

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1599

S. Alshammeri

{"title":"Evaluation of the effects of electronic cigarettes on the tear film of Smokers using Keratograph and SM Tube","authors":"S. Alshammeri","doi":"10.36351/pjo.v39i2.1599","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1599","url":null,"abstract":"Purpose: To evaluate the effects of e-cigarettes on tear film by comparing the tear film parameters of smokers and non-smokers using Keratograph and SM Tube.\u0000Study Design: Cross sectional study.\u0000Place and Duration of Study: Qasim University, from Saudi Arabia.\u0000Methods: A total of 60 males of age group 20 – 38 years were divided into three groups (Twenty non-smokers, 20 tobacco smokers and 20 vapor users). After consent, dry eye symptoms questionnaire was given to the participants. Four different test parameters through the Keratograph (5M JENVIS). Tear meniscus height, non-invasive tear break-up time, ocular redness and lipid layer thickness were measured. The new strip menis cometry tube (SM Tube) was used to test tear production. Data were analyzed using Statistical Package for Social Sciences (SPSS) with p value of less than 0.05 considered as significant.\u0000Results: The average tear breakup time was significantly decreased in both smokers and vapors group (10.15 ± 1.92 and 10.25 ± 2.65 respectively) than in nonsmokers (13.35 ± 2.36). There was also statistically significant difference in tear meniscus height, redness and lipid layer thickness between e-smokers and non-smokers(p > 0.05). The difference in these parameters was statistically non-significant between smokers and e-cigarette users.\u0000Conclusion: E-cigarettes cause low tear breakup time, less tear volume and other dry eye parameters, which leads to dry eye. There is a need for strict checks and balances on E-cigarette consumption for controlling cases of vision impairments related with e-cigarettes.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125406962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Gonioscopy and Anterior Segment OCT for Detecting Angle Closure in Different Quadrants of Anterior Chamber Angle in Angle Closure Glaucoma 闭角型青光眼的角镜与前段OCT检测前房角不同象限角闭合的比较

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1539

Khadeeja Imran, Nida Armoghan Khan, Hafiz Muhammad Jahan Zaib, Fahmina Nazir, Amina Khalid

{"title":"Comparison of Gonioscopy and Anterior Segment OCT for Detecting Angle Closure in Different Quadrants of Anterior Chamber Angle in Angle Closure Glaucoma","authors":"Khadeeja Imran, Nida Armoghan Khan, Hafiz Muhammad Jahan Zaib, Fahmina Nazir, Amina Khalid","doi":"10.36351/pjo.v39i2.1539","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1539","url":null,"abstract":"Purpose: To measure angle of anterior chamber with Gonioscopy and compare with anterior segment OCT.\u0000Study Design: Descriptive observational study.\u0000Place and Duration of Study: This study was conducted at the Department of Ophthalmology, Pakistan institute of Medical Sciences, Islamabad from 1st March 2021 to 31st August 2021.\u0000Methods: A total number of 102 patients participated in the study. Study included participants older than 30 years of age, of either gender, who were either diagnosed as a case of angle closure-Glaucoma or were angle closure-Glaucoma suspect. Sampling was done using convenient sampling technique. The selected patients underwent gonioscopy and the anterior segment OCT and the grades of the angle were determined. Grading was compared between the two techniques. The collected data was analyzed by using SPSS 23 version.\u0000Result: The mean age of patients was 59.16 ± 6.03 years. Out of 102 patients, 34 (33.3%) patients were male and 63 (66.7%) patients were female. The mean intraocular pressure was 17.80 ± 4.25 (mmHg). The accuracy of angle closure detection by Gonioscopy was 35.3% and by anterior segment, OCT was 60.8%. The p value was significant in both the groups. The Anterior segment OCT turned out to be better than Gonioscopy.\u0000Conclusion: Anterior segment OCT is more efficient in determination of angle of anterior chamber than gonioscopy. Using anterior segment OCT to examine anterior chamber angle and surrounding tissues helps in diagnosing early stages of disease and directing therapy.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127951200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation between Central Corneal Thickness and Intraocular Pressure: A Cross Sectional Study 角膜中央厚度与眼压的相关性:一项横断面研究

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1555

Ivana Beatrice Alberta, Titiek Ernawati, Rofiqi Rofiq

{"title":"Correlation between Central Corneal Thickness and Intraocular Pressure: A Cross Sectional Study","authors":"Ivana Beatrice Alberta, Titiek Ernawati, Rofiqi Rofiq","doi":"10.36351/pjo.v39i2.1555","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1555","url":null,"abstract":"Purpose: To find out correlation between Central Corneal Thickness (CCT) and Intra Ocular Pressure (IOP).\u0000Study Design: Observational Correlational study.\u0000Place and Duration of Study: This study was conducted in Ophthalmology Clinic Primasatya Husada Citra Hospital Surabaya from September 2021 to October 2021.\u0000Methods: One hundred and fifteen subjects were selected through consecutive sampling. Patients of 20-60 years age and visiting ophthalmology clinic were included. Patients with history of glaucoma, hypertension, body mass index (BMI) above 30 kg/m2, under steroid treatment (topical, systemic, peri ocular, inhalation), undergone eye surgery including corneal and refractive surgery, smoker (> 100 cigarettes in his/her life and is still smoking), Alcoholic (> 1 time/month), chronic kidney disease (CKD) and myopia (> 6 diopters) were excluded. Association between CCT and IOP was calculated using Pearson's correlation coefficient.\u0000Results: A total 115 patients were included, 69 (60%) females and 46 (40.0%) males. Mean age was 35.78 ± 11.64 years old. Mean CCT was 550.26 ± 31.66 µm and 551.43 ± 34.92 µm for right and left eye respectively. IOP was 16.06 ± 3.71 mmHg and 15.76 ± 3.52 mmHg in right and left eyes respectively. There was a moderate positive relationship of CCT and IOP. There was a good relationship between right and left “IOP (R = 0.830, p = 0.000) and CCT (R = 0.856, p = 0.000).”\u0000Conclusion: CCT had a moderate positive correlation with IOP (right eyes: R = 0.355, p = 0.000; left eyes: R = 0.381, P = 0.000). There is a positive relationship between CCT and IOP in both eyes (p = 0.000).","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116627998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frequency of Eyelid Lesions presenting in Ophthalmology Department of a Tertiary Care Hospital 某三级医院眼科眼睑病变发生率分析

Pakistan Journal of Ophthalmology Pub Date : 2022-12-31 DOI: 10.36351/pjo.v39i1.1430

A. Cheema, Wejai Kumar, N. Q. Khan, R. Chaudhry, Mehboob Dad

{"title":"Frequency of Eyelid Lesions presenting in Ophthalmology Department of a Tertiary Care Hospital","authors":"A. Cheema, Wejai Kumar, N. Q. Khan, R. Chaudhry, Mehboob Dad","doi":"10.36351/pjo.v39i1.1430","DOIUrl":"https://doi.org/10.36351/pjo.v39i1.1430","url":null,"abstract":"Purpose: To find out frequency of eyelid lesions at a tertiary care hospital.\u0000Study Design: Descriptive observational\u0000Place and Duration of Study: Jinnah Postgraduate Medical Centre Karachi, from March 2013 to December 2018.\u0000Methods: Records of patients operated for eyelid lesions were reviewed. Tumors arising from eyelids, may or may not be extending to other tissues were included in study. Data included age, gender, type of lesion, site of lesion, Histo-pathologic diagnosis, management and follow up.\u0000Result: A total of 150 patients with lid lesions were managed which included 50% benign and 50% malignant lesions. There were 77 (51.3%) males and 73 (48.7%) females. Age range was 3 to 85 years. The most commonly diagnosed lid lesion was squamous cell carcinoma (n=45, 30%), 60% among malignant lesions. It was followed by epidermal inclusion cyst (n=25, 16.7%), 33.33% of benign lesions. Patients with benign lesion were younger than 30 years while patients with malignant lesions were more than 50 years of age. Majority of the affected population was aged males, farmers and laborers, with history of prolong sunlight exposure. Among 150 lesions, 126 (84%) underwent excision biopsy and 24 (16%) underwent exenteration. Excision Biopsy was performed in all 75 (100%) benign lesions and 51 (68%) malignant lesions. Exenteration was performed in 24 (32%) malignant lesions.\u0000Conclusion: Owing to a large percentage of malignant eyelid lesions, population at risk should be educated about eyelid tumors, its early diagnosis, treatment and follow up.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132967719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virtual Patients in Ophthalmic Medical Education 眼医学教育中的虚拟病人

Pakistan Journal of Ophthalmology Pub Date : 2022-12-31 DOI: 10.36351/pjo.v39i1.1566

T. Malik

引用次数: 0

Effectiveness of Prism Spectacles in Patients with Age Related Macular Degeneration: A randomized control trial study 棱镜眼镜在年龄相关性黄斑变性患者中的有效性:一项随机对照试验研究

Pakistan Journal of Ophthalmology Pub Date : 2022-12-31 DOI: 10.36351/pjo.v39i1.1471

Mehreen Tanveer, A. Kiran, M. Hussain, A. Rehman

{"title":"Effectiveness of Prism Spectacles in Patients with Age Related Macular Degeneration: A randomized control trial study","authors":"Mehreen Tanveer, A. Kiran, M. Hussain, A. Rehman","doi":"10.36351/pjo.v39i1.1471","DOIUrl":"https://doi.org/10.36351/pjo.v39i1.1471","url":null,"abstract":"Purpose: To compare between the use of prism and the spectacles without prism in improving near vision, distance vision and quality of life in patients with AMD.\u0000Study Design: Randomized control trial.\u0000Place and Duration of Study: Al-Shifa Trust Eye Hospital, from October 2021 to April 2022.\u0000Methods: Eighty-eight patients with AMD were selected and 44 patients were included in intervention group and control group each. Both interventional and control groups underwent Visual acuity (VA) for distance and near. VF-25 questionnaire was filled to evaluate quality of life (VFQoL). After prescribing prisms and simple glasses without prisms, both groups were called for a follow-up after one week and one month. VF-25 questionnaire was filled again. IBM SPSS was used for statistics. Categorical variables were presented by the frequencies and percentages. Continuous variables were presented by mean and standard deviation.\u0000Results: There were 63.64% males. Mean age of subjects was 67.28 + 8.0. A repeated measure ANOVA determined that mean VA for distance, near (for single opto-type and continuous text) and quality of life of intervention group and control group increased from pre-intervention to one month (p < .0005), and from pre-intervention to one week (p = <0.001), but not from one week to one month (p = >0.005).Mean improvement in near and distance vision was significant better in intervention group than the control group (p = < 0.001).\u0000Conclusion: There was statistically significant improvement in near, distance vision and quality of life with the use of prism in AMD.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122376254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison between Suprachoroidal Triamcinolone and Intravitreal Triamcinolone Acetonide in patients of resistant Diabetic Macular Edema 脉络膜上曲安奈德与玻璃体内曲安奈德治疗难治性糖尿病黄斑水肿的比较

Pakistan Journal of Ophthalmology Pub Date : 2022-12-31 DOI: 10.36351/pjo.v39i1.1480

Kaleemullah Shaikh, Nasir Ahmed, Umer Kazi, A. Zia, Muhammad Zunair Aziz

{"title":"Comparison between Suprachoroidal Triamcinolone and Intravitreal Triamcinolone Acetonide in patients of resistant Diabetic Macular Edema","authors":"Kaleemullah Shaikh, Nasir Ahmed, Umer Kazi, A. Zia, Muhammad Zunair Aziz","doi":"10.36351/pjo.v39i1.1480","DOIUrl":"https://doi.org/10.36351/pjo.v39i1.1480","url":null,"abstract":"Purpose: To compare the effectiveness and safety of suprachoroidal versus intravitreal Triamcinolone Acetonide in cases of resistant diabetic macular edema.\u0000Study Design: Quasi experimental study.\u0000Place and Duration of Study: This research was executed at Retina Department of Al-Ibrahim Eye Hospital, Karachi, Pakistan between 1st January 2022 till 30th June 2022.\u0000Methods: Thirty-four patients with resistant diabetic macular edema were selected through convenient sampling and divided equally into two groups. All patients underwent ocular examination. Group I was given single Intravitreal injection (IVI) of 0.1 mL Triamcinolone Acetonide at 4 mg per 0.1 mL concentration. Group II received same dosage of drug via Suprachoroidal injection (SCI). After 24 hours, they were assessed for side effects. After 6 weeks, second dose of same drug was administered. Patients were followed at 3 and 6 months.\u0000Results: No serious side effect was observed in any patient within 24 hours. At 1 month follow-up period, comparison between the two groups for BCVA, CMT and IOP was not significant (p > 0.05). When the two groups were compared at 3 months, both routes were equally effective but IOP remained more stable via SCI route. At 6 months, IOP remained elevated in group I but decreased in group II (p = 0.003).\u0000Conclusion: Triamcinolone Acetonide was effective by both routes in resistant diabetic macular edema in terms of improved BCVA and CMT but SCI was better in terms of IOP and cataract progression.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115911628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1