Pakistan Journal of Ophthalmology最新文献_第5页

Early and Late Complications of Ahmed Glaucoma Valve Implant in a Real-World Situation 真实世界中艾哈迈德青光眼瓣膜植入术的早期和晚期并发症

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1636

S. Farooq, Y. J. Mahsood

{"title":"Early and Late Complications of Ahmed Glaucoma Valve Implant in a Real-World Situation","authors":"S. Farooq, Y. J. Mahsood","doi":"10.36351/pjo.v40i1.1636","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1636","url":null,"abstract":"Purpose: To determine the early and late complications of Ahmed Glaucoma Valve (AGV) implant surgery.\u0000Study Design: Interventional case series.\u0000Place and Duration of Study: Ophthalmology department of MTI-Hayatabad Medical Complex Peshawar, from May 2018 to February 2023.\u0000Methods: All the patients between May 2018 and February 2023 who underwent AGV implant were included in the study. Data included patient's age, gender, indications for surgery, type of AGV implant used, length of follow-up period, intraocular pressure (IOP), number of topical glaucoma medications used, early and late complications, and the final outcome. Continuous variables (duration of follow-up, best corrected visual acuity, IOP, and number of topical anti-glaucoma medications) were represented in means and standard deviations. Paired t-test was applied for comparison of means between baseline and last follow-up data. A p-value of < 0.05 was considered statistically significant.\u0000Results: A total of 28 eyes were included. Mean age of the patients were 28.75 ± 20.5 years. Duration of follow-up was 213.96 ± 169.33 days. There were 53.85% females. Commonest indication was congenital glaucoma 7 (25%). Majority, (n = 18, 64.3%) of the eyes had previous cataract surgeries followed by glaucoma, 13 (46.4%). The commonest early post-operative complication was hyphema (25%) and commonest late complication was hypertensive episode 32.1%. Majority of the eyes 23 (82.1%) did not require any further intervention for these complications.\u0000Conclusion: Majority of AGV complications are self-limiting, necessitating just conservative therapy. However, serious complications might happen that could lead to blindness, therefore the surgeons should have strategies for treating or preventing them.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602984","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

Lucidis 124m Edof Iol; Experience from Two Tertiary Care Centers and Quality of Life Study Lucidis 124m Edof Iol；两家三级医疗中心的经验和生活质量研究

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1719

Zia ul Mazhry, Faiza Hassan, Muhammad Abdullah, Laiba Asif

{"title":"Lucidis 124m Edof Iol; Experience from Two Tertiary Care Centers and Quality of Life Study","authors":"Zia ul Mazhry, Faiza Hassan, Muhammad Abdullah, Laiba Asif","doi":"10.36351/pjo.v40i1.1719","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1719","url":null,"abstract":"Purpose: To determine visual outcomes and post-operative complications after Lucidis 124M EDOF IOL implantation after phacoemulsification and to see the effect of these lenses on Quality of life of the patients.\u0000Study Design: Mixed study design (Quasi Experimentaland qualitative analysis).\u0000Place and Duration of Study: WAPDA Teaching Hospital and Acuity Eye Centre, Lahore, from November 2017 to October 2022.\u0000Methods: Hundred eyes of seventy five patients underwent Lucidis EDOF IOL implantation after phacoemulsification using 2.75 mm clear posterior corneal incisions. Criteria used to document visual outcomes were uncorrected and corrected distance and near vision measurements. Quality of life (QoL) was assessed by interviewing the patients at least 6 months postoperatively using google forms.\u0000Results: Hundred eyes of 75 patients were enrolled. There were 39 (52%) males and 36 (48%) females. Mean age was 1.48 ± 0.50 years. Meanbaseline un-corrected visual acuity (UCVA) was 2.83 ± 1.48. Eighty two percent eyes had corrected vision of 6/6 and 75 eyes achieved N.6 for near. Fifty patients out of 75 responded to the questionnaire regarding QoL. Sixteen percent patients had glare, 85% reported no difficulties during night driving and 68% had no problem in watching TV without glasses. Sixty eight percent did not experience any itching, watering, or discomfort and 90% responded that their QoL had improved. None of the patients had lens deposits, discoloration or decentration. One had endophthalmitis.\u0000Conclusion: Lucidis EDOF IOL are safe and effective lenses in terms of visual outcomes and spectacle independence resulting in better quality of life.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"9 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603576","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

Latent Convergent Strabismus Clinical Features and Management in Sudanese Patients 苏丹患者的潜伏聚合性斜视临床特征和治疗方法

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1735

Aisha Hassan Osman, Saif Hassan Al-Rasheed

{"title":"Latent Convergent Strabismus Clinical Features and Management in Sudanese Patients","authors":"Aisha Hassan Osman, Saif Hassan Al-Rasheed","doi":"10.36351/pjo.v40i1.1735","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1735","url":null,"abstract":"Purpose: To describe the clinical features and management of latent convergent strabismus among Sudanese patients.\u0000Study Design: Descriptive observational study.\u0000Place and Duration of Study: Makkah Eye Complex, Khartoum, Sudan, from December 2018 to August 2020.\u0000Methods: The study included 137 patients, diagnosed with latent convergent strabismus (esophoria). Demographic data and ocular examination findings including visual acuity, refractive error, and degree of esophoria was collected. Esophoria was assessed by prism cover test (PCT) at near and distance.\u0000Results: Esophoria was more common among females (n = 107, 78.1%) and in age group 15 to 25 years. Headache was the most common complaint (n = 64, 46.7%). Most of the patients (n = 114, 83.2%) had 1 to 5 ∆ of esophoria with a mean of 4.17 ± 2.99∆. Majority of the patients (n = 132, 96.3%) had normal near point of convergence (NPC) 6.98 ± 3.10 cm. Positive fusional vergence (PFV) was high at 24.06 ± 9.01∆, whereas negative fusional vergence (NFV) was low at 5.0 ± 0.21∆D, P = 0.001. Majority of the patients (76.6%) responded well to the refractive correction, 11.7% patients to vision therapy and remaining 11.7% to both refractive correction and vision therapy. Correlation coefficients revealed that there was a positive correlation between, refraction, NPC, and PFV (P ˃ 0.05).\u0000Conclusion: Sophoria was more common among females and young adults. Most of the esophoric patients had uncorrected hyperopia, good PFV and relatively poor NFV amplitude. Early detection and management of young esophoric patients is essential to improve vision and binocular functions.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"23 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604318","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

The Strabismus Prevalence in a Random Sample of Iran's Northeastern Population 伊朗东北部人口随机抽样中的斜视患病率

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1688

Akbar Derakhshan, Aliakbar Sabermoghaddam, Milad Abdolahian, Siamak Zarei Ganavati, Mohammad Taghi Shakeri, Mehran Alirezaei, A. Zareei, S. Bamdad

{"title":"The Strabismus Prevalence in a Random Sample of Iran's Northeastern Population","authors":"Akbar Derakhshan, Aliakbar Sabermoghaddam, Milad Abdolahian, Siamak Zarei Ganavati, Mohammad Taghi Shakeri, Mehran Alirezaei, A. Zareei, S. Bamdad","doi":"10.36351/pjo.v40i1.1688","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1688","url":null,"abstract":"Purpose: To investigate prevalence of strabismus and related factors in Mashhad, Iran.\u0000Study Design: Cross sectional study.\u0000Place and Duration of Study: Khatam-al-Anbia Hospital, affiliated with Mashhad University of Medical Sciences.\u0000Methods: Using multistage cluster sampling, participants were selected. All participants underwent detailed ocular examinations. A unilateral cover test was performed with the prism bar to achieve binocular alignment. Deviation magnitude was determined by considering the best refractive correction. Fixation targets were chosen as single letters one line above the best-corrected visual acuity on the distance and near chart.\u0000Results: This study included 5054 participants with a mean age of 35.35 ± 19.4 years. Strabismus was detected in 110 participants (2.17%) including 26 (0.51%) with esodeviation, 74 (1.46%) with exodeviation, and 10 (0.19%) with vertical deviation. The prevalence rates for strabismus, exotropia and esotropia were 2.38%, 1.64%, and 0.56% in females and 2.00%, 1.31%, and 0.51% in males respectively. The results did not indicate a significant gender difference in terms of strabismus prevalence (p>0.05). Among the deviated eyes, there were 25.5% with hyperopia, 39.1% with myopia, and 35.5% with emmetropia. Anisometropia and amblyopia rates were 2.79% and 2.55%, respectively. The results did not reveal a significant correlation between strabismus prevalence, exotropia, and esotropia and age (p=0.56). The familial strabismus prevalence was 5.45%.\u0000Conclusion: Exotropia was more prevalent form of strabismus. Myopia was the dominant refractive error associated with deviated eyes. Tropia showed no age-related association.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"19 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601720","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

Visual Acuity Assessment in Deaf-Mute Children: Identification of Shortcomings and Search for Solutions in the Russian Federation and Some Countries Formerly Part of the Soviet Union – A Narrative Review 聋哑儿童视力评估：在俄罗斯联邦和一些前苏联国家发现不足并寻求解决方案 - 叙事性评论

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1762

Eldor Jonnazarov, Sergey Eduardovich Avetisov, M. Cervatiuc, Pham Thai Duong, Antoine El Khoury

{"title":"Visual Acuity Assessment in Deaf-Mute Children: Identification of Shortcomings and Search for Solutions in the Russian Federation and Some Countries Formerly Part of the Soviet Union – A Narrative Review","authors":"Eldor Jonnazarov, Sergey Eduardovich Avetisov, M. Cervatiuc, Pham Thai Duong, Antoine El Khoury","doi":"10.36351/pjo.v40i1.1762","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1762","url":null,"abstract":"The purpose of this narrative review is to study the problems in assessing visual acuity in deaf-mute children. We identified various methods of Visometry, published articles and patents for the inventions based on the assessment of visual acuity in deaf-mute children in the Russian Federation and parts of countries formerly part of the Soviet Union, in order to identify shortcomings and search for solutions. According to the total number of 126 cited scientific papers, the most common methods for assessing visual acuity in deaf–mute patients included Golovin-Sivtsev table (89.1%) and new JEI/JEI technique (8.9%). However, 2% of the doctors used tables of \"illiterate\" E, Teller Acuity cards with hand gestures, combining Teller Acuity cards with hand gestures to trigger reactions, Lea symbols with visual cues enabling visual cues or pointing to stimulate recognition and Graphic tables with sign language. In the presence of signs of hearing and speech disorders in patients, it is recommended to consider the use of cards duplicating optotypes to the table for assessing visual acuity","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602559","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 Sedation Quality and Pain with Propofol-Thiopental Sodium Versus Propofol-Etomidate in Cataract Surgery 白内障手术中使用丙泊酚-硫喷妥钠与丙泊酚-依托咪酯的镇静质量和疼痛比较

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1729

Behzad Nazemroaya, H. Shetabi, Darush Moradi Farsani, Ali Ariya

{"title":"Comparison of Sedation Quality and Pain with Propofol-Thiopental Sodium Versus Propofol-Etomidate in Cataract Surgery","authors":"Behzad Nazemroaya, H. Shetabi, Darush Moradi Farsani, Ali Ariya","doi":"10.36351/pjo.v40i1.1729","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1729","url":null,"abstract":"Purpose: To compare the effectiveness of Propofol + Sodium thiopental (Thiofol) versus Propofol + Etomidate (Etofol) in achieving a more favorable sedation during phacoemulsification.\u0000Study Design: Randomized controlled trial.Methods: A total of 64 patients (25 females and 39 males) were assessed with an average age of 65.14 ± 13.34 years. Patients who underwent elective phacoemulsification operation under sedation and were randomly divided into the Propofol + Sodium thiopental (Thiofol) and Propofol + Etomidate (Etofol) groups. There were 32 patients in each group. Demographic information, sedation level, medical condition, anesthetic complications, hemodynamic parameters prior to, during, and following the operation, and the visual analog scale (VAS) were measured by an anesthesiologist and compared.\u0000Results: The groups showed significant differences in the levels of Ramsay scores (P<0.001). The frequency of Ramsay scores 2 and 3 was 43.75%, 56.25%, and 0%, 100% in Etofol, and Thiofol groups, respectively. The average recovery time showed a significant increase in the Etofol group compared to the Thiofol group (P<0.001); the VAS in the Thiofol group showed a significant rise compared to the Etofol group (P <0.001).\u0000Conclusions: Although the sedation quality while phacoemulsification cataract surgery was acceptable with both drugs and the results between groups were not significantly different considering recovery time and pain control, recovery time was less in Etofol and pain control was more effective in Thiofol.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"36 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603862","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

Comparative Study of Topical Steroids Vs Non steroidal Anti-Inflammatory Drugs to Control Post-Cataract Surgery Macular Edema 控制白内障手术后黄斑水肿的外用类固醇与非类固醇消炎药比较研究

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1578

Hafiz Muhammad Jahan Zaib, Fahmina Nazir, Nida Armoghan Khan, Amina Khalid, Maha Izzat Khan

{"title":"Comparative Study of Topical Steroids Vs Non steroidal Anti-Inflammatory Drugs to Control Post-Cataract Surgery Macular Edema","authors":"Hafiz Muhammad Jahan Zaib, Fahmina Nazir, Nida Armoghan Khan, Amina Khalid, Maha Izzat Khan","doi":"10.36351/pjo.v40i1.1578","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1578","url":null,"abstract":"Purpose: To compare the efficacy of topical steroids with non-steroidal anti-inflammatory drugs in controlling post-cataract surgery macular edema.\u0000Study Design: Quasi experimental study.\u0000Place and Duration of Study: “Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan” from 1st July 2022 to 31st December 2022.\u0000Methods: Forty patients who had undergone cataract surgery were selected for this study by convenient sampling. After informed consent, patients were divided into two groups: Group S (n = 20) was given 1% prednisone eye drops for 14 days while group N (n = 20) was given 0.1% nepafenac acid eye drops for 14 days. 30 days after surgery, central macular thickness (CMT), using OCT, was assessed and documented in both groups. Data was analyzed by SPSS 21.\u0000Results: Mean age of patients was 44.02 ± 6.08 years. There were 60% (24) males and 40% females. Mean pre-operative CMT difference between two groups was statistically insignificant. Post-operative CMT was significantly lower in group N as compared to group S [243.00 ± 21.71 µm vs 223.90 ± 17.52 µm; p = 0.004]. Frequency of post-operative ME was lower in group N as compared to group S [35% (7) vs 15% (3); p = 0.144].\u0000Conclusion: Topical eye drops containing NSAIDs and steroids are useful to control post-cataract surgery macular edema but NSAIDs drops have better efficacy in controlling post-cataract surgery macular edema.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"60 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138605110","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

Role of Intrasilicon Oil Methotrexate Injection to Prevent Development of Proliferative Vitreoretinopathy 硅油内注射甲氨蝶呤在预防增殖性玻璃体视网膜病变发展中的作用

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1689

Ahmad Zeeshan Jamil, Muhammad Hannan Jamil, Abdullah Muaz, Hina Nazir, Muhammad Nauraiz Zubair Chawla

{"title":"Role of Intrasilicon Oil Methotrexate Injection to Prevent Development of Proliferative Vitreoretinopathy","authors":"Ahmad Zeeshan Jamil, Muhammad Hannan Jamil, Abdullah Muaz, Hina Nazir, Muhammad Nauraiz Zubair Chawla","doi":"10.36351/pjo.v40i1.1689","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1689","url":null,"abstract":"Purpose: To determine the role of intra-silicon oil methotrexate injection to prevent Proliferative Vitreoretinopathy.\u0000Study Design: Quasi experimental Study.\u0000Place and Duration: Ophthalmology department of Sahiwal Teaching Hospital, Sahiwal from February 2022 to August 2022.\u0000Methods: Study included patients of either gender, older than 19 years with rhegmatogenous retinal detachment with Proliferative vitreoretinopathy (PVR) grade B or less. There were two groups and each group had fifty-one patients. All patients underwent pars plana vitrectomy and silicon oil tamponade. Group 1 was control group. Group 2 had intravitreal injections of methotrexate 500mg at the end of surgery. We repeated the injections at 1st, 2nd, and 4th week postoperatively.\u0000Results: There were 56 (54.9%) male and 46 (45.1%) female patients. Postoperatively visual acuity improved in thirty cases (58.82%) in group 1 and in forty-two cases (82.35%) in group 2. Postoperatively PVR developed in 11 (21.57%) patients in group 1 while in group 2 no patient had PVR. Recurrent Retinal detachment occurred in 9 (19.61%) patients in group 1 and 3 (5.88%) patients in group 2. Chi square test demonstrated statistically significant difference in the frequency of development of PVR and re-detachment of retina between two groups, p<0.05.\u0000Conclusion: Methotrexate is an effective adjuvant used in Pars plana Vitrectomy for rhegmatogenous retinal detachment repair. It prevents Proliferative vitreoretinopathy resulting in better surgical and functional outcome.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"22 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601812","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

Etiologies and Demographic Distribution of Uveitis in a Referral Center in Iraq 伊拉克一家转诊中心葡萄膜炎的病因和人口分布情况

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1757

Abeer Abdulrazzaq Hadi Alshalchi, Ameer A. Bananzada, Ahmed Abbas Kadhim, Khitam Fahkir AlHasseny

{"title":"Etiologies and Demographic Distribution of Uveitis in a Referral Center in Iraq","authors":"Abeer Abdulrazzaq Hadi Alshalchi, Ameer A. Bananzada, Ahmed Abbas Kadhim, Khitam Fahkir AlHasseny","doi":"10.36351/pjo.v40i1.1757","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1757","url":null,"abstract":"Purpose: To determine the etiologies and demographic distribution of uveitis in a referral center in Baghdad, Iraq, and to compare the results with a similar study done in the same center in 2014.\u0000Study Design: Descriptive observational study.\u0000Place and Duration of Study: Ibn Al-Haitham Teaching Eye Hospital, Iraq, from January 2019 to June 2022.\u0000Patients and Methods: Two hundred and fourteen patients with uveitis were included. They underwent complete ocular and relevant systemic examination. Data was collected and analyzed using descriptive statistics. Comparison was done with the data retrieved from 2014.\u0000Results: Out of 264 patients, only 214 (81%) completed follow up. Others did not show up again due to Corona virus Pandemic. There were 122 (57%) females, 95 (44.3%) were unilateral, 62 (28.9%) were granulomatous, 62 (28.9%) were anterior, 42 (19.6%) were intermediate, 4 (1.8%) were posterior and 106 (49.7%) were panuveitis cases. Cause was identified in 161 (75.3%) patients while 53 (24.7%) were considered idiopathic. Out of 214 patients, 84 (39.2%) were due to infectious causes like tuberculosis, herpes (herpes zoster or simplex viruses), and toxoplasmosis. On the other hand, 130 (60.7%) cases were non-infectious for example, Vogt-Koyanagi-Harada disease, Behcet disease, connective tissue diseases such as Ankylosing Spondylitis, or idiopathic.\u0000Conclusion: A minor change was found from the 2014 study to 2023. Tuberculosis is now the most common cause of infectious uveitis instead of Toxoplasmosis. Furthermore, Idiopathic, Vogt-Koyanagi-Harada, and Behcet disease are the commonest causes of non-infectious uveitis.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"32 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602423","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

Effect of Oral Riboflavin and Direct-sun UV-A on Tumor Necrosis Factor Alpha (TNF-α) Concentrations in Tears of Mild-Moderate Keratoconus Patients 口服核黄素和太阳直射紫外线 A 对轻中度角膜病患者泪液中肿瘤坏死因子 Alpha (TNF-α) 浓度的影响

Pakistan Journal of Ophthalmology Pub Date : 2023-12-04 DOI: 10.36351/pjo.v40i1.1690

Reza Aulia, Suhardjo Pawiroranu, A. N. Agni, Indra Tri Mahayana

{"title":"Effect of Oral Riboflavin and Direct-sun UV-A on Tumor Necrosis Factor Alpha (TNF-α) Concentrations in Tears of Mild-Moderate Keratoconus Patients","authors":"Reza Aulia, Suhardjo Pawiroranu, A. N. Agni, Indra Tri Mahayana","doi":"10.36351/pjo.v40i1.1690","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1690","url":null,"abstract":"Purpose: To determine the role of intra-silicon oil methotrexate injection to prevent Proliferative Vitreoretinopathy.\u0000Study Design: Quasi experimental Study.\u0000Place and Duration: Ophthalmology department of Sahiwal Teaching Hospital, Sahiwal from February 2022 to August 2022.\u0000Methods: Study included patients of either gender, older than 19 years with rhegmatogenous retinal detachment with Proliferative vitreoretinopathy (PVR) grade B or less. There were two groups and each group had fifty-one patients. All patients underwent pars plana vitrectomy and silicon oil tamponade. Group 1 was control group. Group 2 had intravitreal injections of methotrexate 500mg at the end of surgery. We repeated the injections at 1st, 2nd, and 4th week postoperatively.\u0000Results: There were 56 (54.9%) male and 46 (45.1%) female patients. Postoperatively visual acuity improved in thirty cases (58.82%) in group 1 and in forty-two cases (82.35%) in group 2. Postoperatively PVR developed in 11 (21.57%) patients in group 1 while in group 2 no patient had PVR. Recurrent Retinal detachment occurred in 9 (19.61%) patients in group 1 and 3 (5.88%) patients in group 2. Chi square test demonstrated statistically significant difference in the frequency of development of PVR and re-detachment of retina between two groups, p<0.05.\u0000Conclusion: Methotrexate is an effective adjuvant used in Pars plana Vitrectomy for rhegmatogenous retinal detachment repair. It prevents Proliferative vitreoretinopathy resulting in better surgical and functional outcome.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"27 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602613","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