{"title":"Safety of Suprachoroidal Triamcinolone Acetonide Injection without Cannula Sleeve: A Modified Technique","authors":"Muhammad Hasnain, Syed Fawad Rizvi","doi":"10.36351/pjo.v40i1.1732","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1732","url":null,"abstract":"Purpose: To evaluate safety of a new technique of Suprachoroidal (SC) injection of Triamcinolone Acetonide (TA) without need of cannula sleeve.\u0000Study Design: Quasi experimental study.\u0000Place and Duration of Study: LRBT Korangi from July 2020 to June 2021.\u0000Methods: Fifty eyes of forty two patients with Diabetic Macular Edema not resolved with three consecutive intravitreal injection of Bevacizumab were included. A custom made 30 gauge needle on 1cc insulin syringe without cannula sleeve was used for injection of 0.1 ml (4 mg) Triamcinolone Acetonide.\u0000Results: Mean age was 50.8 13.77 years. Mean IOP readings pre injection, after injection at 5 minutes, 30 minutes, 1 hour, 2 hour, 1 week, 1 month and 3 months were 12.76 , 14.8 , 14.5 , 14.6 4.46, 14.7 4.52,14.7 , 12.98 and 12.83 2.62 mm of Hg respectively. Mean BCVA (Log MAR) before injection, 1 month and 3 months after injection were 0.9 ± 0.1, 0.6 ± 0.2 and 0.6 ± 0.2 respectively. Mean CMT values before injection, 1 month and 3 months after injection were 408.4 ± 112.94, 348.67 ± 108.94 and 330.36 ± 105.77 µm respectively. Significant difference was observed between pre-injection IOP and post injection IOP within 2 hours but no significant difference in later readings. BCVA and CMT showed statistically significant improvement.\u0000Conclusion: SC injection of TA without cannula sleeve is quite simple and apart from transient increase in IOP immediately after injection no significant adverse effects occur.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604072","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}
Norin Iftikhar Bano, Sidrah Riaz, Tariq Khan, Tariq Qureshi, Muhammad Shakil
{"title":"Early Postoperative Complications of Trabeculectomy and Their Management: A Hospital Based Study","authors":"Norin Iftikhar Bano, Sidrah Riaz, Tariq Khan, Tariq Qureshi, Muhammad Shakil","doi":"10.36351/pjo.v40i1.1751","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1751","url":null,"abstract":"Purpose: To study the early post operative complications of trabeculectomy, Phaco trabeculectomy and their management in a tertiary care center.\u0000Study Design: Interventional case series.\u0000Place and Duration of Study: Al-Ehsan Welfare Eye Hospital from 1st November 2020 to 30th January 2022.\u0000Methods: One hundred and two patients who underwent glaucoma filtration surgery were selected through convenient sampling. The patients were followed up for 12 weeks and early post-operative complications, if any, were noted and managed.\u0000Results: There were 58 (56.86%) males and 44 (43.14%) females. The age ranged from 35 to 70 years. There were 48 (47.06%) pseudophakic and 54 (52.94%) phakic patients. Mean pre-operative IOP was (31.99 ± 5.66 mm Hg) which reduced to 12.35 ± 4.30 mm Hg one month after surgery. Trabeculectomy with 5-Fluorouracil (5-FU) was performed in 48 patients (47.06%) while trabeculectomy combined with phacoemulsification and IOL implantation was performed in 54 patients (52.94%). Primary open angle glaucoma (POAG) was present in 94 patients (92.16%) while 8 patients (7.84%) had chronic angle closure glaucoma. The early postoperative complications were shallow anterior chamber in 17.6%, pupillary membrane in 2.9% and choroidal detachment in 2.9%. Six patients (5.9%) were steroid responder and these patients were shifted to topical Loteprednol from topical prednisolone.\u0000Conclusion: Majority of early post operative complications of trabeculectomy are transient and settled in first two to three weeks without any surgical intervention. Anticipation, timely diagnosis and early intervention is the key to success in management of complications of trabeculectomy.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"33 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601262","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}
Anila Farid, Memoona Arshad, Nimra Gul, Shabana chaudhary, Muhammad Zubair Nazar
{"title":"Accuracy of Icare Rebound Tonometer and Its Comparison with Goldman Applanation Tonometer","authors":"Anila Farid, Memoona Arshad, Nimra Gul, Shabana chaudhary, Muhammad Zubair Nazar","doi":"10.36351/pjo.v40i1.1709","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1709","url":null,"abstract":"Purpose: To determine accuracy of iCare rebound tonometer (IRT) in terms of agreement with Goldman Applanation Tonometer (GAT) and effect of Central corneal thickness (CCT) on its accuracy.\u0000Study Design: Comparative cross sectional study.\u0000Place and Duration of Study: Ophthalmology Department of Ittefaq Hospital Lahore from September 2022 to May 2023.\u0000Methods: Participants of the study were recruited through non-probability convenient sampling. With Icare PRO® rebound tonometer (IRT), two consecutive sets of measurements with 6 measurements for each set were made, and the averaged values were used for the statistical analyses. After 5 minutes GAT measurement was taken for intraocular pressure (IOP). CCT was measured by ultrasound pachymetry from mean of 2 measurements noted. Data was analyzed by Bland-Altman plots for determining agreement of GAT-IOP and IRT-IOP. Pearson correlation coefficient determined the correlation of GAT-IOP and IRT-IOP with CCT.\u0000Results: Out of 200 participants there were 76 (38%) males and 124 (62%) females. Mean age of participants was 27.84 ± 6.1 years. Mean IOP with IRT was 16.24 ± 2.02 (range 12.1 – 20.3 mmHg). Mean IOP with GAT was 14.40 ± 1.98 (range 11.00 – 19 mmHg). Mean IOP with adjusted CCT using GAT was 14.40 ± 1.64 (range 11 – 18 mmHg). Mean CCT was 544.81 ± 42.04 (range 615 – 471 um). Mean IOP-GAT & IOP-IRT with adjusted CCT showed normal distribution. Mean difference of IOP-GAT and IOP-IRT with t test was 1.83 ± 1.12 (p = .079).\u0000Conclusion: There is a strong agreement between IOP-GAT and IOP-IRT. CCT had a strong impact on IOP measurements with both tonometers. However, CCT affected IOP reading of GAT more than IRT.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"22 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603495","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}
Saad Jan, Muhammad Ali Tahir, Arifa Farooq Ghazipura, Azizur Rehman Arain, Alyscia Cheema
{"title":"Association of Head Circumference, Gestational Age and Birth Weight with Severity of Retinopathy of Prematurity","authors":"Saad Jan, Muhammad Ali Tahir, Arifa Farooq Ghazipura, Azizur Rehman Arain, Alyscia Cheema","doi":"10.36351/pjo.v40i1.1642","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1642","url":null,"abstract":"Purpose: To determine relationship between head circumference, gestational age and birth weight with stage of Retinopathy of Prematurity (ROP).\u0000Study Design: Descriptive observational.\u0000Place and Duration of Study: Jinnah Postgraduate Medical Centre (JPMC), Karachi from January 2022 to June 2022.\u0000Methods: Infants born at or before 32 weeks of gestation, birth weight of less than or equal to 1500 grams at birth were enrolled. Their head circumference, gestational age and birth weight was measured and Fundoscopy was done to find out ROP. Staging of ROP was recorded four weeks after birth. The severity of ROP was correlated with head circumference, gestational age and birth weight.\u0000Results: Of the 82 infants with ROP, 44 (54%) were male and 38 (46%) were female. Mean gestational age was 30 ± 1.4 weeks (range 27-32 weeks),mean birth weight was 1275 ± 155 gram (range 800-1500), and mean Fronto Occipital Circumference (FOC) was 29 ± 1.6 cm (range 25-32 cm). Degree (stage) of ROP was as follows; 14 (17.1%) infants had stage 1 disease, 24 (29.3%) had stage 2 disease, 28 (34.1%) had stage 3 disease, 13 (15.9%) had stage 4 disease and 3 (3.7%) had stage 5 disease. There was statistically significant association of gestational age, birth weight and head circumference (FOC) with the degree of ROP (P<0.001)\u0000Conclusion: Head circumference, gestational age and birth weight had a significant association with degree of ROP (P<0.001).","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602228","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}
{"title":"Celebrating the 40th volume of Pakistan Journal of Ophthalmology with a glimpse from the past","authors":"Lateef Chaudhry, Tayyaba Gul Malik","doi":"10.36351/pjo.v40i1.1783","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1783","url":null,"abstract":"Year 2024 marks the 40th volume of Pakistan Journal of Ophthalmology and I take this opportunity to congratulate the Ophthalmological Society of Pakistan for this milestone.On this occasion let us turn back the time wheel and get a glimpse at the dawn of this journey as it is said, “Learn from History – Follow the Science – Listen to the Experts”.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"25 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604312","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}
Mohsen Gohari, E. Babaei, Alireza Attar, Mohammad Shiravani, Laleh Salehi
{"title":"Change in Biometric Parameters after Deep Vitrectomy with Silicon Oil Tamponade","authors":"Mohsen Gohari, E. Babaei, Alireza Attar, Mohammad Shiravani, Laleh Salehi","doi":"10.36351/pjo.v40i1.1663","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1663","url":null,"abstract":"Purpose: To determine change in biometric parameters after PPV with silicon oil tamponade.\u0000Study Design: Quasi experimental study.\u0000Place and Duration of Study: Shahid Sadoughi University of Medical Sciences, Yazd, Iran, from 2021 to 2023.\u0000Method: This study included 50 patients of 50 to 85 years with vitreous hemorrhage and proliferative diabetic retinopathy who were referred to Yazd hospital for PPV. The study evaluated all patients before and three months after PPV with Silicon oil (SO) injection in terms of anterior segment biometric parameters including lens thickness (LT), axial length AL, central corneal thickness (CCT), anterior chamber depth (ACD) and mean of keratometry. The IBM SPSS version 16.0 processor software was used to analyze the data. The Kolmogorov-Smirnov test was employed to evaluate the normality of the data distribution. The paired t-test was performed to evaluate the mean differences between datasets. The P-value of less than 0.05 was considered statistically significant.\u0000Results: The study consisted of 50 participants, of which 28% (n = 14) were females. Mean age was 65.92 ± 9.58 years. Vitreous hemorrhage was present in 34% (n = 17) participants and proliferative diabetic retinopathy was seen in 66% (n = 33). Mean of each parameter was as follows after surgery: AL: 23.88 ± 1.48, LT: 4.32 ± 0.39, CCT: 527.63 ± 39.38, ACD: 3.17 ± 0.59, and keratometry: 44.0 ± 1.32.\u0000Conclusion: SO increased the axial length of the eye and caused a myopic shift in patients who underwent vitrectomy surgery with SO tamponade.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"79 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604717","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}
{"title":"Rare Orbital Myiasis in Post Exenteration Socket: A Case of Orbito Maxillary Mucormycosis","authors":"Arushi Kakkar, Madhu Bala","doi":"10.36351/pjo.v40i1.1738","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1738","url":null,"abstract":"We report a case of orbital Myiasis in post-exenteration socket in a 60-year-old diabetic female who was diagnosed with right orbito-maxillary mucormycosis and underwent exenteration and supra structure maxillectomy, seven years back. Turpentine oil packing and hydrogen peroxide wash was given followed by removal of the maggots with a blunt forceps. The collected maggots were stored in 10% formalin followed by maggot identification. Maggots were of blowfly species, Chrysomyabezziana. These maggots have a unique tendency to invade healthy tissues extensively besides necrotic tissues. This is probably a rare instance where orbital myiasis had occurred over the granulation tissue covering posterior orbital bones extending to the floor of the maxillary antrum. She was primarily treated with broad spectrum antibiotics, anti-parasitic agents followed by manual removal of the maggots subsequent to which the wound began to heal by secondary intention.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"13 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602038","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}
Mariam Ghaffar, Muhammad Muneer Quraishy, Muhammad Adnan Shaikh, Mehvash Hussain, Zaheer Sultan
{"title":"Comparison of Biometric Formulae for Intra Ocular Lens Power Calculation","authors":"Mariam Ghaffar, Muhammad Muneer Quraishy, Muhammad Adnan Shaikh, Mehvash Hussain, Zaheer Sultan","doi":"10.36351/pjo.v40i1.1692","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1692","url":null,"abstract":"Purpose: To determine the accuracy of different biometric formulae for intraocular lens power (IOL) calculation in predicting a target postoperative refraction within ± 1.0 diopters in patients with long axial length undergoing phacoemulsification.\u0000Study Design: Cross sectional study.\u0000Place and Duration of Study: Department of Ophthalmology and visual sciences, Unit 1 Dow University of Health Sciences, Dr. Ruth KM Phau Civil Hospital Karachi from February 2019 to August 2019.\u0000Methods: The study included 45 eyes with cataract and preoperative uncorrected visual acuity ranging from 6/60-6/12, axial length of 24.5 to 27.0 mm with no other ocular problem. IOL power was calculated with SRK-T, Holladay 1 and Haigis formula installed in optical biometer AL-Scan (Nidek Co, Ltd., Gamagori, Japan) and by Barrett universal 2 formula from http://www.apacrs.org/barrett_universal2/. Patients underwent phacoemulsification by single surgeon. Follow up included refractive status using Autorefractokertometer, URK-700 (Unicos Co., Ltd., Korea) at 6th week post-operatively. Deviation of actual postoperative refraction from the predicted target preoperative refraction were calculated and values within ± 1.0 diopter were considered accurate. Data was analyzed using SPSS version 22.\u0000Results: Outcome in terms of postoperative refractive error (+1D to -1D) with respect to biometric formula showed 100% accuracy using Haigis formula, 90% accuracy using SRK-T formula, 72.72% accuracy using Barrett universal II formula and 66.67% accuracy using Holladay-1 formula.\u0000Conclusion: Haigis formula proved to be more reliable and accurate than SRK-T, Holladay 1 and Barrett universal II formulae for calculation of intraocular lens power in eyes with long axial length.","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":"138604175","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}
Kaleemullah Shaikh, Umar Kazi, Nasir Memon, Ali Zia, Zunair Aziz
{"title":"Effectiveness of Silicone Oil Tamponade with Pars Plana Vitrectomy in Isolated Cases of Vitreous Hemorrhage with Advanced Diabetic Retinopathy","authors":"Kaleemullah Shaikh, Umar Kazi, Nasir Memon, Ali Zia, Zunair Aziz","doi":"10.36351/pjo.v40i1.1646","DOIUrl":"https://doi.org/10.36351/pjo.v40i1.1646","url":null,"abstract":"Purpose: To assess the effectiveness and safety of silicone oil as tamponade in vitrectomy performed for isolated cases of vitreous hemorrhage in patients with advanced diabetic retinopathy.\u0000Study Design: Quasi experimental.\u0000Place and Duration of Study: Al-Ibrahim Eye Hospital, Karachi from October 2022 to March 2023.\u0000Methods: Forty two cases of advanced diabetic retinopathy (either sex), with developing vitreous hemorrhage (active bleeding) were enrolled through convenient sampling. Demographic characteristics and pre-operative examination of eyes including Best corrected visual acuity (BCVA), intraocular pressure (IOP), indirect ophthalmoscopy, gonioscopy and ultrasonography (in cases where fundus was not visible) were performed. All the patients underwent pars plana vitrectomy (PPV) and pan retinal photocoagulation (PRP). Silicone oil was used as tamponade. Post-operative follow up was at first week after surgery and repeated at 3rd month and 6th month. Effect of silicon oil tamponade on re-bleeding after surgery was specifically observed. Anatomical outcome and side effects were also noted during the study period.\u0000Results: Out of 42 cases, re-bleed occurred in 2 cases (4.76 %). However, intraocular pressure (IOP) was raised in 3cases (7.1%) and cataract formed in 2 cases (4.76%). No other side effect was observed throughout the study period.\u0000Conclusion: Use of silicone oil as tamponade effectively decreases re-bleeding in patients of advanced diabetic retinopathy after vitrectomy. However, few complications such as increased intraocular pressure and cataract can occur that are manageable both medically and surgically.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"84 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604433","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}
Rasha Abdulelah Mustafa Alkazraji, Samara M. Ali, Z. Hussein
{"title":"Effect of Intravitreal Aflibercept on Wet Age-Related Macular Degeneration and Evaluation of Risk Factors on Patient’s Response","authors":"Rasha Abdulelah Mustafa Alkazraji, Samara M. Ali, Z. Hussein","doi":"10.36351/pjo.v39i3.1583","DOIUrl":"https://doi.org/10.36351/pjo.v39i3.1583","url":null,"abstract":"Purpose: To evaluate the effect of intravitreal Aflibercept injection on wet AMD both functionally and anatomically after loading doses. The secondary aim is to evaluate the effect of risk factors including (gender, age, smoking, hypertension, and diabetes meatus) on the patient’s response.\u0000Study Design: Interventional case series.\u0000Place and Duration of Study: Al-Haitham Eyes Teaching Hospital in Baghdad, Iraq, from November 2021 and September 2022.\u0000Methods: Fifty eyes of 47 patients with treatment naïve wet AMD were selected through convenient sampling. Data were collected for age, gender, smoking, and chronic disease. Clinical examination, best corrected visual acuity (BCVA), optical coherence tomography angiography, and spectral domain optical coherence tomography SD-OCT were performed at baseline and then at 16 weeks, after three one-monthly injections of Aflibercept 2 mg/ 0.05 ml intravitreally.\u0000Results: Mean age was 68.23 ± 8.5 years. Mean difference in BCVA was 0.37 ± 0.03 (P = 0.000) and mean difference in central macular thickness was 105.72 ± 45.05 (P value < .0000) at 16 weeks. CNV was associated with intra-retinal fluid in 52% of cases, subretinal fluid in 72%, pigment epithelial detachment in 20%, intraretinal hemorrhage in 6% and subretinal hemorrhage in 4%. Studying associations between the responses of Aflibercept with the general features of the patients as age, gender, chronic diseases and smoking status, revealed no statistically significant difference.\u0000Conclusion: This study demonstrates that aflibercept is effective for the treatment of patients with wet AMD both functionally and anatomically after the loading doses. The presence of intraretinal fluid at presentation had a negative effect on the vision.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130391290","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}