Pakistan Journal of Ophthalmology最新文献_第9页

Effect of Ranibizumab Injections on Visual Acuity and Central Macula Thickness 注射雷尼单抗对视力及中央黄斑厚度的影响

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1544

Mustafa Abdu, Yazan Gammoh, Abd Elaziz Mohamed Elmadina, Mohaned Hassab-Elrasoul

{"title":"Effect of Ranibizumab Injections on Visual Acuity and Central Macula Thickness","authors":"Mustafa Abdu, Yazan Gammoh, Abd Elaziz Mohamed Elmadina, Mohaned Hassab-Elrasoul","doi":"10.36351/pjo.v39i2.1544","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1544","url":null,"abstract":"Purpose: To see the effect of Ranibizumab at 1-monthly and 2-monthly intervals on visual acuity and central macula thickness among patients with diabetic macular edema, neovascular age-related macular degeneration and diabetic retinopathy.\u0000Study Design: Retrospective review of clinical record.\u0000Place and Duration of Study: The present study was conducted at four eye centers (Al-Shami Eye Center, Sudan Eye Center, Makkah Eye Complex and Nor-Aloyon Eye Hospital) located at Khartoum state of Sudan from January 2021 and June 2021.\u0000Methods: A total of 109 records of patients with diabetic retinopathy, age related macular degeneration and macular edema were included. They were categorized into 4 groups; group A (wet age-related macular edema (WAMD, n = 16)), group B (macular edema (ME, n = 32)), group C (proliferative diabetic retinopathy (PDR, n = 31)), and group D (non-proliferative diabetic retinopathy and macular edema (NPDR + ME, n = 30)). All participants underwent full ophthalmic examination before the injection, at one month and two months after the injection. Means, standard deviations and frequencies were calculated. ANOVA was used to find any significant difference between the study groups and the impact of treatment.\u0000Results: Mean age of patients was 57.73 ± 10.44 years. There was significant improvement in terms of mean visual acuity from baseline to third follow up in all study groups, (F (1, 105) = 14.94, P < 0.001), with no significant differences in this improvement between the study groups, F (1.83, 5.48) =14.6, P = 0.19.\u0000Conclusion: Use of Lucentis has demonstrated a statistically significant reduction in CMT and improvement in BCVA. However, none of the patients showed a complete resolution of edema at the end of last follow up.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"9 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":"133456775","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 Post-Operative Outcomes Predicted By Ultrasonic and Optic Biometry after Phacoemulsification 超声与光学生物测量预测超声乳化术后预后的比较

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1504

Zia ul Mazhry, F. Hassan, M. Abdullah, Laiba Asif

{"title":"Comparison of Post-Operative Outcomes Predicted By Ultrasonic and Optic Biometry after Phacoemulsification","authors":"Zia ul Mazhry, F. Hassan, M. Abdullah, Laiba Asif","doi":"10.36351/pjo.v39i2.1504","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1504","url":null,"abstract":"Purpose: To compare postoperative refractive outcomes predicted by ultrasonic and optical biometry after phacoemulsification.\u0000Study Design: Descriptive observational.\u0000Place and Duration of Study: WAPDA Teaching Hospital and Acuity Eye Center in Lahore Pakistan from January 2022 to May 2022.\u0000Methods: The study included 59 eyes with cataracts and required phacoemulsification and implantation of a foldable intraocular lens. They were divided into two groups; (29 in the ultrasonic biometry group and 30 in the optical biometry group). The first group was subjected to ultrasound biometry, whereas the second was subjected to optical biometry. We compared ocular refractions following cataract surgery in two groups. The Mann-Whitney U test was used to compare the mean absolute refractive error (MAE). The operating surgeon was the same in both the groups.\u0000Results: All the participants were between 40 and 70 years of age. The preoperative mean target refraction in the ultrasonic group was 0.05 ± 0.13D (range: -0.01 to + 0.17D) and 0.12 ± 0.33D in the optical group (range:-0.01 to +0.49D). Thus, there was a non-significant difference between both groups regarding target refraction(P = 0.58, U = 398.5). The MAE measured for the first group was 0.14 ± 0.46D and for the second group was 0.60 ± 0.53D. The comparison between both the biometry procedures showed that the difference was non-significant between the biometry methods (P = 0.430).\u0000Conclusion: The difference between Post-Operative MAE of patients undergoing two different biometry procedures (Optical and Ultrasonic) after cataract surgery was non-significant at P > 0.05.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"200 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":"115661593","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

Challenging the Dogma – It Takes 5 Years for Visual Field Defects to Appear After Glaucoma Damage 挑战教条-青光眼损伤后出现视野缺损需要5年时间

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1612

R. Zia, Kashif Ali

引用次数: 0

Exploring the Assessment Tool ICO OSCAR. A Comparison of Reliability of Whole of the Operation with Its Parts 探索评估工具ICO OSCAR。整体操作与部分操作可靠性的比较

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1545

K. K. Shoaib, J. Scopes, Zunaira Mubarik, Fiza Azhar, Amna Mehmud

{"title":"Exploring the Assessment Tool ICO OSCAR. A Comparison of Reliability of Whole of the Operation with Its Parts","authors":"K. K. Shoaib, J. Scopes, Zunaira Mubarik, Fiza Azhar, Amna Mehmud","doi":"10.36351/pjo.v39i2.1545","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1545","url":null,"abstract":"Purpose: To compare the reliability of Ophthalmology Surgical Competency Assessment Rubric (ICO-OSCAR: phaco) between assessment of whole of the operation and its parts.\u0000Study Design: Mixed method study design.\u0000Place and Duration of Study: Mughal Eye Hospital, Lahore from January 2020 to January 2021.\u0000Methods: Three raters assessed six anonymized phaco video operations with the help of ICO OSCAR phaco first as whole operations and then as parts of the operation. Inter rater reliability of the assessments of parts of the operation were compared with inter rater reliability of whole of the operation. Intra class coefficient (ICC) was used in SPSS – version 20. Raters also filled a survey form to detect how satisfied they were with the rubric. Raters’ feedback was taken to describe shortcomings/faults found during the use of ICO OSCAR phaco form.\u0000Results: In the quantitative part, the ICC for the combined parts of the operation (0.910) was better than the value of ICC for the whole operation (0.904). In the questionnaire part, raters were satisfied with ICO OSCAR phaco rubric as a useful tool for learning and assessment of phacoemulsification surgical skills. In the qualitative part, many deficiencies were observed by the assessors in the rubric during videos analysis with the rubric ICO OSCAR phaco. This rubric is more accurate for assessment of operations in the operation theater.\u0000Conclusion: Parts of the operations can be used instead of the whole operations for the assessment of surgical skills of phacoemulsification with the help of ICO OSCAR phaco rubric. For assessment of videos, it requires some modifications as it is more valid for the assessment of surgical skills during live surgery than in operation theater.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"41 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":"114987252","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 Screening in Agosh Special School, Karachi 卡拉奇的Agosh特殊学校的视力检查

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1592

Priyanka, Shazmeen Mukhtiar, Alina Ashfaq, Nusrat Shakoor, S. Fatima

引用次数: 0

Ocular Manifestations of Diabetes: A Cross-Sectional Study 糖尿病眼部表现:一项横断面研究

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1570

Moughees Ahmad, Zeeshan Hameed, Irfan Qayyum Malik, Ali Hassan Iqbal, Tanveer Ahmed Choudhary

{"title":"Ocular Manifestations of Diabetes: A Cross-Sectional Study","authors":"Moughees Ahmad, Zeeshan Hameed, Irfan Qayyum Malik, Ali Hassan Iqbal, Tanveer Ahmed Choudhary","doi":"10.36351/pjo.v39i2.1570","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1570","url":null,"abstract":"Purpose: To describe the ocular manifestations of diabetes mellitus in patients of a tertiary care hospital of Pakistan.\u0000Study Design: Cross-sectional study.\u0000Place and Duration of Study: Ophthalmology Department, DHQ Teaching Hospital, Gujranwala from 1st October, 2022 to 31st December 2022 (3 months).\u0000Methods: After taking informed consent and approval from ethical review committee, a self-designed questionnaire was used to collect data which included biodata, type, duration and control of diabetes, associated comorbidities and treatment. Visual acuity and intraocular pressure was measured. Anterior segment examination was performed on slit-lamp bio microscope and posterior segment examination was done with the help of Volk 90D lens after pupillary dilatation with Tropicamide 1% eye drops. All findings were saved on excel spreadsheets and analyzed through Statistical Package for Social Sciences (SPSS) version 25.\u0000Results: Out of total 500 patients, 208 (41.6%) were male and 292 (58.4%) were female. Ages ranged from 35 to 77 years with mean age of 55.7 years. Type II diabetes was present in 467 (93.4%) patients and only 147 (29.4%) patients had good glycemic control. Most common anterior segment finding was cataract in 321 (64.2%) patients followed by dry eye and posterior blepharitis in 300 (60.0%), delayed pupillary response in 103 (20.6%) patients. In posterior segment, most common finding was Non-proliferative Diabetic Retinopathy (NPDR) in 90 (18%) patients.\u0000Conclusion: Cataract and non-proliferative diabetic retinopathy are the commonest manifestations of diabetes.","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":"133909806","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

Assessment of Safety, Efficacy and Predictability of a Trifocal Intraocular Lens 三焦人工晶状体的安全性、有效性和可预测性评估

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1559

M. Girgis, A. Osman, Sherif A Eissa, M. Anis, O. Barrada, M. Hasaballah

{"title":"Assessment of Safety, Efficacy and Predictability of a Trifocal Intraocular Lens","authors":"M. Girgis, A. Osman, Sherif A Eissa, M. Anis, O. Barrada, M. Hasaballah","doi":"10.36351/pjo.v39i2.1559","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1559","url":null,"abstract":"Purpose: To evaluate the performance and the visual outcomes of Acrysof PanOptix trifocal IOL in terms of safety, efficacy, predictability and assessment of the quality of vision after implantation as regards; contrast sensitivity and ocular aberrations.\u0000Study Design: Quasi experimental study.\u0000Place and Duration of Study: Dar el Ouyon hospital and Rowad Correction Center, Egypt, from September 2019 and January 2020.\u0000Methods: Forty eyes of twenty-one patients with senile cataract were included by convenient sampling. All eyes underwent phacoemulsification with IOL implantation. They were divided into two groups; group A included twenty eyes of eleven patients who were implanted AcrySof IQ PanOptix trifocal IOL Model TFNT00. Group B included twenty eyes of ten patients who were implanted monofocal AcrySof IOLs as a control group. A questionnaire was given to every patient after explaining to himher the questions in Arabic, and clarifying the aim of evaluation.\u0000Results: Mean age was 56.6 ± 6.9 years in group A and 62.8 ± 7.1 years in group B, range 50 – 70 (P = 0.861). We found statistical significant difference between both groups with group A showing better post operative uncorrected distance, intermediate, near, and best corrected near visual acuity (P values were 0.001, 0.556, 0.001, 0.177, 0.001, 0.001 respectively). Group B showed statistically significant better post operative contrast sensitivity compared to group A.\u0000Conclusion: In this study, Acrysof PanOptix trifocal IOL showed excellent safety, efficacy, predictability and spectacle independence at all distances, However, contrast sensitivity was compromised in comparison to the monofocal group.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"53 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":"117075251","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

Ophthalmic Presentation of Lipoid Proteinosis in Iraqi Siblings: Case Report 伊拉克兄弟姐妹中脂质蛋白沉积症的眼科表现:1例报告

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1587

Ali Nema Abushnein, Khitam Fakhir Alhasseny

引用次数: 0

Antero-medial Transposition of Inferior Oblique for a Superior Oblique Palsy: A Case Report 下斜肌前内侧转位治疗上斜肌麻痹1例

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1526

Syeed Mehbub Ul Kadir, Mamunur Rashid Chowdhury

引用次数: 0

Frequency of Ocular Manifestations in Developmentally Delayed Children 发育迟缓儿童眼部表现的频率

Pakistan Journal of Ophthalmology Pub Date : 2023-04-01 DOI: 10.36351/pjo.v39i2.1567

Ashvinah Qayyum, Muhammad Ahmed Qayyum, Fizza Naz Farooqui, S. Qayyum

{"title":"Frequency of Ocular Manifestations in Developmentally Delayed Children","authors":"Ashvinah Qayyum, Muhammad Ahmed Qayyum, Fizza Naz Farooqui, S. Qayyum","doi":"10.36351/pjo.v39i2.1567","DOIUrl":"https://doi.org/10.36351/pjo.v39i2.1567","url":null,"abstract":"Purpose: To study the frequency of ocular abnormalities in developmentally delayed children of a private pediatric ophthalmology clinic.\u0000Study Design: Observational cross-sectional.\u0000Place and Duration of Study: Children eye care, Lahore, from October 2020 to October 2022.\u0000Methods: Children aged five years and younger referred by a pediatrician for visual assessment were included in the study. The referring pediatrician made diagnosis of delayed milestones. A detailed ocular examination was done to rule out presence of any ocular abnormality. Data were collected, and statistical analysis was done using Excel (Microsoft 2015, version 15.15) and Stata (version 13).\u0000Results: A total of 406 children were included in the study. Forty one percent were in the age bracket of 1 – 2 years. There were 63% boys. Among all, 77% had compromised vision, of which 60% had abnormal ocular findings, while cortical visual impairment (CVI) was seen in 17%. The most common ocular issue was refractive error (30.29%), of which hyperopia was seen in 70.7% and myopia in 29.3%. Strabismus was seen in 15.5% of children and exotropia being more prevalent. Visual delay was detected in 19.8%. Out of these 42% had hyperopia, whereas 21% had esotropia.\u0000Conclusion: The significant association of ocular abnormalities with development delay is a cause of great concern as this can lead to an increase in overall morbidity. A timely examination by a pediatric ophthalmologist would lead to early detection of any ocular abnormality and convenient management, preventing undue visual impairment.","PeriodicalId":169886,"journal":{"name":"Pakistan Journal of Ophthalmology","volume":"17 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":"123921680","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