Nepalese Journal of Ophthalmology最新文献_第4页

Intravitreal Bevacizumab in Management of Persistent Secondary Macular Hole with Epiretinal Proliferation. 玻璃体内贝伐单抗治疗伴有视网膜外增殖的持续性继发性黄斑孔。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.55033

Ugyen Zangmo, Sushma Jayanna, Mahesh P Shanmugam

引用次数: 0

Comparability of Measurement of Astigmatism between URk-800F Auto Refracto-keratometer and MS-39 Anterior Segment Optical Coherence Tomography in Patients with Refractive Error. URk-800F 自动屈光角膜仪和 MS-39 光学相干断层扫描对屈光不正患者散光测量的可比性。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.57044

Namrata Gupta, Samrina Maharjan, Suman Sapkota

{"title":"Comparability of Measurement of Astigmatism between URk-800F Auto Refracto-keratometer and MS-39 Anterior Segment Optical Coherence Tomography in Patients with Refractive Error.","authors":"Namrata Gupta, Samrina Maharjan, Suman Sapkota","doi":"10.3126/nepjoph.v15i2.57044","DOIUrl":"10.3126/nepjoph.v15i2.57044","url":null,"abstract":"Introduction: Accurate refractive error assessment is the first and the most important step of ocular examination. A reliable screening method of refractive status is important for early detection and prevention of blinding complications of uncorrected refractive error.Objectives: To evaluate the comparability of astigmatism measured by an auto-refractometer (URk-800F) with the measurements of the gold standard anterior segment optical coherence tomography (AS-OCT).Materials and methods: This cross-sectional observational study was conducted in a tertiary eye centre in Kathmandu from February 2023 to June 2023. A total of 100 patients with best corrected visual acuity of ≥ 20/20, spherical refractive error with cylindrical error of more than and equal to -0.75 and no pathology detected on slit lamp examination were taken by consecutive sampling method. Ethical approval was taken for the study. The data were entered into Microsoft Excel and analysed using Bland-Altman analysis.Results: The mean cylindrical power and axis was -2.33 D and 88 degrees for the right eye and -2.32 D and 122 degrees for the left eye respectively, as measured by MS-39 AS-OCT. For URK 800-F Auto-refracto Keratometer, the mean cylindrical power and axis was -2.31 D and 89 degrees for the right eye and -2.27 D and 124 degrees for the left eye.Conclusion: The findings of this study conclude that an auto-refractometer can be used as an effective tool for identification of spherical refractive error as well as measurement of accurate cylindrical power and cylindrical axis in low resource primary care settings.","PeriodicalId":44759,"journal":{"name":"Nepalese Journal of Ophthalmology","volume":"15 30","pages":"47-54"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560014","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

Pterygium Surgery with Autologous Graft with Glue versus Sutures. 翼状胬肉手术中的自体移植与胶合与缝合

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.64638

Dikshya Bohara

引用次数: 0

Surgeries and Outcomes in Subluxated and Dislocated Lens in Eastern Nepal. 尼泊尔东部晶状体半脱位和脱位的手术及结果。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.56396

Pranav Shrestha, Sadhana Sharma, Rinkal Suwal, Purushottam Joshi, Prava Subedi

{"title":"Surgeries and Outcomes in Subluxated and Dislocated Lens in Eastern Nepal.","authors":"Pranav Shrestha, Sadhana Sharma, Rinkal Suwal, Purushottam Joshi, Prava Subedi","doi":"10.3126/nepjoph.v15i2.56396","DOIUrl":"https://doi.org/10.3126/nepjoph.v15i2.56396","url":null,"abstract":"Introduction: Many ocular or systemic conditions can cause weakening of the zonules, leading to subluxation or complete dislocation of lens into the anterior chamber or vitreous cavity.Objectives: To evaluate the outcome of surgery in cases with subluxated and dislocated lens.Materials and methods: Retrospective chart review of all cases with subluxated and dislocated lens who underwent surgery in a one-year period from 2019 January to 2019 December was conducted. Demographic profile, systemic comorbidities, initial and final best corrected visual acuity (BCVA), surgical procedure were recorded along with all the intraoperative and post-operative complications.Results: A total of 62 eyes of 60 patients with mean age of 50.18 ± 15.18 years (18 to 87 years) were included with the modal duration of presentation of one week. Among these, trauma was found to be the most common etiology. Subluxation was present in 55 eyes and seven eyes had dislocation. Intracapsular Cataract Extraction (ICCE) was performed in 41 while 21 underwent Extracapsular Cataract Extraction (ECCE); and surgical intervention elicited a statistically significant (p < 0.05) improvement in the visual acuity. The BCVA was statistically better among the pseudophakic patient. Most common complication encountered intraoperatively was vitreous loss and post operatively was significant corneal edema.Conclusion: Cataract extraction in cases with subluxated and dislocated lens due to different etiology results in the improvement in the visual acuity of the patient. In cases where ECCE cannot be performed, ICCE also results in comparable visual improvement.","PeriodicalId":44759,"journal":{"name":"Nepalese Journal of Ophthalmology","volume":"15 30","pages":"8-16"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560023","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

Bilateral Optic Neuritis in a Patient with Enteric Fever: A Case Report. 肠炎患者的双侧视神经炎：病例报告。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.55281

Sundip Dware Chhetri, Keepa Vaidya, Suman Lamichhane, Sudeep Lal Rajbhandari, Shailendra Katwal

引用次数: 0

Fulminant Orbital Cellulitis - A Rare Presentation of Endogenous Endophthalmitis. 暴发性眼眶蜂窝织炎--内源性眼内炎的罕见表现。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.48720

Unnati Sharma, Itisha Goel, Simran Chhabra, Suresh Kumar Gupta, Gayana Gupta

引用次数: 0

Post-Coronavirus Disease-2019 Rhino-orbital Mucormycosis: A Case Report. 科罗纳病毒病-2019 后鼻眶粘液瘤病：病例报告。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.46954

Tina Shrestha, Sanket Parajuli, Rajani Keshari, Punyaram Kharbuja, Sadhana Sharma, Jeevan Kumar Shrestha

{"title":"Post-Coronavirus Disease-2019 Rhino-orbital Mucormycosis: A Case Report.","authors":"Tina Shrestha, Sanket Parajuli, Rajani Keshari, Punyaram Kharbuja, Sadhana Sharma, Jeevan Kumar Shrestha","doi":"10.3126/nepjoph.v15i2.46954","DOIUrl":"https://doi.org/10.3126/nepjoph.v15i2.46954","url":null,"abstract":"Background: Rhino-orbital-cerebral mucormycosis (ROCM) is a rare, opportunistic, angio-invasive, and fatal infection caused by mold fungi of the genera Rhizopus, Mucor, and Rhizomucor. The global incidence of ROCM is 0.005-1.7 per million, with a fatality rate of 46%. Early diagnosis and treatment are crucial for this disease, as a delay of one week can increase the mortality rate to 66%.Case: A 32-year-old male, a known case of coronavirus disease 2019 (COVID-19) for the past 15 days from Janakpur, Dhanusha, Nepal presented to the emergency department of Dhulikhel Hospital with a sudden onset of blurred vision in the left eye, left-sided ocular pain, and nasal bleeding for the last three days.Observations: The patient was suspected of post-COVID-19 mucormycosis, and a nasal swab for potassium hydroxide (KOH) mount showed hyphae in microscopy. Intravenous and retrobulbar liposomal amphotericin B were administered as medical therapy, along with surgical debridement. A multidisciplinary approach was necessary for the treatment.Conclusion: A long-term, multimodal treatment approach involving combined antifungal drug therapy (intravenous liposomal amphotericin B and retrobulbar amphotericin B), and timely surgical debridement leads to an improvement in both short-term and long-term outcomes.","PeriodicalId":44759,"journal":{"name":"Nepalese Journal of Ophthalmology","volume":"15 30","pages":"108-115"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560020","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

Awareness Regarding Eye Donation among Doctors, Students, and Paramedics at a Tertiary Care Teaching Hospital. 一家三级教学医院的医生、学生和辅助医务人员对眼球捐赠的认识。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.39641

Mohammed Saquib, Bhavya Mehta, Rahul Bhargava, Anu Malik

{"title":"Awareness Regarding Eye Donation among Doctors, Students, and Paramedics at a Tertiary Care Teaching Hospital.","authors":"Mohammed Saquib, Bhavya Mehta, Rahul Bhargava, Anu Malik","doi":"10.3126/nepjoph.v15i2.39641","DOIUrl":"https://doi.org/10.3126/nepjoph.v15i2.39641","url":null,"abstract":"Introduction: In the sub-continent, there is a huge discrepancy between the cornea collected and the ever-increasing demand. Lack of awareness, faulty perceptions, and unwillingness to donate corneas are the major hurdles.Objectives: To assess the level of awareness among doctors, students, and paramedics in a teaching hospital.Materials and methods: An analytical cross-sectional, pre-tested, study design assessed the awareness, knowledge, and attitude among health care workers (medical students, nurses, doctors, and paramedics) in the context of eye donation through a administered self-administered semi-structured questionnaire.Results: In our study, 692 (57.7%) of the respondents were aware that the ideal time for donation was within six hours of death. Our study revealed that 875 (72.9) of the respondents were willing to donate their eyes; out of these 305 (25.4%) were MBBS students and 223 (18.6%) were nursing students, (Chi-square tests, p <0.001). Six-hundred and twenty-five (52.1%) respondents knew that the nearest eye bank should be contacted if they or any of their family members wished to donate their eyes. However, only 90 (7.5%) of the respondents' family/ relatives had donated his/her eyes. A significant association between knowledge of eye donation and the age, gender, religion, or marital status and knowledge of eye donation of participants was observed.Conclusion: The study highlights the need for creating awareness about eye donation among doctors, medical students, and paramedics, who can be an effective channel for planning, educating, and motivating the public to pledge for eye donation.","PeriodicalId":44759,"journal":{"name":"Nepalese Journal of Ophthalmology","volume":"15 30","pages":"26-35"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560011","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

Patient Safety in Eye Care Organisations. 眼科医疗机构的患者安全。

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.64637

Samina Zamindar

引用次数: 0

Assessment of Knowledge of Parents of Children with Cortical Visual Impairment: An Interventional Study. 皮层视力障碍儿童家长知识评估：一项干预性研究

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Nepalese Journal of Ophthalmology Pub Date : 2023-07-01 DOI: 10.3126/nepjoph.v15i2.57263

Ang Jangmu Lama, Srijana Adhikari, Rojeeta Parajuli

引用次数: 0