Kshama Dwivedi

Abstract

Introduction: Tarsorrhaphy has always been advised for management of persistent epithelial defects, but it is losing it’s importance in present era. Materials and Methods: It was a prospective interventional study. Twenty-one patients of persistent epithelial defects presented over a period of two years at a tertiary hospital. They underwent tarsorrhaphy, along with medical management. All patients were followed up for a minimum period of two months. Observation: Eighty-five percent of patients with PED resolved with tarsorrhaphy alone. Rest three patients which failed to heal, underwent amniotic membrane transplantation at 4th week as add-on procedure, following which they resolved. Discussion: Tarsorrhaphy helps in healing of PED by decreasing the interpalpebral fissure and retaining the tears and medicines in cul-de-sac. It also decreases the windshield wiper effect of eyelid margins. Conclusion: Tarsorrhaphy should always be considered as first modality for treating the PED. Keywords: Tarsorrhaphy, Persistent epithelial defects (PED).

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Abstract

Introduction: To study the effect of excision of double headed monocular pterygium on astigmatism. Materials and Methods: 8 Patients of DMP presenting from January 2016 to December 2017 were treated with excision of pterygium followed by conjunctival autograft. Preoperative and postoperative astigmatism was measured by keratometry. Observation: The change between preoperative and postoperative day 45 astigmatism was found to be extremely significant (p=0.0003). Conclusion: DMP must be dealt with utmost care, owing to it’s higher impact in change of astigmatism. Keywords: Double headed monocular pterygium, Pterygium induced astigmatism.

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