Rajakumari

Abstract

Aim: To evaluate the efficacy of focal laser in CSR patients with extra foveal leakage in terms of visual acuity and central foveal thickness and comparing it with the control group. Material and Methods: About 60 patients who satisfied the inclusion criteria were selected and randomly assigned to laser group and study group. The patients in the laser group underwent focal laser where in pinpoint leaks were treated with burns of spot size100-200um, power of 100-200mW of 0.1ms duration. Patients were reviewed at 4 weeks and 12 weeks post laser. Results: The commonest pattern influoresce in angiography was the ink Blot pattern, 65% while the remaining 35% of the patients had a smock stack pattern. The difference in visual acuity between the baseline and at fourweeks of the laser group was statistically significant by paired ‘t’ test (p as it was not statistically significant in the control group (p=0.136). Conclusion: Focal lasers are effective in cases of central serous chorioretinopathy which persists for a period of more than three months. Focal lasers can be used effectively to shorten the duration of the disease and results in there solution of the subretinal fluid and improvement in visual acuity significantly by 4weeks. Keywords: Focal Laser, Central serous retinopathy, Foveal leakage, Visual acuity.

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Introduction: Globally about 70% of the hip fractures are due to the neck of femur fracture. Surgical management has proved to be clinically and functionally superior to conservative immobilization. Hence the study is to assess the optimal treatment modality for the treatment of neck of femur fractures. Materials and Methods: The present study is an analytical cross-sectional study. About 70 patients diagnosed with unstable neck of femur fractures who were treated with total hip replacement as 35 cases (Group 1) and bipolar hemiarthroplasty as 35 cases (Group 2). The study duration was from April 2016 to September 2018. Results: The female population was also found to be more prone for fractures in both -THR group (65%) and bipolar hemiarthroplasty group (60%). The mean duration of stay in the hospital is lower in the THR group (6 days) when compared with the bipolar hemiarthroplasty group (8 days). The mean time till full weight bearing walking (days) was observed to be significantly reduced in the THR group (2.73 days) when compared with the bipolar hemiarthroplasty group (3 days). The mean mortality rate in the THR group (3.3%) was observed to be lower than the bipolar hemiarthroplasty group (5.5%). Conclusion: Total hip replacement, however is observed to be superior to bipolar hemiarthroplasty in terms of duration of hospital stay, immediate full-weight bearing walking and better functional outcomes with fewer complications. Keywords: Fracture of femoral neck, Elderly, Hemiarthroplasty, Total hip replacement.

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Introduction: Primary osteoarthritis is a very common progressive disease which usually ends up in deformities and morbidity. Osteoarthritis usually presents with joint pain, tenderness, limitation of movement, crepitus. BMAC can be useful in reducing pain and improve functional outcome with also in progressive of disease. Materials and Methods: This is an observational study conducted during the period of April 2015 to June 2017 on 30 samples. The descriptive statistical analysis was performed. The surgical procedure of Bone marrow aspirate concentration was carried out. Evaluation of Pre-Operative and Post-Operative functional outcome. Results: In this 19 (63.3%) patient presented with left knee osteoarthritis and 11 (36%) patients right knee osteoarthritis. 19 patients presented with grade 2 osteoarthritis and 11 patients presented with grade 3 osteoarthritis. VAS pain score 86.6% were in score range of 3-4 preoperatively which decreased to score range of 0-2 100% of the patients after BMAC Injection postoperatively at 6 months follow up. Conclusion: The use of Bone marrow concentrate injection (BMAC) in Osteoarthritis of knee was found to be more efficacious with good clinical and functional outcome. Keywords: Osteoarthritis, BMAC, WOMAC score, Knee society score.

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