Sheetal

Abstract

Aim: To study the effectiveness of oblique limbal stab incision in manual SICS in self-sealing, visual outcome and degree of surgically induced astigmatism when compared to phacoemulsification surgery. Surgical steps like superior rectus suture, conjunctival flap and cautery are eliminated in limbal stab incision SICS. Materials and Methods: A Study sample of 100 patients were included. The technique of limbal stab incision SICS was carried out on one eye of 50 patients and was compared with 50 age and sex matched patients undergoing phacoemulsification. A standard preoperative and post-operative care and medications was given to both groups. The patients were subjected to preoperative evaluation such as visual acuity, slit lamp examination, IOP recording, fundus, keratometry and biometry. Periodic follow up was done till 12 weeks postoperatively. Visual acuity by Snellen chart, keratometry to know amount of astigmatism at the end of 12 weeks was compared in both the procedures. Results: The post op visual acuity, SIA in both the groups were found to be equally comparable stating that the modified SICS can be an alternative for phacoemulsification. Conclusion: The modified version of SICS can achieve the following. It can be done less surgical duration. It can be done under topical anaesthesia. Rigid IOL can be placed thereby making the procedure available for patients not affordable for phacoemulsification. No suture is required thereby it causes less astigmatism. Keywords: Oblique stab incision Small incision cataract surgery, Phacoemulsification, Modified SICS.

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Abstract

Aim and Objective: To study and analyse the profile of ocular injuries presenting to our hospital. Materials and Methods: A hospital based observational prospective study was conducted from January 2018 to January 2019. Data on demographics, nature and severity of injury, visual acuity at the time of presentation and during follow up were noted. A thorough evaluation included visual acuity, colour vision, anterior and posterior segment examination and imaging whenever needed was done. The patient was followed for three months and the best corrected visual acuity at the end of 12 weeks was recorded. Results: A total of 240 patients were recorded of whom males outnumbered the females and children and constituted 63%(151) of people involved. Most common cause being RTA occurred that in the age group 21-30 years. With maximum number of accidents from two-wheeler followed by industrial injuries. Injuries involving anterior segment constituted 77% (184) and injuries involving posterior segment constituted 13%(31) and that both anterior segment and posterior segment injuries constituted 11%(26). The nature of the injury differed in different age groups. Visual prognosis was better in patients who presented early and underwent appropriate treatment. Conclusion: Educating community regarding safe riding practices, use of preventive measures, strict implementation of the traffic rules and avoiding alcohol while driving will reduce the incidence of Road traffic accidents and prevent ocular morbidity. Preventive ophthalmology plays a crucial role in educating the industrial workers to use the protective googles during their work. Keywords: Ocular trauma, Preventive measures, Public awareness, Road traffic accidents, Workplace injury.

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Abstract

Objective: To analyze the various causes of facial nerve paralysis and its ocular complications (which can lead to permanent loss of vision) in our hospital. Design: Prospective study. Materials and Methods: A sample of 32 patients with facial nerve paralysis who attended our hospital for one year from October 2016 to September 2017 were taken for the study. A thorough neurological and ENT examination was done for all cases. Visual acuity, extra ocular movements, Bell’s phenomenon, fluorescein staining of cornea, slit lamp examination and fundus examination was done for all cases. Results: 22 cases were due to Bell’s palsy (68.75%), 5 case were due to complication of mastoid & parotid surgery (15.62%), 3 cases were due to trauma (9.375%) , one case was congenital (3.125) and one case was due to diabetes (3.12%). Only 10 cases (31.25%) showed corneal staining (exposure keratitis) of which only 3 cases required lateral tarsorrhaphy (9.375). Conclusion: Most common cause of isolated facial nerve paralysis was found to be Bell’s palsy. Most common ocular complication was exposure keratopathy and rarely corneal ulceration. Keywords: Bell’s palsy, Fluorescein staining, Exposure keratitis, Lateral tarsorrhaphy.

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