Punit Singh

Abstract

Pseudoexfoliation is a ubiquitous syndrome which is of multifactorial origin affecting elderly people by increasing the risk of cataract and secondary glaucoma development. Despite modern techniques and technologies for cataract surgery, pseudoexfoliation syndrome represents a challenge for surgeons because of the increased weakness of the zonular apparatus and limited pupil dilation. Due to the inherent difficulties during surgery, there is the risk of vitreous loss in these patients which is several times higher than in cataract patients without pseudoexfoliation. Using currently available surgical devices like ophthalmic viscosurgical device, iris retractors and ring dilators, capsular tension ring, etc., the risk of intraoperative complications may be much reduced, allowing the surgeon to handle difficult cases with greater confidence and safety. This review analyzes the methodologic approach to the patient with zonular laxity with the aim of providing useful advices to limit the risks of intraoperative and postoperative complications. From the preoperative planning, to the intraoperative management of the small pupil and phacodonesis, and to the postoperative correction of capsule phimosis and intraocular lens dislocation, a step approach to the surgical management of pseudoexfoliation patients is illustrated. Keywords: Pseudoexfoliation,Cataract, Secondary glaucoma.

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Abstract

Aim: Study of incidence, clinical staging and risk factors of ROP in rural area. Materials and Methods: All premature new born infants at R.L.J. H Kolar were screened between July 2008 and June 2009.The incidence, clinical staging and associated risk factors were studied. We compared our statistics with urban area statistics from literature. Results: 210 children were screened. (43%) of them were diagnosed as ROP amongst which (50%) of them were having stage 1 ROP, (33%) stage 2, (15%) of them were having APROP. 22.5% of them had risk factors among them PIH (40%), anaemia (30%) were common. Conclusions: Incidence and risk factors are high in rural area compared to urban, so all premature infants should be screened thoroughly Keywords: ROP, New born, Premature.

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