No abstract

Objective: The aim of this study is to determine the outcomes of congenital cataract surgery. Place and Duration: Ophthalmology department of Hayatabad Medical complex Peshawar and Alshifa Trust Eye Hospital Rawalpindi for the duration from January 2022 to June 2022. Methods: A total of 200 eyes of 130 patients aged 3 to 8 with visually significant congenital cataracts (diameter ≥ 3 mm) were included in the interventional study. In all cases, posterior capsulotomy and anterior vitrectomy were performed. All patients were followed-up for six months. At follow-up; the patients’ surgical complications were managed along with treatment of amblyopia and visual acuity assessment was done. After six-months of follow-up; final outcome of congenital cataract surgery in relation of visual acuity was evaluated. Results: At the conclusion of the study, good vision was achieved in 52% of patients, and the better visual outcome was higher significantly in the younger age groups. The communal complication in our analysis was the fibrinous reaction. Conclusions: This study shows that early surgery for congenital cataract is beneficial and safe practice to obtain good visual acuity. Keywords: Congenital Cataract, Amblyopia, Visual Outcomes.

Objective: The aim of this study is to find out the ration of success in the initial probing for the congenital nasolacrimal duct obstruction at age 25th month to 60th month. Methodology: The study was prospective non-comparative interventional case series. The study included 59 eyes of 47 patients who visited the Ophthalmology HMC Peshawar in 2020. The patients were labelled as CNLDO with history of epiphora and or discharge since birth or first few days of life. The diagnosis was confirmed with evaluation in which it was assessed that there is no other associated adnexal issue like conjunctively congestion.  Examination also included tear meniscus height and resurge test. Results: In prospective non-comparative interventional case series 52 eyes of 41 patients between the ages of 25 to 60 months with CNLDO were probed. Most of the patients were females i.e. 27. Most of the obstructions were of complex type i.e. 32 while 20 patients were of membranous type. Patients with bilateral CNLDO were 11. Successes ratio of probing in membranous type of obstruction was 90% i.e. 18 eyes got cured while two eyes needed repeated probing. While in case of complex obstruction the success ratio was, 32.2 % i.e. only 10 patients got cured out of 32 patients. Overall success ratio was 54% i.e 28 of 54. Conclusion: Children presenting with congenial nasolacrimal duct obstruction in older ages should be probed initially.

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Background: In this prospective cohort study (flap-off epi-eye-surgery), the results of femtosecond optical maser-assisted in situ keratomileusis (femto-eye-surgery) and epipolis eye-surgery refractile surgery for myopia were compared. Purpose: Comparison of the results of eye-surgery myopia or myopic astigmia improvement by a six- multidimensional amaris exciter optical maser and establish that both femto- eye-surgery and flap-off epi-eye-surgery are safe, effective, and predictable in Amanat eye hospital Rawalpindi. The duration of the study was July 2019- July 2021. Sample size was 400 eyes, 200 patients, 81 male and 119 female. The study was conducted after the ethical approval of the hospital ethical committee. Methods: Four hundred (400) eyes from 200 individuals were divided into two groups in this prospective cohort study. For femto-eye-surgery flaps, a femtosecond optical maser was used, while an epikeratome (flap-off) was used for epi-eye-surgery flaps.  The researchers  measured uncorrected distance graphicalacuity (u.d.v.a), corrected distance graphical acuity (c.d.v.a), visible bending (m.r), corneal asphericity (q-value), and corneal higher-order aberrations (hoas) before and after surgery. In both groups, the improvement in logmar udva following refractile surgery was statistically significant (p< 0.001 for all); it was significantly higher for femto-eye-surgery 1 day and 1 week postoperatively (p <0.001 for femto-eye-surgery, respectively). Results: Logarithm of the minimum angle of resolution (logmar) of udva after refractile surgery was statistically significant for both groups (p = 0.002); it was significantly higher for femto-eye-surgery than flap-off epi-eye-surgery (0.03 *0.06 logmar (femto-eye-surgery) and 0.54 * 0.31 logmar (flap-off epi-eye-surgery ) at 1 day postoperatively; 0.02 *0.05 logmar (f the increase in spherical aberration (z4,0) in flap-off epi-eye-surgery was reater than femto-eye- surgery : 0.626 ± 0.232 μm and 0.479 ± 0.139 μm in the front cornea; 0.556 ± 0.227 μm and 0.430 ± 0.137 μm in the total cornea (p = 0.016 and p = 0.017). There was no significant impact of the changes to the corneal hoa in the back of the eye on the corneal hoa in general. Conclusion: Despite the fact that femto-eye-surgery generated better early graphics results than flap-off epi-eye-surgery, there  was no significant difference in the results one week following surgery.