BACKGROUND The aim of the study is to-1. Diagnose strabismic, anisometropic and mixed amblyopia in age group 5-15 years. 2. Analyse these patients for age, sex, type of refractive error, type of squint, type of fixation pattern and classify them aetiologically. 3. Study effectiveness of different amblyopia treatments in this age group. MATERIALS AND METHODS Patients in 5-15 years of age in a period of two years were selected and assessed for amblyopia, which included a detailed history, visual acuity, retinoscopy, ocular movements and alignment, slit lamp examination, fundus examination. Patients were given amblyopia treatment and assessed for improvement. Settings and Design-Hospital-based descriptive study in a period of two years. RESULTS In 32 amblyopic patients, maximum patients were of age group between 5-7 years. 53.12% of patients were females. Amblyopia was predominant among anisometropic patients (75%) with maximum of refractive error difference between 2.00 D to 4.00 D. Amongst them, maximum amblyopes were having hypermetropia with astigmatism (37.50%). In the strabismic type, esotropia was more common. Patients showing more than 2 Snellen's line improvements after patching for 2 hrs. were 77.27% and for 6 hrs. were 22.72%. After part-time patching, maximum improvement in BCVA (best corrected visual acuity) was seen in anisometropes (P<0.0001) followed by strabismic (P=0.025) and least with mixed (P=0.026) amblyopes. CONCLUSION Amblyopia is treatable if detected earlier. Lack of community or preschool vision screening was the main cause for late pickup of amblyopic children for timely management and hence significant visual impairment associated with the condition.
AIM:To study the Visual outcome of Phacoemulsification with the hydrophilic IOL implantation in complicated cataract secondary to uveitis. METHOD: This was a prospective study on 40 eyes of 40 patients with uveitic cataract, who underwent Phacoemulsification with hydrophilic IOL at a tertiary care centre in central India over a period of 2 years. In our study after preoperative control of inflammation for minimum 3 months Phacoemulsification was performed and results were observed with the aim to study visual outcome of Phacoemulsification with hydrophilic IOL in complicated cataract secondary to uveitis. RESULTS: Mean age of the subjects in the study was 40.5 yrs. Etiologically, idiopathic uveitis was most common cause (24 cases), followed by tuberculosis (8 cases). One year post-operatively, 92.5% of subjects had ≥2 snellen's lines improvement and of these 80% (30) of subjects had visual acuity of ≥6/18. The main complications affecting visual outcomes were Macular involvement and optic neuropathy. PCO was the commonest complication observed in 12 subjects. CONCLUSION: Phacoemulsification with implantation of a hydrophillic PC IOL in the capsular bag is safe and effective in patients with coexisting uveitis and cataract, provided that the ocular inflammation is under control.HOW TO CITE THIS ARTICLE: Jayshri V. Ekhar, Mona Deshmukh, Ashok H. Madan. "Visual Outcome of Phacoemulsification with the Hydrophilic IOL Implantation in
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