To compare the efficacy and safety of single injection technique of Peribulbar anaesthesia with that of double site injection technique for cataract extraction in terms akinesia, analgesia, onset and duration of the action of analgesia and incidence of complications.A cross-sectional study involving 342 eyes which were randomised into two groups of 171 group A (single site injection peribulbar anaesthesia) and group B (double site injection peribulbar anaesthesia) by simple randomization. All the patients underwent similar protocol for standard cataract evaluation. Peribulbar anaesthesia was given in both the group before surgery and effect of anaesthesia were analysed in terms of analgesia and akinesia.Analgesia (P = 0.074) and akinesia (P = 0.054) were good in both the group but the results were not statistically significant between the 2 groups. At the end of 15 minutes all the patients attained akinesia and analgesia in both the (P= 0.053). Complications were more in group B than in group A. Single site injection of peribulbar anaesthesia is less painful during administration compared to double site peribulbar anaesthesia. Complications are more in double site injection comparatively.
PURPOSE: To identify the different ocular features in patient diagnosed with Rhino-orbital mucormycosis in COVID 19 patients METHODOLOGY: A hospital based Prospective observational study on all patients who are being diagnosed with with Rhino-orbital mucormycosis within the period of 3 months of this study and comprehensive ophthalmologic examination including best-corrected visual acuity, Fundus examination with 90D and indirect ophthalmoscope to examine the extent of severity and ndings were noted. RESULTS: Out of 50 patients 18 patients were diagnosed COVID – 19 positive and 32 cases were previously diagnosed with COVID -19 among these ,43 cases were known case of type 2 diabetes mellitus. Most common ocular presentation was loss of vision followed by proptosis and frozen orbit CONCLUSION: There is an increased rate of Rhino-orbital-cerebral mucormycosis cases presenting with various ocular signs and symptoms to our center during the second wave of the COVID-19 pandemic. This is a preliminary report, and further studies are needed to corroborate the ndings and explain possible underlying links
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