Generally, a RUG / ASU is performed to visualize the abnormalities of anterior urethra. In traumatic situation a RUG/ ASU should be ideally performed first. As foley’s insertion is required in MCU, it is not advised to do it blindly in setting of trauma. In this article we will discuss the detailed anatomy of the penis and urethra, with its blood supply, innervation and lymphatic drainage.
Purpose: To evaluate clinical outcomes and corelation of post-operative vault size and intraocular pressure (IOP). Methods: 100 eyes of 50 high myopic patients underwent Implantable phakic contact lenses (IPCL V2.0) implantation using a novel visco-free technique. Both eyes were operated within a span of 1 week using similar technique and by a single surgeon. The clinical outcomes were analysed over 1 month follow up. Statistical Analysis: SPSS Software for Windows (version 18.0, SPSS, Inc). Results: Majority of study population (90 %) had Visual acuity (VA) of > 6/12, whereas 26 patients (52%) had VA of 6/6 in post-operative period. The pre-operative mean spherical equivalent (MSE) was -13.268 + 4.2606 and post-op mean MSE was -0.825 at 1 month follow up. The Pre-operative MSE values differ signicantly from all post-operative MSE values. The IOP analysis displayed comparable mean values for pre-operative and post-operative IOP at day 1, whereas the mean values differed signicantly at day 7 and 1 month. The mean post-operative vault size was 706.42 m (range 401-900 m). There was signicant positive correlation between vault size and MSE whereas there was no signicant correlation between vault and IOP as seen by applying pearson's correlation formula (p value < 0.001) Conclusion: Our study is the rst study of IPCL V2.0 in Western India carried out in a tertiary healthcare hospital using a novel visco-free IPCLimplantation technique. This study shows that Post- operative Vault size is independent of IOPrise and we attribute this rise in IOP majorly to steroid responsiveness in high myopes.
Purpose:To evaluate corneal ap thickness with Moria M2 microkeratome in Laser in situ keratomileusis (LASIK) using Anterior segment optical coherence tomography (AS-OCT). Methods: 170 eyes of 85 patients underwent LASIK using VISX Star S4 Excimer Laser System. The Moria M2 single-use head 90m microkeratome was used to create nasal hinged corneal aps. The right eye (RE) was operated rst followed by the left eye (LE), using the same blade. Flap thickness was analyzed using AS-OCT. Statistical Analysis: SPSS Software for Windows (version 18.0, SPSS, Inc). Results: The mean spherical equivalent (MSE) was - 4.17 diopters (D) + 2.5(range: -12.5 to + 2.375 D), preoperative keratometry was 44.02 +1.58D (range 40.19-48.95D), and corneal thickness was 535.62 ± 34.6 m (468-661m) in all eyes. The mean corneal ap thickness was 117.80 ± 9.12m (96 -138m), 112.98 ± 9.86m (93-142m), and 115.35 ± 9.7m (93-142m) in the RE, LE, and both eyes respectively. There was a negative signicant relationship between MSE and the ap thickness (p<0.001). Females had thinner aps as compared to males (p=0.013). There was a weak positive correlation between the pre-operative pachymetry and ap thickness (p=0.039). No signicant relationship was found between preoperative keratometry, age and ap thickness. RE had a thicker ap than the LE which was statistically signicant (p<0.001). Conclusions:The aps created using Moria M2 90 microkeratome were thicker than intended and reproducible. Preoperative keratometry and age did not inuence ap formation. Thick corneas had thicker aps and vice versa. Higher refractive errors and re-use of blades cause thinner aps.
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