We conclude that scleral buckling has a definite role in the management of RRD due to retinal dialysis.
Objective: To study the complications of ND: YAG laser capsulotomy. Design:Clinical trial. Setting: Department of Ophthalmology KHYBER Medical University Institute ofMedical Sciences Teaching Hospital Kohat Development Authority (KDA) Kohat. Period: Jan2007 to June 2008. Material and methods: A total number of 250 patients with posterior capsularopacification were studied and look for complications after ND: YAG Laser application. Onehundred and thirty five (54% )were male and one hundred fifteen( 46%) patients were female.63% of patients had right eye involvement while 37% had left eye were involved. Patients werethoroughly examined before and after the procedure. All patients were followed for minimum sixmonths after the procedure. Data was analyzed by SPSS version 16. Chi square test wascalculated for the significance of analysis. Results: After Nd YAG laser capsulotomy there wassignificant improvement in visual acuity of my patients. There was transient rise of IOP in 25 (10%)of patients. Mild anterior uveitis in 20 (8.0%) of patients. Intra-ocular Lens pitting or cracks in 30(12%) of cases. Macular edema in 20 (8.0%) of cases. Retinal detachment in 5 (2.0%) of cases.Conclusions: Nd YAG laser is safe, effective and non-invasive procedure outdoor procedure bywhich we can get better visual outcome. Which had also some serious complication for that wehave to avoid and educate the patient about the complications of procedure.
<p class="abstract"><strong>Background:</strong> Lateral epicondylitis (tennis elbow), a familiar term used to describe myriad symptoms around the lateral aspect of the elbow can occur during activities that require repetitive supination and pronation of the forearm with the elbow in near full extension. This condition can cause severe discomfort to the patient resulting in debilitation and impairment of routine activities. The purpose of this study was to evaluate the effectiveness of local autologous platelet rich plasma injection in the treatment of tennis elbow.</p><p class="abstract"><strong>Methods:</strong> This was a prospective observational study conducted on 50 patients of either sex with an average age of 45.92 years, presenting to the Orthopaedic OPD of SHKM Government Medical College Hospital, Nalhar, NUH, Haryana between November 2016 and February 2018, with a diagnosis of lateral epicondylitis. All the patients were treated with local platelet rich plasma injection and the results were analysed through the assessment of visual analog score (VAS) and disability of arm shoulder and hand (DASH) score. The patients were followed up for a period of 6 months after the local injection of platelet rich plasma.<strong></strong></p><p class="abstract"><strong>Results:</strong> Majority of the patients had significant relief with this method. The VAS and DASH score improved from the pre-treatment values of 8.7 and 74.6 to 2.6 and 29.8 respectively, which was found to be statistically significant (p<0.001).</p><p class="abstract"><strong>Conclusions:</strong> Thus results of our study demonstrate that the local injection of platelet rich plasma is a safe and effective method of treatment of lateral epicondylitis.</p>
<p class="abstract"><strong>Background:</strong> Supracondylar fracture of the humerus in children is a common injury encountered in orthopaedic practice. Undisplaced fractures can be managed conservatively, however displaced fractures need proper reduction and adequate fixation for attainment of optimal functional and cosmetic outcomes. The purpose of this study was to evaluate the effectiveness of lateral percutaneous Kirschner (K) wire fixation in the management of displaced supracondylar fractures in relation to achievement of union and functional results.</p><p class="abstract"><strong>Methods:</strong> This was a prospective observational study conducted on 70 patients of either sex with an average age of 5.98 years, presenting to the Orthopaedic Department of S.H.K.M. Government Medical College Hospital, Nalhar, Nuh, Haryana between February 2016 and February 2018, with displaced supracondylar fractures of humerus. All the patients were managed by closed reduction and percutaneous lateral K wire fixation. The patients were followed up for a period of 1 year. The patients were analyzed for union and functional results.<strong></strong></p><p class="abstract"><strong>Results:</strong> All the fractures united with an average time of union of 3.8 weeks. Functional results were assessed using Flynn’s criteria, which were excellent in 58 (82.86%), good in 7 (10%), fair in 3 (4.28%) and poor in 2 (2.86%) patients.</p><p class="abstract"><strong>Conclusions:</strong> Thus results of our study demonstrate that the lateral percutaneous K wire fixation is a safe and effective method of treatment of displaced paediatric supracondylar humerus fractures.</p>
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