An audit of 3-snip procedures performed at the Aga Khan University Hospital, Karachi, Pakistan

Abstract

Objective: To assess the functional outcome of three-snip punctoplasty procedure for punctal stenosis at a tertiary care hospital. Methods: The retrospective study was conducted at the Aga Khan University Hospital Karachi, and comprised medical records of all patients aged >18 years who underwent three-snip punctoplasty between January 2013 and December 2017. Data was retrieved on age, gender, diagnosis, signs and symptoms, laterality, date of procedure, resolution of symptoms post-procedure, date of last eye followup, symptoms at last follow-up, functional outcome (epiphora at 1 month). SPSS 20 was used for data analysis. Results: Of the 30 patients, 22(73.3%) were females. Overall mean age at the time of punctoplasty was 57.5±15.57 years. Of all the cases, 17(56.7%) had undergone bilateral puntoplasty. At one month, 20(66.7%) patients were completely symptom-free. Females had better results than males but the difference was not significant (p=0.078). Conclusion: Three-snip punctoplasty was found to be a minimally invasive procedure with good functional outcome that was comparable to other procedures.

Collaborative international partnership: Enabling the development of a state‐of‐the‐art minimally invasive surgical center in rural Uganda through telementoring

“…Compared to open surgery, laparoscopic surgery results in shorter hospital lengths (in our cohort all surgeries were outpatient), lower blood loss, lower surgical wound infection rates, lower mortality rates, earlier return to work, better pain control, and improved cosmesis 16–20 . These advantages are particularly important in LMIC settings that might have limited access to blood transfusions, clean water, and have poor living conditions that might contribute to higher infection rates.…”

Pattern of Errors of Refraction among Children Attending Ophthalmic Outpatient Clinic in Suez Canal University Hospital

“…Nationally, there is a reduction of data referring to the magnitude of but smaller than the study carried out in the Delta by Ali et al (28) with 10.3% among children, the study carried out in the Menoufia area by Elsabah (17) with 8%, and the study carried out in Nepal by Hashemi et al (1) with 2.3%. According to an African study, the prevalence was 0.6% in Ghana and 0.2% in Nigeria (31) . Children in Australia were subject to the prevalence, which was 0.7% (32) .…”