Frequency Of Pseudophakic Glaucoma In A Tertiary Care Hospital Of Pakistan

Fasih, Uzma; Shahid, Erum; Shaikh, Arshad

doi:10.36351/pjo.v36i1.903

Cited by 3 publications

(6 citation statements)

References 20 publications

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“…In this study, the spectrum of ocular disease in children between the age of 0 and 36 months presenting to an Australian tertiary paediatric hospital was evaluated. There have been analogous studies examining the spectrum of ocular disease at a paediatric tertiary hospital in Africa, the Middle East and India, albeit with broader age ranges and smaller sample sizes 5–14 . To our knowledge, this is the first study of its kind in Australia and more widely in the developed world.…”

Section: Discussionmentioning

confidence: 92%

“…There have been analogous studies examining the spectrum of ocular disease at a paediatric tertiary hospital in Africa, the Middle East and India, albeit with broader age ranges and smaller sample sizes. [5][6][7][8][9][10][11][12][13][14] To our knowledge, this is the first study of its kind in Australia and more widely in the developed world. Strikingly, there is an absence of studies structurally analogous to ours from the European, Pacific or American regions.…”

Section: Site Of Primary Abnormalitymentioning

confidence: 99%

“…4 There have been studies in other countries which have examined the spectrum of paediatric ocular disease presenting to tertiary hospitals, but none in Australia. [5][6][7][8][9][10][11][12][13][14] Furthermore, these studies have broader age ranges, smaller sample sizes, and are largely based in developing countries, which have a different spectrum of paediatric eye health compared to developed countries. In developing countries, vitamin A deficiency, corneal scarring from measles and infection are the major causes of visual impairment.…”

Section: Introductionmentioning

confidence: 99%

“…Although there are broad population‐based reports on the eye health among Australian children, there exists no significant breakdown of paediatric ocular presentations, especially among infants 4 . There have been studies in other countries which have examined the spectrum of paediatric ocular disease presenting to tertiary hospitals, but none in Australia 5–14 …”

Section: Introductionmentioning

confidence: 99%

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Spectrum of ocular disease in children aged between 0 and 3 years at an Australian paediatric tertiary hospital

Lo‐Cao

Crofts

Geering

et al. 2023

Clinical Exper Ophthalmology

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BackgroundChildhood ocular disease can be a significant health burden to the child, family and society. Previous studies have examined the spectrum of paediatric ocular disease presenting to tertiary hospitals; however, these studies have broader age ranges, smaller sample sizes, and are largely based in developing countries. This study aims to assess the spectrum of ocular disease in the first 3 years of life presenting to the eye department of an Australian tertiary paediatric hospital.MethodsThe records of 3337 children who had their initial presentation at the eye clinic between the age of 0 and 36 months were reviewed, spanning 6.5 years from 1st July 2012 to 31st December 2018.ResultsThe most common primary diagnoses overall were strabismic amblyopia (6.0%), retinopathy of prematurity (5.0%) and nasolacrimal duct obstruction (4.5%). Bilateral visual impairment was more common in younger children, while unilateral visual impairment was more common in older children. The proportion of all children presenting with visual impairment was 10.3%, with 5.7% of all children presenting with bilateral visual impairment and 4.6% presenting with unilateral visual impairment. In children with visual impairment, the most common sites of primary abnormality were lens (21.4%), retina (17.3%), and cerebral and visual pathways (12.1%). The most common primary diagnoses in children with visual impairment were cataract (21.4%), strabismic amblyopia (9.3%) and retinoblastoma (6.5%).ConclusionsThe spectrum of eye disease and vision impairment presenting in the first 3 years of life facilitates health care planning, greater community education about vision impairment and importance of early intervention, and guidance for appropriate resource allocation. Health systems can apply these findings to aid in early identification and intervention to reduce preventable blindness and institute appropriate rehabilitation services.

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Section: Discussionmentioning

confidence: 92%

Section: Site Of Primary Abnormalitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Spectrum of ocular disease in children aged between 0 and 3 years at an Australian paediatric tertiary hospital

Lo‐Cao

Crofts

Geering

et al. 2023

Clinical Exper Ophthalmology

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“…Many of previous studies 18,19 demonstrated that the incidence of glaucoma was higher in patients who received ECCE as compared to phacoemulsification. The difference was reported statistically significant and this showed similarity to the present study.…”

Section: Discussionmentioning

confidence: 98%

Frequency of Pseudophakic Glaucoma in Patients with Cataract Surgery

Abbas¹,

Ahmed²,

Dayal³

et al. 2021

PJMHS

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Aim: To determine the frequency of pseudophakic glaucoma in patients who underwent cataract surgery. Study Design: Cross-sectional Place and Duration of Study: Department of Ophthalmology, Shaikh Zayed Hospital Lahore from 1st July 2020 to 31st December 2020. Methodology: Ninety five patients of both genders with cataract surgery were enrolled and ages between 45 to 75 years. After taking written consent detailed demographics including age, sex, body mass index, intraocular pressure, and mode of surgery were recorded. Pseudophakic glaucoma was labelled in case of cataract surgery with intraocular lens implantation and intraocular pressure >21 mmHg or more in one eye along with glaucomatous optic disc or retinal nerve fiber layer defect on optical coherence tomography (OCT). Results: There were 58 (61.05%) males and 37 (38.95%) patients were females. Mean ages of patients were 62.36±9.44 years. Sixty two (65.26%) patients had extracapsular cataract extraction and 33 (34.74%) patients had phacoemulsification. Mean intraocular pressure was 19.33±8.56 mmHg. Pseudophakic glaucoma was found in 32 (33.68%) patients. Conclusion: The frequency of pseudophakic glaucoma was high in patients with extracapsular cataract surgery. Keywords: Cataract surgery, Pseudophakic glaucoma, Intraocular pressure (IOP)

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Comparison of the effect of 2 mL versus 3 mL sub-Tenon xylocaine injection on akinesia and analgesia in cataract patients at the University of Ilorin Teaching Hospital, Nigeria

Biola,

Grace,

Dupe

2024

Saudi Journal of Ophthalmology

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PURPOSE: Sub-Tenon anesthesia is a form of local anesthetic techniques used in ophthalmic procedures, especially in cataract surgery. Few studies in our environment have reported the effects of sub-Tenon anesthesia on akinesia and analgesia as well as optimum volumes of anesthetic agents that are required for effective analgesia and akinesia. The objective of this study is to determine and compare the level of analgesia and akinesia and the effect of ocular compressions after sub-Tenon injection of 2 mL versus 3 mL of xylocaine among patients booked for cataract surgery in the University of Ilorin Teaching Hospital (UITH). METHODS: A cross-sectional comparative study among cataract patients booked for surgery in the Department of Ophthalmology at UITH was carried out from March 2017 to August 2017. A total of 200 cataract patients that met the inclusion criteria were recruited into the study over 6 months. Lists of cataract patients booked for surgery formed the sampling frame. Questionnaires were administered to obtain information on sociodemographic, ocular symptoms, and other histories. Visual acuity was checked, and ocular examination was done with a pen-torch, ophthalmoscope, and slit-lamp examination with 78D. Tonometry and optic nerve assessments were done to exclude any patient with preexisting glaucoma or suspicious disc. About 200 patients were randomly allocated into one of two volume groups (Group 1 had 2 mL sub-Tenon xylocaine injection whereas Group 2 had 3 mL); level of analgesia and akinesia was checked 12 min and 15 min, respectively. RESULTS: The age range was 20–107 years; mean age for Group 1 was 63.8 ± 12.64, whereas the mean age of Group 2 was 64.14 ± 14.14. There was a slight female preponderance given a M:f of 1:1.4 and more than half of the patients presented with right eye (RE) cataract. Levels of analgesia 12 min after sub-Tenon injections in both groups were similar. However, two patients were found to have severe pain in Group 1, and no patients had severe pain in Group 2. The level of akinesia which was assessed 15 min after injection in both groups was found to be significantly better in Group 2. CONCLUSION: There was a slight female preponderance with about two-third of the total patients being female and the percentage of females who had no pain was more than the male, more than 50% of the patients had RE cataracts. Sub-Tenon anesthesia whether with 2 mL or 3 mL led to a statistically significant rise in intraorbital pressure (IOP); however, with ocular compression, the IOP was found to decrease below the preinjection pressure in both groups. Levels of analgesia were similar in the two groups, whereas akinesia was statistically better in the group that had 3 mL injection.

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Frequency Of Pseudophakic Glaucoma In A Tertiary Care Hospital Of Pakistan

Cited by 3 publications

References 20 publications

Spectrum of ocular disease in children aged between 0 and 3 years at an Australian paediatric tertiary hospital

Spectrum of ocular disease in children aged between 0 and 3 years at an Australian paediatric tertiary hospital

Frequency of Pseudophakic Glaucoma in Patients with Cataract Surgery

Comparison of the effect of 2 mL versus 3 mL sub-Tenon xylocaine injection on akinesia and analgesia in cataract patients at the University of Ilorin Teaching Hospital, Nigeria

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