Refine your search
Collections
Co-Authors
Journals
Year
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Balwir, Dhiraj Namdeo
- A Study of Nd:YAG Laser Capsulotomy in the Management of Posterior Capsular Opacification
Abstract Views :280 |
PDF Views:82
Authors
Affiliations
1 Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra, IN
2 Department of Ophthalmology, Dr.Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra, IN
1 Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra, IN
2 Department of Ophthalmology, Dr.Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 3, No 1 (2016), Pagination: 18-24Abstract
Aims: To study the visual outcome following Nd:YAG laser posterior capsulotomy and to study the complications associated with Nd:YAG laser posterior capsulotomy. Material and Methods: The study included a total of 100 eyes of 100 patients who fulfilled the inclusion and exclusion criteria. Once diagnosed to have posterior capsular opacification they were subjected to a detailed clinical examination. All patients underwent Nd:YAG laser capsulotomy. Patients were followed up at 1 hour, 4 hour, 1 day, 1 week, 1 month, 3 month. At every follow up detailed examination was done. BCVA and any complications were noted. Results: Post-laser, 87% patients had BCVA 6/12 or more at 3 month follow up. 10% patients had BCVA 6/24 to 6/18. Only 3% patients had visual acuity improved to less than 6/24. Out of 3 patients, 1 patient had visual acuity improved to 6/60&in remaining 2 visual acuity improved to 6/36. The complications were seen in 31 (31%) patients. Most common complication observed was transient rise in IOP. 17 eyes (17%) had transiently raised IOP. Second most common noted was pitting of IOL. Pitting was present in 7 (7%) patients, 3 (3%) patients had ruptured anterior face of vitreous, 2 (2%) patients had iritis, 1 (1%) had hyphema and 1 (1%) developed CME. IOP rise was related to grade of PCO and energy used. Conclusion: Improvement in visual acuity after Nd:YAG laser posterior capsulotomy is excellent. Complications associated with Nd:YAG laser capsulotomy are minimal. Nd: YAG laser capsulotomy is a safe method of restoring vision in patients with posterior capsule opacification.Keywords
Complications, Nd:YAG laser, Posterior CapsulotomyFull Text
References
- Vijaya L, George R, Arvind H, Baskaran M, Raju P, Ramesh SV et al. Prevalence and causes of blindness in a rural south Indian population. British Journal of Ophthalmology. 2006; 90:407–10.
- Murthy G, Gupta SK, John N, Vashist P. Current status of cataract blindness and Vision 2020: The right to sight initiative in India. Indian Journal of Ophthalmology. 2008; 56:489–94.
- Riaz Y, Mehta JS, Wormald R, Evans JR, Foster A, Ravilla T, SnellingenT. Surgical interventions for age-related cataract. Cochrane Database Syst Rev. 2006 Oct 18; (4):CD001323. Review. PubMed PMID: 17054134.
- Schaumberg DA, Dana MR, Christen WG, Glynn RJ. A systematic overview of the incidence of posterior capsule opacification.Ophthalmology. 1998 Jul; 105(7):1213–21. PubMed PMID: 9663224.
- Spalton DJ. Posterior capsular opacification after cataract surgery.Eye(Lond). 1999 Jun; 13(Pt 3b):489–92. Review. PubMed PMID: 10627830.
- Apple DJ, Solomon KD, Tetz MR, Assia EI, Holland EY, Legler UF, Tsai JC, Castaneda VE, Hoggatt JP, Kostick AM. Posterior capsule opacification. Surv Ophthalmol. 1992 Sep-Oct; 37(2):73–116. Review. PubMed PMID: 1455302.
- Marcantonio JM, Vrensen GF. Cell biology of posterior capsular opacification. Eye (Lond). 1999 Jun; 13(Pt 3b):484–8. Review. PubMed PMID: 10627829.
- Cheng CY, Yen MY, Chen SJ, Kao SC, Hsu WM, Liu JH et al. Visual acuity and contrast sensitivity in different types of posterior capsule opacification. J Cataract Refract Surg. 2001; 27:1055–60.
- Meacock WR, Spalton DJ, Boyce J, Marshall J. The effect of posterior capsule opacification on visual function. Invest Ophthalmol Vis Sci. 2003; 44:4665–9.
- Hayashi K, Hayashi H, Nakao F, Hayashi F. Correlation between posterior capsule opacification and visual function before and after neodymium: YAG laser posteriorcapsulotomy. Am J Ophthalmol. 2003; 136:720–6.
- Magno BV, Datiles MB, Lasa MS, Fajardo MR, Caruso RC, Kaiser-Kupfer ML et al. Evaluation of visual function following neodymium: YAG laser posterior capsulotomy. Ophthalmology. 1997; 104:1287–93.
- Tan JC, Spalton DJ, Arden GB. The effect of neodymium: YAG capsulotomy on contrast sensitivity and the evaluation of methods for its assessment. Ophthalmology. 1999; 106:703–9.
- Aslam TM, Aspinall P, Dhillon B. Posterior capsule morphology determinants of visual function. Graefes Arch Clin Exp Ophthalmol. 2003; 241:208–12.
- Aslam TM, Patton N. Methods of assessment of patients for Nd: YAG laser capsulotomy that correlate with final visual improvement. BMC Ophthalmol. 2004; 4:13.
- Apple DJ, Peng Q, Visessook N, et al. Eradication of posterior capsule opacification: documentation of a marked decrease in Nd: YAG laser posterior capsulotomy rates noted in an analysis of 5416 pseudophakic human eyes obtained postmortem. Ophthalmology. 2001; 108:505–18.
- Steinert RF, Keates RH, Steinert RF, Puliafito CA, Maxwell SK. Long-term follow-up of Nd: YAG laser posterior capsulotomy. J Am Intraocul Implant Soc. 1984 Spring; 10(2):164–8. PubMed PMID: 6547424.
- Stark WJ, Worthen D, Holladay JT, Murray G. Neodymium: YAG lasers. An FDA report. Ophthalmology. 1985 Feb; 92(2):209–12. PubMed PMID: 3982799.
- Wang J, Sun B, Yang X, Chen J. [Evaluation of visual function following neodymium: YAG laser posterior capsulotomy]. Zhonghua Yan KeZaZhi. 2002 Sep; 38(9):556–61. Chinese. PubMed PMID: 12410978.
- Pop I, Petroi C, Coroi M, Ban C, Roiu G, Stepan E, Nistoran S, Hanciu D. [Secondary cataract treatment with laser YAG-ND]. Oftalmologia. 2002; 54(3):68–71. Romanian. PubMed PMID: 12723203
- Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome
Abstract Views :220 |
PDF Views:86
Authors
Affiliations
1 Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra, IN
1 Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 3, No 1 (2016), Pagination: 52–59Abstract
Aims: To study the intraoperative complications in small incision cataract surgery and its management and to study the visual outcome following the management of intraoperative complications. Material and Methods: A total of 250 cases studied from who underwent SICS. Intraoperative complications were studied and managed. Visual outcome following these complications were studied by noting the best corrected visual acuity after day 1, 1st week, 3rd week, 6th week following surgery. Results: The total intraoperative complications were seen in 22 (8.8%) patients. Posterior capsule rent was seen in 6 eyes (2.4%). Iris prolapse in 5 eyes (2%). Descemet detachment was seen in 3 eyes (1.2%). Premature entry was seen in 3 eyes (1.2%). Capsulorrhexis extension was seen in 2 eyes (0.8%). Zonular dialysis was seen in 2 eyes (0.8%). Superior iridodialysis was seen in only one eye (0.4%). Out of 250 cases, 246 came for follow up till 6th week. 214 (85.6%) patients had post operative BCVA 6/6 at the end of 6th week, 25(10%) patients had 6/9, 5 patients (2%) had 6/12-6/18 and remaining 2 patients (0.8%) had 6/24-6/36 BCVA. Conclusion: The study results shows that in high quality cataract surgery (91.2% without intraoperative complications) 99% BCVA 6/18 or better can be attained. In our study incidence of intraoperative complications was 8.8% in which posterior capsular rent and iris prolapse were the common intraoperative complications.Keywords
Small Incision Cataract Surgery, Visual Outcome.Full Text
References
- Minasian DC, Mehera V. 3.8 Milion blinded by cataract each year: Projections of the first epidemiological study of incidence of cataract blindness in India. Br J Ophthalmol. 1990; 74:341–3
- Brian G, Taylor H. Cataract blindness: challenges for the 21st century. Bulletin of the World Health Organization. 2001; 79(3):249–56.
- Park K. Park’s Textbook of Preventive and Social Medicine, 18th ed., Banarasidas Bhanot, Jabalpur. 2005; 319–23.
- Thylefors B. A global initiative for the elimination of avoidable blindness. Community Eye Health. 1998; 11(25):1–3.
- Allen D, Vasavada A. Cataract and surgery for cataract. BMJ : British Medical Journal. 2006; 333(7559):128–32.
- Shrestha JK, Pradhan YM, Snellingen T. Outcomes of extracapsular surgery in eye camps of eastern Nepal. Br J Ophthalmol. 2001; 85: 635–7, and 648–52.
- Foster A. Cataract and Vision 2020—the right to sight initiative. Br J Ophthalmol 2001; 85:635–7.
- Dada VK, Sindhu N. Management of cataract-A revolutionary change that occurred during last two decades. J Indian Med Association. 1999; 97:313–7.
- Jose R. National Programme for control of blindness. Indian J Community Health 1997; 3:5–9.
- Murthy GVS, Gupta SK, John N, Vashist P. Current status of cataract blindness and Vision 2020: The right to sight initiative in India. Indian Journal of Ophthalmology. 2008; 56(6):489–94.
- Venkatesh R, Muralikrishnan R, Balent LC, Karthik Prakash S, Venkatesh Prajna N. Outcomes of high volume cataract surgeries in a developing country. Br J Ophthalmol. 2005; 89:1079–83.
- Sihota R, Tandon R. Parsons’ Diseases of the Eye, 21st edition, Elsevier Publications, The Lens. 2011; 18:270.
- Khanna RC, Kaza S, Palamaner Subash Shantha G, et al. Comparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort design. BMJ Open. 2012; 2:e001035. doi:10.1136/bmjopen-2012-001035.
- Gogate PM, Deshpande M, Wormald RP, Deshpande R, Kulkarni SR. Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial. Br J Ophthalmol. 2003; 87:667–72.
- Neekhra A, Trivedi HL, Todkar H. Comparative study of posterior rent in cases of routine extracapsular, small incision non phaco and phacoemulsification. Small. 2002; 1000(65):6–5
- Hennig A, Yorston D, Kumar J, Foster A. Sutureless cataract surgery with nucleus extraction: Outcome of a prospective study in Nepal. Br J Ophthalmol. 2003; 87(3):266–70.
- Khan MT, Jan S, Hussain Z, Karim S, Khalid MK, Mohammad L. Visual outcome and complications of manual sutureless small incision cataract surgery. Pak J Ophthalmol. 2010; 26:32–8.
- Balmer A, Andenmatten R, Hiroz CA. Complications of cataract surgery: Retrospective study of 1304 cases. KlinMonstbl-Augenheilkd. 1991; 198(5):344–6.
- Kongsap P. Manual sutureless cataract surgery with foldable intraocular lens using the Kongsap technique: the results of 95 cases. J Med Assoc Thai. 2007 Aug; 90 (8):1627–32.
- Iqbal Y, Zia S, Baig Mirza AU. Intraoperative and early postoperative complications of manual sutureless cataract extraction. J Coll Physicians Surg Pak. 2014 Apr; 24(4):252–5. doi: 04.2014/JCPSP.252255.
- Hennig A, Kumar J, Singh AK, Ansari A, Singh S, Gurung R, Foster A. World Sight Day and Cataract Blindness. Br J Ophthalmol. 2002; 86:830–1.
- Schroeder B. Sutureless cataract extraction: complications and management; learning curves. Comm Eye Health J. 2003; 16(48):58–60.
- Zaman M et al. Outcome of sutureless manual extracapsular cataract extraction. J Ayub Med Coll Abbottabad. 2009; 21(1):39–42.
- Kapoor H, Chatterjee A, Daniel R, Foster A. Evaluation of visual outcome of cataract surgery in an Indian eye camp. Br J Ophthalmol. 1999; 83:343–6.
- Ravindra MS, Rekha G. Rural eye camp versus base hospital camp. Indian Ophthalmol. 1996; 44:303–4.
- Sudhakar J, Ravindran RD, Natchiar G. Analysis of complications in 1000 cases of posterior chamber intra ocular lens implantation. Indian J Ophthalmol. 1989; 37:78–9.