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Pandey, M.L.
- Comparative Study to Evaluate the Outcome of Sutures Versus Sutureless in Attachment of Conjunctival Autograft for Pterygium Excision
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Authors
Kunal Sharma
1,
P.K. Manjhi
2,
M.L. Pandey
3,
Neha
4,
Vineet Gupta
5,
Roopam Chauhan
6,
Kritika Singla
6
Affiliations
1 Post-graduate Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
2 Professor & Head, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
3 Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
4 P.G. Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
5 Assistant Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
6 Senior Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
1 Post-graduate Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
2 Professor & Head, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
3 Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
4 P.G. Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
5 Assistant Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
6 Senior Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 779-784Abstract
Background: Suturing of conjunctival graft is a traditional technique for pterygium excision surgery. Owing to its many disadvantages & complications many newer techniques like autologous fibrin glue have been introduced & accepted as an alternative method of graft adhesion. Methodology: The present study was conducted at the Department of Ophthalmology, MMIMSR, Mullana (Maharishi Markandeshwar Deemed to be University) in the time period extending between December 2017 and January 2019. 100 eyes of patients of either sex with primary pterygium were selected and divided into 2 groups of 50 each in Group 1- patient underwent conjunctival auto graft with 10-0 ethilon sutures while in Group 2 suture less conjunctival auto graft was done with patient’s own blood fibrin. Results: Parameters such as mean operating time, presenting complaints like pain, watering, burning and foreign body sensation, complications & recurrence were compared between the two groups on postoperative Day 1, Day 7, 2 weeks, 1 month, 2 month, 3 month & 6th month. Statistical significant difference (p<0.01) was found between the suture and sutureless surgery for pterygium in relation to post-operative discomfort grading. There was a significant difference (t = 22.149, p = 0.001) in the duration of surgery for GROUP I surgery. Conclusion: Conjunctival auto graft with autologous serum is a safe and fast method. It is equally effective as conventional sutured autograft technique. Post operative discomfort is significantly less in this method. It also prevents suture related complications.Keywords
Pterygium, sutures, sutureless, duration of surgery postoperative discomfort, complications, recurrence.- Outcome of Trabeculectomy in Early Primary Open Angle Glaucoma in Respect of Retinal Nerve Fiber Layer Thickness and Optic Nerve Head Parameters
Abstract Views :442 |
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Authors
M.L. Pandey
1,
Neha Sharma
2
Affiliations
1 Professor, Department of Ophthalmology, M.M. Institute of Medical Science and Research, Maharshi Markandeshwar (Deemed to be University), Ambala, Haryana, IN
2 Resident Doctor, Department of Ophthalmology, M.M. Institute of Medical Science and Research, Maharshi Markandeshwar (Deemed to be University), Ambala, Haryana, IN
1 Professor, Department of Ophthalmology, M.M. Institute of Medical Science and Research, Maharshi Markandeshwar (Deemed to be University), Ambala, Haryana, IN
2 Resident Doctor, Department of Ophthalmology, M.M. Institute of Medical Science and Research, Maharshi Markandeshwar (Deemed to be University), Ambala, Haryana, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 936-940Abstract
Introduction: Glaucoma is the group of acute and chronic multifactorial condition where lowering IOP is the mainstay of the treatment in the patients, but despite of all effort progression of disease is inevitable. The prevalence of primary open angle glaucoma (POAG) in India is 1.62% and increasing with age, where 98.5% were not even aware of the disease. In our study, we assessed the outcome of trabeculectomy using retinal nerve fiber layer (RNFL) thickness measurements and clinical parameters. Material and Method: Twenty seven patients of primary open angle glaucoma undergoing trabeculectomy were included. Ophthalmological examinations including best corrected visual acuity, pupils and anterior segment evaluation, intraocular pressure, fundus and optic disc examination, perimetry and optic coherence tomography were performed preoperatively and 1 week, 1 month and 3 months postoperatively in each and every subject. Results: With mean age of 57.9 years, total of 18 male and 9 female patients were recruited. IOP was decreased by 43.85% from baseline but best corrected visual acuity was increased marginally after 3 months postoperatively. Optic nerve head parameters were improved significantly. Visual Field analysis showed that mean sensitivity and mean deviation were improved from 8.73±4.5493 and 19.044±4.6111 preoperatively to 9.859±5.5606 and 17.926±5.4928 dB postoperatively, respectively. Conclusion: Our data suggested that in early POAG, trabeculectomy provides good IOP control and clinical outcome with little complication rate under experienced hands.Keywords
Optic nerve head parameters, Primary open angle glaucoma, Retinal nerve fiber layer thickness, Trabeculectomy.- Axenfeld-Rieger Syndrome–A Rare Phenomenon
Abstract Views :455 |
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Authors
Affiliations
1 Resident, Department of Ophthalmology, M.M.I.M.S.R. (Maharishi Markandeshwar Deemed to be University), Ambala, Haryana, IN
2 Professor, M.M. Institute of Medical Science and Research, M.M.I.M.S.R. (Maharishi Markandeshwar Deemed to be University), Ambala, Haryana, IN
3 Assistant Professor, Department of Ophthalmology, M.M.I.M.S.R. (Maharishi Markandeshwar Deemed to be University), Ambala, Haryana, IN
1 Resident, Department of Ophthalmology, M.M.I.M.S.R. (Maharishi Markandeshwar Deemed to be University), Ambala, Haryana, IN
2 Professor, M.M. Institute of Medical Science and Research, M.M.I.M.S.R. (Maharishi Markandeshwar Deemed to be University), Ambala, Haryana, IN
3 Assistant Professor, Department of Ophthalmology, M.M.I.M.S.R. (Maharishi Markandeshwar Deemed to be University), Ambala, Haryana, IN