Mrunal Suresh Patil ¹, Dhiraj Namdeo Balwir ², Sonal Dua ¹, Swapnil Shivaji Vidhate ¹

Affiliations
1 Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik, IN
2 Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik, IN

Abstract

Aim: To evaluate correction of pre-existing astigmatism after foldable Toric IOL implantation in patients undergoing cataract surgery.

Materal & Methods: In this prospective observational study we included 10 eyes of 10 patients with astigmatism between 2.00D to 6.00D &undergoing cataract surgery. Phacoemulsification was performed with Toric IOL implantation through 2.8mm clear corneal temporal incision. Patients were examined post operatively for Uncorrected Visual Acuity (UCVA), Best Corrected Visual Acuity (BCVA) & residual refractive astigmatism.

Statistical Analysis: Statistical analysis was performed by the SPSS program for Windows, ver.16.0.Continuous variables are expressed as mean ± SD, and categorical variables are presented as absolute numbers and percentage. For the statistical test, a p value less than 0.05 was taken to indicate a significant difference.

Results: The UCVA was 6/9 or better in 90% of eyes. 80% eyes achieved 6/6 BCVA. The mean refractive cylinder corrected from -3.4 ± 1.4 D to -0.60 ± 0.27 D which was statistically significant. (p value=0.0001).

Conclusion: Toric IOL implantation is an effective, safe surgical option to manage pre-existing corneal astigmatism during cataract surgery.

Keywords

Astigmatism, Cataract Surgery, Toric IOL

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Surekha Tushar Nemade ¹, Mrunal Suresh Patil ², Rajendra Annasaheb Chaudhari ³, Ashok Jaykumar Vankudre ⁴

Affiliations
1 Biochemistry Department, Dr. Vasantaro Pawar Medical College Hospital, Nashik, IN
2 Dr. Vasantaro Pawar Medical College Hospital, Nashik, IN
3 Department of Pathology, Dr. Vasantaro Pawar Medical College Hospital, Nashik, IN
4 Community Medicine Department, Dr. Vasantaro Pawar Medical College Hospital, Nashik, IN

Abstract

Aim: To study serum electrolyte levels in cerebrovascular accidents (cerebral infarct and cerebral haemorrhage) Material and Methods: In this retrospective case control study, we compared serum electrolyte results of 70 diagnosed patients of cerebrovascular accidents (cerebral infarct and cerebral haemorrhage) within 24 hours of admission from the onset of the event with the 70 age and sex matched controls. Statistical analysis: Statistical analysis was done by z test using SPSS 16 which showed statistically significant difference in serum sodium levels while serum potassium levels showed no significant difference. Conclusion: Electrolytes disturbance may contribute to the prognosis of cerebrovascular accidents and early correction of this electrolyte imbalance can lead to better prognosis and may avoid complications.

Keywords

Cerebrovascular Accidents (CVA), Electrolytes, Potassium, Sodium.

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Mrunal Suresh Patil , Dhiraj Namdeo Balwir , Amal Gupta , Ishan Kataria , Sumit Chatterjee

Abstract

Aim: To compare different technique of nucleus delivery in small manual incision cataract surgery,regarding their safety and intra operative complication. Material & Methods: A total of 285 patients with cataract undergoing SICS with posterior chamber IOL implantation were selected. Patients were randomly divided into 7 groups of nucleus delivery. All of the patients were followed up on first postoperative day and discharge. Patients were advised regular follow up at 1^st week, 4^th week and 6^th week. Results: Out of total 285 patients 68 (23.86%) patients had intraoprative complications for all the techniques. There was no intraoperative difficulty to the surgeon for delivery of nucleus by various techniques in 210(73.68%) of cases. Group 1 (wire vectis) had minimum intraoperative complications whereas group 2 had maximum.31 (10.88%)had grade 1 (minimal) difficulty intraoperetively. 25 (8.77%)cases had grade 2 (moderate) difficulty. 19 (6.67) cases had grade 3(abandoned) difficulty. Conclusion: By adjusting parameters like size of cornean incision, hydrodissection or debulking of nucleus before delivery of nucleus in different grades of hardness of cataract, a surgeon may choose any one technique in which he or she is comfortable. Manual small incision Cataract surgery with its low complication rate has now come to be established surgical procedures for cataract surgery.

Keywords

Blumenthal, Fish Hook, Irrigating Vectis, Nucleus Delivery, Phacofracture, SICS, Viscoexpression, Wirevectis.

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Mrunal Suresh Patil , Dhiraj Namdeo Bawir , Kunal Mandlik , Ishan Kataria

Abstract

Aim: To study limbal conjunctival autograft transplantation in primary pterygium. Material and Methods: The present study was conducted on 100 eyes of 100 patients with primary pterygium attending the outpatient department of Ophthalmology department of Dr. Vasantrao Pawar Medical college, Nashik from July 2011 to June 2013 who were managed by Limbal Conjunctival Autografting(LCAT) which were performed by single surgeon. Result: This study shows that most of the patients belonged to age groups of 31-70. The mean pre-op astigmatism of 2.60 +2.20 Diopters (D) significantly reduced to 1.28 +1.22D postoperatively. There is significant improvement in Post operative Best Corrected Visual Acuity (BCVA) compared to preoperative BCVA with difference of 0.17+0.02. Postoperatively out of 100 eyes, 4 recurrences occurred with recurrence rate of 4%. Conclusion: Limbal Conjunctival Autograft transplantation is a safe and effective technique in management of Pterygium.

Keywords

LCAT, Mitomycin C, Pterygium.

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