nepjoph 2012.pmd - Nepalese Journal of Ophthalmology

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Panda A et al Phacoemulsification in eyes with corneal opacity Nepal J Ophthalmol 2012; 4 (8):217-223 hospital in eastern Nepal. JNMA J Nepal Med Assoc; 46:119-25. Rao SK, Padmanabhan P (1999). Combined phacoemulsification and penetrating keratoplasty. Ophthalmic Surg Lasers; 30:488-91. Senoo T (2001). Combined surgery with deep lamellar keratoplasty. Semin Ophthalmol; 16:126- 36. Shimmura S, Ohashi Y, Shiroma H, Shimazaki J, Tsubota K (2003). Corneal opacity and cataract: triple procedure versus secondary approach. Cornea; 22:234-8. Singh D (1996). Localized bullous separation of Descemet’s membrane after previous cataract surgery. J Cataract Refract Surg; 22:147-9. Sinha R, Sharma N, Vajpayee RB (2004). Visual outcome of cataract surgery with pupillary sphincterotomy in eyes with coexisting corneal opacity. BMC Med; 2:10. Uka J, Minamoto A, Hirayama T, Adachi T, Yamane K, Mishima HK (2005). Endoscope-aided cataract surgery in corneal opacity associated with aniridia. J Cataract Refract Surg; 31:1455-6. Source of support: nil. Conflict of interest: none 223
Dada T et al Trypan blue staining of filtering bleb Nepal J Ophthalmol 2012; 4(8):224-229 Original article Received on: 02.11.2011 Accepted on: 05.04.2012 Address for correspondence: Dr. Tanuj Dada, Additional Professor Dr. Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences, New Delhi 110029, India. Fax 91-1126588919 E mail: tanujdada@gmail.com 224 Trypan blue staining of filtering bleb in eyes with operated trabeculectomy Dada T, Bali SJ, Mohan S, Bhartiya S, Sobti A, Panda A Glaucoma Facility Dr Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences New Delhi 110029, India Abstract Objective: To report the use of trypan blue staining of the filtering bleb to assess its functional status in eyes undergoing phacoemulsification after trabeculectomy. Subjects and methods: This retrospective study was conducted at a tertiary eye care centre in North India and studied 33 eyes of 33 patients ( with previously operated trabeculectomy), who underwent phacoemulsification. Trypan blue dye (0.06%) was used to stain the anterior capsule. After completion of phacoemulsification, the staining of the trabeculectomy bleb was noted as diffuse, patchy, minimal or no staining. Results: Of the 33 eyes, 13 had diffuse staining (39.4%, mean IOP = 9.3 ± 2.2 mm Hg), 7 (21.2%, mean IOP= 15.5 ± 1.8 mm Hg) had patchy staining, 4 had minimal staining (12.1%, mean IOP= 17.5 ± 0.5mm Hg) and nine (27.3%, mean IOP= 19.3 ± 1.6 mm Hg) had no staining. These staining patterns were labeled as groups 1 - 4 respectively. Statistical analysis showed that the difference between the IOPs in Group 1 - 2 and between Group 2 - 3 was not significant statistically (p=0.682 and 0.665 respectively). However the differences between the IOPs between Groups 1 - 3, 1 - 4, 2 - 4, and 3 - 4 were found to be highly significant statistically (p
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