nepjoph 2012.pmd - Nepalese Journal of Ophthalmology

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Sharma R et al Conjunctival autograft transplantation in pterygium Nepal J Ophthalmol 2012; 4(8):242-247 Helal M, Messiha N, Amayem A, El- Maghjaby A, El Sherif Z, Dabees M (1996). Intraoperative mitomycin C versus postoperative topical mitomycin C drops for the treatment of pterygium. Ophthalmic Surg Lasers; 27:674-78. Kenyon KR, Wagoner MD, Hettinger ME (1985). Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology; 92:1461-70. Koch JM, Mellin JB, Wauble TN (1992). The pterygium -Autologous conjunctiva - limbus transplantation as treatment. Ophthalmology; 89:143-46. Ma DH, See LC, Hwang YS, Wang SF (2005). Comparison of amniotic membrane graft alone or combined with intraoperative mitomycin C to prevent recurrence after excision of recurrent pterygia. Cornea; 24:141-5. Moran DJ, Hollows FC (1984). Pterygium and ultraviolet radiation: a positive correlation. Br J Ophthalmol; 68:343–346. Pandey DJ, Mishra VK, Singh YP, Kumar A, Pandey DN (1984). Quantitative and qualitative estimation of tear in pterygium. Indian J Ophthalmol; 32(5): 373-77) Rao SK, Lekha T, Mukesh BN, Sitalakshmi G, Padmanabhan P (1998). Conjunctival-limbal autografts for primary and recurrent pterygia: Technique and results. Indian J Ophthalmol; 46:(4):203-209. Reisman D, McFadden JW, Lu G (2004). Loss of heterozygosity and p53 expression in pterygium. Cancer Lett; 206:77–83. Saifuddin S, Baum KL (1993). Recurrent pterygia-laser therapy: A preliminary report. Indian J Ophthalmol; 41(1):17-19. Sangwan VS , Burman S, Tejwani S , Mahesh PS, Murthy R (2007). Amniotic membrane transplantation: A review of current indications in the management of ophthalmic disorders. Indian J Ophthalmol; 55(4):251-260. Sangwan VS, Murthy SI, Bansal AK, Rao GN (2003). Surgical treatment of chronically recurring pterygium. Cornea; 22:63-5. Sebban A, Hirst LW, Kynaston B, Bain C (1991). Pterygium recurrence rate at the Princess Alexandra Hospital. Aust NZ J Ophthalmol; 19:203-06. Simona F, Tabatabay CA, Leuenberger PM (1990). Resultants preliminaries de la technique d’ excision du pterygion avec autogreffe conjunctivale. Klin Monatsbl Augenheikd; 196:295- 97. Singh G, Rana RK (1982). Evaluation of a new polishing technique in surgery of primary pterygium. Indian J Ophthalmol; 30(4): 281-284. Singh G, Wilson MR, Foster CS (1990). Long term follow up study of mitomycin eye drops as adjunctive treatment of pterygia and its comparison with conjunctival autograft transplantation. Cornea; 9:331-34. Solomon A, Pires RT, Tseng SC (2001). Amniotic membrane transplantation after extensive removal of primary and recurrent pterygia. Ophthalmology; 108:449-60. Spencer WH (1985). Ophthalmic pathology: An Atlas and Textbook. 3rd edition. Philadelphia: WB Saunders Vol I:174-76. Tan DT, Tang WY, Liu YP et al (2000). Apoptosis and apoptosis related gene expression in normal conjunctiva and pterygium. Br J Ophthalmol; 84:212–216. Taylor HR, West S, Munoz B et al (1992). The long-term effects of visible light on the eye. Arch Ophthalmol; 110:99–104. Source of support: nil. Conflict of interest: none 247
Bajimaya S et al Outcomes of phacoemulsification surgery Nepal J Ophthalmol 2012; 4(8):248-255 Original article 248 Phacoemulsification surgery by a nationally-trained cataract surgeon of Nepal Bajimaya S 1 , Sharma BR 2 , Shrestha JB 3 , Maharjan IM 4 , Matsushima H 5 , Akura J 6 1 Ophthalmologist, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu 2 Shree-Krishna Netralaya, Bhairahawa, Nepal 3 Assistant Professor, B.P.Koirala Lions Centre for Ophthalmic Studies, Kathmandu, Nepal 4 Hospital Director, Himalaya Eye Hospital, GhariPatan, Pokhara, Nepal 5 Associate Professor, Department of Ophthalmology, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, Japan 6 Clinical Professor, Tottori University, 36-1 Nishi-cho, Yonago-shi, Tottori-Ken, Japan. Abstract Introduction: A one month phacoemulsification training course had been implemented by the Nepal Netra Jyoti Sangh (NNJS) in collaboration with Association for Ophthalmic Cooperation to Asia, Japan (AOCA). Objective: To evaluate the visual outcomes of phacoemulsification surgery by a nationally trained surgeon in Nepal. Materials and methods: A retrospective study of patients that underwent phacoemulsification with foldable intraocular lens implantation during a period of 18 months was carried out. Cases that had a six-week follow-up period were included. Effective phaco time (EPT), intra-operative and postoperative complications were noted. Uncorrected visual acuity (UCVA) at day 1 and best corrected visual acuity (BCVA) at week 6 were noted. The data were analyzed using SPSS 11.5. Results: A total of172 patients that had completed a 6 week follow-up evaluation were included in the study. The mean age of patients was 57.12±10.19 years. The mean effective phaco time (EPT) was 9.74±7.41 seconds. Posterior capsule rupture (PCR) with vitreous loss occurred in 2 eyes (1.2%), Descemet’s membrane detachment in 1 eye (0.6%), capsulorhexis extension in 1 eye (0.6%) and wound site thermal injury (WSTI) occurred in 3 eyes (1.7%). Postoperative complications were mild to moderate striate keratopathy (9/ 172), corneal edema (1/172), corneal epithelial defect (1/172) and uveitis (1/172). At 6 weeks post-operatively, 165 eyes (95.9%) had a BCVA better than 6/18 and 7 eyes (4.1%) had a BCVA of 6/18 to 6/60. Conclusion: Patients undergoing phacoemulsification had a good visual outcome as a result of the procedure performed by cataract surgeon trained from AOCA/NNJS national phacoemulsification training program of Nepal. Key-words: phacoemulsification, training program, Nepal Received on:10.12.2011 Accepted on: 08.04.2012 Address for correspondence: Dr SanyamBajimaya, MD Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal. Tel: 977-9851066849 E-mail address: sanyambajimaya@yahoo.com
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