nepjoph 2012.pmd - Nepalese Journal of Ophthalmology

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Bajimaya S et al Outcomes of phacoemulsification surgery Nepal J Ophthalmol 2012; 4(8):248-255 Fishkind W, Bakewell B, Olson RJ, et al. (2006). Comparative clinical trial of ultrasound phacoemulsification with and without the White Star system.J Cataract Refract Surg; 32:45-49. Gogate P, Ambardekar P, Kulkarni S, et al. (2010). Comparison of endothelial cell loss after cataract surgery: Phacoemulsification versus manual small-incision cataract surgery. J Cataract Refract Surg; 36:247-253. Hennig A, Schroeder B, Kumar J (2004). Learning phacoemulsification.Results of different teaching methods. Indian J Ophthalmol; 52:233- 234. Kelman CD (1967).Phaco-emulsification and aspiration.A new technique of cataract removal.A preliminary report.Am J Ophthalmol, 64(1):23-35. Kothari M, Thomas R, Parikh R, et al. (2003). The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a Teaching Hospital.Indian J Ophthalmol; 51:45-52. Leaming DV (2002). Practice styles and preferences of ASCRS members 2001 survey. J Cataract Refract Surg; 28:1681-1688. Linebarger EJ, Hardten DR, Shah GK, Lindstrom RL (2000).Phacoemulsification and modern cataract surgery.SurvOphthalmol; 44:541- 542. Lundstrom M, Stenevi U, Thorburn W (2002). The Swedish National Cataract Register: A 9-year review. ActaOphthalmolScand; 80(3):248-57. Martin KR, Burton RL (2000). The phacoemulsification learning curve: per-operative complications in the first 3000 cases of an experienced surgeon. Eye; 14 (Pt 2):190-195. Ng DT, Rowe NA, Francis IC, et al. (1998). Intraoperative complications of 1000 phacoemulsificationprocedures: a prospective study. J Cataract Refract Surg; 24(10):1390-1395. Oshika T, Amano S, Araie M, Majima Y and Leaming DV (2000). Current trends in cataract and refractive surgery in Japan: 1998 survey. Jpn J Ophthalmol; 44:268-276. Prasad S (1998).Phacoemulsification learning curve; experience of two junior trainee ophthalmologists.J Cataract Refract Surg; 24:73- 74. RuitS, Paudyal G, Gurung R, et al. (2000). An innovation in developing world cataract surgery: suturelessextracapsular cataract extraction with intraocular lens implantation. Clin Experiment Ophthalmol; 28:274–9. Ruit S, Tabin G, Chang D, et al (2007). A prospective randomized clinical trial of phacoemulsification vs manual sutureless smallincision extracapsular cataract surgery in Nepal. Am J Ophthalmol; 143:32-38. Seibel BS. (1999) Phacodynamics: Mastering the tools and techniques of phacoemulsification surgery, 3rd ed. Thorofare, NJ, Slack;98 Thomas R, Naveen S, Jacob A (1997).Visual outcome and complications of residents learning phacoemulsification.Indian J Ophthalmol;45:215- 219. Vajpayee RB, Kumar A, Dada T, Titiyal JS, Sharma N, Dada VK (2000).Phaco-chop versus stop-and- chop nucleotomy for phacoemulsification.J Cataract Refract Surg; 26:1638-1641. Source of support: nil. Conflict of interest: none 255
Sitaula (Kharel) R et al Idiopathic retinal vasculitis in Nepal Nepal J Ophthalmol 2012; 4(8):256-262 Original article Changing trends in idiopathic retinal vasculitis in a tertiary eye care centre of Nepal over a ten-year period Kharel (Sitaula) R, Aryal S, Joshi SN, Shrestha JK Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal Abstract Objectives: To study the demographic profile, clinical presentations, management and visual outcome of retinal vasculitis in a tertiary eye care center of Nepal Materials and methods: A retrospective, record based study of retinal vasculitis cases in the retina clinic of a tertiary care centre in Nepal from January 2009 to January 2011 was carried out. Results of the study were compared to those from the study conducted in a similar set- up between 1998 and 2000. Results: Sixty-nine eyes of 51affected patients were evaluated in the study. The male/female ratio was 2.64:1 vs 19:1 a decade ago (p=0.0027). The mean age of the patients was 33.53 ± 12.29 years in the present study. Bilateral ocular involvement was present in 18 cases (35.3%) vs 56.14% in the past decade (p=0044).The common symptoms were dimness of vision (29.4%), floaters (25.5 %) and flashes of light (3.92%). Seventy-one eyes (69.6%) had the best corrected visual acuity of 6/18 or better. Four eyes (3.92 %) had no light perception. Vascular sheathing was the most common finding (32.35%), followed by vitritis (30.39%). Corticosteroids were primarily used to manage retinal vasculitis (39.21%). No association of retinal vasculitis with tuberculosis was found. Conclusion: The demographic pattern and clinical presentation of idiopathic retinal vasculitis has changed over a decade period in Nepal. Key-words: Eales’ disease, steroid, tuberculosis, vitreous haemorrhage Introduction Eales’ disease is named after Henry Eales, a British ophthalmologist, who described the clinical picture of recurrent retinal haemorrhages in young adults aged 14 to 29 years in 1880 (Eales et al,1882). The disease affects healthy young adults with male predominance in up to 97.6% of cases (Biswas et al, 2002). After diabetes, it is one of the major Received on: 23.02.2012 Accepted on: 07.05.2012 Address for correspondence: Dr Ranju Kharel (Sitaula), MD Department of Ophthalmology, B.P.Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Maharajgunj, Kathmandu, Nepal. E-mail:helloranju@yahoo.com causes of visual impairment and blindness in patients attending the vitreo-retina clinic at BP Koirala Lions Centre for Ophthalmic Studies, Kathmandu (Shrestha et al, 2009). To date, the exact etiology of Eales’ disease is unknown. Recent studies have revealed no definite association between this disease and tuberculosis, hypersensitivity reaction to tuberculoprotein, thrombangitis obliterens, multiple sclerosis and various neurological and haematological disorders. Immunological, molecular biological and 256
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methionine restricted, cysteine sup
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Puri LR et al Weill Marchesani Synd
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