Past Issues - Vol. 13, No. 4, October - December 2017

Al-Shifa Journal of Ophthalmology

Editorial: Recent Advances in Glaucoma Pharmacological Therapy
Mahmood Ali

Exploring Astigmatism and Visual Functions in Amblyopic Children
Sana Azam, Hina Sharif, Shadab Hassan

This cross-sectional study was conducted at Pediatric Department of Al-Shifa Trust and Eye Hospital Rawalpindi on 150 children to explore different types of astigmatism and levels of visual functions in amblyopia. The most common type of astigmatism was Simple Myopic (33.3%) followed by Mixed Astigmatism (32.7%). Reduced stereopsis was more common in Simple Myopic astigmatism (14%) than other types of astigmatism. Stereoacuity and contrast both were found statistically related to type of astigmatism (p-value < 0.05). Colour Vision had no statistically significant relation with type of astigmatism (p-value > 0.05).

Outcomes of Combined Extraction with Intraocular Lens Implant by A Fellow During Glaucoma Fellowship
Yousaf Jamal Mahsood, Saima Farooq, Mahmood Ali, Farah Akhtar

This retrospective study was conducted to determine the outcomes of combined extraction with intraocular lens implant performed by a fellow during glaucoma fellowship. All of the surgeries were performed under supervision of faculty and all intraoperative and early postoperative complications were recorded. Total 19 eyes of 19 patients were included in the study, among which 11 (57.9%) were males and 8 (42.1%) were right eyes. Best corrected visual acuity (BCVA) improved in 17 (89.5%) eyes from the baseline while 1 eye showed no change and deterioration in 1 eye. There was improvement in IOP from baseline 20.11 + 7.36 mmHg to 13.56 + 3.28 mmHg (p = 0.01).

Pattern of Ocular Diseases in Children Presented at Eye Out Patient Department, Khyber Teaching Hospital, Peshawar
Hussain Ahmad, Muhammad Naeem, Yousaf Jamal Mahsood, Muhammad Sajid Khan, Maqsood Ahmad, Ubaidullah

This descriptive cross-sectional study was conducted at department of Ophthalmology, Khyber Teaching Hospital, Peshawar from 1st September 2014 to 31 August 2015 to report ocular disease pattern in children for early diagnosis and treatment of such conditions. Total of 4800 children attended eye OPD during this study duration. Conjunctiva was the most commonly involved 180 162 structure i.e. in 1850(38.54%)children, followed by NLD blockage involving 1040(21.66%) children. Refractive errors were detected in 775(16.14%) children while disorders of lens accounted for 607(12.64%).

Comparative Study of Single Versus Double Site Peribulbar Anaesthesia Injection for Cataract Surgery in Terms of Efficacy and Safety
Maqsood Ahmad, Hussain Ahmad, Muhammad Sajid, Ubaidullah

This study was conducted to compare the efficacy & safety of single versus double-site injections of peribulbar anaesthesia for cataract surgery. A total of 190 patients presenting with age related cataract were randomly allocated in two groups, patients in group A were subjected to fixed single injection peribulbar anaesthesia and in group B to classic double injection peribulbar anaesthesia. The mean akinesia score in group A was 1.7 + 1.3 while in group B it was 2.1 + 1.4 (p value 0.102). Efficacy was 85.3% in group A and 74.7% in group B.

Different Morphological Patterns of Cataract at Doctors Trust Teaching Hospital Sargodha
Muhammad Hisham Sultan, Firas Dost Alvi, Danish Gani

This study presents the frequency of various types of cataracts among adult population, presenting at a teaching hospital in Sargodha region of Punjab. Total patients were 100 in number. The mean age of presentation was of 57.78 (±9.63) years, with a range of age from 35 years to 80 years. The most frequent type was nuclear cataract in 67% of patients. Frequency of nuclear + posterior sub capsular cataract was 23.68% which was comparatively more in subjects with age <60. The frequency of nuclear cataract and nuclear +posterior sub capsular cataract was highest in housewives.

Vision Related Quality of Life Among Keratoconus Patients and Factors Affecting the Quality
Asima Rehman, Hina Sharif, Khizar Nabeel

This cross-sectional study was conducted on 312 keratoconus patients out of which 109 had undergone corneal cross linkage (CXL) surgery. Convenient non-randomized sampling technique was used for selection of sample. Data were collected by using reliable scale of NEI VFQ-25. Vision related quality of life was found to be good in 51% patients while 35% respondents said that they remained worry about their eye sight most of the time. Visual acuity, education status, CXL surgery and type of CXL showed significant association with VQOL (p<0.05).