Past Issues - Vol. 15, No. 4, October - December 2019

Al-Shifa Journal of Ophthalmology

Editorial: Normal Tension Glaucoma
Amjad Akram

Effect of Panretinal Photocoagulation On Macular Thickness in Patients with Proliferative Diabetic Retinopathy
Rabia Sharif Bhatti, Aunaza Maqbool, Muhammad Usman Arshad, Zamir Iqbal, Sohail Zia, Masud ul Hasan

This quasi experimental study was performed to determine the mean change in macular thickness after panretinal photocoagulation in eyes with proliferative diabetic retinopathy. Total 126 adult patients affected by PDR and having sufficiently clear media to perform Optical Coherence Tomography were included. All patients underwent Panretinal photocoagulation (PRP) and macular thickness was measured pre and 3-month post PRP.

Evaluating the Successful Outcome in Dacryocystorhinostomy by External Approach with Mitomycin C Versus Standard Procedure Alone
Adnan Ahmad, Mohammad Farhan, Jawad Humayun, Mubbashir Rehman, Hamid Rehman

This trial evaluated the efficacy of intraoperative adjunctive mitomycin C (MMC) in external dacryocystorhinostomy (DCR) surgery and compared this procedure with the standard DCR procedure. In group A, intraoperative adjunctive MMC 0.2 mg/mL was applied to the osteotomy site & flaps for 30 minutes while group B underwent standard DCR procedure only. The success of surgeries was assessed using objective findings and subjective symptoms.

Outcomes of Intravitreal Bevacizumab Injections as Primary Treatment for Diabetic Macular Edema
Lubna Adeeb, Nadeem Ishaq, Zamir Iqbal, Farah Akhtar, Muhammad Aamir Arain

A Quasi Experimental Study was performed to evaluate change in visual acuity and decrease in central macular thickness after using Intravitreal Bevacizumab (IVB) in primary treatment of diabetic macular edema (DME). Diagnosed diabetic patients and no history of any previous treatment for DME were included. Efficacy of treatment was compared in terms of change in BCVA and CSFT on OCT. Intravitreal injection of 1.25 mg of IVB was given on Day 0 and then monthly for next two months. Follow up was done after 04 weeks of third injection.

Management of Visual Malingering with Placebo Drugs
Muhammad Mateen Amir, Farah Tariq, Minahal Mateen, Muhammad Rizwan Ullah

This prospective study was conducted to evaluate the efficacy of placebo drops in the management of visual malingering. In cases of partially blind patients; neutralizing cylinder and plano glasses were used for diagnosis of malingering. Patients not diagnosed with above method and patients with complete visual loss were treated with placebo drops. Patients were advised to visit after one week for reassessment and any change in visual acuity was recorded.

Postoperative Refractive Outcome and Accuracy of Biometry in Pediatric Cataract with Primary Intraocular Lens Implantation
Muhammad Kashif Habib, Adnan Aslam Saleem, Nighat Jabeen, Maryam Ghuncha, Maryam Najam, Furqan Ahmed Khan

This study was conducted to report the refractive outcomes, accuracy of intraocular lens power selection in post-operative patients of cataract surgery beneath 8 years of age. Dilated objective refraction was performed by retinoscopy on all the post-operative patients fulfilling inclusion criteria to observe whether they achieved the target post op refraction or not. Information regarding pre-operative biometry and power of intra ocular lens implanted was taken from patients’ data. The collected data was analyzed using SPSS 19.0.

Correlation of Apparent Diffusion Co-Efficient Mapping of Visual Pathways with Glycosylated Haemoglobin Levels in Diabetic Patients Presenting with Blurring of Vision
Sarah Nisar, Lubna Sarfraz

This research has been done to study the impact of diabetes on Visual pathway using diffusion weighted magnetic resonance imaging (DW MRI) and calculating the Apparent Diffusion Co-efficient (ADC) values. Conventional MRI and Diffusion-weighted imaging (DWI) of the brain of diabetic patients were obtained and DW/ADC values of optic nerve, optic tract, thalamus and visual cortex were calculated by drawing regions of interest (ROI) of these regions. HbA1c was done using chemiluminescent technique.

Carotid Cavernous Sinus Fistula
Muhammad Rizwan Aziz, Paula Chattington, Faisal Saleem Khan

75 Years old male previously investigated for pulsatile tinnitus was admitted with six to eight weeks history of double vision and headache associated with red, painful left eye. Clinical examination confirmed 3rd, 4th and 6th cranial nerves palsies. Urgent ophthalmology referral was made, arranged for contrast intracranial and carotid CT scans and diagnosed as Carotid Sinus Fistula.