P1.065 Vision and gait show short and long term improvements following cataract surgery

Abstract Background Cataract is the leading cause of blindness in developing countries including Malaysia. Federal Territory Islamic Religious Council (MAIWP) and Ministry of Health, Malaysia (MOH) have established a cataract day care centre called Pusat Pembedahan Katarak, MAIWP- Hospital Selayang (MAIWP- Selayang Hospital Cataract Surgery Centre) to offer a day care cataract surgery with the aim reduce the waiting list among patients plan for cataract operation at the MOH referral hospital in Klang Valley. This smart partnership enables more patients to undergo cataract surgery with a lesser waiting period irrespective of their religious belief. Objective This paper aims to estimate the cataract surgery rate (CSR) of Pusat Pembedahan Katarak, MAIWP- Hospital Selayang (Cataract Operation Centre) from 2013 to 2016 and descriptive assessments of the patients who received eye treatments in the centre. Methods All cataract patients who underwent for operations in Selayang Hospital were requested to complete the “Registration Form,” that consist of the these information namely name, sex, age, home address, cataract classification, detailed ophthalmological exam information (such as naked eyesight, optometry, tonometry, etc.), cataract surgeon, surgical management, intraocular lens (IOL) implantation or not, operation cost origin, operation outcome (mainly 1st–3rd postoperative day corrected visual acuity (VA), etc. Cataract surgery data are entered into the local Eye Clinic Management System (ECMS) which synchronises with National Eye Database (NED) at regular intervals. Results Cataract surgery rate for 2013 was about 27 and increased to 37.3 in 2014. However, it was declined to 25 in 2015 before bouncing back to 36 in year of 2016. Female patients who received eye treatment at Pusat Pembedahan Katarak, MAIWP- Hospital Selayang was higher (53.7%) as compared to male patients (46.3%). Mean duration of cataract surgery from 2013 to 2016 was 21.25 ± 11.071 minutes. Conclusions Increased in cataract surgery rate for MAIWP-HS through smart partnership for day care cataract surgery proved that easy accessibility is possible to achieve the short and long-term strategies for the reduction and prevention of blindness in Malaysia.

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Effects of cataract surgery on short-term and long-term intraocular pressure fluctuations in non-glaucomatous and medically controlled primary open-angle glaucoma patients

Medicinski pregled ◽

10.2298/mpns1908202m ◽

2019 ◽

Vol 72 (7-8) ◽

pp. 202-208

Author(s):

Bojana Markic ◽

Milka Mavija ◽

Sasa Smoljanovic-Skocic ◽

Sanela-Sanja Burgic

Keyword(s):

Intraocular Pressure ◽

Cataract Surgery ◽

Primary Open Angle Glaucoma ◽

Open Angle Glaucoma ◽

Pressure Fluctuations ◽

Control Group ◽

Open Angle ◽

Short Term ◽

Short And Long Term

Introduction. It has been recognized that cataract surgery leads to a reduction of intraocular pressure, both in healthy and in glaucoma patients. This prospective interventional clinical study aimed to investigate the effects of cataract surgery on intraocular pressure and its short- and long-term fluctuations in medically controlled primary open-angle glaucoma patients and non-glaucomatous patients. Material and Methods. Two groups of 31 patients (31 eyes) were studied. The observed group included patients with glaucoma and cataract, and the control group included patients with senile cataract only. The intraocular pressure was measured three times daily pre- and at 1, 3 and 6 months postoperatively. Results. In both groups, a significant postoperative reduction in both mean and maximum intraocular pressure. Six months after surgery, in the observed group the average and maximum intraocular pressure reduction levels were -2.73 ? 1.91 mmHg and -3.16 ? 2.19 mmHg, and -2.26 ? 1.71 mmHg and -2.53 ? 1.70 mmHg in the control group. In the observed group, at 3 and 6 months after surgery, a significant reduction in short-term fluctuations was observed. Six months after surgery, short-term fluctuations decreased by -1.04 ? 2.20 mmHg compared to preoperative. Postoperatively, in the observed group, long-term fluctuations of average and maximum intraocular pressure were 2.69 ? 2.15 mmHg and 2.88 ? 2.22 mmHg, respectively, and in the controls they were 2.02 ? 1.28 mmHg and 2.42 ? 1.47 mmHg, showing no significant differences between groups. Conclusion. In patients with primary open-angle glaucoma, cataract surgery results in a statistically significant reduction in both average and maximum intraocular pressure as well as of short-term fluctuations.

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Experience with Short and Long Term Courses of Local Adrenal Steroid Therapy For Ulcerative Colitis

Gastroenterology ◽

10.1016/s0016-5085(62)80117-6 ◽

1962 ◽

Vol 42 (6) ◽

pp. 669-677 ◽

Cited By ~ 18

Author(s):

Jean A. Spencer ◽

Joseph B. Kirsner

Keyword(s):

Ulcerative Colitis ◽

Steroid Therapy ◽

Adrenal Steroid ◽

Short And Long Term

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Short- and Long-Term Results of Total vs Subtotal Thyroid- ectomies in the Surgical Treatment of Graves' Disease

Swiss Surgery ◽

10.1024/1023-9332.7.1.20 ◽

2001 ◽

Vol 7 (1) ◽

pp. 20-24 ◽

Cited By ~ 14

Author(s):

Robert ◽

Mariéthoz ◽

Pache ◽

Bertin ◽

Caulfield ◽

...

Keyword(s):

Recurrent Laryngeal Nerve ◽

Nerve Palsy ◽

Recurrent Laryngeal Nerve Palsy ◽

Laryngeal Nerve ◽

Long Term Results ◽

Graves Disease ◽

Laryngeal Nerve Palsy ◽

Short And Long Term

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.

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