scholarly journals Pterygium Excision with Autologous Blood Autograft Fixation: Experience of a District Hospital of Bangladesh

2017 ◽  
Vol 29 (2) ◽  
pp. 46-50
Author(s):  
Md Mahmud Ul Huda ◽  
Sajed Abdul Khaleque
Keyword(s):  
Autologous Blood ◽  
Graft Loss ◽  
Self Control ◽  
Department Of Ophthalmology ◽  
Study Population ◽  
Grade Ii ◽  
Recurrent Pterygium ◽  
Pterygium Excision ◽  
Control Study ◽  
Conjunctival Hemorrhage

A prospective interventional self-control study to see the outcome of suture less and glue free limbal conjunctival autograft for the management of primary and recurrent pterygium was carried out using patient's own blood as a bio-adhesive to secure the graft in position, in the Department of Ophthalmology, 250 bedded General Hospital Jamalpur from 15.09.16 to 30.11.16 and followed up upto July 2017. A total of 48 cases (44 were primary nasal pterygium and 4 were recurrent pterygium) were included in the study. Regarding type of the pterygium, out of 48 patients 3(6.25%) were grade I, 21(43.75%) were grade II, 13(27.08%) were grade III and 11(22.92%) were grade IV. The mean age of the study population was 32±2 years. The male and female distribution was 18 and 30 respectively. All the eyes followed by bandaging for 24-48 hours and were examined for graft dislodgement, recession, edema sub-conjunctival hemorrhage. Out of 48 eyes only 1 (2.1%) had sub-conjunctival hemorrhage, 2 (4.2%) edema and 3 (6.3%) had graft recession after 24 to 48 hrs of operation. All the complications were resolved 1-2 month. There was no recurrence of pterygium. No recurrence, graft loss or granuloma was recorded. No other complication was noted. Suture less and glue free limbal conjunctival autografting following pterygium excision is an effective and safe option for the management of primary pterygium.Medicine Today 2017 Vol.29(2): 46-50

scholarly journals Sutureless and glue free conjunctival auto grafting after pterygium excision

2017 ◽  
Vol 10 (2) ◽  
pp. 36-38
Author(s):  
M.K. Goswami ◽  
Md Asaduzzaman
Keyword(s):  
Metabolic Disorders ◽  
Operation Time ◽  
Fibrin Clot ◽  
Effective Treatment Modality ◽  
Department Of Ophthalmology ◽  
Recurrent Pterygium ◽  
The Mean ◽  
Pterygium Excision ◽  
Conjunctival Hemorrhage

Background and objectives: Suture or glue has been used to secure the conjunctival auto graft after excision of the pterygium. Recently, auto grafting using patient’s own blood as a bioadhesive to secure the graft in position has been described by several authors. Therefore, the present study was undertaken to determine the outcome of excision of pterygium and sutureless conjunctival auto graft using patients’ own blood as a bioadhesive.Methods: Patients with primary and recurrent pterygium attending the Department of Ophthalmology of Bangladesh Institute of Research, Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) hospital from March 2014 to July 2015 were included in the study. Pterygium was excised and conjunctival auto graft was applied. Grafts were secured to the pterygium excision area with auto blood fibrin clot. All patients were examined after 48 hr and followed for 1, 4 and 12 weeks for graft dislodgement, sub-conjunctival hemorrhage, graft recession, graft edema and recurrence of pterygium.Results: A total of 35 primary and 2 recurrent pterygium cases were included in the study. The mean operation time was 15±1 minutes. Out of 37 eyes 5 (13.5%) had subconjunctival hemorrhage and 2 (5.4%) had graft recession and edema after 48hrs of operation. At 3 months follow up, 2 cases (5.4%) of graft recession and no case of recurrence of pterygium was found.Conclusion: Pterygium excision and conjunctival auto graft without sutures appears to be an effective treatment modality for primary and recurrent pterygium with no additional cost.IMC J Med Sci 2016; 10(2): 36-38

scholarly journals Study of prevalence and socio-demographic determinants of pterygium in Sub Himalayan region, India

2018 ◽  
Vol 6 (12) ◽  
pp. 3916
Author(s):  
Abhishek Padha ◽  
Prateek Koul ◽  
Swati Sharma
Keyword(s):  
Cross Sectional Study ◽  
Himalayan Region ◽  
Palpebral Fissure ◽  
Cross Sectional ◽  
Total Study Population ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
History Of ◽  
Study Population ◽  
Grade Ii

Background: Pterygium, derived from the Greek work ‘pteryx’, meaning wing is a growth of fibrovascular tissue on the cornea and conjunctiva in the palpebral fissure. The present study was conducted to find out the prevalence and Socio-demographic determinants of pterygium in Sub Himalayan region of Himachal Pradesh, India.Methods: A cross-sectional study was conducted between the months of May-June 2018, in the outpatient department of Ophthalmology of Pt. Jawahar Lal Nehru Govt. Medical College and Hospital, Chamba, H.P, India. Among all the patients visiting the OPD in the given duration, a total of 200 patients having Pterygium were selected for the study. Detailed history of the all the patients were taken and required examination was done. Data collected was analysed with Microsoft excel software.Results: Out of the 200 patients, 59% were males and 41% were females. 70% of the total study population were seen in the age group 41-60years. In present study a total of 130 patients (65%) were outdoor workers. Left eye (40.5%) was the eye most frequently involved eye in present study, right eye (36.5%) also both the eyes were involved in 23% of study population. Nasal pterygium was seen in 93%, temporal pterygia 5.5% and double pterygium (both nasal and temporal presentation in same eye) in 1.5% patients. Grade I pterygium was seen in 43.5% patients, grade II in 40% and grade III pterygia were found in 16.5% of the study population.Conclusions: People living in high altitude regions and who work outdoors, are subjected to increased U.V. exposure. So, they must take appropriate precautions like wearing protective glasses and caps etc.

Autologous Blood Versus Suture Conjunctival Limbal Graft as Pterygium Surgery Treatment

2019 ◽  
Vol 44 (2) ◽  
pp. 77
Author(s):  
Putu Budhiastra
Keyword(s):  
Retrospective Study ◽  
Visual Function ◽  
Autologous Blood ◽  
Healing Process ◽  
Graft Loss ◽  
Suture Technique ◽  
Corneal Surface ◽  
Ocular Irritation ◽  
Pterygium Surgery ◽  
Pterygium Excision

Introduction and Objective: A Pterygium is an elevated, superficial, external ocular mass that usually forms over the perilimbal conjungtiva and extends onto the corneal surface. A Pterygium can cause a significant alteration in visual function in advanced cases. It become inflamed, resulting in redness and ocular irritation. Pterygium excision surgery has been using many methods. There are three choices of method to attach the graft: by suturing, fibrin glue or autologous blood. The purpose of this study is to learn about the efficacy of autologous blood versus suturing conjungtival limbal graft (CLG) on pterygium excision surgery Methods: Retrospective study of 18 patients underwent Pterygium excision surgery with autologous blood gluing compared to suturing the graft. Six patients underwent CLG surgery with suturing and 12 patients were treated with autologous blood gluing. Suturing process was done with nylon 10-0 and the suture was released 7 days after surgery, whereas the graft on the patient with autologous blood CLG was placed and left there for about 10 minutes. Both groups were evaluated after day 1, 1st week, 2nd week and 1st month. Any report of irritating sensation, graft loss, and healing process were recorded thoroughly. Result: Patients with sutured CLG were complaining of uncomfortable sensation on their cornea until one week before suture was released, all grafts were attached until a month. Out of 12 patients with autologous blood CLG method, there were no complain of irritability on cornea until a week, 4 patients lost the graft on the first day, two patients grew granuloma on the second week, 10 patients start healing on the second week. Conclusion: There are still limitations to pterygium excision with autologous blood CLG compared to pterygium excision with CLG suture technique.

Improving Student Creativity Activeness And Implementation Approach In Cbsa On Civics Lesson Grade Ii Sd Negeri 39 Lengayang Gompong.Kec Markets Academic Year 2016/2017

2018 ◽  
Vol 1 (2) ◽  
pp. 89-96
Author(s):  
Darleli Darleli
Keyword(s):  
Civic Education ◽  
Evaluation Study ◽  
Class Action ◽  
Peer Tutors ◽  
Implementation Approach ◽  
Before And After ◽  
Study Population ◽  
Grade Ii ◽  
The Subject ◽  
Academic Year

    The purpose of this study is to prove that the use of the environment around the school can improve students' understanding of the subject Civic Education in Elementary School student 39 Class II Gompong Market. This study uses a class action approach. The study population was taken of all students in grade II , the data collection techniques used artificial teacher learning achievement test. Actions performed a total of two cycles. Data analysis techniques used analysis of the percentage of change in the results of the evaluation study before and after tutoring services with peer tutors. Thus there is an increase in students' mastery of the first cycle and the second cycle. Based on the above, it can be made a conclusion as follows: " Improving Student Creativity activeness And Implementation Approach In CBSA On Civics Lesson Grade II SD Negeri 39 Lengayang Gompong.Kec Markets Academic Year 2016/2017 " .    

scholarly journals Effect of pterygium excision on mean corneal curvature.

2021 ◽  
Vol 28 (04) ◽  
pp. 568-571
Author(s):  
Saira Bano ◽  
Sumaya Khan ◽  
Mahnoor Waqar ◽  
Moniba Iqbal ◽  
Hamza Waqar Bhatti ◽  
...  
Keyword(s):  
P Value ◽  
Corneal Curvature ◽  
Ocular Surgery ◽  
Department Of Ophthalmology ◽  
Before And After ◽  
Quasi Experimental ◽  
History Of ◽  
Induced Astigmatism ◽  
Pterygium Excision ◽  
The Difference

Objective: To determine the difference in mean corneal curvatures before and after pterygium excision. Study Design: Quasi-experimental study. Setting: Department of Ophthalmology, Holy Family Hospital, Rawalpindi. Period: 1st January 2015 to 1st July 2015. Material & Methods: 68 patients aged between 18 to 65 years were included in the study. Patients with history of ocular trauma, ocular surgery, glaucoma, anti-glaucoma treatment, allergy to steroids, pseudo pterygium, recurrent pterygium and presence of corneal abnormalities such as, scarring that might affect the astigmatic value were excluded. All patients underwent comprehensive ophthalmic examination by slit lamp and best corrected visual acuity and keratometric values were noted. Pterygium excision was done by a single surgeon. BCVA and keratometric readings were taken again after 2 weeks of pterygium excision. Results: Mean age was 37.60 ± 11.11 years. Out of these 68 patients, 44 (64.71%) were male and 24 (35.29%) were females. Mean pre-operative corneal curvature was 2.99 ± 0.69D and post-operative corneal curvature was 1.70 ± 0.40D with P-value of <0.0001 which is statistically significant. Conclusion: This study concluded that pterygium excision brings significant change in corneal curvature in patients of pterygium induced astigmatism.

scholarly journals Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit

2018 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Asif Yuliati ◽  
Ariawan Soejoenoes ◽  
Ari Suwondo ◽  
Anies Anies ◽  
Martha Irene Kartasurya
Keyword(s):  
Risk Factors ◽  
Postpartum Hemorrhage ◽  
Sampling Method ◽  
Case Control Study ◽  
Consecutive Sampling ◽  
Obstetric History ◽  
Maternal Morbidity And Mortality ◽  
History Of ◽  
Study Population ◽  
Control Study

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in both developed and developing countries. To prevent postpartum hemorrhage, knowledge of the risk factors were needed.Method: Methos of the research is a case control study. Study population were hospitalized mothers who delivered in three hospitals on January 2015 – July 2016. The subjects were 55 patients who suffered from PPH (as cases) and 55 patients who were not suffered from PPH (as control). Sampling method for cases was consecutive sampling and purposive for controls. Data were analysed by Odds Ratio calculation and logistic regression.Results: The risks factor significantly for PPH are midwife as birth attendant (OR=7.10; 95% CI 2.2 –22.81; p=0.001), poor of obstetric history (OR=5.37; 95%CI 1.53–18.86; p=0.009), pregnancy interval (< 2 years or > 5 years) (OR =4.04; 95%CI 1.48 –11.07; p= 0,007), anaemia trimester III (OR =3,58; 95%CI 1.23-10.43; p=0.019), history of abortion (OR=4.93; 95% CI 1.20-20.31; p=0,027).Conclusion: The risk factors for PPH were midwife as birth attendant, poor of obstetric history, pregnancy interval (<2 years and >5 years), anaemia trimester III, and history of abortion.

scholarly journals Management of pancreatic trauma in adult patients at tertiary care institute of Gujarat, India

2020 ◽  
Vol 6 (5) ◽  
pp. 310-315
Author(s):  
Dr. Krunal Chandana ◽  
◽  
Dr. Priyank Patel ◽  
Keyword(s):  
Road Traffic ◽  
Demographic Data ◽  
Tertiary Care ◽  
Pancreatic Injury ◽  
Solid Organ ◽  
Pancreatic Trauma ◽  
Tertiary Center ◽  
Fall From Height ◽  
Study Population ◽  
Grade Ii

Background and Aim: Pancreatic trauma is rare compared to other solid organ injuries of theabdomen. These injuries are difficult to diagnose and pose a problem in treatment strategy. Thisretrospective study aims to report our tertiary center experience in the management of pancreatictrauma. Material and Methods: The present study is one and half year observational study of 30patients who underwent pancreatic trauma management in the Department of Surgery, tertiary careinstitute of Gujarat. Demographic data and baseline characteristics were recorded, including age,sex, medical co-morbidities, mechanism of pancreatic trauma, length of the hospital stay, andassociated extrapancreatic injuries. All patients underwent a CT scan for the diagnosis of pancreaticinjury. Grading of pancreatic trauma was carried out according to the American Association forsurgery for Trauma (AAST). Results: Road traffic accident (RTA) (n=20) was the leading cause ofpancreatic trauma in the study population followed by fall from height (n=7) and assault (n=3). Themajority of the study population had Grade III pancreatic injury (n=12) followed by Grade IV (n=8),Grade II (n=7), and Grade I (n=3) injuries. No patients had Grade V injury. Isolated pancreatictrauma was seen in 13 patients. Associated liver and spleen injury was seen in 15 patients. Renaltrauma was seen in 2 patients. The extra-abdominal injury was seen to be associated withpancreatic injury in 7 patients. Conclusion: Pancreatic trauma can be managed conservativelyirrespective of the grade of injury supported by radiological percutaneous drainage and pancreaticduct stenting in selective cases.

scholarly journals SEVERAL FACTORS ASSOCIATING WITH CONTACT DERMATITIS ON OIL PALM PLANTATIONS WORKERS IN BELUTU VILLAGE, KANDIS SUBDISTRICT IN 2016

1930 ◽  
Vol 8 (01) ◽  
pp. 63-66
Author(s):  
Muhamadiah
Keyword(s):  
Contact Dermatitis ◽  
Oil Palm ◽  
Case Control Study ◽  
Case Control ◽  
Personal Hygiene ◽  
Systematic Random Sampling ◽  
Study Population ◽  
Logistic Regressions ◽  
Design Type ◽  
Control Study

Contact dermatitis is skin infection occurring because of allergen and irritant material. Data of Kandis Health Center show 389 cases of dermatitis, 97 cases among cases of dermatitis are oil palm plantation workers living in Belutu Village. The objective of research is to detect factors associating with contact dermatitis on oil palm plantations workers in Belutu Village. The design type of occurrence research is case control study. Population of cases is 97 workers suffering from contact dermatitis and population of control is 1235 workers who are not suffering from contact dermatitis. Based on case control study in which one cases and two control, significant level of 5%, power of test 90%, it is 81 cases and 162 controls taken from each population by systematic random sampling. Analysis of data consists of one variable, two variables, and multiple logistic regressions analysis. Chemical contact (CI 95% OR: 1,34 – 4,12), without Personal Protective Equipment (PPE) (CI 95% OR: 1,110 – 3,405), poor Personal hygiene CI 95% OR: 1,087 – 3,415), associating with contact dermatitis. Chemical contact, without using PPE, and poor personal hygiene effect the occurrence of contact dermatitis on oil palm plantations workers in Belutu Village. Recommendation is to avoid chemical contact, use PPE and improve personal hygiene. Suggestion formulated based on the recommendation.

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