Results of Traumatic Canalicular Laceration Repair Performed by Trainees in a Tertiary Eye Care Center

2020 ◽  
Vol 103 (5) ◽  
pp. 492-496
Keyword(s):  
Success Rate ◽  
Waiting Time ◽  
Medical Records ◽  
Care Center ◽  
Common Condition ◽  
Eye Care ◽  
Post Operative Period ◽  
Mean Waiting Time ◽  
The Mean

Background: Lacrimal canalicular laceration is a common condition in emergency medicine. Many eyelid lacerations involve the lacrimal canalicular system. In the authors’ institution, nearly all cases of lacrimal canalicular laceration are treated by ophthalmology trainees, and are followed-up periodically in the post-operative period. Objective: To analyze the success rate of the cases of lacrimal canalicular laceration treated by trainees in a tertiary eye care center in Thailand. Materials and Methods: Thirty patients with canalicular laceration were treated between January 2005 and December 2017. Data gathered from ICD10, operation records, and in-patient and out-patient medical records were retrospectively analyzed. Results: There were 20 males (66%) and 10 females (34%) with a mean age of 30.86 years (range 1 to 78 years). Seventy percent of patients presented outside of normal office hours. Most injuries were caused by non-vehicular accidents. Twentyfive of 30 cases (83.33%) were repaired by trainees, and 63% of cases were repaired after office hours. The mean waiting time from presentation to repair was 9 hours 56 minutes (range: 3 hours 35 minutes to 22 hours 10 minutes). The follow-up rate at six months postoperative was 53.33%. The success rate of repairs performed by trainees was 93.75%. Conclusion: The success rate of lacrimal canalicular laceration repair performed by trainees was very satisfactory. The average waiting time for surgery was acceptable. Only half of the patients were followed-up for six months post-operative. Improvement is required in the recording of pertinent details in the medical records, which is an important issue to train the trainees. Keywords: Tear canaliculus, Lacrimal canalicular laceration, Repair, Residents, Trainees, Oculoplastic surgeon

scholarly journals Surgical outcomes of acute acquired comitant esotropia of adulthood

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dae Hyun Kim ◽  
Ha Jeong Noh
Keyword(s):  
Success Rate ◽  
Surgical Outcomes ◽  
Medical Records ◽  
Large Angle ◽  
Sudden Onset ◽  
Prism Diopter ◽  
Factors Affecting ◽  
The Mean ◽  
Motor Outcomes

Abstract Background Acute acquired comitant esotropia (AACE) is a type of strabismus characterized by a sudden onset of large angle esotropia with diplopia, which often occurs in children after infancy, teenagers, and young adolescents. However, studies on the surgical outcomes of only adults are rare. The purpose of this article is to analyze the surgical outcomes for adult patients diagnosed with AACE. Methods Medical records of 24 patients who had undergone surgery for AACE were retrospectively analyzed. The main outcome measures were the final motor and sensory success rate after surgery and factors affecting motor and sensory outcomes. Motor success was considered alignment within 8 prism diopter (PD) at both near and distance and sensory success was stereoacuity ≥ 60 sec/arc. Results The preoperative mean esodeviation angles were 33.1 ± 10.4 PD at distance and 33.3 ± 11.2 PD at near. The mean period of postoperative follow up was 7.5 ± 4.5 months (range 1–8 months). The postoperative mean esodeviation angles at final follow-up time were 3.4 ± 6.1 PD at distance and 3.8 ± 6.7 PD at near. The surgical motor success rate at final follow-up was 79.2% (19/24). The sensory success rate at final follow-up was 50.0% (12/24). The factor affecting the motor outcome was the type of surgery (p < 0.05). The factor affecting sensory outcome was postoperative follow-up time (p < 0.05). Conclusions Surgery type appears to affect surgical motor outcomes in adults with AACE. Although the sensory outcome was favorable, it seems that regaining bifoveal fixation takes time.

scholarly journals Cigarette smoking and waiting time to pregnancy: results of a pilot study

Medicina ◽  
2007 ◽  
Vol 43 (12) ◽  
pp. 959 ◽  
Author(s):  
Birutė Žilaitienė ◽  
Marius Diržauskas ◽  
Romualdas Preikša ◽  
Valentinas Matulevičius
Keyword(s):  
Pilot Study ◽  
Cigarette Smoking ◽  
Waiting Time ◽  
Medical Records ◽  
Contraceptive Use ◽  
Time To Pregnancy ◽  
Mean Waiting Time ◽  
Human Reproductive ◽  
The Mean ◽  
Paternal Smoking

Waiting time to pregnancy is an important characteristic of human reproductive health, which has not been investigated in Lithuania until now. Data on waiting time to pregnancy have been collected from medical records of 111 women admitted to the Department of Obstetrics, Klaipėda Hospital. Seven women in whom pregnancy was the result of infertility treatment were excluded from the analysis, and the rest 104 cases were analyzed. We evaluated waiting time to pregnancy in respect to the age of couples, contraceptive use, cigarette smoking of both partners, and some other features of obstetric history. The mean waiting time to pregnancy in the cohort was 5.21±7.03 months. If both partners smoked, the mean waiting time to pregnancy was significantly longer than in nonsmoking couples (7.68±9.41 vs. 4.30±5.73, P<0.05). Risk to have waiting time to pregnancy longer than 6 months was significantly higher if both partners smoked as compared to nonsmoking couples (OR 3.32, 95% CI 1.07–10.30, P=0.03), while paternal smoking and smoking of any partner did not increase this risk significantly. The other possible factors – age, living place (rural or city), previous contraceptive use, regularity of menstrual cycle, and frequency of intercourse – did not influence waiting time to pregnancy significantly. Results obtained from this pilot study enable us to plan and implement a larger-scale study of waiting time to pregnancy in Lithuanian population.

scholarly journals Surgical outcomes of acute acquired comitant esotropia of adulthood

2020 ◽  
Author(s):  
Dae Hyun Kim ◽  
Ha Jeong Noh
Keyword(s):  
Success Rate ◽  
Surgical Outcomes ◽  
Medical Records ◽  
Prism Diopter ◽  
Factors Affecting ◽  
Motor Outcome ◽  
The Mean ◽  
Motor Outcomes ◽  
Type Of Surgery

Abstract Background: To analyze the surgical outcomes for adult patients diagnosed with acute acquired comitant esotropia (AACE). Methods: Medical records of 21 patients who had undergone surgery for AACE were retrospectively analyzed. The main outcome measures were the final motor and sensory success rate after surgery and factors affecting motor and sensory outcomes. Motor success was considered alignment within 8 prism diopter (PD) at both near and distance and sensory success was stereoacuity ≥60 sec/arc. Results: The preoperative mean esodeviation angles were 33.0 ± 11.6 PD at distance and 32.6 ± 10.8 PD at near. The mean period of postoperative follow up was 8.1 ± 4.5 months (range 3–8 months). The postoperative mean esodeviation angles at final follow-up time were 4.1 ± 5.7 PD at distance and 3.9 ± 5.6 PD at near. The surgical motor success rate at final follow-up was 76.2% (16/21). The sensory success rate at final follow-up was 55.5% (11/21). The factor affecting the motor outcome was the type of surgery ( p < 0.05). The factor affecting sensory outcome was postoperative follow-up time ( p < 0.05). Conclusions: Surgery type appears to affect surgical motor outcomes in adults with AACE. Although the sensory outcome was favorable, it seems that regaining bifoveal fixation takes time.

scholarly journals Are our patients waiting too long for cardiac surgery?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
R Menezes Fernandes ◽  
T.F Mota ◽  
J.S Bispo ◽  
H Costa ◽  
D Bento ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Clinical Outcomes ◽  
Waiting Time ◽  
Independent Predictor ◽  
Valvular Disease ◽  
Prognostic Impact ◽  
Mean Waiting Time ◽  
The Mean ◽  
The Impact

Abstract Introduction Recommended pre-established waiting periods in patients referred for cardiac surgery aim to improve clinical outcomes. Purpose To determine the prognostic impact of the delay until cardiac surgery. Methods We conducted a retrospective study encompassing patients referred to cardiac surgery from a Cardiology Department, since January 2016 to December 2018. Clinical characteristics, diagnostic studies and follow-up were analysed. Primary endpoints were global mortality and re-hospitalization rates at follow-up. Independent predictors of clinical outcomes were identified through a binary logistic regression analysis, considering p=0,05. Results A total of 591 patients were included, with 71,1% male predominance and a mean age of 68,6±11,36 years old. 55,2% of patients had severe valvular disease (aortic – 38,6%, mitral – 9,6%, mixed valvular disease – 2,9%), and 37,1% had surgical coronary artery disease. The mean left ventricle ejection fraction was 56,1% ± 12,2% and the mean Euroscore II was 3,7%. 120 patients (20,3%) required more than one type of surgical intervention. 360 patients (60,9%) were referred to elective procedures, with a mean waiting time of 129,4 days and only 29,2% of them were operated in a 6-week period. The remaining 39,1% of patients needed urgent/emergent surgery, and the mean time until the intervention was 27,2 days (70,1% operated in 2-weeks). Mean waiting time was higher for valvular patients comparing with coronary patients (110,7 vs 48 days; p&lt;0,001). 9,8% and 4,6% of patients were re-hospitalized or died while waiting for surgery, respectively. In a median follow-up of 520 days since the surgical referral, 25,5% of patients were re-hospitalized and 13,7% died. Waiting time was an independent predictor of global mortality (p=0,018), as well as arterial hypertension (p=0,002), severe valvular disease (p&lt;0,001) and higher Euroscore II values (p=0,023). Waiting for surgery in an out-patient setting (p=0,011) and higher Euroscore II values (p=0,002) were independent predictors of re-hospitalization. Conclusion In our study, waiting time until surgery was an independent predictor of global mortality. Efforts should be made to enable referral surgical centres to timely respond to the needs of the population, considering the impact that delaying the appropriate treatment can have on the survival of these patients. Funding Acknowledgement Type of funding source: None

scholarly journals P.032 The impact of waiting time on the assessment of the first seizure onset in pediatrics

2017 ◽  
Vol 44 (S2) ◽  
pp. S21-S21
Author(s):  
AA Khan ◽  
J Lim ◽  
B Janzen ◽  
A Amiraslany ◽  
S Almubarak
Keyword(s):  
Medical Care ◽  
Waiting Time ◽  
Waiting Times ◽  
Seizure Outcome ◽  
Seizure Onset ◽  
Pediatric Neurology ◽  
Mean Waiting Time ◽  
The Mean ◽  
The Impact

Background: Childhood epilepsy has increased in global incidence. Children with epilepsy require immediate healthcare evaluation and monitoring. Waiting times between first seizure onset and pediatric neurology assessment may impact seizure outcome at follow-up. Quality of medical care for children with first seizure onset will be assessed and the impact of pediatric neurology clinic waiting times on seizure outcomes will be determined Methods: This retrospective study, based on chart review, includes patients with first seizure evaluation at the Royal University Hospital in Saskatoon between January 2012 and December 2015. The interim period before first assessment and other factors were studied in relation to seizure outcome on follow-up. Results: 1158 patients were assessed. 378 (32.6%) patients had first seizure clinic assessment. 197 (52%) had epileptic events. 181 (48%) had non-epileptic events. The mean age of patients was 8.8 years. The mean waiting time for assessment by a pediatric neurologist was 4.33 months. The mean duration of follow-up was 20.9 months. At the last seizure assessment, 132 patients were free of seizures and 65 patients had a recurrence of seizures. Conclusions: First seizure assessment is crucial for management of children with epilepsy. Waiting time and other factors may influence seizure outcome, representing opportunities to improve standard medical care.

scholarly journals Anatomical and Visual Outcome following Macular Hole Surgery at a Tertiary Eye Care Centre in Nepal

2011 ◽  
Vol 51 (183) ◽  
Author(s):  
R Thapa ◽  
G Paudyal
Keyword(s):  
Visual Acuity ◽  
Success Rate ◽  
Macular Hole ◽  
Vision Loss ◽  
Case Series ◽  
Eye Care ◽  
Case Series Study ◽  
The Mean ◽  
Anatomical Success

Introduction: Macular hole (MH) leading to central vision loss is common in the elderly. This study aimed to explore the anatomical and functional outcome of MH surgery at a tertiary eye care setting in Nepal. Methods: This retrospective, interventional case series study included patients who had undergone MH treatment with pars plana vitrectomy, membrane peeling and perfluoropropane gas (C3F8) from 2007 January to 2010 August and had completed three months of follow up. The best corrected visual acuity (BCVA) and anatomical status of MH assessed with bio-microscopy and optical coherence tomography (OCT) at six weeks, three months and at the last follow-up following surgery were recorded. Results: A total of 36 cases with the age range of 11 - 73 years and the mean age of 53.2 years (19.3 S.D) were included in the study. The mean duration of decreased vision was 11.1 months (12.1 S.D). Idiopathic macular hole comprised of 31 cases (86.1 %) and traumatic of five cases (13.9 %). The mean follow-up period was 9.4 months. The MH closed in 27 cases (75 %) at six weeks and in 28 cases (77.8%) at three months and at the last follow-up. The vision had improved in 36 % of cases, with more than 2 lines in 27.8 %, and was stable in 27.7 % of cases during the the last follow-up. The anatomical success rate was higher in the idiopathic MH (80.65 %) than in the traumatic (60 %) and visual acuity improved in 45 % of cases in the idiopathic and 20 % in the traumatic cases. Conclusions: The overall anatomic success rate was 78 % and improvement in visual acuity was seen in one -third of cases. The success rate was higher among idiopathic MH than in traumatic. Keywords: Anatomical success, macular hole, perfluoropropane gas, visual acuity, vitrectomy

RESULTS OF INTRALESIONAL TRIAMCINOLONE ACETONIDE FOR CHALAZION TREATMENT

2011 ◽  
pp. 100-104
Author(s):  
Thi Thu Nguyen ◽  
Viet Hien Vo ◽  
Thi Em Do
Keyword(s):  
Success Rate ◽  
Key Words ◽  
Triamcinolone Acetonide ◽  
Lower Eyelid ◽  
Upper Eyelid ◽  
Interventional Trial ◽  
The Mean ◽  
First Time

The study use intralesional triamcinolone acetonide injection proceduce for chalazion treatment.1. Objectives: To evaluate results of intralesional triamcinolone acetonide injection for chalazion treatment. 2. Method: This noncomparative prospective interventional trial included 72 chalazions of 61 patients. 3. Results: 61 patients (72 chalazions) with 19 males (31.1%) và 42 females (68.9%), the mean age was 24 ± 9,78 years. 31.1% patients was the first time chalazion and 68.9% patients was more than one times chalazion including 78.6% patients was recurrent at the first position and 21.4% patients occur at new position. 72 chalazions with 16 (22.2%) chalazions was treated before and 56 (77.8%) chalazions wasn’t done that. 72 chalazions with 49 chalazions (68.1%) are local in upper eyelid and 23 chalazions (31.9%) are local in lower eyelid. The mean of chalazion diameter is 6.99 ± 3.03mm. Intralesional triamcinolone acetonide is injected to treat 72 chalazions with 16 (22.2%) chalazions are injected through the route of skin and 56 (77.8%) chalazions are injected through the route of conjunctiva. After 2 weeks follow-up, the success rate was 93.1% and 6.9% failed. 4. Conclusion: intralesional triamcinolone acetonide injection for chalazion treatment is really effective. Key words: chalazion, intralesional triamcinolone acetonide.

Surgical correction of severe congenital ptosis using a modified frontalis muscle advancement technique: A single-arm trial

2021 ◽  
pp. 112067212199575
Author(s):  
Lei Zhang ◽  
Mingyu Ren ◽  
Yuqing Yan ◽  
Wenjuan Zhai ◽  
Lihong Yang ◽  
...  
Keyword(s):  
Success Rate ◽  
Advancement Flap ◽  
Orbicularis Muscle ◽  
Congenital Ptosis ◽  
Inferior Margin ◽  
Field Of Vision ◽  
Vertical Incision ◽  
Registration Number ◽  
The Mean

Purpose: To describe our experience with a modified frontal muscle advancement flap to treat patients with severe congenital ptosis. Methods: Analysis of the clinical charts of 154 patients who underwent a modified frontal muscle advancement flap. The FM was exposed by a crease incision. The FM flap was created by deep dissection between the orbicularis muscle and orbital septum from the skin crease incision to the supraorbital margin and subcutaneous dissection from the inferior margin of the eyebrow to 0.5 cm above the eyebrow. No vertical incision was made on the FM flap to ensure an intact flap wide enough to cover the entire upper tarsal plate. Contour, symmetry of height, marginal reflex distance (MRD1), and complications were assessed. Mean follow-up was 10 months. Results: The mean patient age was 7.6 ± 5.6 (range, 2–18) years. The mean MRD1 was 3.2 ± 1.3 mm after the operation. All bilateral cases achieved symmetry and optimal lid contour; 17 unilateral cases were under corrected, with a success rate of 89.0%. Complications such as entropion, exposure keratitis, FM paralysis, frontal hypoesthesia, severe haematoma, and entropion were not observed in our series. Conclusion: A modified frontal muscle advancement flap produced a high success rate with a clear field of vision, mild trauma, and few complications. This technique is relatively simple and should be considered for correcting severe congenital ptosis. Date of registration: 29-03-2020 Trial registration number: ChiCTR2000031364 Registration site: http://www.chictr.org/

scholarly journals Unilateral lateral rectus recession is an effective surgery for intermittent exotropia in young children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oriel Spierer ◽  
Abraham Spierer
Keyword(s):  
Young Children ◽  
Success Rate ◽  
Lateral Rectus ◽  
Intermittent Exotropia ◽  
Age At Surgery ◽  
Surgical Methods ◽  
Before And After ◽  
The Mean ◽  
Consecutive Esotropia

Abstract Background Different surgical methods have been suggested for the correction of intermittent exotropia. Unilateral lateral rectus recession has been described as a surgical alternative for small and moderate-angle exotropia. In general, previous studies did not focus on the outcomes of unilateral lateral rectus recession in young children with intermittent exotropia. The purpose of this study is to evaluate the surgical outcomes of unilateral lateral rectus recession in the treatment of moderate-angle exotropia (≤ 25 PD (prism diopters)) in children. Methods The charts of all patients younger than 12 years of age with moderate-angle exotropia (up to 25 PD) who were operated during the years 2006–2018 were retrospectively reviewed. Fifty-eight patients underwent unilateral lateral rectus recession and had a minimum follow up of 6 months. The angle of exotropia (PD) before and after surgery and the success rate were documented. Results Mean age at surgery was 6.4 ± 1.9 (range 3.5–11.0) years. Exotropia improved from a preoperative angle of 21.4 ± 4.0 PD to 3.5 ± 5.9 PD postoperatively (p < 0.001). Success rate, defined as deviation of ≤ 10 PD, was achieved in 86.2%. There were 2 (3.4%) cases of overcorrection (consecutive esotropia). There were no intra- or postoperative complications. The mean follow-up duration after surgery was 2.3 ± 1.7 years. Conclusions In children with moderate angle exotropia, good postoperative success rate was achieved by performing unilateral lateral rectus recession.

Corneal densitometry in patients with keratoconus undergoing intrastromal Ferrara ring implantation

2021 ◽  
pp. 112067212110206
Author(s):  
Pablo Felipe Rodrigues ◽  
Bernardo Kaplan Moscovici ◽  
Guilherme Ferrara ◽  
Luciano Lamazales ◽  
Marcela Mara Silva Freitas ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Medical Records ◽  
Spherical Equivalent ◽  
Interventional Study ◽  
Data Comparison ◽  
Corneal Densitometry ◽  
Corrected Visual Acuity ◽  
Ring Segment ◽  
The Mean

Objective: Evaluation of central corneal densitometry changes following Ferrara corneal ring segment implantation in patients with keratoconus, especially the correlation between corneal densitometry and keratometry. Methods: Retrospective, non-comparative, interventional study based on the review of medical records of patients diagnosed with keratoconus who underwent Ferrara corneal ring segment implantation. Pre and post-operative corneal densitometry measurements obtained with Pentacam HR (Oculus, Wetzlar, Germany) were analyzed. The follow-up time was 3 months, and data comparison was made, using specific statistical analysis, with the data of 3 months postoperatively. Results: The study sample consisted of 43 eyes of 36 patients. The mean corrected visual acuity improved from 0.82 LogMAR preoperatively (SD ± 0.33) to 0.19 LogMAR (SD ± 0.13) postoperatively. The mean spherical equivalent varied from −4.63 (SD ± 3.94) preoperatively to −2.16 (SD ± 2.63) postoperatively. Asphericity varied from −0.69 (SD ± 0.32) preoperatively to −0.27 (SD ± 0.31) postoperatively. The mean maximum K was 54.01D (SD ± 3.38) preoperatively and 51.50D (SD ± 2.90) postoperatively. The mean anterior densitometric value was 18.26 (SD ± 2.03) preoperatively and 17.66 (SD ± 1.84) postoperatively. Conclusion: Corneal densitometry is an interesting technology that should be studied in keratoconus patients. Our results suggest that the corneal densitometry in the cornea’s anterior layer reduces after ICRS implantation and correlates with corneal keratometry. Further studies should be performed to increase the knowledge in this field.

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