scholarly journals Clinical Outcomes of Management of Traumatic Cataract in a Tertiary Care Centre

2020 ◽  
pp. 20-23
Author(s):  
anuradha bharati ◽  
pallavi sharma ◽  
sachit mahajan ◽  
Bhavani Raina ◽  
Sanjay Kai
Keyword(s):  
Visual Acuity ◽  
Tertiary Care ◽  
Final Visual Acuity ◽  
Posterior Capsular Opacification ◽  
Care Centre ◽  
Traumatic Cataract ◽  
Tertiary Care Centre ◽  
Visual Outcomes ◽  
Operative Complications ◽  
Post Operative Complications

Background and Objectives : Ocular trauma can lead to development of cataract when natural lens is damaged by either blunt or penetrating injury. The management of traumatic cataract follows the same principle as for senile cataract but associated damage to ocular tissues and several post-operative complications may lead to suboptimal visual outcome. This study was conceptualized to evaluate the visual outcomes following management of traumatic cataracts. Material and Methods : This prospective, longitudinal study was conducted on 80 patients with traumatic cataract in tertiary care centre. Patients were managed surgically and were followed up for a period of six months. Visual acuity was measured at every follow-up visit and any post-operative complications were noted and managed, accordingly. Final visual acuity was assessed at the end of six months. Results: Maximum cases of traumatic cataract (53.75%) were observed in age group of <20 years with male to female ratio of 2.63:1. Maximum patients (92.15%) were implanted posterior chamber intraocular lens, either as a primary or secondary procedure. Uveitis and posterior capsular opacification were most common post-operative complications (30%) and 68.75% cases achieved a final visual acuity of 6/6-6/ 18 at the end of six months. Conclusions Traumatic cataract is an important cause of ocular morbidity specially in young patients. Surgery in cases of traumatic cataract can yield good visual outcomes if posterior segment is not involved and if post-operative complications are managed efficiently.

scholarly journals IMMEDIATE AND EARLY POST OPERATIVE COMPLICATIONS OF TRABECULECTOMY IN A TERTIARY CARE CENTRE

2015 ◽  
Vol 2 (12) ◽  
pp. 1836-1844
Author(s):  
Suresh H H ◽  
Vidyadevi M ◽  
Alka Varghese ◽  
Krishnaprasad A H ◽  
Reddy S P
Keyword(s):  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Operative Complications ◽  
Post Operative Complications

scholarly journals EP.WE.385A retrospective audit reviewing current practice on managing the incidence of anaemia and iron deficiency in pre-operative oesophagogastric resection patients

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Sumbal Bhatti ◽  
Laith Evans
Keyword(s):  
Tertiary Care ◽  
Iron Therapy ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Operative Complication ◽  
Operative Outcomes ◽  
Retrospective Audit ◽  
Increased Risk ◽  
Operative Complications ◽  
Post Operative Complications

Abstract Aims NICE guidelines state patients with anaemia should be offered iron therapy before and after surgery. An audit was undertaken at a tertiary care centre to assess compliance in patients undergoing oesophagogastric resection. Methods Retrospective audit looking at oesophagogastric resections over a period 12 months at a tertiary care centre. Data is being gathered from ORSOS and ICE to record pre, peri and post-operative haemoglobin and MCV, amongst other metrics, including whether iron therapy was prescribed. Data is also being gathered on post-operative outcomes. An intervention aiming to increase pre-operative haemoglobin levels will be implemented and then a repeat audit cycle will be carried out. Results Preliminary results from cycle 1 suggest that despite 71% of patients undergoing oesophagogastric resection having a haemoglobin&lt;130g/l in men and &lt;120g/l in women, only 6.7% are receiving preoperative iron therapy of any kind (i.e. oral or intravenous). 42.8% of all patients included suffered a post-operative complication. We predict implementation of changes in pre-operatively will reduce the post-operative complication rate. Conclusions The majority of patients undergoing oesophagogastric resection are not receiving adequate iron therapy prior to surgery and are being put at an increased risk of post-operative complications. Ongoing auditing will highlight the scope of the problem and reduce the risk of post-operative complications. Data is preliminary at this stage but due to the novelty of the audit (only one relevant paper was returned upon completing a structured literature search) we are submitting this abstract now as we believe it to be of clinical significance.

scholarly journals Intestinal obstruction in a tertiary care centre in India: are the differences with the Western experience becoming less?

2021 ◽  
Author(s):  
Suvendu Sekhar Jena ◽  
Ravi Chandra Reddy Obili ◽  
Sri Aurobindo Prasad Das ◽  
Ruchir Bhavsar ◽  
Sanket Solanki ◽  
...  
Keyword(s):  
Developing Countries ◽  
Intestinal Obstruction ◽  
Demographic Data ◽  
Tertiary Care ◽  
Developed Countries ◽  
Western World ◽  
Tertiary Care Centre ◽  
Duration Of Symptoms ◽  
Operative Complications ◽  
Post Operative Complications

Abstract Background: Patients with intestinal obstruction consist of a major proportion of emergency room visits and the complication is associated with significant morbidity and mortality. It has a diverse etiology and varies from region to country. In developed countries it is mainly due to adhesions and in developing countries due to obstructed hernias. Although there are numerous studies from the western world there have been few recent publications from the developing world. Method: We retrospectively analyzed all the patients admitted for intestinal obstruction to our department from January 1996 to December 2019. Their demographic data, duration of symptoms before presenting to the hospital and duration of stay before surgery in the hospital were noted along with cause and level of obstruction. The type of procedure, any post-operative complications, mortality or re-exploration were also noted. Post-operative complications were graded as per Clavien Dindo classification. Results: A total of 986 patients presented with intestinal obstruction during this period out of which 743 patients underwent surgery. There were 429 (57.74%) males 314 (42.26%) females who had a mean age of 50.1 years (range 11 to 96 years). The commonest cause of obstruction was adhesions in 273 (36.7%) followed by carcinoma [130(17.5%)], tuberculosis [111(14.9%)], stricture [94(12.7%)] and hernia (5.4%) patients. Colorectal surgery was the most common previous procedure in the adhesive group [85(31.1%)]. Colon cancer was the common cause in carcinoma group. Ileum was the most common site of obstruction [329(44.3%)]. The overall operative mortality was 41 (5.5%). Conclusion: Postoperative adhesions are now the commonest cause of intestinal obstruction in our referral center with a comparable mortality rate with western reports. Though the etiology of intestinal obstruction is shifting towards the western pattern, tuberculosis, obstructed inguinal hernia still consists a major chunk of patients in developing countries.

scholarly journals A STUDY ON VISUAL ACUITY OUTCOME ANALYSIS OF PATIENTS WITH APODIZED DIFFRACTIVE MULTIFOCAL IOL IN TERTIARY CARE CENTRE

2018 ◽  
Vol 7 (47) ◽  
pp. 5113-5117
Author(s):  
Ramesh Rajasekaran ◽  
Ashok Balagopal ◽  
Meenakumari Meenakumari ◽  
Prasanna Venkatesh Ramesh ◽  
Kalai Mohan
Keyword(s):  
Visual Acuity ◽  
Tertiary Care ◽  
Outcome Analysis ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Multifocal Iol

scholarly journals Lens-Induced Glaucoma: The Need to Spread Awareness about Early Management of Cataract among Rural Population

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Raghunandan Kothari ◽  
Sandeep Tathe ◽  
Pratik Gogri ◽  
Akshay Bhandari
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Tertiary Care ◽  
Late Presentation ◽  
Rural India ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Current Management ◽  
Early Management ◽  
Phacolytic Glaucoma

Purpose. To determine the clinical profile of lens-induced glaucoma (LIG), reasons for late presentation, and outcome of current management. Methods. Retrospective analysis of 50 eyes with LIG over a 6-year period between 2005 and 2011 at a tertiary care centre in rural India. Visual acuity and intraocular pressure (IOP) were assessed preoperatively and postoperatively along with postoperative complications. Results. Fifty (2.4%) of 12,004 senile cataracts operated at Pravara Rural Hospital, Loni, presented with LIG. There were 39 (78%) phacomorphic cases and 11 (22%) phacolytic glaucoma. Following cataract surgery, 21 of 50 operated eyes (42%) had visual acuity 6/60 or worse. Conclusion. The results highlight the importance of early diagnosis and treatment of visually disabling cataract. There is a need to educate both the patient and the cataract surgeon about the dangers of lens-induced glaucoma and of about poor outcome if treatment is delayed.

STUDY OF INTRAOPERATIVE COMPLICATIONS IN PATIENTS UNDERGOING SMALL INCISION CATARACT SURGERY AT A TERTIARY CARE CENTRE: A DESCRIPTIVE STUDY

2021 ◽  
pp. 73-76
Author(s):  
Uday S. Mohite ◽  
Aayushi Anil Agrawal
Keyword(s):  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Small Incision Cataract Surgery ◽  
Female Ratio ◽  
Small Incision ◽  
Operative Complications

Background: In India,Cataract is the leading cause of avoidable blindness.2 and cataract surgery forms the major workload of most ophthalmic units in the country. An estimated 4 million people become blind because of cataract every year,3 which is added to a backlog of 10 million operable cataracts in India, whereas only 5 million cataract surgeries are performed annually in the country.4 Thus, a technique of cataract surgery that is not only safe and effective but also economical and easy for the majority of ophthalmologists. It is estimated that about 25% of poor outcomes of cataract operations performed in developing countries annually are due to surgical complications.19 Minimizing intraoperative complications of cataract surgery is an important step towards eliminating visual impairment caused by such complications. Aim & Objective:1. To study intra-operative complications of manual small incision cataract surgery. 2. To study the visual outcome in patients of intra-operative complications following its management. Methods: Prospective cross sectional study, Study setting: Ophthalmology Department of tertiary care centre Study Duration: 2 years (October 2018 to December 2020).Study population: All patients with cataract requiring surgery admitted in tertiary care center Sample Size: 700 Results: Majority of study subjects belongs to age group 41 -40 years contributing 511 cases (73%) followed by age group 65 yrs and more 133 (19%),16-40 age group 35 (5%) and 15 years or less 21 (3%) respectively. males contributing 390 cases (55.71%) followed by females 310 cases (44.29%).Male: Female ratio is 1.25: 1. preoperative visual acuity in operated eye is in the range of < 3 /60 - Perception to light (PLPR) in majority of subjects contributing 497 cases (71%) followed by 161 cases (23%) in between < 6/ 60 - 3 /60 group, 35 cases (5%) in < 6 /18 to 6 /60 group and 7 cases (1 %) in 6 /18 or better group respectively. most common intraoperative complication was posterior capsular rent contributing 19 cases (2.71%) followed by iris prolapse 14 cases (2%), premature entry 10(1.43%), Descemet's membrane stripping 10 (1.43%), intraoperative hyphaema 8 (1.14%), capsular extension in 7 cases(1%) Iridodialysis in 5 (0.71%) and zonular dialysis in 5(0.57%) respectively Conclusions: Rate of complication was higher in hypermature type of cataract .There was no statistical signicant association between age and intraoperative complications.

scholarly journals Reconstruction of pressure ulcers with flaps in a tertiary care centre

2021 ◽  
Vol 8 (2) ◽  
pp. 647
Author(s):  
Ravikumar Gopalakrishnan ◽  
Manoharan Rajalingam ◽  
Balamuralee Rajagunasekaran ◽  
Ramya Esakimuthu
Keyword(s):  
Pressure Ulcers ◽  
Tertiary Care ◽  
Stage Iv ◽  
Stage Iii ◽  
Duration Of Treatment ◽  
Tertiary Care Centre ◽  
Operative Complications ◽  
Developed Pressure ◽  
Flap Cover ◽  
Post Operative Complications

Background: Patients with pressure ulcers have multiple risk factors and develop various post- operative complications. The purpose of the study is to analyse the outcome of management of pressure ulcers with different flaps.Methods: This is a retrospective study done in a series of patients who underwent flap reconstruction of pressure ulcers between 2016 and 2019 in the Department of Plastic and Reconstructive Surgery, Thanjavur medical college, Tamilnadu, India. Totally twenty-eight patients were operated for stage III and stage IV pressure ulcers with various types of flaps depending upon the site of pressure ulcers. Post operatively flaps were monitored for viability and post-operative complications. Results: Total 22 males, 5 females and 1 male child had undergone surgery for pressure ulcers. The age group ranged from 3years to 62 years with an average of 37 years. The sites of the pressure ulcers were as follows: 14 (50%) sacral; 10 (35.7%) ischial; 3 (10.7%) trochanteric and 1 (3.6%) multiple pressure ulcers. Most of the patients (60.7%) had traumatic paraplegia and developed pressure ulcers. 18 patients with stage III and 10 patients with stage IV pressure sores were operated with different flaps. Duration of treatment ranged from 29 to 118 days. The mean hospitalization was 78 days.  Conclusions: Effort is needed to prevent the development of pressure ulcers through the early identification of risk and early implementation of preventive measures. Flap cover is ideal to prevent recurrence. Post-operative follow- up with physiotherapy and rehabilitation are very important.

Total thyroidectomy for amiodarone-associated thyrotoxicosis: should surgery always be delayed for pre-operative medical preparation?

2012 ◽  
Vol 126 (7) ◽  
pp. 701-705 ◽  
Author(s):  
C Pierret ◽  
J-P Tourtier ◽  
Y Pons ◽  
S Merat ◽  
V Duverger ◽  
...  
Keyword(s):  
Emergency Surgery ◽  
Elective Surgery ◽  
Tertiary Care ◽  
Case Series ◽  
Multiple Organ ◽  
Antithyroid Drugs ◽  
Tertiary Care Centre ◽  
Term Outcome ◽  
Operative Complications ◽  
Post Operative Complications

AbstractObjective:Amiodarone can induce severe hyperthyroidism that justifies its withdrawal and the introduction of antithyroid drugs. Continuing amiodarone use, failure to control hyperthyroidism and poor clinical progress may require thyroidectomy. This study aimed to evaluate patients’ post-operative development and mid-term outcome after thyroidectomy for amiodarone-associated thyrotoxicosis.Study design:Prospective case series.Setting:Tertiary care centre.Subjects and methods:We prospectively collected cases of amiodarone-associated thyrotoxicosis requiring thyroidectomy due to failure of antithyroid treatment, despite amiodarone discontinuation. Post-thyroidectomy complications were compared immediately, 30 days and one year post-operatively, and also for scheduled versus emergency surgery cases.Results:Of 11 total cases, nine scheduled thyroidectomy cases had no morbidity after elective surgery. Two cases required emergency surgery for multiple organ failure and cardiac problems. Immediate post-operative complications (mostly haemodynamic) occurred in both cases (emergency vs routine surgery, p = 0.018).Conclusion:In such cases, pre-operative medical treatment is vital to limit peri- and post-operative complications, but surgery should not be delayed if the haemodynamic status deteriorates. Surgery, with careful anaesthesia, is the cornerstone of the treatment.

scholarly journals Visual outcomes in pediatric traumatic cataract

2022 ◽  
Vol 7 (4) ◽  
pp. 707-711
Author(s):  
Sumaiya Hasan ◽  
Dheerendra Singh ◽  
Neha Singh Jat ◽  
Vivek Paul Buddhe
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Posterior Capsular Opacification ◽  
Traumatic Cataract ◽  
Visual Axis ◽  
Iol Implantation ◽  
Visual Outcomes ◽  
Open Globe ◽  
Posterior Capsular Opacity ◽  
Capsular Rupture

To study epidemiology, biometry and visual outcomes (with or without posterior capsulorhexis) in cases of pediatric traumatic cataract. This was a prospective observational study conducted on 30 children of traumatic cataract belonging to an age group of less than 16 years. All patients were subjected to detailed history and ocular examination. Patients underwent cataract surgery with or without intraocular lens (IOL) implantation. Posterior capsulorhexis with posterior optic capture was done in all patients presenting with primary posterior capsular opacity. All patients were followed up till 6 months and surgical outcomes in terms of Best Corrected Visual Acuity (BCVA), and visual axis opacification (VAO) were observed. Firecracker injury was found to be the most common causal agent, followed by arrow and ball injuries. Males were more commonly injured than females (70%:30%). Open-globe injury was more frequent than closed globe injury (CGI) (53.3%:46.7%). Anterior capsular rupture was the most frequent preoperative complication. Mean axial length was 22.53 which was not significantly different from the fellow eye. 3 patients were left aphakic, 10 patients underwent single piece IOL implantation and 16 patients underwent multipiece IOL implantation. Anterior chamber IOL (ACIOL) was implanted in one case. Intraoperatively 6 patients were found to have posterior capsular plaque and were implanted with multipiece IOL with posterior optic capture. Visual acuity significantly improved in 21 out of 30 eyes from baseline after cataract surgery (p&#60;0.001). 9 patients (30%) had posterior capsular opacification (PCO) on follow up. Posterior capsular opacity in pediatric traumatic cataracts can be effectively managed with posterior capsulorhexis and posterior optic capture.

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