| Role of trabeculectomy in the management of hypertensive traumatic total hyphaema. | |
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MedLine Citation:
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PMID: 19651012 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the visual outcome and complications after trabeculectomy in patients of hypertensive traumatic total hyphaema. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Department of Ophthalmology, Dow University of Health Sciences, Karachi, from June 2004 to May 2008. METHODOLOGY: Patients with total hyphaema admitted in eye ward were included. Socio-demographic data was recorded. Complete ophthalmic examination and B-scan ultrasonography were undertaken. Trabeculectomy was performed. Visual outcome, intraocular pressure reduction and complications were recorded. Descriptive statistics were calculated. RESULTS: Twenty two patients underwent trabeculectomy with mean age was 23.18 +/- 12.67 years. Male to female ratio was 3.26:1. Toy gun pellet injury was present in 6 (27.3%) cases. The average intraocular pressure before surgery was 40.86 mm of Hg. All the patients had a visual acuity of light perception with an accurate projection. Evidence of corneal blood staining was observed in 16 (72.7%) patients. Mean intraocular pressure at last follow-up was 15.1 +/- 2.11 mm of Hg with a minimum of 12 mm and maximum of 20 mm of Hg in 19 (86.3%) patients (complete success). Three patients were on additional anti-glaucoma medications. Filtering bleb was functional in only 4 (18.2%) patients. Visual acuity was 6/18 or better in 18 (81.8%) patients at last follow-up. CONCLUSION: Trabeculectomy was a satisfactory procedure for traumatic hyphaema for restoring good vision, if undertaken earlier. This procedure is not associated with significant complications and is very useful in reducing raised intraocular pressure. |
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Authors:
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Mirza Shafiq Ali Baig; Jamshed Ahmed; Mir Amjad Ali |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP Volume: 19 ISSN: 1022-386X ISO Abbreviation: J Coll Physicians Surg Pak Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9606447 Medline TA: J Coll Physicians Surg Pak Country: Pakistan |
Other Details:
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Languages: eng Pagination: 496-9 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Dow University of Health Sciences, Karachi. drshafiqbaig@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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