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Vol. 12, No. 4, Oct - Dec 2016

Past Issues - Vol. 9 , No. 1, Jan - Jun 2013 (Index Issue)

Al-Shifa Journal of Ophthalmology

Public Health and Ophthalmology in Pakistan: opportunities and challenges
Zahid Ahmad Butt MBBS, MSc, PhD

Management of ocular complications in Terson’s syndrome

Hussain Ahmad Khaqan FCPS FRCS FCPS (Vitreo Retina), Muhammad Afzal Mian FCPS, Abida Fida MBBS, Farrukh Jameel MBBS, Hassan Mansoor MBBS

The study describes the course and management of 6 patients presenting with vitreous hemorrhage and intracranial hemorrhage simultaneously at department of Ophthalmology Lahore General Hospital, Lahore. Vision improved in two cases by conservative management and in one case by 23G pars plana vitrectomy. Vision remained the same on in one case, deteriorated in one and one patient was lost to follow up.

Ocular features, clinical profile and results of surgical intervention in a series of patients with port wine stain and neurofibromatosis

Saemah Nuzhat Zafar MCPS FCPS FRCS, M Abdul Moqeet Khan FCPS, Saqib Qayyum Ahmad FCPS, Saerah Iffat Zafar FCPS FRCR Nadeem Qureshi FCPS

The study describes the ocular features, clinical profile and results of surgical intervention in a series of patients with facial port-wine stain (PWS) and neurofibromatosis (NF) in the pediatric age group. A total of 9 eyes of 8 patients were included. Glaucoma was present in 6 eyes. Episcleral haemangioma was noticed in one patient, retinal detachment (RD) was seen in 2 patients. Diffuse choroidal thickening on B scan was noted in 5 eyes of patients with PWS. Post operative complications after treatment of glaucoma in such patients can largely be prevented with special measures taken per-operatively.

Visual Outcomes of Harada Disease

Hussain Ahmad Khaqan FCPS FRCS FCPS(Vitreo Retina), Abida Fida MBBS, Usman Imtiaz MBBS, Farrukh Jameel MBBS, Hadia Jabeen MBBS, Hassan Mansoor MBBS

The study describes the disease course and management of 4 patients presenting with exudative retinal detachment at Lahore General Hospital, Lahore. Detailed ocular exam including visual acuity, slit lamp examination and dilated fundus examination was done followed by Fundus photos and Optical Coherence Tomography pre and post treatment. The visual improvement was satisfactory for the patients with timely diagnosis and appropriate management.

Changes in intraocular pressure following phacoemulsification

Furqan Ahmed Khan FCPS, Khadija Mohammad FCPS, Muhamma Kashif Habib FCPS

This study was conducted to evaluate differences in IOP before and after phacoemulsification surgery. Total number of 38 eyes were operated upon and intraocular pressure was recorded using a Goldmann tonometer. Types of viscoelastic and IOL were also noted. The increase in IOP was higher in the Viscoat group, 14.28%, as compared to the Hydroxypropyl methylcellulose (HPMC) group, 7.14%. Mean IOP was 14.71 mmHg after surgery as compared to 12.42 mmHg preoperatively.

Frequency of esotropia and exotropia among patients between 3 to 25 years of age

Muhammad Asif Malik, Um-e-Habiba BSc (HONS) Optometry and Orthoptics

A total of 100 consecutive strabismus patients were examined out of 3430 patients attending the out-patient department within the time period of three months, according to the set criteria. Overall frequency of esotropia was 63% and exotropia 27%. Strabismus was more common in children with 78% patients between the age of 1-14 years & 22% patients between the age of 15-25 years.

Visual fields defects as a possible cause of trauma or falls in the patients blaming trauma for their visual loss

Mahmood Ali FRCS, FCPS, MCPS, Farah Akhtar FCPS DOMS

The study investigated the possibility of visual field defects as a cause of trauma or falls in glaucoma patients who blamed trauma for their visual loss. Out of 384 patients enrolled in the study, the most common type of ocular trauma was blunt close type observed in 229 (59.6%) patients. Glaucoma was diagnosed in 324 (84.37%) traumatized and 143 (37.23%) non traumatized fellow eyes while 53 (13.8%) non traumatized eyes were labeled as glaucoma suspects. Detection of advanced glaucoma in traumatized eyes and visual field defects in a significant number of fellow eyes suggests the possibility of existing visual field defects as a likely cause of injuries or falls in glaucoma patients.