Atrial brillation (AF) risk factors are multifaceted, encompassing hypertensive heart disease, coronary heart disease, rheumatic heart disease, and more. Hypertension and CHD are prevalent in developed nations, with hypertension notably increasing AF risk. Classication of AF distinguishes paroxysmal, persistent, long-standing persistent, and permanent forms, highlighting the progressive nature of the condition. Subclinical or occult AF may lack apparent symptoms. A comprehensive evaluation of AF includes medical history, associated conditions, and reversible causes, followed by physical examination and diagnostic tests. Initial management with the ABC pathway involves anticoagulation, symptom management, and assessing cardiovascular risk. Long-term management includes early follow-up, thromboembolism prevention, addressing AF recurrence, and rate or rhythm control decisions. Regular follow-up and monitoring complete the care for AF patients.
{"title":"ADVANCES IN UNDERSTANDING ATRIAL FIBRILLATION: A NARRATIVE REVIEW","authors":"Natalia Salgado Montes","doi":"10.36106/gjra/0504404","DOIUrl":"https://doi.org/10.36106/gjra/0504404","url":null,"abstract":"Atrial brillation (AF) risk factors are multifaceted, encompassing hypertensive heart disease, coronary heart disease, rheumatic heart disease, and more. Hypertension and CHD are prevalent in developed nations, with hypertension notably increasing AF risk. Classication of AF distinguishes paroxysmal, persistent, long-standing persistent, and permanent forms, highlighting the progressive nature of the condition. Subclinical or occult AF may lack apparent symptoms. A comprehensive evaluation of AF includes medical history, associated conditions, and reversible causes, followed by physical examination and diagnostic tests. Initial management with the ABC pathway involves anticoagulation, symptom management, and assessing cardiovascular risk. Long-term management includes early follow-up, thromboembolism prevention, addressing AF recurrence, and rate or rhythm control decisions. Regular follow-up and monitoring complete the care for AF patients.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139275152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ravi Kant, Srishti Jain, Rajeev Yadav, Anamika Tomar
Background; In the Indian system of education, obtaining good marks are more important than acquiring knowledge. This leads to overburdening the students with academic workload causing a lot of academic stress among Indian adolescents. To assess level of academic stress and it's associat Objective: ed factors among school going adolescents attending coaching institute. Observational cross-sectional study was Material and Methods: conducted using ASS questionnaire among class 9th to 12th adolescents of randomly selected co-ed coaching institute, Jaipur from January 2023 to March 2023. Out of 120 study participants 46% were females. 8 Results: 4% students had academic stress, 33% had mild, 37.5% had moderate and 13.5% had severe academic stress. Our stud Conclusion: y found that half of students have moderate to severe academic stress which is alarming concern.
{"title":"A CROSS-SECTIONAL STUDY TO ASSESS LEVEL OF ACADEMIC STRESS AND IT'S ASSOCIATED FACTORS AMONG SCHOOL GOING ADOLESCENTS ATTENDING COACHING INSTITUTE, JAIPUR, RAJASTHAN","authors":"Ravi Kant, Srishti Jain, Rajeev Yadav, Anamika Tomar","doi":"10.36106/gjra/8703620","DOIUrl":"https://doi.org/10.36106/gjra/8703620","url":null,"abstract":"Background; In the Indian system of education, obtaining good marks are more important than acquiring knowledge. This leads to overburdening the students with academic workload causing a lot of academic stress among Indian adolescents. To assess level of academic stress and it's associat Objective: ed factors among school going adolescents attending coaching institute. Observational cross-sectional study was Material and Methods: conducted using ASS questionnaire among class 9th to 12th adolescents of randomly selected co-ed coaching institute, Jaipur from January 2023 to March 2023. Out of 120 study participants 46% were females. 8 Results: 4% students had academic stress, 33% had mild, 37.5% had moderate and 13.5% had severe academic stress. Our stud Conclusion: y found that half of students have moderate to severe academic stress which is alarming concern.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139275277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The surgical management of acute hip fractures is a critical juncture, demanding surgical expertise and careful decision-making. Three key factors inuence the decision-making process: a comprehensive patient health assessment to determine surgical feasibility, an evaluation of procedure urgency based on patient stability and potential consequences of delay, and the choice of surgical intervention guided by factors such as fracture location, displacement degree, and patient physiology. Early surgery is preferred to minimize complications and enhance patient outcomes, typically within the rst 48 hours of admission. For femoral neck fractures, arthroplasty is favored for displaced fractures in elderly patients, while intertrochanteric and subtrochanteric fractures require surgical intervention and postoperative rehabilitation for optimal recovery. Perioperative care encompasses a comprehensive and personalized approach from assessment to rehabilitation.
{"title":"MANAGEMENT ACUTE HIP FRACTURE: NARRATIVE REVIEW","authors":"Mayra Alejandra Aristizabal Vargas","doi":"10.36106/gjra/5104387","DOIUrl":"https://doi.org/10.36106/gjra/5104387","url":null,"abstract":"The surgical management of acute hip fractures is a critical juncture, demanding surgical expertise and careful decision-making. Three key factors inuence the decision-making process: a comprehensive patient health assessment to determine surgical feasibility, an evaluation of procedure urgency based on patient stability and potential consequences of delay, and the choice of surgical intervention guided by factors such as fracture location, displacement degree, and patient physiology. Early surgery is preferred to minimize complications and enhance patient outcomes, typically within the rst 48 hours of admission. For femoral neck fractures, arthroplasty is favored for displaced fractures in elderly patients, while intertrochanteric and subtrochanteric fractures require surgical intervention and postoperative rehabilitation for optimal recovery. Perioperative care encompasses a comprehensive and personalized approach from assessment to rehabilitation.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139270752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We present a case report of a 53-year-old woman with multiple comorbidities, including morbid obesity, severe obstructive sleep apnoea, hypertension, type 2 diabetes mellitus, post-burn complications, poor intravenous access, and an anticipated difcult airway. The patient underwent elective umbilical meshplasty under general anaesthesia. This report highlights the challenges encountered during anaesthetic management and the successful outcomes achieved through a carefully planned approach. The induction, intubation, and intraoperative period were uneventful, and the patient was extubated on the rst postoperative day. Intermittent non-invasive ventilation support was provided until the fth postoperative day. This case report emphasizes the importance of considering the unique considerations and potential contraindications in patients with multiple comorbidities and post-burn complications.
{"title":"ANAESTHETIC MANAGEMENT OF A MORBIDLY OBESE PATIENT WITH MULTIPLE COMORBIDITIES AND POST-BURN COMPLICATIONS: A CASE REPORT","authors":"V. K. Uppalapati, D. Nag","doi":"10.36106/gjra/1804703","DOIUrl":"https://doi.org/10.36106/gjra/1804703","url":null,"abstract":"We present a case report of a 53-year-old woman with multiple comorbidities, including morbid obesity, severe obstructive sleep apnoea, hypertension, type 2 diabetes mellitus, post-burn complications, poor intravenous access, and an anticipated difcult airway. The patient underwent elective umbilical meshplasty under general anaesthesia. This report highlights the challenges encountered during anaesthetic management and the successful outcomes achieved through a carefully planned approach. The induction, intubation, and intraoperative period were uneventful, and the patient was extubated on the rst postoperative day. Intermittent non-invasive ventilation support was provided until the fth postoperative day. This case report emphasizes the importance of considering the unique considerations and potential contraindications in patients with multiple comorbidities and post-burn complications.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139270983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aditya Upadhyayula, Yogi Nagender M, Srinivas Upadhyayula
Beckwith Wiedemann Syndrome (BWS) is a congenital condition characterised by overgrowth of different body parts which is usually manifested at birth. It is a rare condition where there may be hemi hyperplasia, omphalocele or other abdominal wall defects, hypoglycaemia in neonatal period, macroglossia, intra-abdominal visceromegaly, ear skin creases or pits, and renal abnormalities (Wilms tumor). They have high risk to develop tumours; especially Wilms tumour, hepatoblastoma, rhabdomyosarcoma. Degree of clinical manifestations vary from person to person as some may have all features while some may have only one of the many symptoms.
{"title":"BECKWITH WEIDEMANN SYNDROME- A DIAGNOSTIC DILEMMA","authors":"Aditya Upadhyayula, Yogi Nagender M, Srinivas Upadhyayula","doi":"10.36106/gjra/2300995","DOIUrl":"https://doi.org/10.36106/gjra/2300995","url":null,"abstract":"Beckwith Wiedemann Syndrome (BWS) is a congenital condition characterised by overgrowth of different body parts which is usually manifested at birth. It is a rare condition where there may be hemi hyperplasia, omphalocele or other abdominal wall defects, hypoglycaemia in neonatal period, macroglossia, intra-abdominal visceromegaly, ear skin creases or pits, and renal abnormalities (Wilms tumor). They have high risk to develop tumours; especially Wilms tumour, hepatoblastoma, rhabdomyosarcoma. Degree of clinical manifestations vary from person to person as some may have all features while some may have only one of the many symptoms.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139271359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Squamous cell carcinoma is a common malignancy of the ocular surface. Surgical excision of the lesion is the most common intervention used to treat Squamous cell carcinoma of the conjunctiva. Radiotherapy could provide an alternative for the treatment of Squamous cell carcinoma of the conjunctiva, resulting in improved cosmetics and functional outcomes. This case study reports on, with informed consent from t Objective: he patient, the use of brachytherapy for recurrent SCC of the conjunctiva. Follow-up in this case study – evident by Results and Conclusion: disease control at 3 months post-treatment – provides a unique case to suggest brachytherapy implant as a viable option for the treatment of suitable cases of recurrent conjunctival squamous cell carcinoma
{"title":"BRACHYTHERAPY AS A TREATMENT ALTERNATIVE FOR RECURRENT CONJUNCTIVAL SQUAMOUS CELL CARCINOMA: A CASE REPORT","authors":"Anshika Gupta","doi":"10.36106/gjra/2100186","DOIUrl":"https://doi.org/10.36106/gjra/2100186","url":null,"abstract":"Background: Squamous cell carcinoma is a common malignancy of the ocular surface. Surgical excision of the lesion is the most common intervention used to treat Squamous cell carcinoma of the conjunctiva. Radiotherapy could provide an alternative for the treatment of Squamous cell carcinoma of the conjunctiva, resulting in improved cosmetics and functional outcomes. This case study reports on, with informed consent from t Objective: he patient, the use of brachytherapy for recurrent SCC of the conjunctiva. Follow-up in this case study – evident by Results and Conclusion: disease control at 3 months post-treatment – provides a unique case to suggest brachytherapy implant as a viable option for the treatment of suitable cases of recurrent conjunctival squamous cell carcinoma","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139273588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Among proximal femoral fractures, displaced femoral neck fractures (FNFs) are the most common (37% frequency), while two-thirds of total FNFs are displaced fractures. Fractures of Hip are one of the commonest injuries sustained by the aged. These occur predominantly in patients over 60 years of age. Morbidity and mortality increases with age. Over the years, osteosynthesis has been indicated as the preferable treatment for stable intertrochanteric fractures and has shown promising results, but high rate of mortality render this option impractical in unstable intertrochanteric fracture cases. As a result, role of primary hemiarthroplasty in intertrochanteric femur fractures emerged as a valid choice for treatment of unstable intertrochanteric fractures and has shown promising results with fewer complications. Hence the present study was done to analyze the role of primary hemiarthroplasty and the functional outcomes in cases of intertrochanteric femur fractures using Harris Hip Score. A prospective observational stud Methods y was done on 25 patients with intertrochanteric fractures treated with hemiarthroplasty. Patients with age more than 65 years, consent to participate and follow up in post-operative rehabilitation were included. There were 20 females and 5 males with an average age of 77.5 years. After proper assessment, patients were treated using direct lateral approach for hip with monopolar or modular bipolar hemiarthroplasty. All patients were assessed by Harris Hip score. These scores were used as an outcome measure of functional recovery in activities of daily living (ADLs). The mean VAS Score at discharge was 5.15±2. Results 26 which improved signicantly at post-op 1 month (3.52±0.86) and post-op 3 months (2.56±0.57). The difference in VAS score during follow-up period was statistically signicant as per ANOVA test (p<0.05). The functional daily activities in patients were measured by Harris Hip Score. The mean Harris Hip Score at discharge was 65.88±8.65 which improved signicantly at post-op 1 month (72.68±4.57) and post-op 3 months (76.88±5.54). The difference in Harris Hip Score during follow-up period was statistically signicant as per ANOVA test (p<0.05).
{"title":"TO STUDY THE FUNCTIONAL OUTCOME OF ELDERLY PATIENTS HAVING INTERTROCHANTERIC FEMUR FRACTURE TREATED WITH HEMIARTHROPLASTY","authors":"Sandeep Ramola, Chandra Shekhar, Aditya Kumar Singh","doi":"10.36106/gjra/8001009","DOIUrl":"https://doi.org/10.36106/gjra/8001009","url":null,"abstract":"Background Among proximal femoral fractures, displaced femoral neck fractures (FNFs) are the most common (37% frequency), while two-thirds of total FNFs are displaced fractures. Fractures of Hip are one of the commonest injuries sustained by the aged. These occur predominantly in patients over 60 years of age. Morbidity and mortality increases with age. Over the years, osteosynthesis has been indicated as the preferable treatment for stable intertrochanteric fractures and has shown promising results, but high rate of mortality render this option impractical in unstable intertrochanteric fracture cases. As a result, role of primary hemiarthroplasty in intertrochanteric femur fractures emerged as a valid choice for treatment of unstable intertrochanteric fractures and has shown promising results with fewer complications. Hence the present study was done to analyze the role of primary hemiarthroplasty and the functional outcomes in cases of intertrochanteric femur fractures using Harris Hip Score. A prospective observational stud Methods y was done on 25 patients with intertrochanteric fractures treated with hemiarthroplasty. Patients with age more than 65 years, consent to participate and follow up in post-operative rehabilitation were included. There were 20 females and 5 males with an average age of 77.5 years. After proper assessment, patients were treated using direct lateral approach for hip with monopolar or modular bipolar hemiarthroplasty. All patients were assessed by Harris Hip score. These scores were used as an outcome measure of functional recovery in activities of daily living (ADLs). The mean VAS Score at discharge was 5.15±2. Results 26 which improved signicantly at post-op 1 month (3.52±0.86) and post-op 3 months (2.56±0.57). The difference in VAS score during follow-up period was statistically signicant as per ANOVA test (p<0.05). The functional daily activities in patients were measured by Harris Hip Score. The mean Harris Hip Score at discharge was 65.88±8.65 which improved signicantly at post-op 1 month (72.68±4.57) and post-op 3 months (76.88±5.54). The difference in Harris Hip Score during follow-up period was statistically signicant as per ANOVA test (p<0.05).","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139271579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hemophagocytic lymphohistiocytosis (HLH) is a potentially fatal hyperinammatory syndrome due to abnormal immune process and multiorgan inltration by phagocytic histiocytes. Renal presentation is very rare. Collapsing glomerulopathy with underlying autoimmune disease leading to HLH is documented in the present case.
{"title":"COLLAPSING GLOMERULOPATHY IN HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS","authors":"Figer Ishika R, Shinde Sweety V","doi":"10.36106/gjra/1405345","DOIUrl":"https://doi.org/10.36106/gjra/1405345","url":null,"abstract":"Hemophagocytic lymphohistiocytosis (HLH) is a potentially fatal hyperinammatory syndrome due to abnormal immune process and multiorgan inltration by phagocytic histiocytes. Renal presentation is very rare. Collapsing glomerulopathy with underlying autoimmune disease leading to HLH is documented in the present case.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Priyanka Pravin Deshmukh, Jessy Vennel, A. Wasnik, Prachi Pravin Deshmukh
The Transversus abdominis plane black is one of the different approaches for providing post-operative analgesia in pts posted for nephrectomy. We compared precision USG guided Lateral TAP block with dual i.e, lateral + subcostal TAP block. We assessed the VAS score, nausea and vomiting scores in 24 hrs post-operative period. The VAS score and nausea and vomiting score in post - operative 24 hrs period was less in patients receiving Dual (lateral + subcostal TAP block) than Lateral TAP block. The Dual TAP block (lateral + Subcostal) is more effective than Lateral TAP black as a post-op pain management in patients posted for nephrectomy.
腹横肌平面黑色阻滞是为接受肾切除术的患者提供术后镇痛的不同方法之一。我们比较了 USG 引导下的精确外侧 TAP 阻滞和双重 TAP 阻滞，即外侧 + 肋下 TAP 阻滞。我们对术后 24 小时的 VAS 评分、恶心和呕吐评分进行了评估。接受双TAP阻滞（外侧+肋下TAP阻滞）的患者术后24小时的VAS评分、恶心和呕吐评分均低于外侧TAP阻滞。对于接受肾切除术的患者来说，双TAP阻滞（外侧+肋下）比外侧TAP黑色阻滞更能有效缓解术后疼痛。
{"title":"A COMPARATIVE STUDY BETWEEN LATERAL TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS A DUAL (LATERAL + SUBCOSTAL) TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POST OPERATIVE ANALGESIA IN OPEN NEPHRECTOMY","authors":"Priyanka Pravin Deshmukh, Jessy Vennel, A. Wasnik, Prachi Pravin Deshmukh","doi":"10.36106/gjra/4300626","DOIUrl":"https://doi.org/10.36106/gjra/4300626","url":null,"abstract":"The Transversus abdominis plane black is one of the different approaches for providing post-operative analgesia in pts posted for nephrectomy. We compared precision USG guided Lateral TAP block with dual i.e, lateral + subcostal TAP block. We assessed the VAS score, nausea and vomiting scores in 24 hrs post-operative period. The VAS score and nausea and vomiting score in post - operative 24 hrs period was less in patients receiving Dual (lateral + subcostal TAP block) than Lateral TAP block. The Dual TAP block (lateral + Subcostal) is more effective than Lateral TAP black as a post-op pain management in patients posted for nephrectomy.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Misbah Shaikh, Sanket Nisale, U. Nisale, Vaibhavi Churi, Priyanka Patel
Background and objective: Pseudoexfoliation syndrome is an age related systemic microbrillopathy that involves eyes through gradual deposition of abnormal brillar extracellular material in ocular tissues. The pseudoexfoliative material is deposited on the corneal endothelium, trabecular meshwork, angle structures, iris, pupillary margins, ciliary processes, zonules, anterior lens capsule, and anterior hyaloid phase. Pseudoexfoliation syndrome is associated with an increased incidence of nuclear cataracts. This study is done to analyse the intraoperative complications of cataract surgery in patients with pseudoexfoliation. Materials and methods: It is an observational study conducted in the department of Ophthalmology in a tertiary care hospital from January 2021 to December 2022. A total of 78 eyes of 78 patients aged more than 40 years diagnosed with cataract and associated with pseudoexfoliation were included in the study. After assessing best corrected visual acuity (BCVA), detailed anterior and posterior segment evaluation was done along with keratometry, contact A-scan biometry. Intraocular lens (IOL) power was calculated. All patients underwent small incision cataract surgery (SICS) under peribulbar anaesthesia and intraocular lens was implanted. Intraoperative complications were reported. BCVA was recorded on day 1, 1st week and 6th week. Results: Out of 78 eyes of 78 patients, 42(53.8%) were males and remaining i.e. 36(46.2%) were females. Out of these 61.5 % had bilateral involvement. The intraoperative difculties observed during cataract cataract surgery was poor pupillary dilation, which was seen in 41% patients. The intraoperative complications like rhexis extension, posterior capsular rent, zonular dialysis, vitreous loss were noted. The BCVA of 6/12 and more was noted in 80.8% patients on post op 6th week. Conclusion: Inadequate mydriasis is one of the major preoperative risk factors in patients with Pseudoexfoliation syndrome which in turn result in the intraoperative complications. Although Cataract surgery in patients with pseudoexfoliation is challenging, if the surgeon is aware of the condition pre-operatively and pays meticulous attention to the surgical technique, the intraoperative complications can be managed and a good outcome can be expected.
{"title":"STUDY ON INTRAOPERATIVE COMPLICATIONS OF CATARACT SURGERY IN PATIENTS WITH PSEUDOEXFOLIATION","authors":"Misbah Shaikh, Sanket Nisale, U. Nisale, Vaibhavi Churi, Priyanka Patel","doi":"10.36106/gjra/4903309","DOIUrl":"https://doi.org/10.36106/gjra/4903309","url":null,"abstract":"Background and objective: Pseudoexfoliation syndrome is an age related systemic microbrillopathy that involves eyes through gradual deposition of abnormal brillar extracellular material in ocular tissues. The pseudoexfoliative material is deposited on the corneal endothelium, trabecular meshwork, angle structures, iris, pupillary margins, ciliary processes, zonules, anterior lens capsule, and anterior hyaloid phase. Pseudoexfoliation syndrome is associated with an increased incidence of nuclear cataracts. This study is done to analyse the intraoperative complications of cataract surgery in patients with pseudoexfoliation. Materials and methods: It is an observational study conducted in the department of Ophthalmology in a tertiary care hospital from January 2021 to December 2022. A total of 78 eyes of 78 patients aged more than 40 years diagnosed with cataract and associated with pseudoexfoliation were included in the study. After assessing best corrected visual acuity (BCVA), detailed anterior and posterior segment evaluation was done along with keratometry, contact A-scan biometry. Intraocular lens (IOL) power was calculated. All patients underwent small incision cataract surgery (SICS) under peribulbar anaesthesia and intraocular lens was implanted. Intraoperative complications were reported. BCVA was recorded on day 1, 1st week and 6th week. Results: Out of 78 eyes of 78 patients, 42(53.8%) were males and remaining i.e. 36(46.2%) were females. Out of these 61.5 % had bilateral involvement. The intraoperative difculties observed during cataract cataract surgery was poor pupillary dilation, which was seen in 41% patients. The intraoperative complications like rhexis extension, posterior capsular rent, zonular dialysis, vitreous loss were noted. The BCVA of 6/12 and more was noted in 80.8% patients on post op 6th week. Conclusion: Inadequate mydriasis is one of the major preoperative risk factors in patients with Pseudoexfoliation syndrome which in turn result in the intraoperative complications. Although Cataract surgery in patients with pseudoexfoliation is challenging, if the surgeon is aware of the condition pre-operatively and pays meticulous attention to the surgical technique, the intraoperative complications can be managed and a good outcome can be expected.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139275670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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