Ibukunoluwa James Adeogun, B. Adekoya, Modupe Medina Balogun
The purpose of this research is to assess and compare the efficacy of an intracameral mydriatic solution with conventional topical agents in the completion of manual small incision cataract surgery (MSICS) in a black population. This randomised controlled trial was conducted among 102 patients undergoing MSICS under sub-tenon’s block. Mydriasis in the topical group was achieved with a pre-operative topical dilating combination of tropicamide 0.8% and phenylephrine 5% while surgery was commenced in patients in the intracameral group without dilation, and mydriasis was achieved intraoperatively with an intracameral solution of lidocaine 0.5% and adrenaline 0.001%. Pupil sizes were measured serially, before, and at four different junctures during surgery. The proportion of patients needing supplementary mydriasis in either group was noted, as well as post-operative pinhole visual acuity (VA). Data analysis was carried out using the Statistical Package for the Social Sciences Statistical Product and Service Solutions(SPSS) version 25.0 (IBM, Chicago, Illinois). The level of statistical significance was set at P < 0.05 at a 95% confidence interval. Mean pupil diameter before dilating and blocking was 2.5 ± 0.6 mm in the topical group and 2.5 ± 0.7 mm in the intracameral group (P = 0.752). This increased to 7.7 ± 1.1 mm and 7.4 ± 0.8 mm, respectively (P = 0.134), after administering either mydriatic agents. After that, mean pupil diameter progressively reduced in both groups but was significantly higher in the intracameral group at each point of measurement (P < 0.05). Postoperatively, there was no significant difference in the VA between the two groups (P < 0.05). Using an intracameral mixture of lidocaine and adrenaline gives adequate mydriasis for the successful completion of MSICS without pre-operative dilation.
{"title":"Comparison of pupil dilation in manual small incision cataract surgery using topical versus intracameral mydriatic agents – A randomised controlled trial","authors":"Ibukunoluwa James Adeogun, B. Adekoya, Modupe Medina Balogun","doi":"10.25259/gjcsro_2_2024","DOIUrl":"https://doi.org/10.25259/gjcsro_2_2024","url":null,"abstract":"\u0000\u0000The purpose of this research is to assess and compare the efficacy of an intracameral mydriatic solution with conventional topical agents in the completion of manual small incision cataract surgery (MSICS) in a black population.\u0000\u0000\u0000\u0000This randomised controlled trial was conducted among 102 patients undergoing MSICS under sub-tenon’s block. Mydriasis in the topical group was achieved with a pre-operative topical dilating combination of tropicamide 0.8% and phenylephrine 5% while surgery was commenced in patients in the intracameral group without dilation, and mydriasis was achieved intraoperatively with an intracameral solution of lidocaine 0.5% and adrenaline 0.001%. Pupil sizes were measured serially, before, and at four different junctures during surgery. The proportion of patients needing supplementary mydriasis in either group was noted, as well as post-operative pinhole visual acuity (VA). Data analysis was carried out using the Statistical Package for the Social Sciences Statistical Product and Service Solutions(SPSS) version 25.0 (IBM, Chicago, Illinois). The level of statistical significance was set at P < 0.05 at a 95% confidence interval.\u0000\u0000\u0000\u0000Mean pupil diameter before dilating and blocking was 2.5 ± 0.6 mm in the topical group and 2.5 ± 0.7 mm in the intracameral group (P = 0.752). This increased to 7.7 ± 1.1 mm and 7.4 ± 0.8 mm, respectively (P = 0.134), after administering either mydriatic agents. After that, mean pupil diameter progressively reduced in both groups but was significantly higher in the intracameral group at each point of measurement (P < 0.05). Postoperatively, there was no significant difference in the VA between the two groups (P < 0.05).\u0000\u0000\u0000\u0000Using an intracameral mixture of lidocaine and adrenaline gives adequate mydriasis for the successful completion of MSICS without pre-operative dilation.\u0000","PeriodicalId":506622,"journal":{"name":"Global Journal of Cataract Surgery and Research in Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743700","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}
{"title":"Starting manual small incision cataract surgery as a phaco surgeon","authors":"Jasmine Yaowei Ge, Claire L. Peterson","doi":"10.25259/gjcsro_7_2024","DOIUrl":"https://doi.org/10.25259/gjcsro_7_2024","url":null,"abstract":"","PeriodicalId":506622,"journal":{"name":"Global Journal of Cataract Surgery and Research in Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796479","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}
{"title":"Effective glaucoma patient care: Unlocking success through communication","authors":"B. Nayak","doi":"10.25259/gjcsro_33_2023","DOIUrl":"https://doi.org/10.25259/gjcsro_33_2023","url":null,"abstract":"","PeriodicalId":506622,"journal":{"name":"Global Journal of Cataract Surgery and Research in Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139140023","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 use of traditional eye medication (TEM) is an age-long practice whose negative effects on eye health have been well documented. TEM involves the application of different harmful preparations to the eye as a form of treatment. This article is aimed at highlighting the burden of harmful traditional practices on eye care in Nigeria. A review of available literature was conducted to summarize the different types of harmful traditional eye practices in Nigeria, including the many different preparations used. Prevalence of harmful traditional practices, determinants, burden in Nigeria. Issues relating to determinants, prevalence, indications for TEM use, presentation of patients with a history of TEM use, ocular complications following TEM use, the pathway to blindness with TEM use, economic burden, and prevention were considered in the review. The prevalence of TEM use was 15.5%, and the common determinants included low socioeconomic status, rural residence, poor access to conventional eye care, and cultural beliefs. The indications for the use of these medications included blurring of vision, red eyes, ocular pain, and itching. Patients who used TEMs presented with various levels of visual impairment (14.5% and 13.1%, respectively, for moderate and severe visual impairment), and 51.3% were reported blind at presentation. The common complications of these agents were corneal scars (opacities), staphylomas, endophthalmitis and panophthalmitis, corneal ulcers and perforations, uveitis, band and bullous keratopathies, complicated cataracts, subluxated lens, and descemetoceles. The prevalence of TEM use, visual impairment, and blindness arising from it is high in Nigeria. The ocular morbidities that follow TEM use constitute a significant burden (economic and otherwise) on eye care delivery in the country. A multipronged approach by stakeholders is required to mitigate the enablers of TEM practice in Nigeria. Furthermore, where there are complications, prompt referral to an ophthalmologist is advocated as they are well-equipped to provide the most appropriate management.
使用传统眼药（TEM）是一种由来已久的做法，其对眼睛健康的负面影响有据可查。传统眼药是将各种有害制剂涂抹在眼睛上的一种治疗方式。本文旨在强调有害传统习俗对尼日利亚眼科护理造成的负担。 我们对现有文献进行了回顾，总结了尼日利亚不同类型的有害传统用眼方法，包括所使用的多种不同制剂。尼日利亚有害传统习俗的普遍性、决定因素和负担。综述考虑了有关决定因素、流行率、使用 TEM 的适应症、有使用 TEM 病史的患者的表现、使用 TEM 后的眼部并发症、使用 TEM 导致失明的途径、经济负担和预防等问题。使用 TEM 的流行率为 15.5%，常见的决定因素包括社会经济地位低下、居住在农村、难以获得常规眼科护理以及文化信仰。使用这些药物的适应症包括视力模糊、眼睛发红、眼痛和眼痒。使用 TEMs 的患者有不同程度的视力损害（中度和重度视力损害分别占 14.5%和 13.1%），51.3% 的患者在就诊时已失明。这些药物的常见并发症包括角膜疤痕（不透明）、葡萄肿、眼底病和泛眼底病、角膜溃疡和穿孔、葡萄膜炎、带状角膜病和牛皮状角膜病、复杂性白内障、晶状体脱位和脱囊。 在尼日利亚，使用 TEM、视力损伤和失明的发病率很高。使用 TEM 后引起的眼部疾病给该国的眼科保健工作造成了沉重的负担（经济负担和其他负担）。利益相关者需要采取多管齐下的方法来减少尼日利亚使用 TEM 的诱因。此外，如果出现并发症，应立即转诊给眼科医生，因为他们有能力提供最适当的治疗。
{"title":"Harmful traditional eye practices in Nigeria and its burden on eye care: A review of literature","authors":"G. Nathaniel, U. Eze","doi":"10.25259/gjcsro_29_2023","DOIUrl":"https://doi.org/10.25259/gjcsro_29_2023","url":null,"abstract":"The use of traditional eye medication (TEM) is an age-long practice whose negative effects on eye health have been well documented. TEM involves the application of different harmful preparations to the eye as a form of treatment. This article is aimed at highlighting the burden of harmful traditional practices on eye care in Nigeria. A review of available literature was conducted to summarize the different types of harmful traditional eye practices in Nigeria, including the many different preparations used. Prevalence of harmful traditional practices, determinants, burden in Nigeria. Issues relating to determinants, prevalence, indications for TEM use, presentation of patients with a history of TEM use, ocular complications following TEM use, the pathway to blindness with TEM use, economic burden, and prevention were considered in the review. The prevalence of TEM use was 15.5%, and the common determinants included low socioeconomic status, rural residence, poor access to conventional eye care, and cultural beliefs. The indications for the use of these medications included blurring of vision, red eyes, ocular pain, and itching. Patients who used TEMs presented with various levels of visual impairment (14.5% and 13.1%, respectively, for moderate and severe visual impairment), and 51.3% were reported blind at presentation. The common complications of these agents were corneal scars (opacities), staphylomas, endophthalmitis and panophthalmitis, corneal ulcers and perforations, uveitis, band and bullous keratopathies, complicated cataracts, subluxated lens, and descemetoceles. The prevalence of TEM use, visual impairment, and blindness arising from it is high in Nigeria. The ocular morbidities that follow TEM use constitute a significant burden (economic and otherwise) on eye care delivery in the country. A multipronged approach by stakeholders is required to mitigate the enablers of TEM practice in Nigeria. Furthermore, where there are complications, prompt referral to an ophthalmologist is advocated as they are well-equipped to provide the most appropriate management.","PeriodicalId":506622,"journal":{"name":"Global Journal of Cataract Surgery and Research in Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139174993","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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