Pub Date : 2024-01-23DOI: 10.62276/ophthalmolpak.13.03.126
Asma Mushtaq, Ahmed Raza, Zaib un Nisa, S. Qayyum, Irfan Waheed
Abstract Purpose: To study the incidence of retinopathy of prematurity at a tertiary care children hospital Methods: After obtaining ethical approval, this cross sectional study was performed on all the patients who presented to pediatric ophthalmology department of CH & ICH from July 2018 to December, 2021. These included neonates admitted in NICU of CH&ICH and also referrals from other hospitals. The babies born before 34 weeks of gestation or birth weight less than 2000 grams, and given supplemental oxygen, who required hospital admission were screened in first 30 days of life. Prior to examination, the pupil was dilated using 10% phenylephrine and 0.5% cyclopentolate and 0.1% tropicamide eye drops by a trained nurse. The fundus examination was carried out under topical anesthesia using proparacaine 0.5%, after swaddling the baby. ETROP criteria was used for treatment, i-e patients with stage3 ROP or plus disease in Zone 1 were treated immediately. Other stages were kept on a close follow up. Results: Three hundred and seventy seven neonates were male (60.5%). Total number of patients with any stage of ROP was 40 (13.07%). Those with type 1 ROP were treated with laser or intra- vitreal anti- VEGF (bevacizumab 0.625 mg in 0.05ml). Those with type 2 disease were observed on weekly basis for worsening of features. There were 13 patients who received intra- vitreal injection and only one of them required diode laser after injection. Conclusion: A multidisciplinary team is essential to prevent blindness due to ROP in developing countries. Screening the babies who are at high risk of disease will lessen the burden on screening team.
{"title":"Incidence of Retinopathy of Prematurity at a Tertiary Care Children Hospital","authors":"Asma Mushtaq, Ahmed Raza, Zaib un Nisa, S. Qayyum, Irfan Waheed","doi":"10.62276/ophthalmolpak.13.03.126","DOIUrl":"https://doi.org/10.62276/ophthalmolpak.13.03.126","url":null,"abstract":"Abstract \u0000Purpose: \u0000To study the incidence of retinopathy of prematurity at a tertiary care children hospital \u0000Methods: \u0000After obtaining ethical approval, this cross sectional study was performed on all the patients who presented to pediatric ophthalmology department of CH & ICH from July 2018 to December, 2021. These included neonates admitted in NICU of CH&ICH and also referrals from other hospitals. The babies born before 34 weeks of gestation or birth weight less than 2000 grams, and given supplemental oxygen, who required hospital admission were screened in first 30 days of life. Prior to examination, the pupil was dilated using 10% phenylephrine and 0.5% cyclopentolate and 0.1% tropicamide eye drops by a trained nurse. The fundus examination was carried out under topical anesthesia using proparacaine 0.5%, after swaddling the baby. ETROP criteria was used for treatment, i-e patients with stage3 ROP or plus disease in Zone 1 were treated immediately. Other stages were kept on a close follow up. \u0000Results: \u0000Three hundred and seventy seven neonates were male (60.5%). Total number of patients with any stage of ROP was 40 (13.07%). Those with type 1 ROP were treated with laser or intra- vitreal anti- VEGF (bevacizumab 0.625 mg in 0.05ml). Those with type 2 disease were observed on weekly basis for worsening of features. There were 13 patients who received intra- vitreal injection and only one of them required diode laser after injection. \u0000Conclusion: \u0000A multidisciplinary team is essential to prevent blindness due to ROP in developing countries. Screening the babies who are at high risk of disease will lessen the burden on screening team.","PeriodicalId":518603,"journal":{"name":"Ophthalmology Pakistan","volume":"14 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140530641","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}
Pub Date : 2024-01-23DOI: 10.62276/ophthalmolpak.13.03.134
Arbaz Shah, Awais Ishfaq, Ahmad Mukhtar Malik, Mehreen Fatima
The Propose of the study is to investigate the frequency of high myopia in students at the University of Lahore. The total sample size consisted of 1004 participants, including 404 emmetropic individuals, 540 myopic individuals, and 60 individuals with high myopia. The percentages of emmetropia, myopia and high myopia were found to be 40.2%, 53.8%, and 6.0%, respectively. Out of the total participants, 522 were female and 482 were male. Regarding close-up work time, 25 students (2.5%) reported spending 1-2 hours, 239 students (23.8%) reported spending 3-4 hours, 201 students (20%) reported spending 5-6 hours, and 539 students (53.7%) reported spending more than 6 hours on close-up work. In terms of outdoor activities per week, 291 students (29%) engaged in activities 1-2 times a week, 119 students (11.9%) engaged 3-4 times a week, 495 students (49.3%) engaged less than once a week, and 99 students (9.9%) engaged more than 4 times a week. Regarding the time spent outdoors, 210 students (20.9%) spent 1-2 hours, 238 students (23.7%) spent 3-4 hours, 358 students (35.7%) spent more than 4 hours, and 198 students (19.7%) spent less than an hour outdoors. The mean or average age of students was 20.97 years, minimum age of 18 years and maximum of 28 years. Among the 540 myopic students, 306 were female and 234 were male. Furthermore, 54.1% (294 out of 540) of myopic students had family history of high myopia and myopia. The average or mean age of myopic students was 20.84 years, with mean refractive power of -2.0995D in OD and -2.0829D in OS. Among the 60 high myopic students, 32 were female and 28 were male. Approximately 70% of students had family history of myopia and high myopia, while 30% had negative family history. The mean age of high myopic students was 21.12 years, with a mean refractive power of -7.8542D in OD and -8.0625D in OS. Close-up work was the primary activity for approximately 66.7% (40 out of 60) of high myopic students.
{"title":"Frequency of high myopia among students of University of Lahore","authors":"Arbaz Shah, Awais Ishfaq, Ahmad Mukhtar Malik, Mehreen Fatima","doi":"10.62276/ophthalmolpak.13.03.134","DOIUrl":"https://doi.org/10.62276/ophthalmolpak.13.03.134","url":null,"abstract":"The Propose of the study is to investigate the frequency of high myopia in students at the University of Lahore. The total sample size consisted of 1004 participants, including 404 emmetropic individuals, 540 myopic individuals, and 60 individuals with high myopia. The percentages of emmetropia, myopia and high myopia were found to be 40.2%, 53.8%, and 6.0%, respectively. Out of the total participants, 522 were female and 482 were male. \u0000Regarding close-up work time, 25 students (2.5%) reported spending 1-2 hours, 239 students (23.8%) reported spending 3-4 hours, 201 students (20%) reported spending 5-6 hours, and 539 students (53.7%) reported spending more than 6 hours on close-up work. In terms of outdoor activities per week, 291 students (29%) engaged in activities 1-2 times a week, 119 students (11.9%) engaged 3-4 times a week, 495 students (49.3%) engaged less than once a week, and 99 students (9.9%) engaged more than 4 times a week. \u0000Regarding the time spent outdoors, 210 students (20.9%) spent 1-2 hours, 238 students (23.7%) spent 3-4 hours, 358 students (35.7%) spent more than 4 hours, and 198 students (19.7%) spent less than an hour outdoors. \u0000The mean or average age of students was 20.97 years, minimum age of 18 years and maximum of 28 years. Among the 540 myopic students, 306 were female and 234 were male. Furthermore, 54.1% (294 out of 540) of myopic students had family history of high myopia and myopia. The average or mean age of myopic students was 20.84 years, with mean refractive power of -2.0995D in OD and -2.0829D in OS. \u0000Among the 60 high myopic students, 32 were female and 28 were male. Approximately 70% of students had family history of myopia and high myopia, while 30% had negative family history. The mean age of high myopic students was 21.12 years, with a mean refractive power of -7.8542D in OD and -8.0625D in OS. Close-up work was the primary activity for approximately 66.7% (40 out of 60) of high myopic students.","PeriodicalId":518603,"journal":{"name":"Ophthalmology Pakistan","volume":"81 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140530825","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}