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Incidence of Retinopathy of Prematurity at a Tertiary Care Children Hospital 一家三级儿童医院的早产儿视网膜病变发病率
Pub Date : 2024-01-23 DOI: 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.
摘要 目的:研究一家三级儿童医院早产儿视网膜病变的发病率 方法:在获得伦理批准后,本横断面研究对 2018 年 7 月至 2021 年 12 月期间到 CH&ICH 儿童眼科就诊的所有患者进行了调查。这些患者包括在儿童医院新生儿重症监护室住院的新生儿,也包括从其他医院转诊的新生儿。妊娠 34 周前出生或出生体重小于 2000 克、使用补充氧气并需要入院治疗的婴儿在出生后 30 天内接受筛查。检查前,由训练有素的护士使用 10%苯肾上腺素、0.5%环戊丙酸和 0.1%托吡卡胺眼药水进行散瞳。眼底检查是在襁褓中使用 0.5%丙卡因局部麻醉后进行的。治疗采用 ETROP 标准,即:ROP3 期或病变在 1 区以上的患者立即接受治疗。对其他阶段的患者进行密切随访。结果377 名新生儿为男性(60.5%)。患有任何阶段的视网膜病变的患者共有 40 人(13.07%)。1型视网膜病变患者接受激光或玻璃体内抗血管内皮生长因子治疗(贝伐单抗 0.625 毫克,0.05 毫升)。每周观察 2 型患者的病情是否恶化。有 13 名患者接受了玻璃体内注射,其中只有一人在注射后需要接受二极管激光治疗。结论在发展中国家,多学科团队对于预防因早产儿视网膜病变导致的失明至关重要。筛查高危婴儿可减轻筛查团队的负担。
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引用次数: 0
Frequency of high myopia among students of University of Lahore 拉合尔大学学生的高度近视率
Pub Date : 2024-01-23 DOI: 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.
本研究旨在调查拉合尔大学学生高度近视的频率。样本总数为 1004 人,其中包括 404 名屈光不正者、540 名近视者和 60 名高度近视者。结果发现,屈光不正、近视和高度近视的比例分别为 40.2%、53.8% 和 6.0%。在所有参与者中,522 人为女性,482 人为男性。在近距离工作时间方面,25 名学生(2.5%)表示花费了 1-2 小时,239 名学生(23.8%)表示花费了 3-4 小时,201 名学生(20%)表示花费了 5-6 小时,539 名学生(53.7%)表示花费了 6 小时以上。在每周户外活动方面,291 名学生(29%)每周参加 1-2 次,119 名学生(11.9%)每周参加 3-4 次,495 名学生(49.3%)每周参加少于一次,99 名学生(9.9%)每周参加 4 次以上。在户外活动时间方面,210 名学生(20.9%)花费 1-2 小时,238 名学生(23.7%)花费 3-4 小时,358 名学生(35.7%)花费 4 小时以上,198 名学生(19.7%)花费不到 1 小时。学生的平均年龄为 20.97 岁,最小 18 岁,最大 28 岁。在 540 名近视学生中,有 306 名女生和 234 名男生。此外,54.1% 的近视学生(540 人中有 294 人)有高度近视和近视家族史。近视学生的平均年龄或平均年龄为 20.84 岁,屈光度数的平均值为外侧-2.0995D,内侧-2.0829D。在 60 名高度近视学生中,32 名女生,28 名男生。约 70% 的学生有近视和高度近视家族史,30% 的学生没有家族史。高度近视学生的平均年龄为 21.12 岁,屈光度数的平均值为:角膜外侧-7.8542D,角膜内侧-8.0625D。约 66.7% 的高度近视学生(60 人中有 40 人)主要从事近距离工作。
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Ophthalmology Pakistan
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