Browsing by Author "BP, Badhu"

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    Effectiveness of combination of permanent and releasable scleral flap sutures in trabeculectomy: A randomized clinical trial
    (Kathmandu University, 2006) R, Kumari; BP, Badhu; H, Das
    Introduction: Trabeculectomy is a commonly used surgical treatment for glaucoma. Purpose: To evaluate the effectiveness of combination of permanent and releasable scleral flap sutures to minimize the immediate postoperative complications of trabeculectomy. Materials and methods: This study was carried out in Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal. Forty one eyes of 34 patients undergoing trabeculectomy were randomized to undergo either conventional trabeculectomy (Group A= 20 eyes) or trabeculectomy with combination of permanent and releasable scleral flap sutures (Group B =21 eyes). The parameters studied were intraocular pressure (IOP), anterior chamber depth (ACD) and surgical complications over a period of 6 weeks. Results: Significantly higher number of eyes belonging to group A (14 eyes) had shallower anterior chamber than group B (7 eyes) on first post operative day (p=0.042). Six eyes (30%) in group A had peripheral or central irido- corneal touch in early postoperative period as compared to only one in Group B. Hypotony was noted in 3 eyes in each group. Two patients in group A required reformation of anterior chamber. Other surgical complications in the two groups were similar. Both the groups had a significant drop in IOP following surgery. However, there was no significant difference in the IOP between the two groups after 6 weeks (Group A: 10.95 ± 3.03 mmHg vs. Group B: 12.29 ± 4.67 mmHg; p=0.87). There was a significant drop in IOP following removal of sutures (15.19 ± 6.15 mmHg to 13.19 ± 6.13 mmHg; p=006) in group B. Conclusion: Use of combination of permanent and releasable scleral flap sutures is a safe technique that significantly reduces the incidence of immediate postoperative shallow anterior chamber after trabeculectomy. Key words: Trabeculectomy, Intra ocular pressure, anterior chamber depth, combination of releasable and permanent scleral flap sutures
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    Effectiveness of structured teaching program in improving knowledge and attitude of school going adolescents on reproductive health
    (Kathmandu University, 2005) AD, Dhital; BP, Badhu; RK, Paudel; DK, Uprety
    Introduction: Development of knowledge and attitude takes place during the adolescent period, which can have lifelong effects on the individual, family and society. Proper education in this age group is important for prevention of untoward social and health related problems. Objective: To find out the effectiveness of structured teaching program in improving knowledge and attitude of school going adolescents on reproductive health. Materials and methods: An experimental study with pretest – posttest control group design was carried out in four selected schools with similar settings in Dharan town of Nepal. All the subjects were divided into two groups: experimental and control, each comprising of two subgroups of 50 boys and 50 girls. Structured teaching program consisting of information on human reproductive system was used as a tool of investigation for the experimental group, whereas conventional teaching method was used for the control group. Results: A total of 200 Adolescent school students were included in this study. The mean (±SD) pretest score of the experimental group on knowledge of reproductive health was 39.83 (± 16.89) and of the control group was 39.47(± 0.08). The same of experimental group after administration of the structured teaching program (84.60±10.60) and of the control group with conventional teaching method (43.93±10.08) was statistically significant (p<0.001). Similarly, the post-test scores of knowledge of the groups on responsible sexual behaviour and their attitude towards reproductive health were better in the experimental group than in the control group (p<0.001). Conclusion: The knowledge of adolescent school students on reproductive health is inadequate. The use of structured teaching program is effective in improving knowledge and attitude of the adolescents on reproductive health. Keywords: reproductive health; adolescents
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    Pattern of intraocular pressure changes following manual small incision cataract surgery
    (Kathmandu University, 2005) H, Das; BP, Badhu; A, Panda
    Objectives: To find out the pattern of changes in intraocular pressure after manual small incision cataract surgery. Methods: Consecutive patients (291 eyes of 291 patients) undergoing manual small incision cataract surgery were prospectively evaluated for change in IOP. Patients were further divided into two groups based on whether or not sutures were used to close the scleral tunnel. IOP was serially measured at day 1, 1st, 2 nd, 4 th , 6 th, 8 th and 12th week. Results: The mean post operative IOP in eyes where sutures were not applied (12.59± 3.02 mmHg, 12.59±2.34mmHg, 12.54±2.19mmHg and 12.40±2.99 mm Hg at day1, 2week and 4weeks respectively) was lower than that where sutures were used to close the wound (15.57± 3.86mmHg, 14.05±2.52mmHg, 14.43±3.39mmHg at day1, 2weeks and 4 weeks respectively). There was a drop of IOP from the preoperative IOP in both suture (1.15±3.29mm Hg) and non suture (3.29±3.07mm Hg) group at 3 months of follow up. Conclusion: There is a small drop of IOP following sutureless MSICS during long term follow up. Eyes where sutures are applied are more likely to have higher IOP than those without sutures at the initial post operative period. Key Words: Small incision cataract surgery, suture less cataract surgery, intraocular pressure.
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    Sinonasal inverted papilloma in eastern part of Nepal
    (Kathmandu University, 2006) S, Bhandary; RK, Singh; S, Shrestha; AK, Sinha; BP, Badhu; P, Karki
    Objective: To evaluate the clinicopathological profile of sinonasal inverted papilloma in a tertiary referral center in eastern part of Nepal. Methods: A prospective study consisting of total 28 histologically proven cases of sinonasal inverted papilloma was conducted in the ENT department of the center. The study period was from April 2002 to November 2005. Result: Out of 28 cases studied, 21 were males and 7 were females with male to female ratio of 3:1. The highest incidence was seen in the 5 th and 6 th decades of life. The duration of symptoms varied from 5 months to 20 years with mean duration of 3.9 years. The lateral nasal wall and nasal cavity involvement was seen in all 28 cases. Maxillary sinus was involved in 27(96.4%) subjects followed by ethmoid (20), sphenoid (10) and the frontal sinus (7). The principle presenting symptom was nasal obstruction seen in 96.4% of the patients. Twenty two cases were treated by lateral rhinotomy with medial maxillectomy while, orbital exenteration was done in two cases. Associated carcinoma was noticed in 10.15% of all the subjects studied. Conclusion: Sinonasal papilloma mostly presented in fifth to six decades of life mainly affecting the male patients. Majority of the patients were treated by lateral Rhinotomy with medial maxillectomy surgery. Early presentation would have given chances for endoscopic surgery. Key words: Sinonasal inverted papilloma, lateral Rhinotomy, medial maxillectomy.
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    Variation of intraocular pressure in patients with leprosy
    (Kathmandu University, 2005) SS, Javvadhi; H, Das; BP, Badhu; S, Agrawal
    Introduction: There are various controversial reports on intraocular pressure (IOP) in patients with leprosy. Purpose: The current study was undertaken to study the level of intraocular pressure in leprosy patients and its association with the risk factors. Materials and methods: This was a prospective cross sectional comparative study. An ophthalmologist and a dermatologist evaluated consecutive 93 patients with leprosy. The risk factors studied were age, gender, bacillary index, clinical diagnosis, duration of disease and treatment; and ocular complications. The IOP in these patients was compared with healthy age and sex matched controls. Results: A total of 186 leprosy patients (93) and healthy controls (93) were studied. The mean applanation IOP for the right and left eyes in leprosy patients was 12.87 ± 1.20 mm of Hg and 13.22±2.70 mm of Hg respectively. This was found to be significantly lesser (p<0.001) than in the controls (RE=15.14±2.58 and LE=15.41±2.36mmHg). The untreated leprosy patients had significantly lower IOP than those with treatment (p<0.001). None of the risk factors were found to be independently associated with the decrease in IOP. The duration of treatment, however, showed a trend towards having a significant association (p=0.057) with the lower level of IOP. Conclusion: The level of IOP is lower in leprosy patients than in the healthy controls. Age, gender, bacillary index and presence of ocular complications due to leprosy are not independently associated with the decrease in IOP. The untreated leprosy patient tends to have a lower IOP. This finding can be used to monitor effectiveness of treatment of leprosy. Key words: Leprosy and intraocular pressure

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