Browsing by Author "Limbu, B"
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Publication A retrospective study on the causes for evisceration at Tilganga Eye Centre(Kathmandu University, 2009) Limbu, B; Saiju, R; Ruit, SAbstract Background: Evisceration is one of destructive surgery of eye after which a patient loses his hope of restoration of sight forever. Aim and objectives: To identify the major causes of evisceration at a tertiary eye centre of Nepal. Materials and methods: This is hospital based retrospective study of patients presented at Tilganga eye centre, Kathmandu, Nepal over a period of two years (10 Nov 2004 to 10 Nov 2006). Out of 2,31,976 total OPD patients, 71 patients who had evisceration with or without implant were selected and nally, only 67 patients record were enrolled for study as data were insuf cient in the remaining records to ll up the study format. Data processing and analysis done using computer SPSS 11.5. Results: A total of 67 cases, with age ranging from 1.5 years to 85 years, out of which 33 male and 34 were female. Evisceration was performed most commonly due to trauma and it’s subsequent sequele in 37 cases (55.2% of total cases), who were within the age group of 30 – 59 years (p = 0.033) and predominantly male 25 cases(p = 0.001). Most of the patients presented from outside Kathmandu valley, with visual acuity of no perception of light. Conclusion: Evisceration without implant was most common surgical procedure, with trauma being the leading cause for it and most of the trauma was seen in active, potential and young male patients. So prevention of ocular injuries together with early treatment protocol is best way to decrease the rate of evisceration due to ocular trauma. To prevent ocular injuries news paper, television and health education may play an important role. Key words: Ocular trauma, destructive surgery, evisceration.Publication Publication Intraoperative Complications of High Volume Sutureless Cataract Surgery in Nepal: A Prospective Study(Kathmandu University, 2014) Limbu, B; Jha, HCABSTRACT Background With high backlog of cataract blindness in the developing countries sutureless high volume cataract surgery is preferred surgical technique. Objective To report the intraoperative complications of high volume sutureless cataract surgery at secondary level eye care centre of Nepal. Method This prospective study consisting 1087 eyes that underwent manual small incision cataract surgery from 2nd to 28th December 2007 at Shree Janaki Eye Hospital, Janakpur, Nepal and operated by a single eye surgeon. Preoperative and postoperative ocular findings together with intraoperative complications were carefully noted in every individual case. At post operative day one each patient was examined including uncorrected visual acuity and post operative complications which were subsequently recorded in Performa. Data were analysed using SPSS 11.5. Result Sixty-three eyes (5.8%) of 1087 eyes developed intraoperative complications. Out of 63 eyes that had intra operative complications, posterior capsular rupture were seen in 42 (3.9%), sclera corneal tunnel suturing in 12 eyes (1.1%), iridodialysis 5 eyes (0.5%) and Descemet stripping in 4 eyes (0.4%). 62.1% of patients attained uncorrected visual acuity 6/18 or better and in 91.7% of eyes, there were no post operative complications. Conclusion High volume suture less cataract surgery is safe surgery and should be continue in developing countries to achieve the goal of vision 2020, where there is huge backlog of cataract blindness. KEY WORDS High volume suture less cataract surgery, intraoperative complications, Nepal