Browsing by Author "OK, Malla"
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Publication Analysis of 400 cases of posterior segment diseases visiting retina clinic of Nepal eye hospital(Kathmandu University, 2003) DB, Karki; OK, Malla; RN, Byanju; S, ShresthaObjective: To determine the disease pattern of 400 patients attending Nepal Eye Hospital for strategic planning. Materials and methods: A retrospective hospital based analysis of 400 cases visiting Retina Clinic of Nepal Eye Hospital (NEH) over a period of one year was carried out in order to know the disease pattern for planning purpose. Results: Males slightly outnumbered females (58% versus 42%). The diseases were more common in age group 50 to 59 years. Diabetes mellitus with or without retinopathy was the commonest cause (20.25 %) for attendance in retina clinic followed by hypertensive retinopathy and venous occlusive disorders. Keywords: Posterior segment disease pattern, diabetic retinopathy, hypertension, venous occlusive disease.Publication Case of xeroderma pigmentosum with well differentiated squamous cell carcinoma in the eye(Kathmandu University, 2003) E, Pradhan; SB, Padhye; OK, Malla; KJD, KarkiA seven year old female child presented with complaints of increased freckling over the face since the age of two years and a rapidly growing mass over the right eye. She underwent excisional biopsy of the mass over the eye which on histopathological examination was diagnosed as squamous cell carcinoma. Keywords: Xeroderma pigmentosum, freckles, malignant tumour, excision biopsy, squamous cell carcinoma of eyePublication Publication Intermediate uveitis: a hospital based study(Kathmandu University, 2004) OK, Malla; DB, Karki; RN, Byanju; S, ShresthaIntermediate uveitis affecting pars plana, peripheral retina and underlying choroid affects primarily healthy children and young adults. Objective: To study the components of intermediate uveitis at Nepal Eye Hospital in the year 2003 August to 2004 March. Materials and Methods: A prospective study was done in patients with intermediate uveitis visiting Nepal Eye Hospital. Sample size was 50. Specially designed proforma of intermediate uveitis was used to collect particulars of the patients, history, clinical examination findings, investigation reports, management protocols used and the final visual outcome. Results: Intermediate uveitis was seen more in 20 to 29 years age group (38%) and more prevalent in males (52%). Among the study population farmers constituted maximum proportion (36%) and Mongoloid origin was mostly affected (30%). High number of patients were from the central development region with highest proportion from Dhading district (34%). Anterior segment affection with keratic precipitates and anterior chamber cells were noted in 72% of involved eyes. Vitreous cells were noted in all affected eyes while 4% had vitreous snow banking and 3% had vitreous snow balls. Most of the patients (52%) received between topical steroid and posterior subtenon injection of Triamcinolone. Visual Acuity was improved in 52% of cases and remained static in 46%.while deteriorated in 2%. Conclusion: Significantly high number of patients with intermediate uveitis has been reported from the central development region, mainly from Dhading, Kathmandu and Nuwakot districts. People in their third decade were found to be commonly involved and Mongloid origin were more commonly affected. Anterior chamber spill over was seen in higher percentage of patients than described in literature. As the patients presented in milder forms, visual acuity improved is 52% of cases with the treatment protocol followedPublication Publication Publication