Browsing by Author "Saiju, R"
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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 Retinoblastoma in a 37 years old man in Nepal: A case report(Kathmandu University, 2010) Shrestha, A; Adhikari, RC; Saiju, RAbstract Retinoblastoma is extremely rare in adults. We report a case of Retinoblastoma diagnosed by histopathology in an enucleated specimen of a 37 year old patient who presented with pain and diminished visual acuity with intraocular mass and serous detachment. CT head and orbit showed uniform hyperdense mass in nasal quadrant of left globe projecting into adjacent vitreous cavity. Chest X Ray and USG abdomen was unremarkable. Initially provisional diagnosis of amelanotic melanoma was made. In view of nil visual prognoses enucleation was done. Sections from the enucleated eyeball showed diffuse proliferation of tumour cells. These tumour cells were small sized with scanty cytoplasm, and oval and hyper chromatic nuclei. A diagnosis of poorly differentiated Retinoblastoma was made with TNM (AJCC) stage as T1NXMX. This paper highlights the delayed presentation of retinoblastoma in adult. Although retinoblastoma is rare in adult, we suggest keeping retinoblastoma in differential diagnosis of intraocular mass until proven histopathology report is available. Key words: Retinoblastoma, Adult, Intraocular mass