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ARTICLES |
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Year : 1983 | Volume
: 31
| Issue : 3 | Page : 285-287 |
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Preliminary report of treatment study of 100 cases of ingrowth after cataract surgery
Chhotubhai K Patel, Anil K Bavishi
C.H. Nagari Eye Hospital, Ellisbridge, Ahmedabad, India
Correspondence Address: Chhotubhai K Patel C.H. Nagari Eye Hospital, Ellisbridge, Ahmedabad India
Source of Support: None, Conflict of Interest: None | Check |
PMID: 6676240
How to cite this article: Patel CK, Bavishi AK. Preliminary report of treatment study of 100 cases of ingrowth after cataract surgery. Indian J Ophthalmol 1983;31:285-7 |
The ingrowth is one of the dreaded complication after cataract surgery. The study of 100 cases of ingrowth was undertaken at C H Nagari Eye Hospital Ahmedabad.
Various terminology of Ingrowth are in vogue, as to the structures growing, conjunctiva, cornea, epithelium, stroma, sclera etc. Most common is the Conjunctival Ingrowth and is accepted as epithelial Ingrowth or epithelial downgrowth.
Patients and Method | | |
The cases were taken as and when attended, comprising cases from our hospital, eye camps and various ophthalmic centres with the history of cataract operation. Out of 100 cases studied, 60 were males and 40 were females ranging from 30-90 years. There was no significant difference between Right Eye (48 cases) and Left Eye (52 cases). The diagnosis was confirmed clinically and by Slit Lamp Examination. The cases were divided from Groups I to IV. [Table - 1]
Treatment | | |
Treatment consisted mainly of Cryo application in Grades I and II and in Grades III and IV. Other surgical procedures like Trabeculectomy, Vitrectomy, Iridotomy and Sealing of the Fistula etc. were carried out.
Cryo application: The Amoil's cryo probe tip was applied dry on the cornea at the advancing edge and frosted approximately to a temperature of 60°sub to 70° till a good ice-ball was formed at least I mm all around the tip meaning thereby that the healthy part nearing the advancing edge was also covered. Time limit was unimportant. Defrosting and refrosting was carried out, so as to cover the whole length and breadth from the wound edge.
In the Grades II and III we applied cryo exactly in the same length from the wound on, either side-towards the cornea and the ciliary body. We repeated the procedure after a week if the results were not satisfactorymaximum of three sittings.
The patients of Grade IV with other complications such as glaucoma, we did routine trabeculectomy, vitreous aspiration, iridotomy or wide iridectomy and open sky vitrectomy as the situation demanded alongwith cryo application on the epithelial growth and ciliary body to control glaucoma. In all cases cryo was applied before the surgical procedure.
Local treatment: Locally Hycine Forte 1% Eye Oint. and orally analgesics, anti-inflammatory drugs including steroids were given. The eye was bandaged for 3 days after atropinisation.
Follow up: Post-operative follow up was done after 24 hours, 1 week, 8 weeks and further. After 24 hours patients experienced mild to moderate pain which could be controlled by analgesics. The 4 cases with severe pain for 2-3 days, calmed down by parenteral morphine. The ingrowth be a little than previously.
After one week, cases of Grade I and II, the eye became more or less quiet except mild congestion and the height ingrowth shrunk and started to fall off. Grade IV showed no much improvement and cryo application had to be repeated.
After 8 weeks, results of Grade I and II were 100 percent. Out of 14 cases of Grade III, we repeated the procedure in 11 cases for more than twice. Over all results in Grade III was only approximately 30%.
In Grade IV, out of 24 cases, only 3 got relief of symptoms and gain of little more vision. 10 cases went phthisical. In 8 cases the condition became tolerable and 2 cases had to be enucleated.
Conclusion | | |
We conclude from the above study that the results seen in Grades I and II are excellent and in other grades we had encouraging results. The dreaded complication of ingrowth can be controlled if diagnosed and treated earlier.
We have not compared our series with any one and put before this house our experience. We are continuing our study and we will be able to present more informations in future.
[Figure - 1]
[Table - 1], [Table - 2], [Table - 3], [Table - 4], [Table - 5]
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