Misgivings about simultaneous bilateral cataract extraction.
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Biomedical subjects
Publications and source records attributed to Ambarish Soni.
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PURPOSE: To report the outcome of combined excision, cryotherapy, and antimetabolite treatment of recurrent ocular surface squamous neoplasia. METHODS: The patients with recurrent ocular surface squamous neoplasia were treated by excision of lesion, cryotherapy of limbus, and conjunctival margin followed by 0.02% Mitomycin C application at the time of surgery. Patients have been followed up for at least 1 year. RESULTS: A total of five eyes of five patients with recurrent ocular surface squamous neoplasia were treated by combined excision, cryotherapy, and Mitomycin C. Histopathologic diagnosis included invasive squamous cell carcinoma in four cases and squamous dysplasia in one case. No recurrences have been noted for a follow-up period of more than 1 year now. CONCLUSION: Combining excision with cryotherapy and Mitomycin C application at the time of surgery is a very effective therapy for recurrent ocular surface squamous neoplasia. It is relevant for cases in large, poor countries where patients present late and are less likely to come for follow-up care.
BACKGROUND AND OBJECTIVE: To record the surgical peculiarities during phacoemulsification in patients with type II diabetes. PATIENTS AND METHODS: A retrospective, noncomparative analysis. Data from 58 eyes of 43 patients having significant cataract with type II diabetes of more than 5 years' duration who underwent phacoemulsification were considered. Intraoperative difficulties and complications were noted and analyzed. RESULTS: In 24.13% (n = 14) of the cases, the nucleus could not be divided after initial trenching. The management of the nucleus and the cortex required modifications in the surgical technique. CONCLUSIONS: Type II diabetic cataracts were sticky and leathery in approximately one-quarter of the cases.