A 49-year-old female presented with bilateral abducens nerve palsies. She had 75 prism diopter esotropia. The extraocular movement of the lateral rectus was -1 limitation for the right eye and -4 limitations for the left. After performing orbital magnetic resonance imaging (MRI), 2 mL of bupivacain (5 mg/mL) was injected into the left lateral rectus (LR). One month after injection, a further or...

To compare surgically induced astigmatism after manual small incision cataract surgery and phacoemulsification surgery. 2) know the prevalence of pre-existing astigmatism, it’s magnitude type patients with cataract. 3) calculate average also to change in it first month 4) its 5) study changes effect on vision 6) by straight frown operation. The was carried out Department Ophthalmology, P.D.U go...

M We have prospectively analqsed the feasibility and advantages of local anesthesia in surgical management of advanced proliferative vitreoretinopathy in retinal detachment (RD). M&Q& Peribulbar anesthesia (PBA) was used in 20 consecutive cases operated for RD. All the pateints requiered s&rat buckling, pars plana vitrectomy, complete membrane removal, endophotocoagulation and internal tamponad...

OBJECTIVE Knee arthroscopy is a painful procedure which if untreated will cause intensive and prolonged pain that may prevent rehabilitation of patients. This study was designed to compare the analgesic effects of different opioids in the early post operative period in comparison to control group. METHODOLOGY One hundred forty patients were prospectively assigned to four groups randomly. Afte...

Objective: Surgical stress stimulates the release of catecholamine and cortisol. Both of which have anti-insulin action resulting in an increase of plasma glucose concentration. The most common regional block in pediatric age group is caudal epidural analgesia. The aim of this study was to compare the stress response following pre and post surgical caudal block. Methodology: After approval by o...

The aim of this study was to describe the procedures and the postoperative outcome of arthroscopic anterior cruciate ligament (ACL) reconstruction when carried out a day case with extended recovery. Between December 1995 and September 1998, 91 patients underwent surgery using bone-patellatendon-bone autografts and interference screw fixation. Additional surgical procedures were performed on 35 ...

BACKGROUND The use of local anaesthetic for open inguinal hernia surgery has long been restricted to specialist centres. This study aimed to compare the efficacy of spinal anaesthesia and sub-fascial local anaesthetic (LA) for performing open hernia repair and at the same time provide better post op pain relief and early mobilization. Methods: In this randomized clinical trial, 62 male patients...

BACKGROUND Epidural injections for managing chronic back pain are one of the most commonly performed interventions; however, controversy continues regarding the most effective method of epidural injections. A ventral distribution of epidural injected drug plays a significant role in its effectiveness. OBJECTIVE To determine the distribution of a drug in the epidural space after parasagital an...

BACKGROUND Alcohol sclerosing therapy has been reported as a safe and effective means of treating interdigital neuromas, both with or without ultrasound. The use of ultrasound introduces beside the ultrasound device, increased cost, and the need for skilled technicians and may reduce usability, especially in the outpatient clinic. We report a series of patients with interdigital neuroma treated...