The increasingly iatrogenic indications for mitomycin C trabeculectomy over 10 years. Macdonald E, Mukherjee S, Jay J. Objective: The success of trabeculectomy can be adversely affected by certain risk factors. In these cases, the outcome can be improved by the intraoperative use of mitomycin C (MMC). We aimed to investigate the impression that this operation was being performed more often in our unit and that the risk factors were changing.Design: Retrospective review.Participants: The study involved 107 MMC trabeculectomies during the 2 separate study periods.Methods: Operating theatre logbooks were used to identify patients who had undergone MMC trabeculectomy during 2 separate periods of 32 months, 10 years apart. Patient characteristics, the indication for surgery (previously failed trabeculectomy; aphakic/pseudophakic glaucoma; uveitic, developmental, or rubeotic glaucoma; post-vitreoretinal (VR) surgery glaucoma; postkeratoplasty glaucoma; and other), and follow-up data regarding intraocular pressure control were recorded.Results: In the later period, 71 MMC trabeculectomies were performed, compared with 36 in the earlier period, a significant rise (p ? 0.05). The most obvious change in indication was an increase for postkeratoplasty and post-VR surgery glaucoma, which accounted for 77.1% of the additional operations. Intraocular pressure control at 1 year following surgery was good, particularly in the later period, with 88.8% controlled with the addition of topical medication where necessary. Complications in both periods were rare.Conclusions: The frequency of MMC trabeculectomies has doubled over a 10-year period in our unit. Postkeratoplasty and post-VR surgery glaucomas are increasingly contributing to the caseload of complex glaucoma in our hospital. These cases may be managed effectively with MMC trabeculectomy. Can J Ophthalmol. 2009 Apr;44(2):205-8. PMID: 19491957 [PubMed - in process] |
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الثلاثاء، يونيو ١٦، ٢٠٠٩
The increasingly iatrogenic indications for mitomycin C trabeculectomy over 10 years.
الأربعاء، يونيو ٠٣، ٢٠٠٩
قراءة القرآن بدون تحريك الشفتين
هل يجوز قراءة القرآن بدون تحريك الشفتين؟ الجواب: الحمد لله، والصلاة والسلام على رسول الله، أما بعد، لا يسمى قراءة إنما هو ذكر بالقلب وتـَفـَكُّر، أما قراءة القرآن، (من قرأ حرفا من كتاب الله) رواه الترمذي وقال: حديث حسن صحيح إذن يجب أن يقرأ الحروف والحروف يجب أن تنطق، ألف لام ميم، لابد أن يقرأه. الذي يحرك شفتيه بالقرآن ويُخرِج الهواء وإن كان صوته ليس واضحاً فهو بذلك قارئ للقرآن، ولكن الذي لا يخرج الهواء لا يكون قد نطق بالقرآن. والقراءة السرية هي خفض الصوت في قراءة القرآن بخلاف عدم إخراج الهواء عند القراءة، لكن الذي يحرك لسانه فقط بدون إخراج هواء أو صوت فهو لم يقرأ. |
الاثنين، يونيو ٠١، ٢٠٠٩
Tamsulosin Use Linked to Serious Ophthalmic Adverse Events After Cataract Surgery
--- On Sat, 5/30/09, Top News CME of the Week
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