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AN INDEPENDENT JOURNAL DEVOTED TO MEDICAL SCIENCES Established 1998 ISSN 1993-2863 INTERNATIONAL Approved and Indexed by PMDC & Pak MediNet ABC Certified Update www.ophthalmologyupdate.com www.prime.edu.com Vol. 10. No. 2www.pakmedinet.com April-June 2012 AN OFFICIAL JOURNAL OF PESHAWAR MEDICAL COLLEGE CHIEF ADVISER CHIEF EDITOR Prof. Najib ul Haq Prof. M.Yasin Khan Durrani OPHTHALMIC SECTION INTERNATIONAL BOARD Prof. Arthur S.M. Lim (Singapore), Prof. Robert N. Weinrub (USA) Prof. Khalid Tabbara (S. Arabia), Dr. Syed Sikandar Hasnain (USA) Prof. Emeritus Diljeet Singh (India), Dr. Sakkaf Ahmed Aftab (UK) Dr. Madiha Durrani (UAE) ASSOCIATE EDITORS Prof. Syed Imtiaz Ali, Prof. Hafeez ur Rehman, Prof. Jahangir Akhtar Prof. Shahid Wahab ASSISTANT EDITORS Prof. Nadeem Qureshi, Prof. Naqaish Sadiq, Prof. B.A. Naeem, Prof. Imran Azam Butt Dr. Ghulam Sabir, Dr. Inam ul Haq Khan, Dr. Liaqat Ali Shaikh, Dr. Munira Shakir Dr. Syeda Aisha Bukhari, Prof. Niamatullah Kundi, Dr. Mahfooz Hussain Dr. Zeeshan Kamil, Dr. Shakir Zafar GENERAL SECTION ASSISTANT EDITORS Prof. Zahoor Ullah, Prof. Zafar Iqbal, Dr. Faiz-ur-Rehman Dr. Misbah Durrani MANAGING EDITOR Dr. Jahanzeb Durrani Registered vide No. 3405/2/(63) under Press and Publication Ordinance ‘98 Govt. of Pakistan Published quarterly by Ophthalmic Newsnet from 267-A, St: 53, F-10/4, Islamabad - Pakistan Phones:051-2222922 ext.1255, 051-4414091 Mob: 0333-5158885, Fax:051-2299113 E-mail: [email protected] Ophthalmology Update Vol. 10. No.Printed 2, April-June at 2012 PanGraphics (Pvt) Ltd., Islamabad. i Contents Contents n EDITORIAL n Over indulgence in T.V. & Computers can produce Visual and other Health Problems Prof. M. Yasin Khan Durrani ---------------------------------------------------------------------------------------------------- 113 OPHTHALMIC SECTION n ORIGINAL ARTICLES n A Computer-based Anaglyphic System for the Treatment of Amblyopia Dr. Ali Rastegarpour---------------------------------------------------------------------------------------------------------------- 115 n Change in Refractive Status, after Removal of sutures, in conventional Extra-Capsular Cataract Extraction with IOL Implantation Shafqat ullah Khan Marwat et al ------------------------------------------------------------------------------------------------- 119 n Trabeculectomy with Mitomycin-C in Patients of Primary Open Angle Glaucoma Saber Mohammad et al ------------------------------------------------------------------------------------------------------------- 124 n Concussional Injuries of the Eye Sofia Iqbal et al ---------------------------------------------------------------------------------------------------------------------- 128 n Complications of Intravitreal Injections of Bevacizumab Mushtaq Ahmed et al--------------------------------------------------------------------------------------------------------------- 133 n An audit of Neonatal Services in Khyber Pakhtunkhwa Province (KPK), Pakistan to identify Implications for screening ‘Retinopathy of Prematurity’ Sadia Sethi et al --------------------------------------------------------------------------------------------------------------------- 136 n A Review of Microbial Keratitis Sofia Iqbal et al ---------------------------------------------------------------------------------------------------------------------- 143 n Frequency of Ocular Injuries at Tertiary Care Hospital A. Khalil Lakho et al --------------------------------------------------------------------------------------------------------------- 148 n Phacoemulsification under Topical Anaesthesia with Intracameral Lignocaine Mushtaq Ahmed et al--------------------------------------------------------------------------------------------------------------- 152 n Angiographic Features of Central Serous Chorio-retinopathy in Pakistani Population Muhammad Nawaz et al ----------------------------------------------------------------------------------------------------------- 156 n Can we use Non-Ophthalmic Drug in Ophthalmology ? (Non-ophthalmic drug potential for ophthalmology) Prof. Marianne L. Shahsuvrayan et al -------------------------------------------------------------------------------------------- 161 n Intravitreal Triamcinolone (IVTA) vs Laser Photocoagulation as a Primary Treatment for Diabetic Macular Oedema(DME) — A Comparative Study Embong Zunaina et al ------------------------------------------------------------------------------------------------------------- 166 ii Ophthalmology Update Vol. 10. No. 2, April-June 2012 Contents n Topical Nsaid’s and Flouoromethalone in the Treatment of Epidemic Keratoconjunctivitis (A Comparative Study) Inam ul Haq Khan et al ------------------------------------------------------------------------------------------------------------ 172 n Expanding the Role of Trabeculectomy with 5-FU Hashim Imran et al ----------------------------------------------------------------------------------------------------------------- 177 n Door to Door Trachoma Survey in North Waziristan Agency, Tehsil Mir Ali Sanaullah Khan et al --------------------------------------------------------------------------------------------------------------- 181 n Subtenon vs Peribulbar Anaestheia for Manual Small Incision Cataract Surgery Zakir Hussain et al ----------------------------------------------------------------------------------------------------------------- 186 n Frequency and Types of Comitant Esotropia Among Patients Attending Eye OPD Nuzhat Rahil et al ------------------------------------------------------------------------------------------------------------------ 189 n CASE REPORT n Glioblastoma Multiforme (GBM) as a cause of Foster Kennedy Syndrome (An interesting Case) Inamul Haq Khan et al ------------------------------------------------------------------------------------------------------------- 192 GENERAL SECTION n Short Term Results of Closing Wedge High Tibial Osteotomy for Medial Compartmental Osteoarthritis of the Knee M. Imran Khan et al ---------------------------------------------------------------------------------------------------------------- 195 n Comparison of Normal and Abnormal Umbilical Artery Waveforms with Early Neonatal Outcome in Asymmetrical Intra-Uterine Growth Retardation (IUGR) Misbah Durrani et al --------------------------------------------------------------------------------------------------------------- 199 n Weight loss, Exercise, or Both improve Physical function in Obese Older Adults Dennis T. Villareal et al ----------------------------------------------------------------------------------------------------------- 203 CURRENT RESEARCH n Probing the Floor of the Optic Nerve head in Glaucoma Madiha Durrani -------------------------------------------------------------------------------------------------------------------- 208 Ophthalmology Update Vol. 10. No. 2, April-June 2012 iii Instructions to the authors Instructions to the Authors All materials submitted for publication should be will then be sent to one or more external viewers. sent to the journal ‘Ophthalmology Update’. Articles/ Abstract: Abstract of original article should be in research papers which have already been published or structured format with the following sub-headings: accepted elsewhere for publication should not be Objective, Design, Place and duration of Study, Patients submitted. A paper that has been presented at a scientific & Methods, Result and Conclusion. meeting, if not published in full in proceeding or similar Introduction: This should include the purpose of publication may be submitted. Press reports of meetings the article. The rationale for the study or observation will not be considered as breach of this rule. should be summarized. Ethical Aspects: If articles, tables, illustrations or Methods: Study design and sampling methods photographs, which have already been published, are should be mentioned. The selection of the observational included, a letter of permission for republication (or its or experimental subjects (patients or experimental excerpts) should be obtained from the author(s) as well animals, including controls) should be described clearly. as the editor of the journal where it was previously The methods and the apparatus used should be published. identified and procedures described in sufficient details Material for Publication: The material submitted to allow other workers to reproduce the results and for publication may be in the form of original research, a references to established methods. All drugs and review article, short communications, a case report, chemicals used should be identified precisely, including recent advances, new techniques, review on clinical/ generic names, doses, routes of administration. medical/ophthalmic education, a letter to the editor, Results: These should be presented in a logical medical quiz, Ophthalmic highlights/update, news and sequence in the text, tables and illustrations. Only views related to the field of medical sciences. Editorials important observations should be emphasized or are written by invitation. Report on Ophthalmic summarized. obituaries should be concise. Author should keep one Discussion: The author’s comments on the result, copy of the manuscript for reference, and send three supported with contemporary references, including copies (laser or inkjet) to the Managing Editor, arguments and analysis of identical work done by Ophthalmology Update through E-mail/CD or by post others. Brief acknowledgement may be made at the end. in MS word. Photocopies