International Invention Journal of Medicine and Medical Sciences

Number Vol. 2(9), 2015

131-134
A neonate of Prune-Belly Syndrome for Sigmoid loop colostomy and Suprapubic cystostomy: A challenge for the Anaesthesiologist

Authors: *1Dr Pratibha Jain Shah (MD (Anaesthesiology), FIPM), 2Dr Vishal Jain, 3Dr K K Sahare, 4Dr Neha Chandrakar’s

Abstract

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We describe the successful anaesthetic management of three days old pre-term male baby of Prune-Belly syndrome (PBS), presented with breathlessness, lax wrinkled abdominal wall with distended abdomen, not passing urine/ motion, bilateral undescended testis and absence of anal opening since birth underwent sigmoid loop colostomy and suprapubic cystostomy. PBS a rare congenital anomaly (1 in 40,000 births), that is associated with a distinctive set of physical problems like deficient abdominal musculature, bilateral cryptorchidism and urinary tract anomalies that a child is born with. Patient of PBS undergo a myriad of surgical procedure either to diagnose or to treat associated problems. Respiratory and urinary complications are the leading cause of perioperative morbidity in these patients. Problems associated with PBS which may confront an anaesthesiologist are discussed in a case report. Keywords: Prune Belly Syndrome; Anaesthesia management; Complications.

135-138
Effect of Myopic LASIK Surgery on Ocular Alignment and Binocular Vision in Patients with Manifest or Intermittent Exotropia

Authors: Mahmoud A Saleh. MD*, Mhmoud I Gazy. MD, Ahmed I Galhoom. MD, Ahmed E Hodiep. MD , Mohamed El moddather MD, Mostafa F Mohammed MD.

Abstract

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To evaluate the effect of myopic lasik surgery on ocular alignment and binocular vision in patients with manifest or intermittent exotropia. 26 patients (52 eyes) with exotropia (9 patients manifest exotropia and 17 patients intermittent exotropia).Patients seeking myopic refractive surgery with mild amblyopia, ametropia or anisometropia were consecutively included in this study. Amblyopic eyes with visual acuity <20/60 and patients with vertical strabismus were excluded from the study. Myopic LASIK surgery was performed on 44 eyes. Ocular alignment and binocular function remained unchanged postoperatively in all except three patients with high anisometropia who experienced an improvement in binocular function. In these patients, the preoperative manifest deviation became intermittent in two patients and latent in one patient after surgery with improving fusion and stereopsis. Manifest or intermittent exotropia is not a contraindication for myopic LASIK surgery provided some specific recommendations are taken in consideration, such as an adequate preoperative examination and consecutive surgery of both eyes starting with the dominant eye, and aiming at emmetropia for the dominant eye and for the non‐dominant eye. Keyword: LASIK, Manifest exotropia, Intermittent exotropia.