https://annals-ashkmdc.org/index.php/ashkmdc/issue/feed ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE 2022-05-28T08:05:25+00:00 Prof. Dr. Nargis Anjum editor@annals-ashkmdc.org Open Journal Systems <p style="font-weight: 400;">The scientific journal, Annals of Abbasi Shaheed Hospital and Karachi Medical and Dental College is a quarterly peer-reviewed journal being published for over 20 years, recognized by PMDC, HEC (Y-Category) and cited on Emerging Sources Citation Index (Thomson Reuters), IMEMR, Pakmedinet. The Editor-in-Chief is a member of World Association of Medical Editors (WAME), Eastern Mediterranean Association of Medical Editors (EMAME), and Pakistan Association of Medical Editors (PAME).</p> <p style="font-weight: 400;"><strong>ARTICLE PROCESSING:</strong></p> <p style="font-weight: 400;">The articles can be submitted online via eJManager throughout the year and on an average, it takes maximum one year to print an article. For any queries please email at annalskmdc2013@gmail.com.</p> <p style="font-weight: 400;">Ordinary Processing:</p> <p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;1. Processing Fee: Rs. 2000/-<br>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;2.Publication Fee: Rs. 2000/- (per side of PDF)</p> <p style="font-weight: 400;">Fast Track Publication</p> <p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;1. Processing Fee Rs. 3000/-</p> <p style="font-weight: 400;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;2. Publication Fee Rs. 20,000/-</p> <p style="font-weight: 400;">3.Publication Fee of Pictorial Quiz: Rs. 1000/-<br>...(Include processing and Publication Both):</p> <p style="font-weight: 400;">Subscription per issue:<br>In Pakistan: Rs.1000/-<br>In Karachi: Rs.800/-<br>Bangladesh &amp; India: Rs.1200/-<br>UK: £ 40<br>USA &amp; other Countires: $ 60</p> https://annals-ashkmdc.org/index.php/ashkmdc/article/view/572 Post COVID-19 Syndrome: Biomarkers and Laboratory Evaluation 2022-05-28T07:46:07+00:00 Bushra Moiz bushra.osmanali@hotmail.com 2022-05-28T00:00:00+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/566 Association between Functional Status of Patients and Cognitive Impairment in End Stage Renal Disease 2022-05-28T07:46:07+00:00 Asma Arman asma_arman@hotmail.com Mahjabeen Yaseen dr.mahjabeenyaseen@gmail.com Tahir Ansari tahiransarifm@gmail.com Natasha Billia natashabillia@yahoo.com Mehwish Arif Butt mehwisharif@gmail.com <p><strong>ABSTRACT</strong></p> <p><strong>Objective: </strong>The increased incidence of diabetes, hypertension in third world countries has lead to an increase in end stage renal disease which in turn escalates the burden of dialysis on patients and caregivers. Dialysis is associated with many serious physical and mental disturbances. The aim of this study is to highlight the importance of screening for cognitive impairment and depression in End stage renal disease because cognitive impairment can impair the activities of daily living and overall quality of life.&nbsp;&nbsp;</p> <p><strong>Methods: </strong>150 patients were included in a study after fulfilling the inclusion and exclusion criteria. They were screened for cognitive impairment by using the Montreal cognitive assessment scale, for depression by using Hospital Anxiety and Depression scale and Barthels index for assessment of activities of daily living.&nbsp;</p> <p><strong>Results:</strong>&nbsp;Of 150 patients most were males (56%) and females were (44%) out of which 36.67% males and 32.67% of females were cognitively impaired. Most patients were hypertensive and unemployed.&nbsp; There was no significant social demographic association observed for cognitive impairment. The patients with cognitive impairment need assistance in feeding, bathing and mobility as compared to patients with no cognitive impairment.&nbsp;&nbsp;</p> <p><strong>Conclusion: </strong>Our study revealed that cognitive impairment is present in patients and it is related with activities of daily living. The presence of depressive symptoms and anxiety is also affecting activities of daily living difficulty in ambulatory hemodialysis patients. Patients especially need help in climbing stairs and minor help in transferring, occasional bladder help, minor help in feeding and minor help during walk.&nbsp;</p> <p><strong>Key</strong> <strong>words: </strong>Cognitive impairment,&nbsp;End stage renal disease,&nbsp;Dialysis,&nbsp;Activities of daily living.</p> <p>&nbsp;</p> 2022-05-28T00:00:00+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/577 Association of Clinicopathological Factors with Radiation Induced Oral Mucositis in Patients with Head and Neck Carcinoma 2022-05-28T07:46:08+00:00 Uzma Zareef uzmaz_3@hotmail.com Afifa Razi afifa.razi@zu.edu.pk Rehan Imad geniusstar2002@gmail.com Atif Iqbal atif.butt@zu.edu.pk <p><strong>Objective:</strong></p> <p>To evaluate the association of clinicopathological factors with radiation induced oral mucositis in patients with head and neck carcinoma .</p> <p><strong>Methodology</strong></p> <p>This cross sectional study was conducted at&nbsp; Department of Neurospine and Cancer Institute,&nbsp; Inclusion criteria were patients with confirmed non-metastatic carcinoma histologically, age range of &gt; 20 and&nbsp; 70 years, patients requiring radical radiotherapy showing visible oral and oropharyngeal mucosa in the field of radiation (55 to 66 Gray). The exclusion criteria were: history of more than one tumour recurrence; prior history of radiation to the head and neck region; atypical liver and renal function; unusual haematological status; other deliberated medical conditions. Non-probability convenience sampling was used for&nbsp; assesment of oral mucositis. Data was analysed by using SPSS version 23.</p> <p><strong>Results:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong></p> <p>A total of 30 patients were included. The mean age was 43 years (25-70 years) and 76.7% were males. Right sided buccul mucosa was most common primary tumor site, 70%&nbsp; cases belongs to middle-class families with 90%&nbsp; has no previous family history. Histological grade 2 and grade 2 and grade 3 mucositis was mostly reported. Tobacco chewing and betel nut chewing is the most common habit. The most common site affected is&nbsp; buccul mucosa, followed by the cheek and tongue. It has been observed that TNM staging and histological grading have shown significance in cases of oral mucositis.</p> <p><strong>Conclusion:</strong></p> <p>This study concludes that the oral mucositis is significantly associated with TNM staging and&nbsp;&nbsp; histological grading of tumors. Male gender, elderly age, middle to low socioeconomic status,&nbsp; tobacco and betal nut chewing , right sided buccal mucosa and stage II TNM staging. Grade 2 and grade 3 oral mucositis was&nbsp; the most frequent clinicopathological factors associated with the development of head and neck cancer. Although previous family is not very frequent in our study population.</p> <p>&nbsp;</p> 2022-05-28T05:58:07+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/194 Learning Styles and Preferred Teaching Methodologies of Medical Students In Relation To Year of Study 2022-05-28T07:46:11+00:00 Muhammad Zafar Iqbal Hydrie zafarhydrie@gmail.com Syed Muhammad Zulfiqar Hyder Naqvi dr.smzhnaqvi@gmail.com Syed Imtiaz Ahmed Jafry dsiaj@hotmail.com <p><strong>Objective:</strong> To assess learning styles and preferred teaching methodologies of medical students in relation to year of study.</p> <p><strong>Methods: </strong>A cross-sectional study was carried out among 523 medical students of Baqai Medical College, Baqai Medical University, Karachi, from May 2019 to October 2019. All male and female students from first to final year, who attended the undergraduate MBBS program in the medical college, were included in the study. The study questionnaire was administered to all enrolled undergraduate medical students, from first to fifth year, on the campus out of which 523 forms were collected. The study instrument was a questionnaire containing students’ demographic details, David Kolb’s Learning Style Inventory 4.0 and their preferred teaching methodologies scored using a 5 point Likert scale. The association of various learning styles and preferred teaching methodologies with year of study was assessed by using Pearson chi-square test.</p> <p><strong>Results: </strong>Out of 523 students who returned the form 518 had completed the questionnaire. A majority of the students had imagining or experiencing learning style. No change in learning style was observed between years of study. The top three teaching methodologies with highest mean scores were small group discussion (3.58±1.12), problem based learning (3.56±1.11) and demonstration on models (3.54±1.20). A significant association between some preferred teaching methodologies and year of study was found such as interactive lecture (p=0.011), problem based learning (p=0.026), small group discussion (p=0.024), and one way lecture (p=0.028) while a highly significant association was noted in case of student presentation (p=0.001).</p> <p><strong>Conclusion: </strong>The present study showed that different years of study at medical schools did not significantly affect students’ learning styles, although the students did change their preferences to some teaching methodologies. Longitudinal studies are necessary to reveal whether there is an effect of learning styles over time in medical education.</p> 2022-05-28T06:04:10+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/528 Awareness of Dental Personnel towards Occupational Injury- A Cross Sectional Study 2022-05-28T08:05:25+00:00 Maimoona Naeem maimoonanaeem70@gmail.com Fasahat Khan fasahat_khan1@hotmail.com Syed Mahmood Shah drmahmoodshah@gmail.com Zafar Abbas drzafarabbas10@gmail.com Amna Rehman geniusstar2002@gmail.com Muhammad Saad ul Hassan msaad03@hotmail.com <p><strong><u>TITLE:</u></strong></p> <p>Awareness of dental personnel towards&nbsp;occupational injury- a cross sectional study</p> <p><strong>ABSTRACT</strong></p> <p><strong>Objective: </strong>To determine the awareness of dental personnel towards dental occupational injury in Karachi.</p> <p><strong>Methods:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong></p> <p>This cross-sectional prospective study was conducted using pre-designed questionnaire addressing dental personnel of two dental hospitals of Karachi. It includes final year students, house officers, dental officers, general dental practitioners, consultants, post-graduate residents, and dental staff assistants. The inclusion criteria include dental personnel from both genders aged between 20 years to 60 years and had given verbal consent for the study. The non-cooperative respondents, not willing to participate in the study were excluded The sample population includes final year BDS students, house officers (HOs), dental officers (DOs), general dental practitioners, consultants, post-graduate residents (PGs) and dental staff assistants (DSAs). The dental health care workers were asked for the frequencies, tool, procedure and the departments in which they experienced NSI/SII; their knowledge and practice regarding standard management protocols for NSI/SII and their reporting was assessed.&nbsp; A sample size of 201 personal was selected. Through informed verbal consent dental personnel of both genders aged between 20-60 years, filled questionnaire. Statistical analysis was done on SPSS version 19.00.</p> <p><strong>Results:</strong></p> <p>Female and final year BDS participants were74.6% (n=150) and 35.3% (n=71) respectively. Needle stick injury or sharp instrument injury (NSI/SII) was 69.6 % (n=140). Most frequent&nbsp; Instrument causing injury was dental needle i.e. 54.3% (n=76) while most frequent procedure was during local anesthesia administration i.e. 28.6% (n=40). Department of Oral Surgery was the most common department reported for injury i.e. 53.6% (75). Total 86.6% (n=174) were aware and 79.3% (n=111) of dental personnel followed standard protocols for its management. The statistical analysis was done with SPSS version 19.0. with significant p-value was &lt; 0.05.</p> <p><strong>Conclusion:</strong></p> <p>The percentage of dental occupational injury is high and awareness of dental personnel towards dental occupational injury in Karachi is inadequate.</p> <p><strong>Keywords:</strong></p> <p>Wounds and Injuries, occupational injuries, dental instruments</p> <p>word count abstract: 204</p> <p>word count: 1781</p> <p>Number of tables and Figures: 2 each</p> <p><strong>Conflict of interest and funding:</strong></p> <p>None</p> <p><strong><u>TITLE:</u></strong></p> <p>Awareness of dental personnel towards&nbsp;occupational injury- a cross sectional study</p> <p><strong>ABSTRACT</strong></p> <p><strong>Objective: </strong>To determine the awareness of dental personnel towards dental occupational injury in Karachi.</p> <p><strong>Methods:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong></p> <p>This cross-sectional prospective study was conducted using pre-designed questionnaire addressing dental personnel of two dental hospitals of Karachi. It includes final year students, house officers, dental officers, general dental practitioners, consultants, post-graduate residents, and dental staff assistants. The inclusion criteria include dental personnel from both genders aged between 20 years to 60 years and had given verbal consent for the study. The non-cooperative respondents, not willing to participate in the study were excluded The sample population includes final year BDS students, house officers (HOs), dental officers (DOs), general dental practitioners, consultants, post-graduate residents (PGs) and dental staff assistants (DSAs). The dental health care workers were asked for the frequencies, tool, procedure and the departments in which they experienced NSI/SII; their knowledge and practice regarding standard management protocols for NSI/SII and their reporting was assessed.&nbsp; A sample size of 201 personal was selected. Through informed verbal consent dental personnel of both genders aged between 20-60 years, filled questionnaire. Statistical analysis was done on SPSS version 19.00.</p> <p><strong>Results:</strong></p> <p>Female and final year BDS participants were74.6% (n=150) and 35.3% (n=71) respectively. Needle stick injury or sharp instrument injury (NSI/SII) was 69.6 % (n=140). Most frequent&nbsp; Instrument causing injury was dental needle i.e. 54.3% (n=76) while most frequent procedure was during local anesthesia administration i.e. 28.6% (n=40). Department of Oral Surgery was the most common department reported for injury i.e. 53.6% (75). Total 86.6% (n=174) were aware and 79.3% (n=111) of dental personnel followed standard protocols for its management. The statistical analysis was done with SPSS version 19.0. with significant p-value was &lt; 0.05.</p> <p><strong>Conclusion:</strong></p> <p>The percentage of dental occupational injury is high and awareness of dental personnel towards dental occupational injury in Karachi is inadequate.</p> <p><strong>Keywords:</strong></p> <p>Wounds and Injuries, occupational injuries, dental instruments</p> <p>word count abstract: 204</p> <p>word count: 1781</p> <p>Number of tables and Figures: 2 each</p> <p><strong>Conflict of interest and funding:</strong></p> <p>None</p> <p><strong><u>TITLE:</u></strong></p> <p>Awareness of dental personnel towards&nbsp;occupational injury- a cross sectional study</p> <p><strong>ABSTRACT</strong></p> <p><strong>Objective: </strong>To determine the awareness of dental personnel towards dental occupational injury in Karachi.</p> <p><strong>Methods:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong></p> <p>This cross-sectional prospective study was conducted using pre-designed questionnaire addressing dental personnel of two dental hospitals of Karachi. It includes final year students, house officers, dental officers, general dental practitioners, consultants, post-graduate residents, and dental staff assistants. The inclusion criteria include dental personnel from both genders aged between 20 years to 60 years and had given verbal consent for the study. The non-cooperative respondents, not willing to participate in the study were excluded The sample population includes final year BDS students, house officers (HOs), dental officers (DOs), general dental practitioners, consultants, post-graduate residents (PGs) and dental staff assistants (DSAs). The dental health care workers were asked for the frequencies, tool, procedure and the departments in which they experienced NSI/SII; their knowledge and practice regarding standard management protocols for NSI/SII and their reporting was assessed.&nbsp; A sample size of 201 personal was selected. Through informed verbal consent dental personnel of both genders aged between 20-60 years, filled questionnaire. Statistical analysis was done on SPSS version 19.00.</p> <p><strong>Results:</strong></p> <p>Female and final year BDS participants were74.6% (n=150) and 35.3% (n=71) respectively. Needle stick injury or sharp instrument injury (NSI/SII) was 69.6 % (n=140). Most frequent&nbsp; Instrument causing injury was dental needle i.e. 54.3% (n=76) while most frequent procedure was during local anesthesia administration i.e. 28.6% (n=40). Department of Oral Surgery was the most common department reported for injury i.e. 53.6% (75). Total 86.6% (n=174) were aware and 79.3% (n=111) of dental personnel followed standard protocols for its management. The statistical analysis was done with SPSS version 19.0. with significant p-value was &lt; 0.05.</p> <p><strong>Conclusion:</strong></p> <p>The percentage of dental occupational injury is high and awareness of dental personnel towards dental occupational injury in Karachi is inadequate.</p> <p><strong>Keywords:</strong></p> <p>Wounds and Injuries, occupational injuries, dental instruments</p> <p>word count abstract: 204</p> <p>word count: 1781</p> <p>Number of tables and Figures: 2 each</p> <p><strong>Conflict of interest and funding:</strong></p> <p>None</p> 2022-05-28T06:10:42+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/396 Significance Of Student's Feedback In The Development Of Dental Curriculum: A Qualitative Study 2022-05-28T07:46:20+00:00 Qaiser Masud Sheikh dentistofromania@gmail.com Muhammad Wajahat Ghafoor wajahatghafoor@ymail.com Rafey Ahamd Jameel rafey.jameel@duhs.edu.pk Sabahat Yasmin Ghafoor Chaudhry dr_sg_c@yahoo.com Sumera Ejaz drsumeraijaz838@hotmail.com Minal Masood Minalwajahat23@gmail.com <p><strong>Objective:</strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The objective of this study is to understand the significance of student’s feedback as a stakeholder so that we can incorporate their feedback in the development of Dental Curriculum.</p> <p><strong>Methods:</strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; A qualitative explorative study was done a; duration was 6 months i.e. from 6<sup>th</sup> Feb to 18<sup>th</sup> Aug 2017. We conducted a two session focus group discussion (FGD) with likewise graded students as per their exam scores i.e. high achieving (75-85%) and low achieving groups (55-66%) in Oral Biology. A total of 14 students took part in the Focus Group Discussion FGD sessions.</p> <p><strong>Results:</strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Six common themes on which students expressed their reservations are as follows;</p> <ol> <li>i) Teaching approach, ii) Issues regarding 1<sup>st</sup> year BDS education, iii) Teachers/Students collaboration, iv) Faculty qualification/experience status, v) Impact of student’s input in curriculum development and vi) Absence of collaborative sessions.</li> </ol> <p>All these points that were emphasized by the student’s feedback about curriculum, teachers and assessment modes are critical for better learning.</p> <p><strong>Conclusion:</strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; As per our study findings, integrating multiple teaching approaches and emphasizing on students feedback is significant for dental curriculum development.</p> 2022-05-28T05:41:28+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/417 Sutureless and Glue Free Conjunctival Autograft in Pterygium Surgery 2022-05-28T07:46:22+00:00 Uzma Taqi uzma.cementwala@hotmail.co.uk Erum Shahid drerum007@yahoo.com <p><strong>Objective: </strong>The objective of the study is to report a newer technique of pterygium excision followed by suture less and glue free conjunctival autograft for its complications and recurrence rate. &nbsp;</p> <p><strong>METHODS<em>: </em></strong>This prospective and quassi experimental study was carried out at Baqai medical university hospital, Karachi from January 2016 to December 2016. This study consists of 30 eyes of 22 patients, above 15 years of age with primary progressive Pterygium of 2 mm or more in size and interfering with the vision. All the patients were operated under sub tenon’s anesthesia, Pterygium was excised with surgical blade followed by suture less and glue free conjunctival autograft from superior limbus. Primary outcomes measures included graft loss, granuloma and any other complications noted within six months. Recurrence was also noted at 6 months.</p> <p><strong>RESULTS: </strong>There were 30 eyes of 22 patients. &nbsp;There were 4 females (18.18%) and 18 male patients (81.81%). The mean age was 31.28 years ± 9.4 SD. Right eye was seen in 16 (53%) cases. Graft lost was recorded in 1 patient (4.5%), conjunctival pyogenic granuloma in 1 patient (4.5%) and graft retraction was seen in 1 (4.5%) case. Recurrence rate was none at 6 months post operatively.</p> <p><strong>CONCLUSION: </strong>Conjunctival autograft without suture and glue is a new and simple technique that can be done with minimal expenses and limited resources. It has fewer complications and no recurrence.</p> 2022-05-28T06:18:55+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/480 Assessing donor site pain after Iliac Crest Bone Graft 2022-05-28T07:46:24+00:00 Alamzeb Khan alamzeb671@gmail.com Asad Ullah Jan alamzeb671@gmail.com Farman Ullah dawar0055@gmail.com Muhammad Waqar mr-waqar43@yahoo.com Sajjad Ahmad sajjad-swat66@yahoo.com Sardar Hussain sardarhussain25@gmail.com <p><strong>Objective: </strong>The aim of the present study was to evaluate the intensity of donor site pain after autogenous iliac crest bone graft harvest for arthrodesis of joints and non-union of fractures.</p> <p><strong>Methodology: </strong>This prospective cross-sectional study was conducted at the Orthopedics Department of Khalifa Gul Nawaz Teaching Hospital in Bannu. A total of 156 patients who underwent iliac crest bone graft harvest were included in the study. The frequency and intensity of donor site pain were assessed using the visual analogue scale (VAS) after one month of postoperatively.</p> <p><strong>Results: </strong>Out of 156 patients, the majority were males (61.5%). The mean age and pain score observed in the enrolled patients was 34.7 ± 9.5 years and 2.24 ± 2.01, respectively. Mild pain was present at one-month follow-up postoperatively in 50.6% of the patients. The pain intensity was assessed in relation to gender and age; there was no significant difference in the mean VAS scores between males and females (p=0.45). Furthermore, stratification with respect to age also displayed no significant variation in the pain scores with respect to age (p=0.99).</p> <p><strong>Conclusion: </strong>Donor site pain remains significant morbidity associated with iliac crest bone graft, mild pain was observed in half of the enrolled cases, and only 23% were pain-free after one month of the surgery.</p> 2022-05-28T06:25:40+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/523 A Journey towards Improved Quality of Life of a Typist with Retinitis Pigmintosa 2022-05-28T07:46:26+00:00 Malab Sana Balouch malabsbalouch@gmail.com Muhammad Shahbaz shahbazrasheed19@gmail.com Mohammad Moaz Balouch mmoazbalouch@gmail.com <p><strong>Abstract</strong>: Retinitis pigmentosa (RP) is a group of inherited rod-cone degenerative pathologies that present clinically with similar signs and symptoms. Common fundus findings include bone-spicule pigment formation, attenuated blood vessels in the posterior pole and waxy optic nerve pallor. Symptoms mostly start with progressive night blindness, mid-peripheral visual field defects, and eventual tunnel vision. A 42 year old male patient, typist by profession presented to our clinic with complaints of decreased vision and reduced dark adaptation affecting his quality of life a lot. On examination, he was diagnosed as an advanced case of retinitis pigmentosa bilaterally and there was bilateral posterior sub capsular cataract. His quality of life was assessed by using a simplified version of the VFQ-25 questionnaire. After successful cataract surgery and low vision rehabilitation his quality of life was reassessed by using same questionnaire. He had a much more positive outlook towards his eyesight. Our case report reviews the life changing personalized low vision rehabilitation of a typist with retinitis pigmentosa.</p> <p><strong>Key words:</strong> retinitis pigmentosa, quality of life, low vision rehabilitation</p> <p>&nbsp;</p> 2022-05-28T06:31:57+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE https://annals-ashkmdc.org/index.php/ashkmdc/article/view/584 Pictorial Quiz 2022-05-28T07:46:28+00:00 Hadia Yousuf hadiayousuf15@gmail.com Haseebullah Yousuf hadiayousuf15@gmail.com 2022-05-28T06:37:41+00:00 Copyright (c) 2022 ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE