Moaz M Choudhary

Aga Khan University Hospital, Karachi, Kurrachee, Sindh, Pakistan

Are you Moaz M Choudhary?

Claim your profile

Publications (4)14.88 Total impact

  • Article: Reply.
    Azam Ali · Maria M Choudhary · Moaz M Choudhary · Musab U Saeed
    Retina (Philadelphia, Pa.) 09/2013; DOI:10.1097/IAE.0b013e31829b2ae7 · 3.18 Impact Factor
  • Maria M Choudhary · Moaz M Choudhary · Musab U Saeed · Azam Ali
    [Show abstract] [Hide abstract]
    ABSTRACT: : To evaluate the incidence of retinal redetachment after the removal of silicone oil endotamponade for complicated retinal detachment and identify possible factors affecting outcome. : This is a retrospective review of 173 patients who underwent pars plana vitrectomy with silicone oil tamponade for complex retinal detachment and subsequent removal of silicone oil (ROSO). The outcome factors studied included anatomical success, best-corrected visual acuity and intraocular pressure pre- and post-ROSO. : Anatomical success was achieved in 167 of the 173 eyes (96.5%) after ROSO. The mean duration of silicone oil tamponade was 70 ± 48 weeks (median, 56 weeks; mode, 48 weeks). The cause for primary retinal detachment was proliferative diabetic retinopathy in 36 (20.8%) and proliferative vitreoretinopathy in 137 of 173 cases (79.2%). Best-corrected visual acuity of greater than 20/100 was achieved in 83 cases (49.4%) at 3 months after ROSO. Levene's test for equality of variances was used to determine the association between previous unsuccessful retinal surgeries and redetachment (P = 0.523) and between duration of endotamponade and anatomical success (P = 0.451). : The incidence of retinal redetachment after ROSO in our study was 3.46%. Aggressive removal of the vitreous base, performing retinotomies, ensuring complete silicone oil filling for adequate tamponade, and argon retinopexy can lead to low complication rates and improved outcomes.
    Retina (Philadelphia, Pa.) 05/2012; 32(10):2034-8. DOI:10.1097/IAE.0b013e3182562045 · 3.18 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Surgical excision of the primary tumor with safe margins remains the mainstay of treatment for oral cavity squamous cell carcinoma (OSCC). The standard of care for assessment of intraoperative margins is frozen section histopathology. Unfortunately the facility is not available at most centers in limited resource countries. Toluidine blue, a metachromatic dye, has been well described in clinical identification of malignant and premalignant lesion in the oral cavity. Considering this we decided to explore intraoperative use of toluidine blue staining, in comparison with frozen sections, for the assessment of tumor-free margins. After obtaining clearance from the in-house ethical review committee, a prospective study was conducted at Aga Khan University Hospital, Karachi, from August 15, 2009 to March 14, 2010. A sample of 56 consenting patients with biopsy-proven OSCC were included in the study, giving us 280 tumor margins. Margins were analyzed using toluidine blue staining and frozen section histopathology. A receiver operator curve (ROC) was then applied to compare assessment of margin status by toluidine blue and frozen section. Of the 280 examined margins 11 stained positive with toluidine blue, three were positive on frozen section biopsy, and three were positive on final histopathology. Toluidine blue staining had sensitivity and specificity of 100% and 97%, respectively. The diagnostic accuracy of toluidine blue was found to be 97.1% with a positive predictive value (PPV) of 27.2% and a negative predictive value (NPV) of 100%. Toluidine blue can be used as an effective screening modality for the assessment of intraoperative margins in resource limited environments and reducing the number of frozen section biopsies performed. Further by providing real-time clinical information within minutes it can reduce indirect costs such as operating room time. It may also be used as an ad hoc for frozen section biopsies where frozen section facilities are available.
    World Journal of Surgical Oncology 04/2012; 10:57. DOI:10.1186/1477-7819-10-57 · 1.20 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The Phylum Microsporidia comprises >1,200 species, only 15 of which are known to infect humans, including the genera Trachipleistophora, Pleistophora, and Brachiola. We report an infection by Tubulinosema sp. in an immunosuppressed patient.
    Emerging Infectious Diseases 09/2011; 17(9):1727-30. DOI:10.3201/eid1709.101926 · 7.33 Impact Factor

Publication Stats

20 Citations
14.88 Total Impact Points

Institutions

  • 2012
    • Aga Khan University Hospital, Karachi
      • Section of Otolaryngology, Head and Neck Surgery
      Kurrachee, Sindh, Pakistan
  • 2011
    • Quincy University
      Куинси, Massachusetts, United States