Supratarsal injection of triamcinolone for vernal keratoconjunctivitis

We conducted this study to find out safety and effectiveness of supratarsal injection of Triamcinolone in Vernal Keratoconjunctivitis [VKC]. This study was conducted from 1[st] February 2006 to 15[th] July 2007 in Department of Ophthalmology BVH, Bahawalpur. Eight hundred and eighty eyes of 440 diagnosed patients of VKC, of either sex and all ages were included in the study. Patients with raised LOP, post-herpetic corneal scar, tightly closed eyelids were excluded from the study. It was a prospective, uncontrolled trial. The patients were enrolled and given the first supratarsal injection of Triamcinolone. Their record was maintained and all the patients were followed up for obtaining the data about effectiveness and side effects of therapy. We treated 880 eyes of 440 patients, out of which 81.82% were males. Mean age was 16 years [Range: 2-42 years]. All of the patients had itching of eyes and the rest of the clinical features were redness, cobble-stone papillae and Tranta's dots. Mean duration of disease was 18 weeks [Range: 4 weeks to 6 months]. Patients were followed up and multiple injections were given to control the disease. Transient redness was most common among the side effects of injection therapy. Study shows lO0% effectiveness of supratarsal injection of Triamcinolone acetonide in VKC although recurrence was seen. Supratarsal injection of Triamcinolone is safe, cost-effective and simple way of management of VKC. Curative treatment for VKC still remains elusive

review of 100 cases of ocular trauma admitted in eye ward. Presentation, management and visual outcome

To report different causes of ocular trauma in hospital admitted cases, their mode of presentation, management and visual outcome and to explore possible methods of reduction of ocular trauma in our setting. Hospital based retrospective descriptive and Observational study. The study was conducted in eye department of Bahawal-Victoria hospital from August 2007 to August 2009. 100 patients with first time ocular trauma of any age and sex were included in this study. Previous ocular trauma or ocular surgery patients were excluded. Visual acuity on presentation, rupture of globe, perforating injury, retinal detachment, endophthalmitis, intra-ocular foreign body and need for surgical intervention and visual outcome were determined. Out of 100 patients 88% were male and only 12% were females. 67% patients presented before 8pm. Majority [32%] of the cases were between 21-30 years of age. Open globe type injury [73%] was more common than close globe type [27%]. Most tears [46.57%] were corneal while 9% cases had FB in anterior segment and 17% in posterior segment. Regarding management 23% were managed medically while 77% required combined medical and surgical treatment. Despite of treatment, 12% eyes lost total vision due to phthisis bulbi, endophthmitis, and non-attachable retinal detachment. Ocular trauma in hospital admitted cases carries poor visual outcome due to severity and nature of trauma, late presentation, associated infection, poor socio-economic status. Visual outcome is dependent on location of wound, cleanliness, prompt and timely diagnosis and management