Sutureless large incision cataract extraction: indications and results from two teaching hospital eye departments in the United Kingdom

To highlight the role of Sutureless Large Incision Cataract Extraction [SLICE] in the United Kingdom for the treatment of cataracts at high risk for intra- or postoperative complications. Two University Hospitals in the United Kingdom. Retrospective case note review of planned SLICE performed over a 12-month period. SLICE was performed on 11 eyes of 11 patients [mean age, 79 years] having preoperative vision of hand motions [10 eyes] with very dense or mobile cataracts and high risk for phacoemulsification. Mean follow up was 12 weeks, with no operative or postoperative complications. Nine patients [without ocular or systemic comorbidity] achieved best corrected vision of 0.3 LogMAR [20/40] or better. SLICE is safe and effective for dense or mobile cataracts and can play a role in patients where conventional phacoemulsification carries higher risks of complications

retrospective study of peritonsillar abscess in riyadh medical complex toward setting up treatment protocol

To investigate and study the management pattern of peritonsillar abscess, the male to female ratio and incidence. Also, to evaluate the causative organism isolated from abscess and reported by culture/sensitivity [C/S]. This study has been designed as a single centered retrospective hospital based study. We carried out this study in the Department of ENT, Riyadh Medical Complex, Saudi Arabia from 2000 to 2004. We gathered the data via survey [5 years]. There were 81 patients admitted for the management of peritonsillar abscess. Mean age of patients was 22 years [range 10 to 60 years; 44 male, 37 female]. The hospital stay varies from 1-8 days with a mean of 4 days. The left side is more involved. Treatment consisted mainly incision/drainage under local anesthetic in 47 patients [58%], while 5 cases [6%] were carried out under general anesthetic. Aspiration and conservative treatment was noted in 25 [31%] cases, abscess tonsillectomy was carried out in 3 [4%] cases. The most common microorganisms isolated from C/S is Group A beta hemolytic streptococcus [17/81 [21%]]. Penicillin G + Flagyl [49/81 [60%]] were the most common antibiotics used. No case of bilateral peritonsillar abscess was found and there is no consensus regarding the best technique. Options include needle aspiration, incision and drainage and immediate tonsillectomy. Peritonsillar abscess remain one of the acute admission in the Department of Otolaryngology at Riyadh Medical Complex, Riyadh. Incision/drainage remains the gold standard treatment, Penicillin G + Flagyl combinations are the cornerstones