ABSTRACT
Background: Conjunctival autograft and Mitomycin C are two useful adjutants in the prevention of pterygium recurrence
Objective: To compare the recurrence rate of conjunctival autograft and Mitomycin C adjuvant in primary pterygium excision. Design: Quasi-experimental study on patients of primary pterygium from November 2004 to November 2006. Setting: Department of Ophthalmology, Liquat University of Medical and Health Sciences Jamshoro/Hyderabad
Method: One hundred cases of primary pterygium were treated with conjunctival autograft and Mitomycin C 0.02% intra-operatively for 5 minutes at the bare sclera by cotton swab. Anesthesia used was topical proparacaine and local infiltration of lignocaine. Patients were followed postoperatively for 9-12 months to find the recurrence [defined as fibrovascular tissues invading the cornea 1mm or more] of pterygium and complications. All surgeries were performed by one surgeon
Results: Of the hundred cases 17 were lost in follow-up. In remaining eighty-three eyes received conjunctival autograft [CAG n=52] and Mitomycin C [MMC n=31]. There were 4 [7.69%] recurrences in group A [CAG] and 8 [16.13%] recurrences in group B [MMC]. There was statistically significant difference in the recurrence rate between the two groups. The post operative complications in MMC group were two punctate epithelial keratitis, one conjunctival granuloma and one has dellen. No significant complications were encountered in conjunctival autograft group
Conclusion: Simple excision of pterygium followed by conjunctival autograft has the lowest recurrence rate and minimal incidence of complications as compared to intraoperative Mitomycin C
ABSTRACT
Tuberculosis has reemerged as a serious public health problem in recent years. The periorcular manifestations of tuberculosis are uncommon and diverse. We present two cases of periocular tuberculosis. One patient had a history of painless non-healing ulcer in the right periorbital region inferiorly and temporal fossa. Initially, it was on inferior side and, later on same type of lesion occurred in temporal fossa. Both the lesions developed communication in the form of sinus. Other patient was referred with the suspicion of chronic dacryocystitis with history of watering and painless swelling since 9 months and not responding to systemic antibiotics. Both cases had no known history of systemic tuberculosis, only the periorbital findings were presenting manifestations of systemic tuberculosis. In both cases anti-tuberculosis regimen was advised. In conclusion, ocular tuberculosis can have variable clinical manifestations and occasionally appears as a dacryocystitis or non-healing ulcer in periorbital region. A high degree of clinical suspicion is important in cases not responding to antibiotics
ABSTRACT
We report an unusual presentation of ovarian carcinoma, metastasizing to gall bladder. A 45 years old female, presented with diffuse abdominal pain and mass in the lower abdomen. On ultrasonography, she was found to have ovarian carcinoma with multiple tiny calculi in the gall bladder and thick irregular gall bladder walls. Laparotomy was done with oophrectomy and cholecystectomy. Histo-pathological examination revealed ovarian mucinous cyst adenocarcinoma along with ulcerated gall bladder walls showing metastatic deposits of adenocarcinoma