Presentation of retinoblastoma in South Punjab

To study the mode of presentation of retinoblastoma in South Punjab. Department of Ophthalmology, Nishtar Hospital, Maltan. A retrospective study was carried out on children who visited Eye Department, Nishtar Hospital, Multan from March 2005 to February 2007. Forty patients were included in the study. The age of children ranged from 6 months to 6 years. The most children presented were with proptosis. A total of 40 patients were included in the study. Out of these 40 patients, 24 [60%] were male and 16 [40%] were female. Their mean age was 3-5 years. Children [45%] presented with proptosis. Therefore it is mandatory that all the children must be screened keenly and referred to tertiary hospital for proper evaluation and management. The late presentation of retinoblastoma is due to unawareness of people living in far flung areas where people are uneducated and poor and go to hakeems, peers and believe on jaddu and tona etc. Arrangement should be made for early screening of children and education of people for early symptoms and signs of the disease

Fungal keratitis; role of topical miconazole in management

Previously no topical antifungal was available and only dermatological preparation like bifonazole [mycospore] and some systemic antifungal were used for treatment of fungal ulcers. Now miconazole is available as topical ophthalmic ointment for the management of fungal ulcer. To Study the efficacy of topical miconazole ophthalmic ointment in the management of fungal keratitis and to know the time period required for complete healing with topical miconazole ophthalmic ointment. Department of Ophthalmology, Nishtar Hospital, Multan. One year [from March 2001 to February 2002]. Sample size: 20 patients. According to this study of 20 cases it is apparent that the fungal keratitis occurred most frequently in patients between 20-70 years of age. It is apparent those males who work at different places are more prone to disease. Out of 20 cases, 10 [50%] were farmers by occupation. Trauma with fingernail in 1[5%] patient, trauma with ston e in 2[10%] patients. No specific eye disease was present in 12[60%] cases. Trachoma was present in 4[20%] cases. Blephritis was diagnosed in 2[10%] cases, 2[10%] patients were suffering from chronic illness like chest infection. Fungal keratitis in 12[60%] was not associated with hypopyon, 6[30%] patients were associated with hypopyon and 2[10%] were associated with end-ophthalmitis. The response was good in 12[60%] patients and satisfactory in 3[15%]. Poor response in 3[15%] and there was no response in 2[10%] cases. Miconazole ophthalmic ointment is a good drug for the treatment of fungal keratitis