large infantile capillary hemangioma of the eyelid with 5 years follow-up

A five-day baby girl presented with a large mass involving the right upper and lower eyelid obstructing the visual axis completely. She was treated with intralesional triamcinolone acetonide injection under general anesthesia but no change in size of the tumor was observed. Oral beta blocker, propranolol, 1 mg/kg body weight, was given at three months. After two months, no significant change in tumor size was seen. The tumor was managed by surgical excision. There was no effect of intralesional triamcinolone acetonide and oral beta blockers. Even with surgical excision, there was recurrence of tumor

Spectrum of optic disc changes in primary open angleglaucoma

To find out the patterns the optic disc changes associated with primary open angle glaucoma [POAG]. This descriptive study was conducted at Ophthalmology department, Hayatabad Medical Complex Peshawar from 1[st] January to 31[st] December 2009. All patients with diagnosed POAG, above the age of 30 years, having no lens or media opacity and ocular co-morbidity, were examined thoroughly for patterns of optic disc changes associated with POAG. Frequencies and percentages of the contour of neuroretinal rim, appearance of nerve fiber layer, presence of optic disc hemorrhages, colour of optic nerve head was noted. Descriptive statistics for disc were calculated for Vertical disc diameter [VDD], Cup/disc ratio [CDR], and Rim Disc Ratio [RDR]. Two hundred patients with POAG were included. Diffuse thinning and localized notching in the neuroretinal rim was noted in 188 [94%] and 86 [43%] patients, respectively. Optic disc hemorrhage, Optic disc pallor and Optic disc atrophy was seen in 80 [40%], 127 [63.5%] and 15 [7.5%] cases, respectively. Mean VDD was 1.76mm in both right and left eyes. Mean vertical and horizontal CDR was 0.73 and 0.57 in the right and 0.765 and 0.611 in the left eye, respectively. Mean vertical and horizontal RDR was 0.451 and 0.543 in the right and 0.368 and 0.486 in the left eyes, respectively. Majority of the patients showed changes in measurements of neuroretinal rim, so emphasis should be placed on the examination of neuroretinal rim in all patients of POAG

Factors predicting the outcome of anterior levator resection in congenital ptosis

Jo identify any consistent factors which may predict over or under correction of congenital ptosis treated by anterior levator resection. The study was conducted at Khyber Institute of Ophthalmic Medical Sciences Hayatabad medical Complex, Peshawar from January 1st 2006- December 31st 2006. The study was approved by the ethical committee of KIOMS A retrospective case note review of 50 consecutive patients undergoing anterior levator resection for congenital ptosis was performed to identify. 1. The amount of ptosis and degree of levator function present pre-operatively and 2. The surgical outcome. For unilateral ptosis, a successful result was defined as a lid level within 1mm of the fellow lid following a single operation. Fifty four eyelids of 50 patients [35 males and 15 females] with congenital ptosis were included in the study. Seventy seven percent [77.27%] of all unilateral patients had a successful outcome at 6 weeks following surgery, falling slightly to [73.52%] by 6 months. The most common complications at 6 months for all cases were under correction [20%] and over correction [7.5%,]. All patient under corrected at 6 months had pre-operative levator function in the range of 4-10 mm with a mean of 6.4 mm, whereas all those over corrected at 6 months had a levator function in the range of 9-15 mm with a mean of 12 2 mm. The degree of levator function was a predictor of increased risk of over correction, with a trend towards predicting under correction as well. In this series of patients, pre operative levator function was found to be the most significant predictor of surgical outcome for anterior levator resection