Phacoemulsification-a preliminary experience at the Aga khan University Hospital karachi, Pakistan

This paper presents the relatively new experience of the Aga Khan University, Karachi, Pakistan with the technique of phacoemulsification [PKE] and aspiration. The first patient who was treated in this institution by PKE was in June, 90. This paper discusses the special advantages and indications of the procedure, with emphasis on the expected developments and modifications of PKE

pakistani family with wagner's disease

A Pakistani family suffering from Wagner's disease, a rare heriditanry vitreoretinal degenerative disorder, is reported. One of the family members had presented with congenital esotropia and high myopia and upon fundoscopy, the characteristic vitreoretinal findings were discovered. This is the first reported case[s] of Wagner's disease seen at the Aga Khan University Hospital. Its recognition emphasizes the fact that if should be kept in the differential diagnosis of patients with congenital myopia and/or congenital strabismus especially with a positive family history

5 Year study retrospective case study of penetrating ocular trauma at the Aga Khan University Hospital, Karachi

Ocular Trauma is an important cause of monocular visual impairment and blindness in younger age groups. We examined the cases of hospitalized ocular trauma from 1st January, 1985 through 30th July, 1990 using hospital medical records. The study comprised 27 patients [28 eyes], 51.8% of whom were under 16. The male-female ratio was 2.8:1. Right eye was more commonly involved [66.6%] and one patient had bilateral ruptured globes. Children at play were most vulnerable [33.3%] followed by road accidents which was the major cause [29.6%] in adults. Sixteen [64.0%] eyes suffered some complications and their mean duration of presentation after injury was 28.4 hours. Traumatic cataract was the most common complication [50.0%] in this group, followed by vitreous haemorrhage [37.5%]. Nine [36%] ocular injuries did not develop any complications and presented 14 hours [average] after injury. Most of the patients retained their vision on follow-up examination, but 16.0% lost their vision completely. Another 3 eyes had to be enucleated due to severe trauma and loss of vision

Anterior segment dysgenesis: a case report and review of literature

A case with anterior segment dysgenesis is reported and literature reviewed

Contact lens associated cross infection

Contact lenses are a frequent cause of ocular infection and are responsible for severe loss of vision by causing corneal ulceration. We report a case of cross contamination by lens solutions in two sisters, using the same disinfecting and rinsing solutions. Ophthalmologists should be cautious of contamination with rare and resistant organism in contact lens wearing patients, especially those who are exposed to multiple organisms in a hospital setting. We recommend careful culture of the ocular surface, contact lenses and solutions to isolate the causative organism, and to initiate proper antibiotic treatment