External Dacryocystorhinostomy with & without Silicon Tube Intubation in Chronic Dacryocystitis with Nasolacrimal Duct Block.

The aim of the study was to compare the outcome of external DCR with and without stenting with silicon tube and analyse the results of silicon intubation whether it improves the overall success rate of DCR. Success rate for external DCR without STI was 80% in our study .Success rate for DCR with STI rose to 92%.Therefore DCR with STI is a highly successful procedure with a success rate of over 90%.Using the ST is a fairly simple procedure and takes just a few minutes to intubate the anastamosis.By using the ST the commonest cause of failure ie the closure of common canalicular opening is prevented thereby enhancing the success rate of DCR.External DCR still is a preferred modality of treating CDC as compared to Endoscopic DCR or Laser DCR, having a much better rate of success over these procedures.

Profile of Patients of Glaucoma In Kashmir Valley (A Hospital Based Study).

A prospective study undertaken to study the profile the various sub types of glaucoma in the Kashmir Valley to document the prevlance and clinical manifestations of the various type of glaucomas was conducted in the glaucoma clinic of the Post Graduate Department of Ophthalmology, Govt. Medical College ,Srinagar, Kashmir. 200 patients (400 eyes) were included. All patients underwent a comprehensive and exhaustive Glaucoma work up to diagnose classify and treatment modalities were suggested. Pseudoexfoliation glaucoma was the largest group of glaucoma patients in the study (40.25%). 29% had POAG.;7.25% had angle closure glaucoma. This is in contrast to most studies in India where this group forms the largest group of all Glaucomas. Male female ratio was 7:3. Females were more affected by angle closure glaucoma. 60% patients had various degrees of glaucomatous optic atrophy on presentation.Early detection, proper training of medical professionals to do a basic IOP examination and fundus examination, awareness about glaucoma is need of hour.

Use of Condom to Control Intractable PPH.

To evaluate the success of condom as a tamponade to arrest intractable Postpartum Hemorrhage (PPH) in patients not responding to medical management. The prospective study was done in LD Hospital, Government Medical College Srinagar over one year period. All but one (96.2%) patients successfully responded the tamponade therapy by the use of condom catheter. One (3.8%) patient required hysterectomy. Condom catheter effectively controls the PPH. It is a simple inexpensive and safe method of conserving the reproductive capacity along with saving the life of women with intractable PPH.