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

Frequency and visual outcome of anterior segment involvement in accidental ocular trauma in children

To analyze the frequency and visual outcome of anterior segment involvement in accidental ocular trauma in children. This descriptive case series was conducted in the Department of Ophthalmology Lady Reading Hospital, Peshawar from 15th June 2007 to 15th October 2008 on 200 cases of anterior segment involvement in children during accidental ocular trauma. Patients were admitted through casualty or Outpatient Department. After detailed history, systemic examination and complete ocular examination was done including visual acuity, slit lamp examination and examination under anesthesia when necessary. In this study, male children constituted 74.5% [149] and females 25.5% [51] of the total. Children between ages of 6-10 years are more vulnerable [42%]. Injury caused by blunt object was seen in 64.05% [129] of children and mostly it was due to stone in 21.50% [71]. The commonest place of injury was indoors in 38.50% [77], followed by playgrounds in 28.00% [56] and on streets and roads in 21.5% [43]. The visual acuity on arrival was PL+ ve in [35.5%] and open globe injury was observed in 36.0%. At the end of two months 13.5% eyes were phthisical. Blunt ocular trauma is a common ocular trauma in children with males more vulnerable. School going children are more at risk. Blunt trauma especially because of stone is the main culprit with devastating visual results

Spectrum of ocular surface squamous neoplasia

To describe the pattern of ocular surface squamous neoplasia [OSSN], clinical presentations, the risk factors and treatment options. An observational case series. Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar, from April 2003 till August 2006. The study included 36 eyes of 35 patients with biopsy-proven ocular surface neoplasia. The details of patients regarding age, gender, laterally and risk factors were entered into a specially-designed proforma. Each patient was also assessed blomtcroscoplcally for type and complications of ocular surface neoplasia. The frequency of OSSN was 0.37 among admitted hospital patients. Among 36 cases of OSSN, squamous cell carcinoma of the conjunctiva was the most common type of OSSN seen in 63.9%, followed by carcinoma in situ of conjunctiva in 25% and carcinoma in situ of cornea in 11.1%. Male patients outnumbered female [65.7% vs 34.3%] with 71.42% of patients above 60 years of age. The risk factors identified were: old age, ultraviolet B exposure and xeroderma pigmentosa. Treatment consisted of local resection with or without adjuvant therapy in 61.1%, exenteration in 30.5%, enucleation in 5.5% and chemo/radiotherapy in 2.7%. Intraocular invasion was seen in 5.5% and orbital spread in 30.5%. The frequency of OSSN was 0.37% among admitted patients. Identification of exact etiological factors will enable to formulate strategies that are likely to decrease the incidence of this disease and the associated morbidity and mortality