Levator muscle in obscure aquired and congenital ptosis [clinico-pathological study]

This study included 40 patients with ptosis [24 congenital and 16 acquired]. Neurological examination included associated neurological deficit. During surgical correction of levator muscle, sample sent for pathological examination. In the congenital group 7 cases with mild ptosis showed normal muscle, 16 cases with severe ptosis showed excessive fibro-fatty tissue replacing the muscle fibers, the remaining muscle fibers are normal. So, congenital scanty muscle fiber is responsible for ptosis, myopathic changes evident in only one patient. The acquired group showed evident myopathic changes

Management of resistant herpetic corneal ulcer

Thirty-five patients with resistant herpetic corneal ulcers were managed by either one of cauterization and debridement, soft contact lenses and conjunctival hood flap. The results were encouraging

Evaluation of levator resection in management of severe congential ptosis

Thirty five lids of twenty seven patients with severe congenital ptosis were treated by levator resection [transcutaneous approach].Twenty to twenty five mm of the muscle were excised with full correction in 32 cases, overcorrection in 2 cases and undercorrection in one case. Patients were followed up for 12 months levator resection in severe congenital ptosis is recommended before thinking of frontalis sling operations

Vitrectomy in management of endophthalmitis

Twelve patients presented with endophthalmitis were treated with pars plana vitrectomy and intravitreal injection of gentamycin [200m]. Patients were followed up for 4 months. Useful vision were preserved in some cases and controlling the infection was achieved in most cases. Vitrectomy is recommended early in cases presented with endophthalmitis

Estimation of total IgE in the lacrimal fluid and serum of patients with giant papillary conjunctivitis

Total IgE levels in the lacrimal fluid and serum were estimated in 28 soft contact lens wearers having giant papillary conjunctivitis [GPC] and in 22 normal soft contact lens wearers using the paper radioimmunosorbent test [PRIST]. A considerable elevaltion of lacrimal and serum IgE was detected in 24 [85.71%] out of 28 GPC patients The elevation was more pronounced in lacrimal than in serum IgE A slight elevation was detected in only 3 [13.63%] out of the 22 normal contact lens wearers