Post-keratoplasty emergency visits at a hospital in Jordan

To evaluate the different complaints and presentations, such as emergency visits, after penetrating keratoplasty [PKP], ways of management, and the outcome of these visits. This prospective study included a total of 60 consecutive emergency visits by 55 post-PKP patients at the eye clinic in King Hussein Medical Center, Amman, Jordan between January 2007 and January 2008. Fifty-five patients were included [66.7%] with a preoperative diagnosis of keratoconus. Pain and gritty sensation were the main presenting symptoms; loose irritating sutures [26.7%], and graft rejection [25%] were the most common diagnoses. Fourteen patients [23%] were admitted to the hospital for either re-suturing or intensive treatment, the graft survived in all patients, while the visual acuity was preserved in 96.3%. Proper postoperative care is critical for a successful penetrating keratoplasty; early intervention of sight threatening complications increases the chance of graft survival and best-obtained vision

Chronic tonsillitis

Recurrent tonsillitis is a common infection. This study stresses on proper clinical assessment. This was conducted on 80 cases which needed tonsillectomy. At surgery gentle dissection minimizes blood loss. Average blood loss was 85 ml. Tonsil core swabs showed pathogenic bacteria in 36% tonsils. All the patients were followed up for a period from 3 months to 4 years. Most patients [96%] were found to have significant reduction of sore throat, fever and obstructive symptoms in the follow up period. We conclude that Tonsillectomy is the main stay for chronically infected Tonsils