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

Cystoid macular edema [CME] following uncomplicated phacoemulsification using optical coherence tomography: a clinical study of 100 cases

Objective: To determine the frequency of Cystoid Macular Edema [CME], after Phacoemulsification diagnosed on Optical Coherence Tomography

Study Design: A descriptive cross sectional study

Place and duration: Department of Ophthalmology, Lady Reading Hospital, Peshawar, Pakistan, from 1[st] April 2011 to 30[th] April 2012

Methodology: A sample of 100 patients undergoing phacoemulsification surgery was selected using purposive non-probability sampling technique. Descriptive statistics were applied as number [frequency] and percentage like Central point thickness and age

Results: This study was conducted on 100 cases of Phacoemulsification surgery. Minimum age was 40 year and maximum was 80 year with mean age of 55.73 +/- 8.37 years. Minimum Central Point Thickness [CPT] was 121nm and maximum was 503nm with mean CPT of 172.31 +/- 81.158nm. Cystoid Macular Edema [CME] was diagnosed in 9 [9%] cases. 3[3%] females and 6[6%] males were diagnosed as CME cases. Majority of the patients have visual acuity of 6/12[44.44%]

Conclusion: It concludes that Frequency of CME [diagnosed on OCT] is not very common in post phacoemulsification surgery patients but needs to be treated as it can lead to loss of vision

Complications and visual outcome of intraocular foreign body: a study of 37 cases presented to a tertiary care centre of Khyber Pakhtunkhwa

Objective: To determine the complications and visual outcome of intraocular foreign body presented to a tertiary care centre of Khyber Pakhtunkhwa

Study Design: A prospective, interventional case Series

Place and Duration: At Department of Ophthalmology, Govt Lady Reading Hospital, Peshawar from 1st July 2011 to 31st Jan 2013

Methodology: 37 cases with intraocular foreign body from outdoor department were admitted for management. Patients were examined after detailed history and important findings noted

Results: The study population comprised of 37 cases. Male were in majority [70.2%]. majority of our patients were young. Mean age 33 years. Common complications of intraocular foreign body include vitreous hemorrhage [32.4%], retinal detachment [37.8%], scleral perforation [32.4%] and endophthalmitis [27%]. Visual progression was poor in majority of the eyes [54.04%]

Conclusion: Most serious cause of intraocular foreign body was Bomb Blast injury. Visual prognosis was poor in majority of the eyes; delayed presentation and complicated BBI were the top reasons

Radiological manifestations of primary gout

Gout is an ancient disease not uncommonly seen in radiological practice. Twenty-two patients of suspected gout were examined over a period of 11 years [1984-1995]. There were 20 males and 2 females with ages between 35-70 years. First metatarsophalangeal joint was involved in 18 patients. Tophaceous deposits in hands were seen in one, whereas another patient had urate deposit in the lateral condyle of the humerus. One patient had opaque renal stones bilaterally and lucent stones in the right kidney, confirmed by ultrasound, were observed in one case. All of the patients had hyperuricemia. A definite family history was recorded in only three cases. Two patients in the present series were diabetic