study on pattern visual evoked response in papillitis and papilledema

Pattern VER was recorded from 30 eyes [20 patients], 14 eyes with papillitis [12 patients] and 16 eyes with early papilloedema due to benign increase of intracranial pressure [8 patients]. VER was recorded at time of presentation and after recovery, in active papillitis VER was present, with increased latency in 92.86 percent of cases and diminished amplitude in all cases. After recovery, latency remained high in 85.79 percent of cases while amplitude returned to normal in 92.79 percent of cases. So VER can be useful in the follow up of cases of papillitis and to evaluate the effectiveness of medical treatment. In cases of early papilloedema VER was present but with values which were more or less normal during the active disease [all cases were normal and after recovery [81.25 percent] of cases were normal]. Therefore, VER can be used with other clinical tests to differentiate papillitis from papilloedema because, VER alone is still not decisive and the interpretation of its results are still difficult

Endocapsular cataract extraction versus conventional extracapsular cataract extraction

The operative and postoperative findings of endocapsular cataract extraction were compared to conventional E.C.C.E. The anterior capsulotomy in the upper part of the anterior capsule of the lens was much easier and less complicated than 0 shaped capsulectomy of the conventional E.C.C.E. Lens nucleus delivery needed less counter pressure and corneal touch was avoided in endocapsular method. Cleaning of cortical remnant within the capsular bag was more complete and with reduced chance of posterior capsule rupture.Postoperative striate keratitis, uveitis secondary glaucoma were less in endocapsular surgery

Ketoconazole therapy for fungal keratitis

14 patients with fungal Keratitis were treated with combined topical and oral ketoconazole, a new antifungal agent. In 10 cases [71.4%] healing and regression of corneal ulcer began four to eight days after initiation of treatment. The clinical signs of corneal infection disappeared after three to six weeks and visual acuties improved markedly. In two cases the improvement was very slow and remain stationary for long time and in two cases the ulcer progress no sings of improvement was noted after six weeks. No systemic or topical signs of toxicity or adverse reactions were recorded