Frequency of congenital nasolacrimal duct obstruction

To determine the frequency of congenital nasolacrimal duct obstruction in children having congenital malformations of the eyes coming to the tertiary care eye hospital. Descriptive study done at Al Shifa eye hospital Rawalpindi from January 2004 to December 2007. Retrospective case record analysis of all children coming to the hospital with congenital malformation of nasolacrimal duct along with other congenital malformations of the eyes were included in the study. Children with no congenital anomalies of the eyes but having nasolacrimal duct obstruction were excluded. Congenital malformations of eyes were seen in 514 cases [289 males and 225 females]. The age distribution was from birth to 15 years, with majority seen between 0-2 years. Out of 514 cases, 103 had congenital abnormalities of lacrimal apparatus with 20% having nasolacrimal duct obstruction. Persistent tears were the major presenting feature. Nasolacrimal duct obstruction was the commonest congenital malformations of the eyes which can be easily corrected

Perforated peptic ulcer a review of 36 cases

To evaluate the epidemiology of peptic ulcer perforation in Armed Forces and further management / outcome of the patients. Data of 36 patients with perforated peptic ulcer collected. This data was analyzed on SPSS 13. CMH Rawalpindi from Jan 1979 to July 1981, Jan 1985 to Dec 1987 and Jan 2001 to Dec 2003. Out of 36 patients 35 were male and only one was female. Twenty four [67%] were between 31-50 years. No past history was taken from eight [22%] patients. Thirty four [94%] patients presented with duodenal perforation. Twenty patients [55%] had rigidity all over abdomen and peristalsis were present in ten [28%] patients who reported within twelve hours. Seventy eight [78%] were diagnosed by history and simple radiological examination. All the patients were treated by laparotomy [simple closure with omental patch]. Post operative complications occur in ten [28%] patients and mortality rate was 8%. Predominantly the peptic ulcer perforation occurs between 30-50 years of age. The incidence reduces with succeeding years of study. Post operative complications were less in younger age group .Early diagnosis can be made easily by taking good history and performing simple radiological examination