External approach levator resection for severe dysmyogenic ptosis

Eighteen eyelids of ten patients were operated upon for severe dysmyogenic ptosis, age was between 4 and 20 years. The technique was maximum levator aponeurosis complex resection of 25-27 mm. Follow up was 3-12 months, all patients were corrected and there was no need for other procedures. Complications were managed as hemorrhage, button hole of conjunctiva and levator in some cases and postoperative preseptal cellulitis. This technique was recommended before sling operation for severe dysmyogenic ptosis

Correlation between aqueous humour sterility after uncomplicated extracapsular cataract extraction and postoperative infection

The study included 30 patients of uncomplicated extracapsular cataract extraction. A conjunctival swab was taken just before making the incision, and anterior chamber aspirate was obtained at the end of the operation, and they were cultured for aerobic, anaerobic organisms and for fungus. Of 30 patients, 22 [73.33%] had culture positive conjunctival swab, the total number of organisms recovered was 16 with 11 patients having multiple organisms. Of 30 patients, 20 [66.66%] had positive AC aspirate cultures, the total number of organisms recovered was 15 with patients having multiple organisms. The most commonly isolated organisms of both swabs were staphylococcus aureus and albus, Diphtheroids and Bacteroids melaninogenicus. No eyes in this study developed endophthalmitis because the inoculum sizes were small. It was concluded that viable organisms can be found in the anterior chamber of eyes after uncomplicated cataract surgery, reaching it from the external ocular surface proved by the similarity of the organisms found in the conjunctival swab and those in the anterior chamber aspirate. The anterior chamber appears to be able to clear a low inoculum of bacteria after cataract surgery without development of endophthalmitis

Evaluation of nidek autorefractometer

The computerized refractometers are used for objectively measuring the refractive state of the eye. Four hundred and sixty nine patients [886 eyes] were examined for errors of refraction and glasses prescription. Satisfactory results were obtained, and in about 95% the apparatus was very helpful as a starting point for trial of glasses prescription