Management of congenital nasolacrimal duct obstruction

In a prospective study, patients presented to EL Maghraby Eye Center with congenital nasolacrimal duct obstruction underwent culture and sensitivity of conjunctival swabs. A total of 68 patients [28 males and 40 females] were treated over one year period. The average age of presentation was 5.8 months with a range of 2-12 months. Cultures of conjunctival swabs revealed hemophilus influenza in 24 cases, Staphylococcus aureus in 12 cases, Pneumococci in 10 cases, Staphylococcus epidermis in 8 cases, Pseudomonas pyocyaneous in 4 cases and Branhamella catarrhalis in 4 cases. The main management was simple massage of the tear sac with cotton tipped applicator 4 times daily in addition to instillation of antibiotic eye drops according to the sensitivity results. Chloramphenicol was shown to be active against the pathogens detected in nearly 50% of the cases. So we recommend chloramphenicol to be the initial treatment in case of congenital nasolacrimal duct obstruction

Comparative study of Aswad operation for entropion trichiasis

A comparative study off Aswad operation and other operations for entropion trichiasis was done in 240 cases. The results with Aswad operation were excellent in cicatricial entropion trichiasis of both upper and lower lid either primary or recurrent compared with other operations. Many cosmotic advantages were recorded especially in the lower lid