role of prophylactic laser iridotomy on the fellow eye in primary angle closure glaucoma

To evaluate the long-term efficacy of laser peripheral iridotomy [LPI] of fellow eye of patients with acute primary angle-closure glaucoma [APACG]. Retrospective non comparative case series. Forty six patients [46 eyes] with APACG at presentation to Assiut University Hospital from January, 2005 to December 2008 were included. All fellow eyes were initially treated with prophylactic pilocarpine 2% eye drops four times daily before LPI which was done within 2 weeks. All patients were followed to detect development of acute angle-closure and rise of IOP. No cases developed APAC after LPI during the follow-up of 37.3 +/- 7.1 months. Thirty eight eyes [82.8%] did not develop rise of lOP during the follow-up period, while the remaining eight eyes [17.2%] developed chronic rise of lOP and required additional treatment. LPI is effective in preventing angle-closure in fellow eyes. Long-term follow-up is recommended to detect any rise of lOP that may occur and required additional treatment

Infantile cataract surgery and intraocular lens implantation

To assess the long term results of cataract extraction and intraocular lens [IOL] implantation for congenital cataract. Prospective hospital based study of 39 children [age 6-13 months] underwent cataract extraction and lOLs implantation for congenital cataract in Assiut University Hospital and followed-up for 21 months [range 16-33 months]. Posterior capsulotomy and generous anterior vitrectomy was performed in all eyes. Forty nine eyes of 39 patients were included. At surgery, the mean age was 8.3 months [range 6 to 13 months]. The mean follow-up was 21 months [range 16 to 33 months]. At the last follow-up, 82.1% of children had central steady vision. Postoperative complications included anterior pupillary membrane [n=8], deposition on the anterior surface of the IOL [n=4], posterior pupillary membrane [n=3], pupil capture [n = 6], pseudophakic glaucoma [n=2], posterior synechia [n=3] and squint [n=13]. Implantation of lOLs in infants with congenital cataract is safe and effective and without serious postoperative complications