In patients with ganglionic ICH, subfalcian herniation was the commonest. Herniation was associated with increased mortality. Horizontal shift correlated with clinical features of raised ICP and outcome.
The potentially blinding ‘Retinopathy of Prematurity’ (ROP) can only be detected and managed when the consulting neonatologist is aware of the
condition. The role of trained ophthalmologist is vital in this scenario, more so when the locality is far away from the mainland.
In this study conducted at eastern part of India, the author found 34% incidence of ROP in the referred babies. Possible reasons for high incidence
and management is discussed in the article.
Sympathetic ophthalmitis (SO) is a rare bilateral, granulomatous uveitis that occurs following surgical or accidental trauma to one eye. Injured eye is the Exciting eye and the fellow eye is the Sympathizing eye. Most accepted patho-physiology is immune mediated. In this series, 4 patients with varied presentations were started on steroid pulse therapy (SPT) following routine blood investigation. 1 gram i.v methyl-prednisolone was given on 3 consecutive days in 300 ml Normal Saline under close observation. The patients were then shifted to oral steroid which was gradually tapered over 11 days. The patients were followed up for a minimum period of 14 days and the visual outcome was recorded.
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