40 patients of chronic daryocystitis presented to our hospital underwent DCR. They were divided in two group Group A in which 20 patients underwent external dcr & in GROUP B 20 patient underwent endonasal dcr . This study suggests that both external and endonasal DCR surgeries have a high success rate with low incidence of any adverse events and high patient satisfaction and are generally comparable across all the measured parameter.This paper will discuss procedures and their results in detail. KEYWORDS: DCR , CDC INTRODUCTION:Dacryocystorhinostomy is the mainstay of treatment for obstruction in lacrimal passage beyond common canaliculus. Dacryocystorhinostomy involves the creation of an alternative route for drainage of tears, between the lacrimal sac and nasal cavity, bypassing the nasolacrimal duct. This is usually performed either by an external approach (external DCR) or through the nasal cavity using an endoscope (endonasal DCR).The external DCR technique was originally described in 1904 1 1 and was subsequently modified 2 by the addition of suturing of the nasal and lacrimal mucosal flaps in order to form an epithelium-lined fistula. Several case series have estimated the success rate of external DCR to be between 85% and 95%. [3][4][5][6][7][8] The endonasal approach was introduced in 1893 by Caldwell 9 and later modified by West 10 10 and Halle. 11 During its early days, this approach failed to gain popularity due to lack of technology to allow good access to the nasal cavity. Following the introduction of the nasal endoscope, 12 interest in endonasal DCR increased. The procedure, in its present form, was introduced by McDonough et al. 13 The apparent advantages of endonasal DCR over external DCR are its less invasive nature, shorter operative time and preservation of pump function of the orbicularis oculi muscle due to the absence of an external skin and orbicularis incision. Absence of an external scar, minimal morbidity and low complication rate has made endonasal DCR popular.The disadvantages of endonasal DCR include a relatively smaller opening between the lacrimal sac and nasal cavity, high equipment cost and steep learning curve and some of these disadvantages are known to influence the success rate. Despite the advantages, the general impression is that endonasal DCR has a lower success rate than external DCR. This study aims to look at this hypothesis further.This study is a prospective interventional case series looking at the procedure, outcomes, adverse events, success rates with external and endonasal DCR surgery.

50 patients underwent cataract extraction with IOL implantations were studied for postoperative inflammation, visual outcome and corneal edema. They were divided in two groups of 25 patients each. Group A received Difluprednate 1 drop 4 times per day for 14 day, next 14 day tapering dose and next 14 day on observation. Group B received prednisolone acetate 1% 6 time for 14 day, and then on tapering dose for next 4 weeks. Difluprednate reduces post-operative inflammation more effectively than prednisolone acetate (PA) resulting in more rapid recovery of vision. This paper will discuss these finding in details.

The study was carried out in the upgraded department of ophthalmology N.S.C.B. Medical College & Hospital, Jabalpur (M.P.) during academic session of 2005-2006 to correlate the visual outcome after cataract surgery in camps & in routine hospital cases. Two groups of patients were taken for study: Group A-1540 patients taken from eye camps organized during September 2005-feb 2006. Group B-260 cases which have been operated as routine patients during February 2006-april 2006. The result suggests that cataract surgery performed in well-organized eye camps is comparable with surgery done in routine hospital cases and the visual outcome was comparable in both groups. This paper will discuss the study in detail.

BACKGROUNDGlaucoma, one of the common disorders of the eye, has made enormous and rapid progress. Trabeculectomy first described by Cairns in 1968 is most frequently performed partial thickness filtering surgery nowadays. Recent interest has focused on medical therapy designed to maintain the potency of the fistula and to promote filtering bleb formation by modifying the subsequent wound healing process.

BACKGROUNDCataract remains the most important cause of blindness worldwide. Investigators have continued the search for better and safer methods of surgical rehabilitations of the cataract patient. Technical advances are constantly being added, revolutionising cataract surgery. Intraocular lenses being on the most important advances made in ophthalmic surgery during the past year.