Meckel-Gruber syndrome is a rare lethal autosomal recessive condition which was first described by Johann Friedrich Meckel in 18221 and GB Gruber in 1934.2 More than 200 cases have been reported worldwide with an incidence ranging from 1:13,250 to 1:140,000 live births.3
A 21-year-old female with G3 A2 L0, presented with twin pregnancy with history of previous two anencephalic pregnancies. The present pregnancy was a preterm vaginal delivery of female twins by face presentation at 35 weeks of gestation (diamniotic dichorionic twin gestation).
Neonatal autopsy revealed classical triad of occipital encephalocele, polycystic kidneys and lungs with postaxial polydactyly.
This case is presented for its rarity and its documented occurrence in Gujarati Indians.
How to cite this article
Shetty BP, Alva N, Patil S, Shetty R. Meckel- Gruber Syndrome (Dysencephalia Splanchnocystica). J Contemp Dent Pract 2012;13(5):713-715.
Scleral fixated intraocular lens (SFIOL) is a safe and effective option for managing optical aphakia. Suture related complications like suture erosion, suture breakage, endophthalmitis, etc. are unique to SFIOL. The knots can be covered by partial thickness flaps or they can be rotated into scleral tissues without flaps to reduce the complications. We performed a recently described novel technique which obviates the need for knot and scleral flaps in securing the SFIOL. This novel 2-point Ab externo knotless technique may reduce the knot related problems. Twenty-three eyes undergoing this knotless SFIOL procedure were analyzed for intraoperative and postoperative complications. Twenty-two eyes either maintained or improved on their preoperative vision. All patients had a minimum follow-up of 24 months.
<h3>To the Editors:</h3>
<p>A 15-year-old boy from rural south India presented with complaints of foreign body sensation in the left eye for 1 day, after a fly landed on his eye. On examination, his uncorrected visual acuity was 20/40, N6 in both eyes. Slit-lamp biomicroscopic examination of the right eye was normal. The left eye revealed conjunctival congestion, a small area of subconjunctival hemorrhage at the 11-o’clock position, mucoid discharge in the inferior fornix, and superficial punctate keratitis. There were 4 to 5 white worms with black frontal portion moving on the conjunctiva (Fig. <a href="EditorPage.aspx?da=core&id=%7b9AAFB9E4-7723-42DE-901D-178F84938FBF%7d&ed=FIELD2486124684&vs&la=en&fld=%7b0564BFD8-9E7B-4050-89EF-344B2B7151EF%7d&so=%2fsitecore%2fsystem%2fsettings%2fhtml+editor+profiles%2frich+text+healio&di=0&hdl=H2486124727&us=sitecore%5cEAnderer&mo&pe=0#x01913913-20091104-15-fig1">1A</a>). The rest of the examination was normal.</p>
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