Introduction: Glaucoma, a multifactorial condition characterized by progressive optic neuropathy and distinctive visual eld loss, has become the most common cause of irreversible blindness worldwide. Many cases have shown progress despite of good control of IOP, strengthening the view that other independent risk factors play role in pathogenesis of glaucoma. Few studies have shown association of serum lipids to glaucoma. The objective of the study is to nd relation between serum lipid and POAG. Materials and Method: The study was conducted on 50 cases of glaucoma and 50 age matched controls. Detailed ophthalmic examinations were performed in all patients. Fasting lipid prole including total cholesterol, triglyceride, Low density lipoprotein(LDL),and high density lipoprotein (HDL) were measured and analyzed between the cases and controls. Result: Level of total cholesterol, total triglyceride, and LDLwere signicantly higher in cases than in contacts with Pvalue <0.05.Level of HDL was lowered in cases than in controls but it was not statistically signicant. Conclusion: Dyslipidemia is an independent risk factor for POAG. High serum Cholesterol, high triglyceride and high serum LDLcorrelate signicantly with POAG.

Aim – To study the clinical and demographic profile of patients visiting a tertiary eye care centre along with the effect of lockdown during Covid-19 pandemic. Material and Methods – This cross-sectional study included patients presenting during the entire lockdown period i.e. 25th March to 31st May, 2020. Records of the patients relating to symptoms, diagnosis and treatment modalities were analysed. Results – A total of 723 patients presented in the ophthalmology department of which 82.43% were in the OPD and 17.57% in the emergency. 60.03% were male and 39.97% were female. In the OPD, 21.81% patients had refractory errors, 12.08% presented with corneal disorders of which viral keratitis was the most common disorder. 10.57% presented with retinal disorders, 8.05% of patients had cataract and 4.69% had glaucoma. During this period 21 emergency surgeries were conducted. Conclusion – As a result of the nationwide lockdown in response to Covid-19 pandemic, there was considerable reduction in patients indicating lesser accessibility of health services to the needy patients. This needs to be addressed by planning delivery of health services in an effective and better way.

Introduction- Juvenile open angle glaucoma (JOAG) is a rare form of glaucoma that differs from adult-onset primary open angle glaucoma (POAG) in its age of onset and often in the magnitude of IOP(intraocular pressure) elevation. Objective-To document the demographic characteristics, clinical features and treatment outcome of patients diagnosed with JOAG. Materials And Methods- A non-comparative retrospective study of patients diagnosed with JOAG in the eye clinic of a tertiary eye care centre was done. Data was taken from clinical records and it included the basic demographic features and the clinical characteristics of the patients and the outcome of their treatment. Results- 30 patients were reviewed of which 9 (29.97%) patients were aged 20 years and below. The mean age was 26.2+/- 5.0 years. 12 (39.96 %) had a visual acuity of 6/18 in the better eye at the time of presentation. 8 (26.64%) patients defaulted within six months of presentation. The mean IOPfor the 22 patients who were followed up on treatment, was 16.35+/- 5.0 mmHg. Conclusion- In this study, most patients with JOAG presented an advance form of disease. Early detection through school eye health program and community-based screening would help in reducing the scourge arising from JOAG.