A 24-year-old male patient with bilateral high myopia presented to our outpatient department with sudden onset of pain and diminution of vision in his right eye. He had sequentially undergone bilateral trabeculectomy and photorefractive keratectomy at the age of 6 years in both eyes. This was followed by radial keratotomy in right eye at the age of 8 years. The slit lamp examination demonstrated the presence of infiltrates in central cornea with an underlying fluid cleft, along with 14 radial keratotomy scars. Anterior segment optical coherence tomography confirmed the presence of intrastromal cleft in communication with anterior chamber. Bacterial culture revealed coagulase-negative Staphylococcus. The patient was successfully treated with fortified antibiotics in conjunction with the sensitivity report. This case underlines the need for a cautious approach towards refractive surgery in paediatric age group and highlights the long-term sequelae of retreatments in these cases.

Background: Physical activity and exercise are important part for better physical and mental health including the older adults .TV viewing which is a common type of sedentary behaviour in developed and developing countries is being paid less attention. Excess sleep or lack of sleep is a predisposing factor for NCDs such as DM. Objectives: 1.To assesses the physical activity and TV viewing patterns among adults in the age group of 20 to 60 years, among cases and controls in the urban field practice area of a medical college. 2 To assess the sleep patterns among cases and controls in same study population. Methods: It is a community based case control study. The data was collected from individuals in the age group of 20 to 60 years among cases and controls. Cases were those diagnosed with Hypertension and DM. Those who were found negative were taken as controls. Purposive sampling was done with a sample size of 108. Semi structured questionnaire was used. Descriptive statistics and odds ratio was calculated. Results: Cases were found to have physical Inactivity when compared to the controls.TV viewing was highest among cases when compared to the controls. Excess sleep or lack of sleep is found to have a positive risk factor for development of NCDs. Conclusion: Physical inactivity was more among the cases when compared to the controls.TV viewing of more than 4 hours were highest among the cases when compared to the controls. Sleep of less than 6 hours was more among the cases

INTRODUCTIONThe incidence of obesity is increasing dramatically worldwide. Overall 23% world adult population is overweight and 9.8% obese. By 2030, the number of overweight and obese adults is projected to be 2.16 and 1.12 billion, (38% and 20%), respectively. 1 Overweight/obesity is the fifth leading risk factor for global death. At least 2-8 million adults die each year as a result of being overweight or obese.2 A variety of factors including faulty diet, genetic predisposition, physical inactivity and behavioural factors are implicated as contributing factors to obesity. 3Overweight and obesity are defined as abnormal or excessive fat accumulation in the body that may impair health. Body mass index (BMI) is commonly used to classify overweight and obesity among adults.2 Raised BMI is an important risk factor for chronic diseases such as hypertension, type II diabetes mellitus, infertility, hyperlipidaemia and coronary disease. 444% of the diabetes burden, 23% of the ischemic heart disease burden and between 7% & 41% of certain cancer burdens are attributable to overweight and obesity. 2 ABSTRACT Background: The incidence of obesity is increasing dramatically worldwide. Overweight/obesity is the fifth leading risk factor for global death. At least 2-8 million adults die each year as a result of being overweight or obese. Studies on medical students and health personnel in many countries suggested that obesity is a problem among these population groups. Methods: A cross-sectional study was conducted at a medical college in Tumkur district of Karnataka. A pre-tested questionnaire was used to collect data from 200 medical students after taking their written consent. Results: Prevalence of overweight/obesity among the students was found to be 16% as per BMI cut-off. 39% of the female and 80%of the male students had normal waist-hip ratio while 61% of the female students and 20% of the male students had a higher waist-hip ratio where the risk of developing the metabolic complications was substantially increased. However, apart from breakfast skipping, no other Life-style behaviour was found to have any significant effect on obesity in the study. Conclusions: Prevalence of overweight and obesity according to WHO classification was 14.5% and 1.5%. The study reinforces the need to encourage healthy lifestyle, healthy food habits and a physically active daily routine among medical students.