Background: Cataract is one of the major causes of a visual impairment, which eventually leads to blindness. An oxidative damage to the lens proteins is a major factor which leads to cataract formation. Therefore, we intended to study the relationship between the biochemical markers of oxidative stress and various forms of cataracts. Methods:We examined the lenses and the sera of 120 subjects who were aged 50 to 80 years, who were distributed in two groups, viz. the study group (90 patients) and the control group (30 subjects). The oxidative stress was assessed by estimating the lipid peroxidation product in the form of thiobarbituric acid reactive substances (TBARS), the antioxidant status by measuring the levels of vitamin E and the total antioxidant capacity (TAC). The study group patients were further divided into those with nuclear cataracts (30 patients), cortical cataracts (30 patients), and diabetic cataracts (30 patients).Results: In this study, it was found that the levels of TBARS in the study group were significantly high (p<0.001), whereas the TAC (p<0.001) and the vitamin E (p<0.001) levels were significantly low, both in the lenses and the blood of the study group as compared to those of the control group.

PI blockers who require a calcium antagonist for the treatment of angina are prescribed one that has no effect on cardiac conducting tissue.We thank Mrs Sheila Haugh for typing this manuscript.

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Spontaneous trauma to the genital tract during vaginal delivery without instrumentation is very rare. Colporrhexis- rupture of vaginal vault is a very rare type of genital tract injury. A 31 year’s woman P2L2 with a previous one left ectopic pregnancy was referred to our institute within one hour of vaginal delivery as a case of suspected rupture uterus. On Per speculum examination under anaesthesia revealed protrusion of the omentum and intestine into the vagina, colporrhexis of the posterior vaginal wall was suspected which could not be repaired vaginally hence proceeded with laparotomy Opening the abdomen revealed injury of the small intestine also. Total abdominal hysterectomy with the repair of colporrhexis with small bowel resection and anastomosis with temporary ileostomy done. Colporrhexis - a dreadful complication, known to occur both in non-pregnant and pregnant state. It is subdivided into primary or secondary, spontaneous or traumatic, complete or incomplete. We encountered a case of vaginal delivery which had resulted in primary spontaneous complete posterior colporrhexis with small bowel injury

Endometriosis is a chronic gynaecological disorder where presence of functional and morphological endometrial gland present outside the uterine cavity. Cesarean scar endometriosis is an unusual manifestation of extra pelvic endometriosis. Here, we report a case of caesarean scar endometriosis diagnosed after 6 years of cesarean delivery and was treated by surgical wide enbloc excision under spinal anaesthesia. Main aim is to increase awareness of this entity.