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Aims-To describe a method of securi indwelling O'Donohughe's lacrimal tul in dacryocystorhinostomy using two 3 mm Watski sleeves Methods-The operative technique us to secure the sleeves into position on 1 lacrimal tubes is described. Forty sev procedures with a follow up ranging fr( 3 to 30 months (mean 10 months) E reviewed. Results-The tubes and sleeves were M tolerated. Upward prolapse of the tul occurred only once and the tubes wt easily repositioned in this case. Conclusion-Securing lacrimal tul with Watski sleeves in dacryocystorhii stomy is a simple, cheap, and effect procedure. (BrJ Ophthalmol 1995; 79: 664-666) Dacryocystorhinostomy and canalictu surgery provide a very high rate of perman relief of the watery eye, with a failure rate of] than 10% of cases.

Eighty patients were randomised in a single-masked parallel-group study to receive topically either the test drug, a diclofenac and gentamicin combination, or a betamethasone and neomycin combination after routine cataract extraction and intraocular lens implantation. Each group was assessed over a 6 week period for post-operative inflammation. The two drug combinations were equally effective in suppressing inflammation in the early post-operative stages and the diclofenac-gentamicin combination was slightly more effective in the later stages. The test drug was well tolerated and showed no adverse effects. We feel it is an effective and relatively safe drug which has a role as an anti-inflammatory agent after cataract extraction and has potential advantages in certain circumstances.

Kettering SUMMARYPurpose: The purpose of the study was to assess the value of perioperative intraocular pressure (lOP) measurement in trabeculectomy as a predictor of drainage and related complications in the early post operative period.Methods: A prospective study was undertaken of 42 eyes (39 patients) followed up after trabeculectomy for the first post-operative month.Results: Analysis of the change in lOP in the first post operative month showed that at 1 month tbe pressure in all cases tended to similar values irrespective of the mean perioperative lOP. Early shallowing of the anterior chamber was, however, associated with a significantly lower perioperative lOP, although there was no significant difference in lOP at 1 month in these cases. Conclusions:The perioperative lOP appears to be effective in predicting anterior chamber shallowing in the first post-operative month with good sensitivity and specificity, but has little value as a predictor of the lOP at 1 month.Flat or shallow anterior chambers with persistent hypotony were complications frequently seen in the full-thickness filtering procedures and led to the development of trabeculectomy in the late 1960s. 1 . 2 Whilst trabeculectomy certainly appears to have fewer of these complications there is still a problem of unpredictable drainage in the immediate post operative period ? A Insufficient drainage, usually due to a tight scleral flap or occlusion of the trabeculectomy site by the iris From:

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