AIMS:To review the effect of surgery type on the postoperative recovery & astigmatism in pterygium surgery. SETTINGS AND DESIGN: Randomized comparative clinical trial. MATERIALS AND METHODS: Forty six patients (46 eyes) with primary pterygium were randomised to undergo pterygium surgery using either autologous fibrin glue (23 eyes) or 10-0 nylon sutures (23 eyes) to attach the conjunctival autograft. The patients were followed up 1day, 1wk, 2wks & 6 weeks. Outcome measures were keratometry changes & postoperative recovery.. The preoperative and postoperative keratometric measurements, evaluated using keratometer, were noted. RESULTS: Corneal astigmatism was significantly reduced in the total group from 2.94(SD-0.52) diopter to 1.91 (sd 0.57) diopter (p < 0.001) The reduction in astigmatism was not significantly different between the two groups In the autologous fibrin glue group, the mean operation time was13.96 (SD 3.2) min (range 10-20 min) and in the suture group (p<0.001) it was 29.78 (SD 4.6) min (range 20-35 min). One patient in each group had partial graft dehiscence; it was successfully reattached with autologous fibrin / sutures accordingly (p>0.05).The intensity of the postoperative watering, itching, were significantly lower in the autologous fibrin glue group than in the suture group (p<0.001). Postoperative redness was absent in 47.82% (11cases) and mild in 52.18% (13 cases) 2 weeks postoperatively in the autologous fibrin group while in sutured group 17.4% (4cases) had mild redness and 82.6% (19 cases) had moderate redness 2weeks postoperatively. CONCLUSION: Corneal astigmatism is reduced by

Assessment of causes of eyestrain in emmetropic patients 10-18yrs of age. SETTINGS AND DESIGN: Cross sectional study. MATERIALS AND METHODS: We did an observational study of 100 patients, 10 to 18 years of age, coming to Ophthalmology O.P.D. of KIMS, Karad, who were emmetropes (post cycloplegic retinoscopy) but complained of eyestrain. After taking thorough history of these patients, they were subjected to anterior segment and posterior segment examination followed by squint and binocular vision synaptophoric assessment, the cause was diagnosed and they were treated accordingly. RESULTS: After assessing 100 such patients we found that, 24% of patients had Video Display Terminal Syndrome (VDTS), 23% had convergence insufficiency, 17% had squint, and 7 % had ocular surface disorder. The cause were not gender related (p value >0.005). Of these VDTS and convergence insufficiency were statistically significant (p value <0.005). CONCLUSION: These findings conclude that VDTS and convergence insufficiency are frequent among emmetropes with eyestrain in the age group of 10-18yrs.