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AIM: To compare the CCT (CCT) on OCT in patients of senile cataract undergoing Phacoemulsification versus SICS with intraocular lens (IOL) implantation. MATERIAL AND METHODS: It was a descriptive, longitudinal study done on 168 patients > 50 years who underwent SICS or phacoemulcification with IOL implantation. Preoperative and postoperative CCT and visual outcomes were noted. RESULTS: Preoperatively CCT values in phaco and SICS groups were 513 and 507.65 respectively which increased to 592 and 555.27 respectively on post-op Day1. On day 7 and day 30 CCT values in SICS group were 527.75 and 513.62 and in phaco group were 538.42 and 519.13 respectively. CONCLUSION: There was significant increase in CCT in both groups on postop day 1 (phaco > SICS). However on subsequent postop days 7 and 30 the CCT values in both groups kept on decreasing and reached close to preoperative value. Though overall CCT values of SICS group were lower as compared to phaco group, the difference between two groups was statistically insignificant.

Aim:To study outcomes of procedure ( Small incision cataract surgery with PCIOL implantation with trabeculectomy) in terms of visual acuity , intraocular pressure and complications. Methodology: A hospital based descriptive longitudinal study was done on 22 patients with chronic simple glaucoma operated at Pravara rural hospital ,Loni. The pre-operative and post operative data was collected in terms of Visual Acuity recorded with Snellens chart and Intra Ocular pressure recorded with help of Applanation Tonometer or Non Contact Tonometer in uncooperative patients. The Trabeculectomy and SICS with PCIOL were performed at separates site.The preoperative mean IOP was 28 mmHg with good functional visual acuity ranging from Finger counting 4 meters to 6/24 with coexisting cataract. The IOP and VA were noted post operative 1 Week and 6 weeks. Results: Mean age of the patients in the study was 74 , 5 ( 22.7 %) were less than and equal to 60 years , 8 ( 36.3 % ) were between 61 and 70 years , 7 ( 31.8 % ) were between 71 and 80 years , 2 ( 9.1 %) were above 80 years .Out 0f 22 patients , 16 (72.7%) were male and 6 ( 27.3) were female .Mean intraocular pressure on post operative 1 week and 6 weeks was 17.3 mmHg and 17 mmHg respectively . Significant visual improvement was seen in patients who underwent combine surgery .Postoperative BCVA at 6 weeks below 6 / 60 in 3 patients (13.6 %) , between 6 /60 to 6/24 in 9 ( 40 .9 %) , above 6 /24 in 10 patients (45.5 %). Conclusion: Management of coexisting cataract with chronic simple glaucoma in one setting has advantage of no financial burden as financial burden is main cause of non compliance in the poor rural population.

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Introduction: Vernal keratoconjunctivitis (VKC) is an allergic eye disease. It is a bilateral, seasonal, external ocular inflammatory disease of unknown cause. The clinical picture of VKC is characterized by ocular symptoms such as pruritus, tearing, burning, foreign body sensation and photophobia. There are three clinical forms: Palpebral, bulbar and mixed. Risk factors include allergic tendencies, family history of atopy, tropical climate. There is male preponderance to this condition. Aims/objectives:To study the known risk factors predisposing to and clinical presentation of Vernal keratoconjunctivitis in patients at our rural tertiary care hospital. Materials and Methods: We included 40 patients of both genders who came to the outpatient department of our rural tertiary health centre with signs and symptoms of VKC and excluded patients with other ocular surface disorders. Results: Out of 40 study participants, 26 (65%) were male and 14 were female. Majority of patients (55%) visited the OPD in the summer season.There was a significant history of other atopic manifestations, such as eczema or asthma, in 55% of patients. A family history of atopy was found in 19 (47.5%) patients.It was bilateral in 95% (38) patients.The predominant form seen in our RHTC was palpebral in 25 patients (62.5%), followed by mixed (25%) and bulbar (12.5%). Commonest symptom was itching, seen in 70% of patients,Diminution of vision was seen in 5% of patients due to corneal scarring and Shield ulcer. Signs included papillae, limbal thickening, Horner Trantas spots, punctate epithelial erosions or keratitis, Shield ulcers. Conclusion: VKC is a bilateral, allergic, seasonal, external ocular inflammatory disease of unknowncause. It involves the conjunctiva and can involve the cornea and eventually lead to vision threatening complications.