resultant high orbital pressure induced globe compression. In the presence of a tight orbital septum, the increased orbital pressure may manifest as corneal striae.Striae results from the whole cornea swelling and buckling back upon itself causing vertical folds or lines in the Descemet's membrane.3 In this case the corneal changes reversed with further orbital decompression, which opened the septum and enlarged the orbital bony cavity thus reducing the orbital pressure. Clinicians should be aware of this sign in TED as an indicator of a tense orbit in the absence of marked proptosis.

Aim: To discuss the rationale for different techniques of treatment for DUSN (diffuse unilateral subacute neuroretinitis) and their effectiveness in two patients from south India. Methods: Two rare cases of live worms in DUSN from India are reported, where filarial Brugia malayi is endemic. Both cases presented with progressive unilateral loss of vision with no history of animal contact. They were 40 year old, apparently healthy men. In case 1, the worm (1500-2000 mm) was easy to identify with wriggling movements among crisscrossing diffuse subretinal tracks. The worm was destroyed by a single shot of laser to its advancing end, which was followed by oral steroid to control the inflammation caused by the dead worm. In case 2, the worm was small and difficult to identify. Initially diffuse neuroretinitis was diagnosed and treated with intravenous methylprednisolone and oral corticosteroid. A week later, a small live worm (400-600 mm) was found and subsequently destroyed by laser photocoagulation followed by a combination of anthelminthics. Results: The patients' vision had improved to 6/60-6/36 from counting fingers after a few weeks. Conclusion: The role of a combination of laser treatment, systemic steroid, and anthelminthics is discussed.

METHODSAll the refractions, clinical as well as on the autorefractor, were carried out without the use of mydriatics. Clinical refraction, streak retinoscopy followed by subjective verification, was carried out by two of the authors (PSR, KM) to achieve the best possible visual acuity. Autorefraction was performed to obtain a series of three readings by a different examiner (AEL). The 'standard' refractive value in the AR printout data (categorised into reliable and less reliable data) was then compared with the result of clinical refraction for degree of agreement. STATISTICAL ANALYSISThe statistical significance of the difference between the less reliable (indicated by the 'reliability mark') and reliable autorefractive data was evaluated using two tests: (1) X2 test on the number of eyes in the two groups within 0-51 D of spherical equivalence, spherical power, or cylindrical power and within 110 in cylindrical axis as determined by clinical refraction; and (2)

ABSTRACT.Purpose: To evaluate whether transpupillary thermotherapy (TTT) reduces the risk of moderate visual loss in patients with occult choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD). Methods: A group of 25 patients were recruited and randomized into TTT or placebo groups. Patients were included if they had a subfoveal purely or predominantly (> 50%) occult CNV secondary to AMD with best corrected visual acuity (BCVA) of 6/60 or better and the lesion was not larger than 4.5 mm. Treatment was carried out using an 810-nm Oculight diode laser with a fixed spot size covering the whole lesion according to the standard protocol. The same procedure was used for the control group, except that the power was set at zero. The patients were followed up at 6 weeks, 3 months and then every 6 months for up to 2 years. A maximum of three treatments were administered in both groups if there was evidence of persistent leakage from CNV. Results: At the 12-month follow-up, there was no significant difference in the mean values for BCVA distance and near or contrast sensitivity between the treatment and control groups. The Mann-Whitney test was used to assess the differences in BCVA and contrast sensitivity between the groups, both at baseline and at the 12-month follow-up. No statistically significant difference was found; both groups lost on average two lines of BCVA. Conclusion: Transpupillary thermotherapy appeared to have been of no benefit in preventing further visual loss in patients with occult CNV in this pilot study.