Objective: To study the complications of ND: YAG laser capsulotomy. Design:Clinical trial. Setting: Department of Ophthalmology KHYBER Medical University Institute ofMedical Sciences Teaching Hospital Kohat Development Authority (KDA) Kohat. Period: Jan2007 to June 2008. Material and methods: A total number of 250 patients with posterior capsularopacification were studied and look for complications after ND: YAG Laser application. Onehundred and thirty five (54% )were male and one hundred fifteen( 46%) patients were female.63% of patients had right eye involvement while 37% had left eye were involved. Patients werethoroughly examined before and after the procedure. All patients were followed for minimum sixmonths after the procedure. Data was analyzed by SPSS version 16. Chi square test wascalculated for the significance of analysis. Results: After Nd YAG laser capsulotomy there wassignificant improvement in visual acuity of my patients. There was transient rise of IOP in 25 (10%)of patients. Mild anterior uveitis in 20 (8.0%) of patients. Intra-ocular Lens pitting or cracks in 30(12%) of cases. Macular edema in 20 (8.0%) of cases. Retinal detachment in 5 (2.0%) of cases.Conclusions: Nd YAG laser is safe, effective and non-invasive procedure outdoor procedure bywhich we can get better visual outcome. Which had also some serious complication for that wehave to avoid and educate the patient about the complications of procedure.

Purpose: To find out safety and effectiveness of supratarsal injection of Triamcinolone in cobble stone papilla e in VernalKeratoconjunctivitis (VKC). Design: Prospective, uncontrolled trial. Period: June 2009 to January 2010. Setting: Department ofOphthalmology KMU Institute Of Medical Sciences Hospital KDA Kohat. Material and Methods: One hundred and fifty diagnosed patientsof VKC, of both sexes and age group between 5 – 40 years were included in the study. Patients with glaucoma, or steroid responder, postherpeticcorneal scar, active infection of cornea or conjunctiva, tightly closed eyelids, patients who lost follow-up, and patients unwillingto be enrolled in this study were excluded from the study. The patients were enrolled and informed consent was taken. Supratarsalinjection of Triamcinolone was given. Their record was maintained and all the patients were followed up for six months for evaluating theireffectiveness and side effects. Results: We treated two hundred and seventy five eyes of one hundred fifty patients. Among them 80%were males. Mean age was 14 years (range: 5—40 years). All of the patients had itching of eyes, redness, watering, photophobia,cobble-stone papillae and Tranta's dots. Mean duration of disease was 27 weeks (Range: 4 weeks to 10 months). Patients were followedup and multiple injections were given for controlling disease. Transient redness was the most common side effect of injection therapy.Study shows 100% effectiveness of supratarsal injection of triamcinolone acetonide in VKC although