Background: Epidural steroid injection is a common intervention for symptomatic lumbar disc herniation. It is safe, but not absolutely free from complications. Visual complications and adverse intraocular events are sparse in the literature. This study is done to determine any intraocular complication after caudal epidural steroid injection for discogenic low back pain and radiculopathy. Materials and Methods: It was a prospective study, conducted from April 2018 to December 2019 by the orthopedics and ophthalmology departments of our institute. A total of 31 patients were recruited based on inclusion/exclusion criteria. All the patients presented to this institute with complaints of low back pain and sciatica were investigated. After proper diagnosis, the decision was made for caudal epidural steroid injection as per the standard principles of orthopedic surgery. Eye evaluations (intraocular pressure [IOP], visual acuity, and ocular examination) were done 1 day before, and 2–4 h, 1 week, and 2 weeks after epidural injection. The differences in eye evaluation values between time points were determined and discussed. Results: A total of 31 patients were recruited for this study, out of which the majority of the patients (27 patients) were between 41 and 60 years of age, and males (22 patients) outnumbered females (nine patients). Most of the patients (17 patients) had prolapsed IV disc of L5-S1. IOP was found to be raised after the intervention of epidural steroid injection which gradually came down to a preinjection level within 2 weeks. There was no change in visual acuity and no other intraocular complications, like hemorrhages. Conclusion: Epidural steroid injection for discogenic low backache (LBA) with radiculopathy did not adversely affect IOP, and neither had any ocular complication (in an ophthalmologically normal set of patients). A prudent approach should always be implemented.

Background: Bipolar hemiarthroplasty (BHA) is commonly used to treat fracture neck of femur (NOF) in the elderly, despite the fact that the appropriate treatment of fracture NOF is still controversial. In this prospective study, the functional outcomes of NOF fracture after surgery in the elderly, who underwent BHA with a fully coated hydroxyapatite stem with a collar (CORAIL Stem). Materials and Methods: Forty-three consecutive elderly patients with NOF fracture underwent BHA through the lateral Hardinge approach. They were followed up after surgery for 1 year. Two patients expired and one was lost to follow-up and were not included in the study. Postoperative follow-up was done every 4–20 weeks and thereafter at intervals of 3–12 months. Harris hip score (HHS) was recorded at each follow-up visit and complications were noted. Results: Forty patients with a mean age of 77 (62–93) years were followed up after surgery for 1 year. Two patients (4.7%) expired and one (2.3%) was lost to follow-up and were not included in the study. HHS of our cohort of patients averaged 86 (72–99), which falls in the category of a good outcome (80–90). A mild negative correlation (correlation index − 0.2) of age and HHS was observed but was not significant (P = 0.56). Significantly more female patients suffered from NOF fracture (male - 13 [32.5%]: female - 27 [67.5%]; P = 0.03). The left side was injured more often than the right (left 23 [57.5%], right 17 [42.5%]; P = 0.34). Thirty-three patients (83.5%) had one or more comorbid conditions. The mean HHS of female and male patients was 86.41 and 85.39, respectively. This difference was not significant (P = 0.33). There was no difference in outcome, whether an injury occurred to the dominant or nondominant extremity. Complications occurred in seven (17.5%) patients. Conclusions: In the first follow-up year, a good functional outcome with a low complication (17.5%) and mortality rate (4.7%) was observed. Twenty-seven patients (62%) were absolutely pain-free. There were no dislocations, revisions, or additional surgeries in any patients. Most patients returned to their preinjury activity level. To conclude, the procedure is safe and rewarding in the elderly.