BACKGROUND Lesions of the lacrimal fossa and gland constitute about 5%-13% of all orbital masses confirmed by biopsy. The diagnosis, the histopathological correlation and treatment of lacrimal fossa lesions are important to ophthalmologists. The aim of this study is to analyse retrospectively 31 cases of lacrimal fossa lesions diagnosed over a 10-year period. MATERIALS AND METHODS The clinical features and the histopathological features of 31 cases diagnosed as lacrimal fossa lesions between 2004 September and 2014 August were retrospectively analysed from case records in a tertiary care centre at

AIM:To compare the efficacy of 0.1% Fluoromethalone eye drops versus supratarsal injection of Triamcinolone acetonide (20mg) in the treatment of palpebral type of vernal kerato conjunctivitis. SETTINGS AND DESIGN: Prospective study. MATERIALS AND METHODS: 60 patients with palpebral type of vernal kerato conjunctivitis were divided into 2 groups of 30 each. After an informed and written consent, 30 patients were treated with 0.1% Fluorometholone eye drops & 30 were treated with supratarsal injection of 0.5ml of Triamcinolone (20mg). All treated patients were followed up for a period of 4 weeks. Results were analysed with respect to symptoms and signs of improvement. RESULTS: Patients who were given supratarsal injection of Triamcinolone (20mg) showed effective therapeutic response in 1 to 2 weeks and patients who were given 0.1% Fluorometholone eye drops showed in 4 to 5 weeks. Patients with Triamcinolone showed higher rate of improvement of clinical response and low recurrence rate. CONCLUSION: Supratarsal injection of Triamcinolone (20mg) is an effective and safe method of treatment of refractory and severe cases of VKC.

BACKGROUND Eyelid tumours are by far the most common neoplasms encountered in ophthalmic clinical practice and are estimated to represent more than 90% of all ophthalmic tumours. The aim of the study is to evaluate and characterise the proportion of malignant eyelid tumours, compare the clinical diagnosis with histopathological diagnosis in all possible cases at a tertiary care centre over a 10-year period. MATERIALS AND METHODS This was a retrospective, clinical review. Between June 2006 and June 2016 all malignant eyelid tumours were evaluated in the Department of Ophthalmology, K. R. Hospital, MMC & RI, Mysore. Patients' charts were reviewed for clinical information, treatment procedure, and pathological findings. Malignant tumours were stratified using age, sex, location of tumour and histopathological typing. RESULTS A total of 36 malignant tumours of the eyelid treated and histopathologically confirmed at our tertiary care centre were analysed. The peak incidence in this series was in patients 50-70 years of age. The mean age of patients with malignant tumours was above 61.5 (63 median age). Almost equal sex involvement noted, 19 men (52.77%) and 17 women (47.22%). But male preponderance was noted in SCC (88.89%) and SGC was noted to be predominant in females (69.23%). Most common site for malignancy was lower lid (61.11%). Most frequent malignant tumours noted was Sebaceous gland carcinoma (SGC) (36.11%) followed by Squamous cell carcinoma (SCC) (25%), Basal cell carcinoma (BCC) (22.22%), Malignant melanoma (MM) (8.33%), Malignant Lymphoma (5.56%) and Merkel cell carcinoma (MCC) (2.78%). CONCLUSION SGC is the most common malignant lesion in our series. We stress the importance of examining specimens for histopathology, to ensure a rapid diagnosis and pertinent treatment.

INTRODUCTION: Obesity is one of the most prevalent disorders of the world. Obesity possesses an increased risk for both elevated IOP and systemic vascular abnormalities such as hypertension and arteriosclerosis. There are conflicting reports regarding the relationship between BMI and IOP. There is a need to evaluate these contradicting findings in our environment. AIM: To determine the relationship between intraocular pressure and body mass index, in diabetics and nondiabetic adults in Indian population. MATERIALS AND METHODS: The present study was a crosssectional analysis based on data obtained at a one day screening programme of a general population in an Eye camp conducted in Mysore. 115 subjects were studied after obtaining an informed consent. Participants underwent standardized examinations including anthropometric indices, measurement of blood pressure, rebound tonometry and ocular examination including fundoscopy and intra ocular pressure. Random blood sugar was measured for all the subjects. RESULTS: out of 115 subjects, there were 90 males (78.26%) and 25 females (21.73%). The mean age was 44.34 years +/-11.75 years. 31 (26.95%) of them were diabetic and 84(73.04%) of them were non-diabetic. Maximum number of males i.e 42(46.66%) were overweight and 9 females (36%) were overweight. Out of 51 overweight subjects, 41(80.4%) had IOP < 21mmHg and 10(19.6%) had IOP >21 mmHg. Out of the 23 obese subjects, 4(17.4%) had IOP < 21mmHg and 19(82.6%) had IOP>21mmHg which was statistically significant. The mean IOP amongst diabetics was 18.45mmHg +/-3.8 mmHg and amongst nondiabetics was 19.16 mmHg +/-3.92 mmHg which was not statistically significant. CONCLUSION: In a population of 115 screened, there was a significant correlation between IOP and BMI but there was no statistically significant relationship between BMI and diabetes.

BACKGROUNDThe epidemiology of corneal blindness is much complicated and encompasses a wide variety of inflammatory and infectious eye diseases that cause corneal scarring that ultimately leads to functional blindness. In addition, the prevalence of corneal disease varies from one population to another and from country to country.The purpose of this study was to study the epidemiology of corneal ulcer in a tertiary care centre and identify the various risk factors, predisposing factors in corneal ulcers and the microbial spectrum causing the ulcers.