Background and objectiveSquint surgery is frequently performed successfully in Hyderabad. However, no study in any detail has been performed on the outcome of monocular surgery for horizontal squint in the region. This study aims to determine the results of monocular surgery for horizontal trabismus.DesignRetrospective/observational study.Subjects and methodsThe study was conducted on patients aged under 45 years, presenting with horizontal strabismus and undergoing monocular squint surgery. Anterior segment slit lamp examination, and if possible, posterior segment examination with 90 diopter (D) and 78 D fundoscopes was performed. Angle of deviation was measured. Patients were divided into two groups (esotropia and exotropia). Investigations were performed. Surgery was done under general anesthesia. A second surgical procedure was performed after six months for any residual deviations.ResultsAfter squint surgery, patients in group 1 (79%) and in group 2 (73.3%) had residual deviation of less than 15 prism diopters (PD). The preoperative deviations of 60 PD or less illustrated excellent domino effects with residual deviation of fewer than 15 PD. Three patients with successive deviation underwent a second surgery with excellent outcomes.ConclusionFew extraocular muscles can be prevented due to monocular squint surgery when multiple surgeries are needed.

Objective: Calcium ion plays an important role in gingival hyperplasia due toits effects on hemostatic balance of epithelial differentiation and apoptosis. It is hypothesized that non inflamed gingivalfibroblasts are less active and do not respond to circulating drugs. While the fibroblasts within inflamed tissue are in anactive state. Hence a study was conducted to investigate and assess the relationship between oral hygiene and severityof gingival hyperplasia in hypertensive patients receiving verapamil. Design of study : In the present comparativeinvestigation, clinical periodontal parameters were determined. Material & Methods: Thirty hypertensive patients whowere taking verapamil 240 mg/day in divided doses selected randomly. Subjects were divided in to HEL groups. Agingival enlargement score was assessed for each patient by using hyper plastic index, while using plaque indexassessed the oral hygiene status. Results: There were highly significant differences between test groups E and L, whenthey were compared with group H (Healthy group). Mean plaque index and hyper plastic index varied between testgroups H, E and L. The differences showed statistical high significance. Conclusions: Oral hygiene plays a decisiverole in the development of gingival hyperplasia and the incidence can be controlled successfully by meticulousprofessional and individual oral hygiene.