BACKGROUND We have studied patients having diabetic retinopathy attending the Department of Ophthalmology, Katuri Medical College, Guntur in a cross-sectional, hospital-based, non-interventional study. Aim-To study the prevalence of different parameters like duration of diabetes mellitus, fasting blood sugar at the time of diagnosis of retinopathy, HbA1c, lipid profile and correlate with severity of diabetic retinopathy and assess the statistical significance. Objective-To identify the important factors that can influence severity of Diabetic retinopathy in our area, in order to identify highrisk patients early, to prevent visual loss. MATERIALS AND METHODS The present study is a hospital-based cross-sectional study, which was conducted at our tertiary care centre. We have studied a total of 302 patients diagnosed to have diabetic retinopathy for one and a half years in our tertiary care centre. RESULTS Among the 302 patients taken into the study, 64% were females and 36% were males. Diabetic retinopathy predominantly occurred in patients above 50 years of age. HDL < 40 mg%, LDL > 100 mg% and VLDL > 40 mg% levels have significant correlation with different grades of retinopathy. This also denotes that these values are related to the severity of diabetic retinopathy. Glycosylated haemoglobin (HbA1c) above 7%, serum total cholesterol > 200 mg%, serum total triglycerides > 200 mg% and duration of diabetes mellitus > 9 years did not correlate with the severity of diabetic retinopathy. CONCLUSION HDL < 40 mg%, LDL > 100 mg% and VLDL > 40 mg% levels have significant correlation with different grades of retinopathy. This also denotes that these values are related to the severity of diabetic retinopathy with chi-square test with p-value of < 0.05. HbA1c values and high fasting blood sugar did not correlate with severity of retinopathy.

BACKGROUND Cataract surgery is done on a large scale in tertiary care centres in India. Because of large pool of patients requiring cataract surgery we require a procedure which is easy, cheap, effective, free from complications and with good outcome. We need to train our surgeons in fulfilling the need of the nation. MATERIALS AND METHODS We have selected 1051 patients selected for cataract surgery with MSICS procedure from February 2016 to December 2016. They were investigated thoroughly for comorbidities like Hypertension, diabetes, Asthma or COPD. Smoking history of the patients was recorded. Patients with active Pulmonary TB and Glaucoma were excluded from the study. These patients were followed through surgery for intraoperative and postoperative complications. Acuity of vision was checked on first POD and after 6 weeks of surgery. Astigmatism was assessed at the end of six weeks after surgery. RESULTS 80% of these patients presented in above 50 years of age group. Nearly 50% of these patients presented with a vision of counting fingers to 6/60. Male: Female ratio among our patients is 1.4:1. The habit of smoking was observed in nearly 50% of our patients. Important comorbidities included Diabetes with or without hypertension, asthma and COPD. Intraoperative complications like difficult cortical aspiration, posterior capsular rent and difficult nuclear prolapse were observed. Postoperative complications like striate keratopathy, postoperative anterior uveitis and hyphaema were observed. Most of these complications are not vision threatening. 80% of the patients had satisfactory vision of > 6/18 at end of six weeks after surgery. Astigmatism was seen in around 20.94% of patients, but a majority of them had an astigmatism of 1 to 2D and was correctible. Summary-MSICS is a useful technique for Cataract surgery. It is safe and effective. The results are comparable to Phacoemulsification with satisfactory vision restoration. CONCLUSION MSICS is a simple and safe technique for cataract surgery and can be recommended in camp and hospital conditions, especially in resource poor countries.