This paper examines ethical dilemmas in providing care for people with HIV/AIDS. Healthcare providers in this sector are overworked, particularly in the high prevalence states. They are faced with the dual burden of the physical and the emotional risks of providing this care. The emotional risks result from their inability to control their work environment, while having to deal with the social and cultural dimensions of patients' experiences. The physical risk is addressed to some extent by post exposure prophylaxis. But the emotional risk is largely left to the individual and there is little by way of institutional responsibility for minimising this. The guidelines for training workers in care and support programmes do not include any detailed institutional mechanisms for reducing workplace stress. This aspect of the programme needs to be examined for its ethical justification. The omission of institutional mechanisms to reduce the emotional risks experienced by healthcare providers in the HIV/AIDS sector could be a function of lack of coordination across different stakeholders in programme development. This can be addressed in further formulations of the programme. Whatever the reasons may be for overlooking these needs, the ethics of this choice need to be carefully reviewed.

Purpose: To report a case of reversal of hypotony maculopathy after phacotrabeculectomy by transconjunctival flap suturing and anterior chamber reformation. Methods: A 61-year-old male with primary open angle glaucoma on maximal medical treatment underwent uneventful phacotrabeculectomy. The patient developed 360 degrees choroidal detachment and hypotony maculopathy following suturolysis at one month. Considering persistent choroidal detachment even after failure of conservative management, the patient underwent anterior chamber reformation and transconjunctival flap suturing. Postoperatively, visual acuity improved and anterior chamber was well formed with complete resolution of choroidal detachment. Conclusion: Adequate and timely surgical intervention can salvage vision with good outcomes in postoperative hypotony following trabeculectomy.