Background: The aim of this study was to identify common ocular manifestations in children with developmental delay in an eye hospital of northern part of Bangladesh.Methods: It was a retrospective medical record review of children with developmental delay who attended the pediatric ophthalmology department in an eye hospital from January 2019 to December 2019. Data were collected for their age, gender, past medical history, ophthalmic examination findings and systemic problems. Ophthalmic examination included examination of lid and adnexa, anterior and posterior segment examination and assessment of squint and refraction.Results: Medical records of 102 with developmental delay were identified and studied (59 boys and 43 girls, mean age 1.57 years, 53.9% aged <1 year). Of these children, 44 (43.1%) were referred by the pediatricians. The most common past medical histories were perinatal asphyxia (42.2%), history of convulsion (30.4%), neonatal seizures (9.8%) and history of speech delay (1%). On ophthalmic examination, 30 (29.5%) had poor vision, 20 (19.6%) had refractive error, 23 (22.5%) had Strabismus and 11 (10.8%) had nystagmus. Optic atrophy was also observed among 11 children (10.8%).Conclusions: Ocular manifestations are commonly seen in children with developmental delay which can be cause of severe visual impairment and overall disability in later life. Hence an early ophthalmologic screening and intervention in these children by developing good referral network between ophthalmologist and pediatricians can help to substantially improve the developmental and academic achievement.

Aims: Patients’ satisfaction is an important health outcome, which is regarded as a determinant measure for quality of health care services. The aim of the study is to evaluate patients’ satisfaction regarding eye care services in a multi-specialty eye hospital of northern Bangladesh. Methods: This cross sectional descriptive study was conducted among the patients who took the eye care services in OPD and admitted as in-patients in the hospital. Randomly selected patients were interviewed by trained staff. A semi-structured questionnaire was used to conduct these   interviews. Their responses were grouped into one of five categories and evaluated to determine satisfaction for different components of eye care services. There were also open-ended questions regarding feedback from participants’ view and recommendations for the improvement of the quality of services. Results: Four hundred and forty nine participants were interviewed. Among these, 71 (15.81%) were very satisfied and 358 (79.73%) were satisfied, constituting 95.54% satisfaction with overall services received at the hospital. 99.55% of respondents were satisfied with the doctors and 98.66% of respondents were satisfied with other hospital staff regarding patient care services. 86.1% patient had satisfaction with the cost of services, while 28.57% expressed that the surgery cost was high. Though the participants expressed dissatisfaction for the long waiting time in front of refraction and doctors’ consultation room during pick hours, 442 (98.4%) patients expressed their willingness to utilize the services again. Conclusion: Although eye care services both in OPD and in the IPD were satisfactory according to the respondents, there are scopes for improvement. Patient satisfaction surveys should be encouraged in hospitals for better accountability and also for strengthening the quality of eye care services.

Background: The aim of this study was to determine the amount of refractive changes after pterygium surgery and to compare the relationship between amounts of astigmatism with grade of pterygium.Methods: A prospective, interventional, comparative study was conducted on one hundred eyes of 100 patients of primary pterygium attending the outpatients department of Ispahani Islamia eye hospital and Institute, Dhaka from May, 2019 to November, 2019. Pterygium was graded according to morphology and the extent of corneal encroachment. Manifest refraction was performed preoperatively and at 1, 3 and 6 months postoperatively. All patients underwent stem cell conjunctival autograft by fibrin glue by different surgeons.Results: The astigmatism decreased significantly following pterygium excision. The mean pre-operative astigmatism was 1.69±1.13 D and reduced post-operatively to 0.23±0.27 D (p value <0.001). The mean pre-operative VA was 6/24 and reduced post-operatively to 6/9.Conclusions:There was statistically significant correlation between grade of pterygium and induced astigmatism (p value <0.001). The present study verifies that amount of pterygium induced astigmatism is directly proportional to increase in the size of pterygium.