Caregivers of patients with primary congenital glaucoma have significant emotional and psychological burden. Moderate to severe depression may be present in one-third of individuals giving primary care to children with congenital glaucoma.

A case of autism with CHARGE syndrome with microphthalmos and a superior colobomatous cyst arising from the optic disc is reported. A 7-year-old boy presented with a gradually increasing mass, involving the superior orbit and upper eyelid of right eye of 3 years' duration. Clinical examination revealed bilateral microphthalmos with typical iris coloboma, posterior synechiae, and cataractous lens. Imaging revealed bilateral optic disc colobomas with a superior cyst in the right orbit. Intraoperatively, a single cystic lesion was seen in the superior orbit arising from the optic disc region. Histopathology was suggestive of a colobomatous cyst, positive for glial tissue [glial fibrillary acidic protein (GFAP) positive] and neuroretinal elements (synaptophysin positive) on immunohistochemistry. Genetic analysis revealed a normal karyotype (46, XY).

We report an unusual flap-related complication that occurred 4 years after uneventful laser in situ keratomileusis (LASIK) performed in the eye of a 20-year-old woman. She developed dislocation with partial infolding of the LASIK flap with macrostriae and epithelial ingrowth in her left eye after trauma by a wooden chip. The flap was refloated, stretched, smoothened, and hydrated on both under and outer surfaces after epithelial debridement. At 1 week, the uncorrected visual acuity was 20/20 with absence of flap striae. The present case highlights that flap adhesions are not very strong even months and years after LASIK. Flap refloatation and stretching with hydration on both sides of the flap are effective in removing flap striae.

To analyze the clinical and histopathological characteristics of choroidal melanomas undergoing enucleation at a tertiary care center in India and compare with data from other countries. A retrospective review of in-patient hospital records from 2001-2011. Patients undergoing enucleation with a clinical diagnosis of choroidal melanoma. A total of 80 eyes were enucleated for choroidal melanoma. The mean age of patients was 46 ± 13.1 years. Tumors with spindle cell morphology were the most common subtype. Necrotic tumors had a higher incidence of scleral invasion and orbital involvement compared to other cellular subtypes. The mean age at enucleation in Asian Indians is nearly a decade less than most other races. Predominance of spindle cell subtype is in contrast to findings of previous studies and could be partly related to the genetic and molecular expression of the melanocytes undergoing malignant transformation.

Background: Corneal endothelial damage is a known complication of aqueous shunt surgery. Objective: To describe a new technique for repositioning the Ahmed glaucoma valve tube in a case of tube-endothelial touch. Case: A patient with advanced glaucoma, having undergone Ahmed glaucoma valve (AVG) implantation, developed localized corneal endothelial damage due to contact between the tube and superior corneal endothelium. Two 10-0 prolene anchor sutures were passed over the tube in the anterior chamber, repositioning it away from the endothelium, thus preventing further damage to the corneal endothelium. Resolution of corneal oedema was noted without affecting the tube drainage and intraocular pressure. Conclusion: Intracameral repositioning of the shunt tube using prolene sutures is a useful technique for correcting the tube malposition.