Background: Corneal injuries are signifi cant contributors to blindness. Cornea being the most anterior structure of eye is exposed to various hazards like airborne debris and blunt trauma. By understanding different types of injuries to which cornea is exposed, the practitioner maybe more capable in managing injuries to minimise structural and visual sequelae. Objectives: To study various patterns of corneal injuries and its visual outcome among patients of ocular trauma in a tertiary care hospital. Methods: Study of 100 cases of corneal injuries wherein patients were treated according to injury type and followed up for 4 months. Results: Majority of patients belonged to working population between age groups 21-65 years. Most patients suffered from corneal abrasions while the least common were perforating and lacerating injuries. Alkali injuries were more common than acid injuries. Most patient presented within 24 hours and had only epithelial defects. Therefore, the number of patients receiving conservative management was higher than those receiving surgical intervention. Conclusion: Most common causes of blindness and low vision in our study was full thickness corneal laceration and corneal abrasions, foreign body injuries affecting the pupillary area and involving anterior or mid stroma causing nebular or macular grade opacities hampering vision.

Conjunctival limbus presents with variety of lesions. The presentation can vary from tropical to temperate climates, ethnic origin or racial differences. The variation seen in same climatic condition is compared and highlighted in our study, along with the variation seen in different regions as well. The cases ranged from most commonpterygium, to most rare-primary conjunctival myxoma. OBJECTIVES: To study regional differences in conjunctival limbal leisions & to look for most common & most rare limbal leisions. MATERIALS AND METHODS:We did a comparative study & analysed all the conjunctival limbal lesions both clinically & histopathologically in all patients attending ophthalmic OPD at Vydehi institute of medical sciences & Sapthagiri institute of medical sciences, Bangalore. A total of 370 cases of both sex, aged between 5yrs to 78 yrs were analysed from January 2006 to January 2015. A thorough clinical examination was done in all cases. The diagnosis is established clinically & was confirmed by histopathology in all cases. The cases were analysed and ranged from most common pterygium to most rare primary conjunctival myxoma. An effort is also made to study the incidence of disease pattern & its variation with reference to different geographical area. CONCLUSION:To conclude from our study, Even though the climatic condition is same in the studies compared, there seems to be relatively gross difference in incidence of disease pattern with reference to common leision & rare variety. The disease pattern in western whites was not comparable with other studies, including the present study This shows presentation can vary from tropical to temperate climates, ethnic origin or racial differences. Pterygium is the most common conjunctival limbal leision seen in south Indian continent. Primary conjunctival mxoma is rare benign tumour of conjunctiva at limbus.

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Background: Sturge Weber and Klippel Trenaunay syndromes are mesodermal phacomatoses occurring sporadically. We report a rare case with overlapping features of both syndromes. Case report: An eight-year-old girl complains of low vision and pain in left eye for nine months. Examination revealed port wine stain on left side of face, fi ngertips and toes present since birth. Length of both legs was symmetrical with skin hypertrophy. Visual acuity was light perception and lid swelling with hyphema noticed in left eye. BScan showed retinal detachment with choroidal haemangioma. CT scan showed orbital infl ammation. The haemangioma was treated with Intravitreal Bevacizumab followed by vitrectomy with subretinal fl uid drainage and focal laser. Radiotherapy was given to the left orbit. Conclusion: Nevus fl ammeus, choroidal haemangioma, retinal detachment and neovascular glaucoma consistent with Sturge Weber syndrome. Soft tissue hypertrophy with dilated veins is compatible with Klippel Trenaunay syndrome.

Lensectomy was done in the right eye, wherein the lens including the posterior capsule and anterior vitreous was removed. Placement of the intraocular lens was planned at a later date and the right eye was left aphakic. Cataract surgery in the left eye was planned at a later date.