Objectives: The objective of this study is to compare the surgical outcome between modified trabeculotomy v/s combined modified trebeculotomy & trebeculectomy in primary congenital glaucoma. Study Design: Interventional case series. Setting: Paediatric Ophthalmology Department, Chandka Medical College. Period: June 2016 to June 2017. Method: This is a comparative study done to compare the outcomes of trabeculectomy and combined trabeculotomy and trabeculectomy. For comparison a prospective interventional study conducted in paediatric ophthalmology, Chandka Medical College during the duration of August 2014 to August 2016 was chosen. After examination by slit lamp and under anaesthesia, combined modified trabeculotomy and trabeculectomy was performed. Results: A total of 45 eyes of 29 patients with primary congenital glaucoma underwent modified trabeculotomy, 15 (51.72%) were males and 14 (48.28%) were females. Mean age of patients was 2.29 ± 3.70 years. On the other hand, combined modified trabeculotomy and trabeculectomy was performed in 22 eyes of 17 patients out of which 08 (47.06%) were males and 09 (52.94%) were females. Mean age ± standard deviation was 3.37 ± 4.40 years. Statistically significant reduction in IOP, corneal diameter and axial length were found. Conclusion: Combined trabeculotomy-trabeculectomy has better outcomes than trabeculotomy alone. It requires greater surgical expertise and time. Higher success rates are reported in previous studies due to dual outflow of aqueous humour.

Objectives: The objective of this study is to evaluate visual outcome afterphacoemulsification in diabetic patients. Study Design: Prospective study. Setting:Ophthalmology department of Shaheed Mohtarma Benazir Bhutto Medical University Larkana.Period: January 2017 to April 2018. Method: Over a period of 15 months, all diabetic patientshaving cataracts were part of the study. All these patients would undergo phacoemulsificationfor cataract removal by a single ophthalmologist. A total of 76 participants were includedand their consent was taken. Visual acuity and progression of diabetic retinopathy would beassessed 12 months post-operatively. Results: The data included 76 patients, among which32 were females (43%) and 44 males (57%). The mean age of females were 58 + 6.8 yearsand that of males were 62.5 + 9.3. Mean hbA1c of 76 patients were 9.2. At the end of firstpost-operative year of the 76 operated eyes, 46 eyes (60.52%) indicated no progression ofdiabetic retinopathy, whereas 30 eyes (39.47%) showed no progression of retinopathy. Therewas no significant discrepancy in progression of retinopathy in the number of operated andun-operated eyes post-operatively. Retinopathy progression was related to higher mean hbA1cOE p= 0.001 NOE p=0.015). Conclusion: The number of people having diabetes mellitus isincreasing exponentially. Early diagnosis and good diabetic control is associated with slowdevelopment of cataract. Uncomplicated phacoemulsification leads to good visual outcomeand better quality of life.