BACKGROUNDPhacoemulsification has become the predominant procedure to manage cataracts in developed countries while manual small-incision cataract surgery (SICS) has emerged as a cost-effective alternative treatment modality to phacoemulsification in the developing world. We wanted to compare the postoperative visual outcome in unaided and aided visual acuity and induced astigmatism in patients undergoing phacoemulsification and SICS. METHODSThis prospective observational research design was conducted among 200 cataract patients in the age group of 40 -70 years in a tertiary care institute in a metropolitan city from January 2016 to October 2017. Hundred patients from both SICS and phacoemulsification each were included in the study. RESULTSThe mean age in Phaco group was 60.72±4.31 years while mean age in SICS group was 61.91±5.36 years. After surgery, both unaided visual acuity and best corrected visual acuity improved in Phaco group as compared to SICS group at postoperative day 1, day 3, day 7 and at 2 weeks. There was significant difference in mean astigmatism in diopters within groups in both groups at various intervals of time. CONCLUSIONSManual small-incision cataract surgery is comparable to phacoemulsification for the rehabilitation of the patient with cataract, although the phacoemulsification technique has less surgically induced astigmatism as compared to SICS.

Endogenous endophthalmitis can be one of the rare sequelae of enteric fever and may present in the acute and relapsing phases and often times have a rapidly fulminant course with poor visual outcomes.

Background/Context: Strabismus is a condition that results in loss of self esteem and affects quality of life due to the changes it may cause in facial appearance and other factors. There is a dearth of Indian literature on children and adolescents with strabismus. The current study analyzed self esteem and quality of life in children and adolescents with strabismus. Methods: Children and adolescents between 6-17 years attending the ophthalmology out-patient department of a tertiary general hospital and their normal siblings were identified and assessed after parental consent using a semi-structured proforma and the KINDL questionnaire. The results were statistically analyzed and presented. Results: 35 children and adolescents with strabismus were compared to 38 siblings who were the controls. It was seen that children and adolescents with strabismus scored lower on family and social contacts quality of life scores on all subscales of the KINDL questionnaire. However, self-esteem did not differ across both groups. Conclusion: Further larger studies in diverse populations are needed to corroborate the effects of strabismus on self esteem and quality of life.

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