Objective: To analyze and compare the role of mitomycin C and bevacizumab in reducing the intraocular pressure post trabeculectomy. Study Design: Comparative analytical study Place and Duration of Study: Department of Ophthalmology, Indus Medical College, Tando Mohammad Khan from 1st October 2021 to 31st March 2022. Methodology: Sixty patients were enrolled. Patients were divided equally in two groups. Thirty patients were given mitomycin C in Group A while Group B were those 30 patients who were given bevacizumab in a randomized manner. All the cases underwent trabeculectomy and followed upto a year and results were compared. An examination using slit lamp biomicroscope was performed for thorough examination of anterior segments with intraocular pressure recording. Gonioscopy through Goldman-two mirror lens was conducted. Results: The mean age of the patients was 50.23±7.7 years with 41.6 % females and 58.3% males. The intraocular pressure was seen to be controlled in 23 patients at day 1 in Group A and 23 patients in group B. The comparative analysis of pre and post intraocular pressure after trabeculectomy has presented the significant reduction in Group A than Group B at day 1, 6th week as well as at 3rd month or 6th moth to a year. Conclusion: Mitomycin C as well as bevacizumab are highly effective in reducing intraocular pressure post trabeculectomy with mitomycin C being slightly better in efficacy than bevacizumab. Keywords: Intraocular pressure, Trabeculectomy, Effective, Efficacy

Objective: To determine the frequency of diabetic among stroke patients and to compare the pattern of stroke in diabetic and non-diabetic stroke patients admitted at a tertiary care hospital in Hyderabad, Sindh. Methods: A cross sectional study enrolled 148 consecutive adult acute stroke patients admitted at Liaquat University Hospital, Hyderabad, during Sep 2014 to Feb 2015. Demographic, clinical, radio-imaging and laboratory data were collected on structured questionnaire to identify diabetes, type of stroke and different risk factors of stroke. Data was entered and analysed by using SPSS version 16. Association was seen by using Pearson’s Chi-square test and Independent t test. A P value of < 0.05 was considered statistically significant. Results: A total of 148 acute stroke cases were enrolled in the study. Males were 92 (62%). Mean age of study participants was 51.21 ± 10.19 years. Diabetes was found in 104 (70.3%) stroke patients. Ischemic stroke was seen in 101 (68.2%) and haemorrhagic stroke seen in 47 (31.8) stroke patients. Diabetes was more common in ischemic stroke 81 (80.2) as compared to haemorrhagic stroke 23 (48.9%) (P< 0.05). Hospital mortality of stroke patients was 37 (25%). No difference of mortality in diabetic and non-diabetic (P>0.05) stroke patients was recorded. Conclusion: Diabetes was found in majority of stroke patients. Ischemic stroke was more common than haemorrhagic stroke. Ischaemic stroke is more prevalent in diabetic whereas haemorrhagic stroke was more in non-diabetic stroke patients. Prognosis of stroke was bad in both diabetic and non-diabetic stroke patients.