Ocular trauma is very common, but globe avulsion along with optic nerve avulsion is a rare clinical event. Blunt trauma during a road traffic accident can cause rupture or avulsion of the globe and the outcome can range from complete recovery on repositioning to visual loss because of globe perforation or optic nerve injury. Here, authors report a case of a 20-year-old male who presented with history of a road traffic accident causing severe facial injuries. The physical examination revealed oedema and ecchymoses over the right side of the face with avulsion of the right eyeball anteriorly outside the orbit along with avulsion of the optic nerve. The visual acuity in the injured eye was no perception of light and the direct pupillary response was absent. Computed tomography revealed fracture of the roof and lateral wall of the right orbit. As the eye was not salvageable, enucleation surgery was done. Insertion of an ocular prosthesis for rehabilitation was planned. The presentation, investigations, surgery and follow-ups are described.

A 35-year-old Asian Indian female presented to our institute with a history of fall on road and accidental hit by stone over her right eyebrow, grossly no anterior segment abnormality was noted. On dilated fundus examination, a superotemporal choroidal tear was noted which led to choroidal hemorrhage. Patient was managed conservatively by giving oral steroids and tablet vitamin C. After 2 months of treatment there was complete resolution of the lesion with a final best corrected visual acuity of 6/6.

Introduction: Glaucoma is the second leading cause of irreversible blindness worldwide and recently a vascular mechanism has been postulated in the pathogenesis of glaucomatous optic nerve damage but the relationship of the various hemodynamic factors and open angle glaucoma is still controversial. Aim: To compare the intraocular pressure and the different vascular indices among cases and controls; to determine their relationship with primary open angle glaucoma. Settings and Design: Hospital based case control study. Methods and Material: The study was undertaken from November 2014 to October 2015 in a tertiary care centre with 200 participants above 40 years comprising of 100 cases of primary open angle glaucoma and a similar number of randomly selected age and sex matched healthy controls. All underwent a detailed comprehensive ocular examination. The blood pressure was measured in each and the variables like systolic-diastolic perfusion pressures, mean arterial and mean ocular perfusion pressures were calculated using the formulas.Results: Amongst all vascular factors studied, diastolic blood pressure, mean ocular perfusion pressure and intraocular pressure were extremely significant among cases as compared to controls. Those having higher intraocular pressure had higher values of systolic, diastolic and mean arterial pressures and intraocular pressure had a positive correlation with these pressures. Conclusion: The mean ocular perfusion pressure was very much lower in cases than in controls and thedifference too was highly significant and hence we conclude that along with high intraocular pressure, a vascular mechanism is there behind the occurrence of primary open angle glaucoma.