We describe a technique for performing safe phacoemulsification of a Morgagnian cataract using the intraocular lens (IOL) scaffold. An IOL scaffold has been used in cases in which posterior capsule rupture has occurred, leaving nonemulsified nuclear pieces. The scaffold provides a barrier that prevents the nuclear fragments from falling posteriorly into the vitreous cavity. Our technique uses the IOL as a scaffold to prevent the vulnerable posterior capsule from rupturing during nuclear emulsification in Morgagnian cataract. The technique prevents rupture of the floppy posterior capsule by providing a constant support to it. The scaffold provides stable inflation of the capsular bag and prevents inadvertent emulsification. Concurrently, it prevents dehiscence of weak zonular fibers by minimizing the stress on the zonular apparatus.

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We describe a female patient who presented with watering followed by swelling in the left infraorbital area of 5 years duration. She had previously been prescribed topical antibiotics on several occasions with no improvement. On pressure over the swelling, there was blood-tinged discharge from the left eye and nostril. Magnetic resonance imaging revealed an enhancing, well-defined mass lesion in the inferomedial aspect of the left orbit, likely of nasolacrimal origin. Computed tomography dacryocystogram with three-dimensional reconstruction showed a well-circumscribed mass with an irregular surface, originating from the lacrimal sac. Gram staining and potassium hydroxide mount from the regurgitant fluid revealed thick-walled cysts with sporangia suggestive of Rhinosporidium seeberi infection. Excision biopsy of the lesion confirmed R. seeberi as the causative agent. The patient has been put on long-term dapsone therapy to prevent a recurrence and has been asked to follow-up 6 months later.

To study the outcome of amniotic membrane graft versus conjunctival autograft after primary pterygium excision surgeries amongst various genders and age groups and to compare recurrences, complications and pre and post-operative astigmatism in various grades of nasal and temporal pterygium. A total of 90 eyes of 90 patients with previously unoperated primary pterygium were enrolled in a randomised control trial. The patients had a follow-up of 6 months during analysis and the results were compared retrospectively with patients who had pterygium excision surgeries with conjunctival autografts performed by the same surgeon. A higher proportion of males underwent grafting with amniotic membrane while more females underwent conjunctival autografting. The p value =0.011 was significant. A higher proportion of patients were between the ages of 31-40 years and the p value=0.001 was significant. A majority of patients from both groups had nasal pterygium with p value=0.026 being significant. The overall astigmatism pre operatively from both groups=0.431 and 0.143 postoperatively. Amniotic membrane grafting in primary pterygium surgery led to fewer complications, recurrences and astigmatism postoperatively and was more useful in patients who may have lesser amounts of conjunctiva for future surgeries.

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