that necessitates the use of thermal energy should be instructed as well to remove any eye makeup, especially mascara before the procedure [15]. A case of surgical flash fire causing thermal burn of eye lashes, eyelid skin and eye brow hair in a patient who had some residual mascara on her lashes while cautery was applied for an eyelid lesion. It is a clinical set up and is done in the absence of oxygen-rich environment [16]. High myopia is known to be associated with cataract, and a relationship between myopia and cataract have been suggested [17,18]in this review. Although the deprivation of form vision due to cataracts in childhood leads to increase in axial length, and myopia had been reported [19,20] but if the cataract may affect the axial length in adults is still unknown. Many factors can affect the axial length and lead to myopia [23]. Lid closure in early ocular and visual development is well recognized to cause ocular developmental abnormalities [19,21]. Central dense corneal opacities in early childhood may lead to visual deprivation and amblyopia and was shown to increase the ocular axial length [22,23]. Subconjunctival gentamicin inadvertently injected into the vitreous cavity can induce cataract and retinal toxicity [24]. Expectedly, the need for cataract surgery has increased dramatically because of an increased proportion of old aged and the tendency & awareness towards surgery earlier in the disease process [25]. Amblyopia means reduced visual acuity, which is not even improved by corrective glasses, in an eye that is otherwise normal. It is responsible for diminished vision in 1% to 2% of the childhood population, and it is most often associated with strabismus or anisometropia [26]. Occlusion therapy remains the mainstay of amblyopia treatment. Opinions, however, vary on the number of hours of daily patching