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Aim: To evaluate the visual outcome after manual small incision cataract surgery (MSICS) as a treatment of phacolytic glaucoma. Methods: The study included 43 patients with phacolytic glaucoma treated by manual small incision cataract surgery with intraocular lens implantation. Preoperative and postoperative visual acuity and intraocular pressure have been recorded and compared at the end of six weeks after surgery. Results: The mean preoperative intraocular pressure was 36.23 (± 10.86) mm of Hg. There were no significant intraoperative complications such as posterior capsular tear or expulsive hemorrhage. Post operative mean intraocular pressure (IOP) was 12.58 (± 3.45) mm Hg. Pre operative visual acuity in all the affected eyes were perception of light with projection of rays in all quadrant. Postoperative best corrected visual acuity was 6/6-6/18 in 27 patients (62.80%), 6/24- 6/36 in 10 patients (23.25%) and ≤ 6/60 in 6 patients (13.95%). Conclusion: Manual small incision cataract surgery is a safe and effective method of treatment for phacolytic glaucoma and the visual outcome and IOP reduction is satisfactory.

Introduction: The inherited disorders of haemoglobin are the commonest single-gene disorders with an estimated carrier rate of 7% among the world population. They occur at particularly high frequencies in population of the tropical and subtropical belt. Objective: To find out the electrophoretic pattern of haemoglobin disorders and to evaluate and compare the diseases in study population. Methods: A total number of 1370 subjects of both sexes with age range from 6 months to 73 years were included in the study. The study was conducted in Haematology Department of Armed Forces Institute of Pathology, Dhaka. It was carried out from January to December 2012. Patients were selected on the basis of morphological blood film examination and electrophoresis on cellulose acetate at PH 8.6. Results: Among the 1370 subjects, Beta thalassaemia trait was observed in 532(38.83%) cases, HbE trait in 313(22.85%), HbE-Beta thalassaemia in 282(20.58%), HbE disease in 146(10.66%) and Beta thalassaemia major in 97(7.08%) cases. Conclusion: The study reveals that, hereditary haemoglobin disorders are common in Bangladesh and are inherited as autosomal recessive Mendelian pattern affecting both male and female. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21827 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013

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Granulocytic sarcoma also called myeloid sarcoma (MS) is an extramedullary tumour of immature granulocytic cells. It is a rare entity and most frequently associated with acute myeloid leukaemia (AML) but can occur with other myeloproliferative disorders. It may occur at any site, leading to very varied clinical presentations. Although it can occur in a number of areas of the body, the involvement of the breast is uncommon. We present a rare case of MS in a 14?year?old boy with a non-tender lump in the left breast that had been apparent for five months. Available diagnostic techniques, including ultrasound and magnetic resonance imaging were systematically performed. After mastectomy, biopsy and immunohistochemistry was done. Immuno-histochemical stains were positive for CD45 (haematological marker) and myeloid markers, such as myeloperoxidase (MPO), and CD68, CD43 suggesting the diagnosis of MS. Although MS is a rare tumour in breast and its diagnosis is usually difficult, the clinician must know about its existence to make differential diagnosis.

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