Purpose: The aim of this study is to present an analysis of orbital lesions by classifying them according to the site of origin in patients of all ages presenting at a tertiary care eye hospital from 1996 till 2012. Methods: 1637 patients were initially enrolled in this descriptive case series. Clinical data of 1246 patients who completed the study during 17 years were analyzed. Orbital lesions of the patients were examined and managed medically or surgically as per requirement. The histopathological reports of these patients were used to classify the lesions. Results: Out of all cases 54.57% (n = 680) were neoplastic and 45.42% (n = 566) were nonneoplastic lesions. Amongst the neoplastic lesions 86.17% (n = 586) were malignant and 13.82% (n = 94) were benign. Primary orbital lesions were the most common orbital lesions being 963 (77.29%) followed by secondary orbital lesions being 232 (18.62%), hematopoietic reticuloendothelial being 47 (3.77%) and metastatic lesions being 04 (0.32%). Conclusion: Orbital lesions are more common in adults as compared to children. Neoplastic lesions are more common than nonneoplastic lesions, and amongst the neoplastic lesions malignant lesions are more common than benign ones. Primary orbital lesions are the most common orbital lesions followed by secondary orbital lesions, lesions of the hematopoietic reticuloendothelial system and metastatic lesions.

The purpose of this study is to report eyelid myokymia in patients recently recovered from COVID-19 disease. A cohort of 15 patients who developed eyelid myokymia during or immediate post-recovery of systemic disease were evaluated. Demographic, clinical characteristics, effect of age, and hospitalization on the disease course were studied. The disease course was evaluated every month for 3 months period. All, except 2, patients had complete resolution of lid myokymia within 3 months of onset. Median [IQR] myokymia recovery time was 42 [31,60] days. Age and duration of hospitalization had a significant linear relationship with myokymia recovery time. Recovery was delayed by 2.64 days with every 1-year increment in age and by 6.19 days with every additional day of hospital stay. Recovery time was independent of severity of systemic disease ( P = .055) and gender ( P = 0.2). Eyelid myokymia can be a possible manifestation of COVID-19 recovery phase. While myokymia recovers gradually in all these patients, older age and a longer duration of hospitalization are associated with slower recovery.

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IntroductionOpacification of the posterior capsule is labeled as a secondary cataract. The objective of the current study was to assess central macular thickness (CMT) changes following neodymium-doped yttrium aluminum garnet (ND-YAG) posterior capsulotomy and to find out the correlation between CMT with the age, energy, and total shots utilized during the procedure. MethodologyIn this single-centered prospective observational study, 137 patients with a mean age of 57 ± 12.61 years, who had cataract surgery previously and were candidates for ND-YAG posterior capsulotomy were recruited through consecutive sampling. The study was conducted at Layton Rahmatulla Benevolent Trust (LRBT) Free Eye Hospital, Township, Lahore, Pakistan, between April 2020 to April 2021. The CMT, total energy, and sum total of shots used were recorded. The thickness of the central macula was measured preoperatively and postoperatively after two weeks. The paired sample t-test was used to find out any significant changes in CMT pre and two weeks postoperatively. The comparison of changes in CMT to age, energy, and the total number of shots was made through Pearson correlation. Means of CMT were compared using an independent sample t-test, at two weeks postoperatively among two energy groups. ResultsNo statistically significant differences were found between preoperative and two weeks postoperative values of the CMT (P-value= 0.209). No significant difference was found in CMT statistically among the two energy groups (p=0.11). The patient's age, sum total of laser shots, and aggregate of laser energy did not have any significant correlation with CMT changes. The time period between cataract surgery and ND-YAG surgery showed a moderately positive correlation with a p-value of 0.01. ConclusionThe current study revealed that ND-YAG capsulotomy does not affect the CMT significantly postoperatively. The patient's age, total energy applied, and the total number of laser shots used do not influence the macular thickness. However, the length of duration from the last cataract surgery to the current surgery was significantly associated with a change in the CMT.

Purpose: To evaluate the frequency of Age Related Macular Degeneration (ARMD) in the patients presenting to a teaching hospital in Pakistan, and to find the most common factors associated with high frequency of ARMD. Study Design: Descriptive Cross-sectional study. Place and Duration of Study: Layton Rehmatullah Benevolent Trust Free Eye Hospital Township Lahore from 1st January 2019 to 30th June 2020. Methods: A total of 720 patients with ages more than 60 years were included. Participants with no media opacity were selected randomly from the outpatient department. After which Informed consent was taken from all participants for taking retinal images. 45 degree retinal images were taken using an Eight megapixel fundus camera (Topcon). Fundus fluorescein angiography and Optical coherence tomography (OCT) were conducted in patients clinically diagnosed with ARMD. A specifically designed proforma was used to document data like age & gender, smoking pattern, visual acuity for far and near vision, and staging of ARMD (if Present). Also recorded were Blood pressure, fasting blood sugar level, cholesterol levels, and height of patient. Results: The number of subjects participating in the study was 720, among which 350 (48.61%) were male while 370 (51.39%) were female. The prevalence of ARMD turned was found to be 5.27% (38/720) in the local population. The frequency of patients having signs of dry ARMD was 25 (65.7%), which were more than those having wet ARMD i.e., 13 (34.3%). Smoking was found to be most commonly associated with ARMD (36%). The second most common association was with hypertension (21%). While Hyperlipidaemia (11%), Diabetes Mellitus type II (10%), and obesity (6%) had a lesser association with ARMD. The prevalence of depression in patients of ARMD was 92.1%. Conclusion: ARMD is most frequent in smokers and they should be educated about this risk.