This study was designed to determine the effect of a novel simulation-based training curriculum for scleral tunnel construction in manual small incision cataract surgery (MSICS) compared with traditional training. In this multicenter, investigator-masked, randomized clinical trial, resident surgeons within 3 months of matriculation with minimal or no prior experience with MSICS were assigned either to simulation-based training, the Experimental Group (EG), or to conventional training, the Control Group (CG). EG residents were trained to perform scleral tunnel construction using a simulation-based curriculum (HelpMeSee Eye Surgery Simulator), while residents in the CG followed institution-specific curriculum before progressing to live surgery. Surgical videos of the first 20 attempts at tunnel construction were reviewed by masked video raters. The primary outcome was the total number of any of 9 pre-specified errors. On average, the total number of errors was 9.25 (95% CI 0–18.95) in the EG and 17.56 (95% CI 6.63–28.49) in the CG (P = 0.05); the number of major errors was 4.86 (95% CI 0.13–9.59) in the EG and 10.09 (95% CI 4.76–15.41) in the CG (P = 0.02); and the number of minor errors was 4.39 (95% CI 0–9.75) in the EG and 7.47 (95% CI 1.43–13.51) in the CG (P = 0.16). These results support that novice surgeons trained using the novel simulation-based curriculum performed fewer errors in their first 20 attempts at tunnel construction compared to those trained with a conventional curriculum.

Cornea sparing lasik is useful tool allowing surgeons to preserve the posterior stroma. The study comprised of prospective evaluation of 17 eyes treated with CSL -Cornea Sparing Lasik at Mahatme Eye Bank Eye Hospital, Nagpur India. Our results show that the laser ablation on the corneal flap is safe and effective procedure. The refractive, efficacy and safety outcomes were similar to those in routine Lasik ablation on posterior stroma.

Cataract surgery has evolved over the past few decades with progressive decrease in the size of the incision. Originally from 12 mm intracapsular incision to bimanual phacoemulsification (Micro-Phaco) that has incision size of just 700 microns. In the present comparative PROSPECTIVE study best corrected visual acuity postoperatively and surgically induced astigmatism were compared in routine Phacoemulsification technique and bimanual phaco (Micro-Phaco) 60 eyes were studied. There was no statistically significant difference in postoperative best corrected visual acuity (BCVA) of patients operated with Micro-Phaco or routine Phacoemulsification. There was difference in surgically induced astigmatism (SIA); average SIA in microphaco was 0.5972 as against 0.8328 in routine Phacoemulsification.

Ocular chemical injuries accounts for 11.5% to 22.1% of ocular injuries. Ocular chemical burns are an ophthalmic emergency and requires immediate treatment. We report a series of three cases of chemical injury secondary to accidental exposure to red balm used as local application for headache. In our cases menthol, cajuput oil and capsaicin might have contributed to chemical injury and nerve damage. Nerve damage might have lead to delayed epithelial healing. All three patients improved completely within 1 to 3 week.

This was a prospective non comparative study conducted at Mahatme Eye Bank Eye Hospital, Nagpur, India. 175 eyes with Pseudo-exfoliation syndrome (PXF) undergoing cataract surgery by phacoemulsification were studied. The study aimed at finding out impact of age, gender, pre-operative Intra Ocular Pressure (IOP) and Anterior Chamber Depth (ACD) on the intraoperative complications of phacoemulsification surgery in these patients. It was found that association of age, gender and intraoperative complications was not significant (P value -0.0958). No significant impact of preoperative intraocular pressure and intraoperative complications was noted. The mean anterior chamber depth in complicated cases was 2.42 +/-0.37 as compared to 2.72 +/-0.43 in eyes without complications. The relation between these groups was statistically significant (P value = 0.031).