Background: Chronic dacryocystitis is an unpleasant disease. It is a common condition presenting with watering from the eye. Usually there is a block at the nasolacrimal duct where it opens into the inferior meatus. The study was done to do a clinical analysis of the cases of chronic dacryocystitis.Methods: 51 cases of clinically diagnosed chronic dacryocystitis were taken and, clinical analysis of the cases regarding age, sex, presenting symptom, nature of discharge was done. LPI was done in all the cases. DCR or DCY was done as treatment.Results: Common age of presentation was third decade or fourth decade. Female were worse sufferer. Discharge from eye was present in all the cases.Conclusions: A female in third or fourth decade having discharge from eye since years, chronic daryocystitis is to be ruled out. DCR is an effective method of treatment.

Background: Rhinosporidiosis is a chronic granulomatous disease. Aim of the study was to do a clinicopathological evaluation of the cases of rhinosporidiosis. Study design was longitudinal.Methods: The study was undertaken in MKCG medical college. 151 cases of rhinosporidiosis were taken. Pedunculated or sessile, fleshy, polypoidal, reddish looking mass with spores on the surface were clinically diagnosed as rhinosporidiosis. Age, sex distribution, site of presentation and socioeconomic status was studied. The swellings of lacrimal sac were doughy in consistency. The conjunctival mass was excised and thermocautery applied. For the cases of lacrimal sac dacryocystectomy was done.Results: The cases were more common in male children of low socioeconomic status. Palpebral conjunctiva is the common site of involvement. History of pond bath was present in almost all the cases. History of bleeding from nose and eye was present in many cases.Conclusions: Rhinosporidiosis is a common condition of our locality. Treatment is simple by excising the growth and cauterising the site. Taking bath in pond water is supposed to be the cause of the disease. The disease can be prevented by avoiding pond bath.

Hypermetropia is that form of refractive error in which parallel rays of light are brought to a focus some distance behind the sentinent layer of the retina when the eyeis at rest; the image formed here is therefore made up of circles of diffusion of considerable size, and is consequently blurred. Keratometry and ascan biometry was done to find out the correlation between various parameters of biometry findings and amount of hypermetropia

BACKGROUND Diseases of skin, mucous membrane and mucocutaneous junctions may also affect the eyes. Physical findings of dermatological disorders and eyes overlap due to three factors-(i) Genodermatoses often affects both skin and eyes because of origin from embryonic ectodermal layers, (ii) Acquired dermatological disorders may affect the mucocutaneous tissue of periorbital regions, (iii) Systemic diseases can manifest as diseases of skin and periocular mucocutaneous tissue because of their superficial anatomical locations. The aim of the present study was observation and interpretation of changes in the eye in different mucocutaneous disorders and correlation of the eye changes with severity of the diseases. MATERIALS AND METHODS A prospective study was undertaken in the Department of Ophthalmology, M.K.C.G. Medical College and Hospital, Berhampur, South Orissa, during the period of 2014 to 2016 including the referred patients after being diagnosed with mucocutaneous disease from Department of Dermatology, Paediatric and Medicine from the same hospital. A case study of 204 patients (M-164, F-40) was done. All patients underwent detailed ophthalmic examination inclusive of ocular movements, VA, IOP, S/L exam, blood and urine investigation and fundus examination. RESULTS Out of 204 patients examined, i.e. 164 males and 40 females, the ocular involvement found was 132, i.e. 64%. Majority of patients having ocular lesions were affected by herpes (72.2%) and leprosy (78.57%). Most common mucocutaneous syndrome in the study was herpes (35.29%) and leprosy (27.45%). Most common ocular lesions in various mucocutaneous ocular syndrome was found to be conjunctivitis (45.4%), blepharitis (34.8%) and periorbital vesicles (30.3%). The least common was found to be trichiasis and conjunctival membrane each 3%. After follow-up of 3 months, the following ocular sequelaes were observed, i.e. dry eye (9%), symblepharon (7.5%), corneal scar (4.5%), corneal vascularisation (3%), trichiasis (3%) and ankyloblepharon (1.5%). Visual acuity analysis was done. We found in 62 cases had vision between 6/18 to 6/6.40 cases had visual acuity between 6/18 to 6/60. 12 cases had total blindness. CONCLUSION Recognition of ocular disease progression and prompt access to specialist services may optimise management of these uncommon patterns of ocular disease in mucocutaneous disorders.

Neurofibromasis is the most common phacomatosis having a frequency of approximately 1 case per 3500 persons in general population. The syndrome of neurofibromasis consists of two distinct genetic diseases with considerable phenotype overlap. We present here five cases of neurofibromatosis with atypical presentations. Their clinical presentations and management are different.