Background: Due to advancement in phacoemulsification techniques, there has been growing shift from peribulbar anesthesia (PA) to topical anesthesia (TA). But dilemma exists regarding the supremacy of one over the other as both types have certain advantages and disadvantages.Methods: A prospective study was conducted. Patients were divided into two groups. Group-1 underwent PA while group-2 underwent TA. Satisfaction score of patients and surgeons and incidence of complications were noted. The data was analyzed.Results: Lowest patients’ satisfaction score among group-1 vs. group-2 was 160 (87.9%) vs.82 (45.81%). Highest surgeons satisfaction score among group-1 and group-2 was 74(40.65%) vs. 2(1.1%). Intraoperative complications among the group-1 and group-2 were 35 (19.2%) vs. 86(48.0%).Conclusions: While TA provides initial painless phase of surgical procedure, PA results in lesser intraoperative complications resulting in better visual outcome.

Background: A pterygium is a wing-shaped growth of conjunctiva and fibrovascular tissue on the superficial cornea. The pathogenesis of pterygia is strongly correlated with UV light exposure and environmental factors. The prevalence of pterygia increases steadily with proximity to the equator, and the condition is more common in men than women. It is well established fact that before entering the optical zone pterygium causes flattening of the cornea in horizontal meridian with the more normal side of the cornea usually temporally, resulting in with-the-rule astigmatism.Methods: The study included 80 patients of primary pterygium who underwent pterygium excision with conjunctival autograft adhered by autologous blood surgery. After performing routine ocular examination which includes visual acuity without and with pinhole and pre-operative keratomery was assessed by autokeratorefractometer. Repeat examination was performed after 6 weeks of surgery. Patients with recurrent pterygium, pseudo-pterygium, and history of previous ocular surgery were excluded.Results: The pre‑ and postoperative corneal astigmatism were compared after 6 weeks of surgery. The changes in corneal astigmatism were statistically significant p value <0.001. The preoperative mean corneal astigmatism of 3.41 D was reduced to 1.59 D (p value <0.001) 6 weeks after surgery, but maximum change in astigmatism was seen in Grade IV >Grade III >Grade II >Grade I.Conclusions: Primary pterygium of all grades treated with well accepted technique pterygium excision with conjunctival autograft with autologous blood gives promising results in terms of improvement in corneal astigmatism and hence visual acuity as well.

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Introduction: Myopia is a refractive error in which ability to see an object at a distance is reduced. Not only is this widely prevalent but also there has been an increase in the prevalence of myopia around the globe. Myopia leads to short-sightedness and sometimes irreversible blindness. Myopic patients have to use optical device like spectacles or contact lenses which have recurring expenses or undergo a laser refractive surgery which is very expensive. Pathological myopia if complicated by retinal detachement leads to immense morbidity and financial burden. Although many hypotheses have been proposed, but definite cause has not been established. Materials and Methods: A cross-sectional study was conducted on medical students. Detailed history and eye examination was done. Uncorrected visual acuity, best corrected visual acuity, visual acuity by pin-hole, colour vision cycloplegic refraction, tonometry and fundus examination were performed. Intraocular pressure, keratometry and axial length measurements were done. Myopia was classified into low (-0.5D to -2.00D), moderate (-2.25D to -6.00D) and high (>-6.00D). Myopia prevalence was calculated and then statistically analyzed. P <0.05 was considered statistically significant. Results: Out of 233 (107 males) students myopia was found in (123) 52.78%. Myopia was distributed in males and females as 54.47% vs. 45.52% (p<0.05) respectively Low myopia, moderate myopia and high myopia were distributed as 61.78%, 26.82% and 11.38% among myopic students respectively. Low myopia was most common while high myopia was found to be least common. Conclusion:Myopia was found to be highly prevalent in medical students. Greater time spent on near -work and indoor activities while lesser time on outdoor activities is a risk factor for myopia.

Background: Mucormycosis is a black fungal mold showing a sudden surge in covid era and left as a trail of COVID-19. It wouldn’t be wrong to say that both mucormycosis and COVID-19 prey on the immunocompromised by colonizing the nose-sinuses-orbit-eye-brain.Methods: 30 patients of suspected ROCM were included which presented a gamut of red flags ranging from numbness and pain over the cheek to diminution of vision (DOV) and diplopia. Mucormycosis was confirmed by KOH mount and gadolinium-enhanced MRI. Ophthalmic assessment included visual acuity, IOP measurement, colour vision, extraocular movements, anterior and posterior segment evaluation using slit lamp and fundoscopy.Results: Risk factors being diabetes mellitus (73.3%), history of oxygen supply during hospital stay (53.3%) and hypertension (53.3%). 16/30 (53.3%) had good vision: <6/6 but >6/12. 11/30 (36.7%) had impaired vision: <6/12 but >6/60. 3/30 (10%) had poor vision: <6/60. Finding being DOV: 14 (46.7%) >chemosis: 10(33.3%) >restricted EOM: 5 (16.7%) >periorbital cellulitis: 4 (13.3%) >congestion: 4 (13.3%) >proptosis: 4 (13.3%).Conclusions: Thus, as there is a myriad of ocular manifestations, we have tried to portray the whole spectrum here. Patients with the above-mentioned risk factors must be eyed with suspicion since delay in diagnosis and appropriate management can have calamitous implications on patient survival. However, the intervention time varies depending on the various factors like availability of the resources, awareness of the patient and expertise available for diagnosis and treatment. As this disease requires a multidisciplinary approach, ophthalmic intervention should be followed by debridement of sinuses as and when required.