A study of 100 consecutive cases of dacryocystitis, of which 43 were bilateral and 57 unilateral (total 143 eyes) was done It was found that the disease is more prevalent in females (57 per cent) than in males. The incidence of affection of left and right eyes is equal The disease has its commencement at 30 years age and maximum incidence in the 5th decade. The common organisms are D pneumonae, c-ve staphylococci N catarrhalis, C + ve staphylococci and Klebsiella Mixed organism infection is not uncommon. It is also seen that the conjunctival sac is more commonly affected in lacrimal sac disease rather than in nasal disease or vice versa. There is no significance as far as organismal flora is concerned with nasal pathology in the cases of Dacryocystitis

Efficacy of various types of intrachalazion injections of corticosteroids was evaluated. Best results were received by injection of Triamcenolne (80-92.3%). Of the 40 chalazia which received hydrocortisone acetate showed 30-48% total cure rate. But the cases who had dexamethasone therapy did not show encouraging results. The lesions having firm to hard consistency with a chronicity of the process were not suitable cases for intralesional corticosteroid therapy. Cases of recurrent chalazia demand needle aspiration biopsy prior to injection.

A short outbreak of conjunctivitis in a neonatal ward was investigated to find out the etiological agent and source of infection. Giemsa stained smears were examined. Chalamydia as an etiological agent was detected in seven cases and source of infection was found to be cervical secretions of mothers.

The efficacy of topical oxymetazoline and naphazoline has been evaluated in 20 patients suffering from benign red eyes The results of the present study reveal that ocular decongestant action of 0.01 % oxymetazoline on 3rd and 7th day was 66.66% and 80.55% as compared to 22.22% and 50% of 0.01% naphazoline respectively Significant improvement in the conjunctival symptoms viz itching, foreign body sensation, watering and burning sensation, was achieved with oxymetazoline as compared to naphazoline. No ocular toxicity was observed with oxymetazoline during the study period The findings of this study suggest that 0.01% oxymetazoline is a superior alternative to presently available decongestants.

Culturing of 1493 donor eyes yielded positive growth in 172 eyes A total of 181 different organisms were recovered, 77.4% of which were Gram negative, 20.9% Gram positive cocci and the remaining were two strains of Candida albicans and one of Nocardia asteroides. Pseudomonas aeruginose was the largest isolate followed by Staphylococcus aureus, Alkaligenes faecalis and Acinetobacter calcoaceticus. The highest sensitivity of Pseudomonas was to polymyxin B, followed by gentamicin. The maximum number of isolates of S. aureus were sensitive to cloxacillin followed by chloramphenicol and gentamicin. The over all sensitivity of all types of organisms was the highest to gentamicin. Streptomycin was the least effective. Pre-treatment of donor material with these antibiotics is suggested.

We treated 30 patients with Keratomycosis (11 with Aspergillus infections, 6 with Fusarium infections, 3 with Curvularia infections and 10 with infections caused by other fungi) with Ketoconazole administered orally. Progressive comeal ulceration stopped in 20 cases clinical evidence of corneal infection disappeared and post treatment visual acuities were better than pre-treatment visual acuities. 10 cases did not respond to therapy and developed progressive corneal ulceration, necessitating other measures The presence of deep lesions in all these 10 cases and the recovery of Aspergillus flaws or Fusarium from 9 of these cases appeared to influence non-responsiveness to therapy. There was no evidence of serious systemic or ocular toxicity in any of the patients.

Two hundred and fifty cases of exophoria were reviewed for the association of various refractive errors Though, myopia was the commonest association it cannot be labelled as the causative factor, because equal number of exophoria patients were emmetropic.

Sensory and Motor effects of occlusion in 37 patients of intermittent exotropia have been discussed 25 patients were given part time occlusion and 12 patients were given full time occlusion. Part time occlusion was found to be more effective and more acceptable than full time occlusion.

The conjunctival incision in squint surgery contributes in large measure to the case of surgery, postoperative cosmesis and later function of the operated muscle. We describe a paralimbal conjunctival incision which utilizes the fusion of the Tenon's capsule and conjunctiva within 3 mm of the limbus to allow minimal disturbance of these importance layers It also ensures adequate exposure and minimal trauma to the muscle, as all steps are performed under direct observation.

Osteoma which is totally within the orbit is rare One such case producing unilateral Proptosis is reported and the literature is briefly reviewed.

A patient of diabetic maculopathy was observed to achieve both subjective and objective improvement with short term sulindac therapy. No other such report in the literature is available regarding treatment of diabetic maculopathy with sulindac.