Ak Gupta

Traumatic cataract surgery with intraocular lens implantation in children.

We evaluated our experience of intraocular lens implantation in 22 children with uniocular traumatic cataract. Good visual acuity was achieved in a large proportion of the children despite associated corneal opacities and several intraoperative and postoperative complications. Our study suggests that intraocular lens implantation may have a major role in management of monocular cataracts in children.

Epilenticular lens implantation versus extracapsular cataract extraction and lens implantation in children

Purpose: To compare the results of epilenticular posterior chamber intraocular lens (IOL) implantation and pars plana lensectomy with those of extracapsular lens aspiration and posterior chamber IOL implantation in eyes with pediatric cataracts. Setting: Guru Nanak Eye Centre, New Delhi, India. Methods: Forty eyes with childhood cataract of varied etiology were divided into two groups of 20 eyes each, matched by age, sex, and type of cataract. Group A had epilenticular IOL implantation with pars plana lensectomy. Group B had extracapsular lens aspiration with posterior chamber IOL implantation. Follow‐up ranged from 1 to 3 years. Results: All 20 eyes in Group A maintained a clear pupillary axis from the immediate postoperative period to the last follow‐up. In Group B, 80% of eyes developed varying degrees of posterior capsule opacification (PCO), which hampered vision. In Group A, 95% of eyes had a visual acuity of 6/12 or better; only 45% of eyes in Group B achieved a visual acuity of 6/60 or better. Conclusion: Although patients in both groups had good visual recovery, those having epilenticular IOL implantation with pars plana lensectomy maintained a clear pupillary axis and did not develop PCO, preventing the need for secondary intervention.

A Retained Intraretinal Foreign Body

A patient with an 11-mm retained intraretinal foreign body is described. Absence of any history of trauma or foreign body entry with no obvious wound of entry and little damage to the ocular structures makes this case unusual.

Serum beta-2 microglobulin and C-reactive protein levels in acute adenovirus conjunctivits

Abstract Serum beta‐2 microglobulin and C‐reactive protein levels were measured in 52 patients with acute adenovirus conjunctivitis and 58 healthy subjects, by ELISA technique. Serum beta‐2 microglobulin levels were found to be significantly increased while there was no change in C‐reactive protein levels. Serum beta‐2 microglobulin levels closely paralleled the severity of the disease. The increased beta‐2 microglobulin level in serum showed a significant fall to normal level on clinical improvement. There was no difference in the serum beta‐2 microglobulin levels in virus‐isolation positive and negative patients.