Intravitreal steroids and Eales' disease.

Eales' disease is an idiopathic retinal vasculitis common in Saudi Arabia effecting young adults, usually men. This chronic disorder is extremely difficult to treat. Treatment modalities in current practice are oral steroids, panretinal photocoagulation and pars plana vitrectomy. One eye of a diagnosed patient with Eales' disease at Vitreoretinal Clinics, Department Of Ophthalmology, Military Hospital, Rawalpindi was administered intravitreal triamcinolone. Preoperative and one month post operative fluorescein fundus angiograms were performed. The post-operative fluorescein fundus angiogram showed decreased perivascular leakage of the fluorescein dye as compared to the preoperative fluorescein fundus angiogram. Our report validated a similar report from the Indo-Pak subcontinent. Intravitreal triamcinolone appears to be a promising treatment modality for retinal vasculitis.

First report of ophthalmomyaisis externa in Pakistan.

Two individuals presented to the Aga Khan University Opthalmology service with foreign-body sensation, pain and redness in one of their eyes. Slit-lamp biomicroscopy revealed tiny larvae crawling around the conjunctival sac. They were mechanically removed under topical anaesthesia and preserved for light microscopy and photography. Comprehensive liaison was established with the Australian Centre for International Agriculture Research for identification of these larvae. Their morphology characterized them as members of fruit-fly, Oestridae family. At least one of them was positively identified as first instar larva of Oestrus ovis. This report describes the first instance of such infections in Southern Pakistan, as concluded after a Medline search.