Clinical study to evaluate the influence of incision site (superior vs superotemporal) on postoperative astigmatism in manual small incision cataract surgery.

Introduction: Small incision cataract surgeries may be performed using various surgical incisions, namely, superior, supero-temporal and temporal. Each method has its own advantages and disadvantages. Supero-temporal incision is considered the best as it produces least induced astigmatism. The purpose of this study was to compare the postoperative induced astigmatism in superior and superotemporal incision group in small incision cataract surgery. Material &Method- This study was conducted on cataract surgery patients admitted in M.R.A Medical College, Ambedkarnagar. Fifty patients were selected for study, out of which 30 received superior and 20 received superotemporal incision. Preoperative keratometric and post operative 6 weeks keratometric readings were analysed. Results-Superior incision is better for with the rule astigmatism and worst for against the rule astigmatism, while superotemporal incision is equally good for both with the rule and against the rule astigmatism. Conclusion-Superotemporal incision is better than superior as it produces least astigmatism with good visual acquity.

Papillon-Lefevre syndrome: two case reports.

Papillon-Lefevre syndrome is a rare autosomal recessive disorder in which there is palmoplantar keratinization and premature loss of both deciduous and permanent teeth. The palmoplantar keratoderma typically has its onset between the ages of 1 and 4 years and severe periodontitis starts at the age of 3 or 4 years. An early diagnosis of the syndrome can help preserve the teeth by early institution of treatment, using a multidisciplinary approach. We present two cases of the syndrome having all of the characteristic features.