Refractive status of medical students of mymensingh medical college.

This study is done to find out the refractive status of medical students of Mymensingh Medical College (MMC), Mymensingh, Bangladesh. They are of the age of 17-19 years. This is a nonrandom purposive cross sectional study done at late part of the November 2008. Visual acuity estimation, automated refraction, streak retinoscopy, fundoscopy using +78D volk lens were done according to the need of the cases. Out of 175 students 53.14% are emmetropic and 46.86% are ametropic, ametropia is nearly equal in both sexes (male 51.22%, female 48.78%). About all students are of highest academic attainment (GPA 5). About one quarter of the ametropic students (21.61%) are not using spectacles. Simple myopia (81.70%) and myopic astigmatism (18.30%) are the types of ametropia. Out of 67 simple myopic students 56 are of bilateral involvement and 11 are of unilateral involvement. There is similarity in the distribution of sex & refractive status in between general population & medical students of Bangladesh. Myopia and myopic astigmatism are prevalent among medical students.

Pattern of ocular trauma admitted in a tertiary hospital.

Ocular trauma is an important cause of ocular morbidity. This prospective study was conducted to identify primarily the population at risk, sources of eye injuries and the common barriers for their early management. Cases were selected randomly during the period Aug/2006 to March/2008 among the patients admitted in the department of ophthalmology, Mymensingh Medical College Hospital, with the history of ocular injury. A total of 100 eyes in 97 patients were included in the study. Age ranges were 1.5 years to 75 years. Male were 78.35% (n=76) & female were 21.65% (n=21). 56.00% (n=56) injuries were accidental occupational injuries. Common sources of eye injury included sharp objects used in occupational activities 43% (n=43), blunt objects 23% (n=23), Chemicals 7% (n=7), Projectile objects 8%, (n=8), Bird-beak 5% (n=5), agricultural trauma 3% (n=3) and miscellaneous 11% (n=11). Young adult males engaged in industrial, mechanical, agricultural or domestic works are at particular risk for ophthalmic trauma. Poverty, ignorance, indigenous treatment, remote communications and lack of supervised and collaborative management seems to be the possible barriers for the early management of ocular injuries. Preventive measures are recommended to adopt not only in the workplaces but also in domestic, recreational, sports and transport settings.

Herpes zoster ophthalmicus in an otherwise healthy 7 years child.

A 07 years otherwise healthy child, non vaccinated for chickenpox and with a history of chickenpox infection at 02 years of age presented with red colored lesions in right upper lid, right side of forehead, vertex and right side of nose and defective vision in right eye in Mymensingh Medical College Hospital, 20 days after the appearance of blister in the same region. On examination granulation tissue was present on the same area. There was no hair and skin over that area. Lesion was strictly limited to right side of midline. Eyelashes of right upper lid were absent and there was defective closure of eyelids. Best corrected visual acuity of right eye was 3/60 and of left eye was 6/6. There was ciliary congestion of right eye with haziness of cornea at interpalpebral region of right eye. Corneal sensitivity was reduced and there was uniform fluorescein staining at central part of cornea. Mild flare and cells were present in anterior chamber. Fundus examination revealed no abnormality. He was treated with systemic acyclovir, antibiotics, topical acyclovir, antibiotic and atropine. Corneal ulcer and skin lesions were healed, but the patient developed cicatricial ectropion of right upper lid and best corrected visual acuity of right eye was reduced to 6/60 due to corneal opacity. So early diagnosis and treatment of herpes zoster ophthalmicus is mandatory to prevent sight threatening complications.

Carcinoma of the larynx - results of primary radiotherapy.

Results for 180 patients with carcinoma of the larynx treated by radiotherapy at Belvidere Hospital in Glasgow between 1958 and 1968 are presented. The policy of treatment was primary radiotherapy with surgery for recurrences. All the patients have been followed up for more than five years. Overall crude five-year survival is 57%. For stages I and II it is 70%. Surgical rescue was successful in 50% of fit patients.