Objective: To assess the type and presentation patterns of tumours metastasising to orbit. Method: The retrospective study was conducted at Al Shifa Trust Eye Hospital, Rawalpindi, Pakistan, comprised data all patients with orbital metastatic lesions over a 20-year period, from January 1, 2004, December 31, 2023. Data analysed using SPSS 22. Results: Of 30 patients, 17(56.7%) were males 13(43.3%) females. highest incidence disease among those aged <10 years 9(30%) >60 11(36.7%). Roof...

<b>Aims:</b> Efficacy and safety of a short-duration treatment azithromycin 1.5% eye drops versus oral to treat active trachoma. <b>Methods:</b> Randomised, controlled, double-masked, double-dummy, non-inferiority explanatory study including 670 children from Guinea Conakry Pakistan if: 1–10 years old; trachoma (TF+TI0 or TF+TI+ on simplified World Health Organisation (WHO) scale). Three groups received either: twice daily for 2 days, 3 days single 20 mg/kg dose. Patients' contacts were...

Objective To evaluate the utility of teleconsultation in provision eye care services during COVID-19 lockdown. Disparities consultation burden sub-specialities and socio-demographic differences utilization were also assessed. Methods Al-Shifa Trust Eye Hospital Rawalpindi began audio video using broadband telecommunication Patients’ consultations’ data gathered first three weeks after commencement this programme compared with from four prior to The weekly ratio overall measured. Chi-Square...

Purpose: Teachers' perspectives on eye health can be limited, particularly in developing countries. The aim of this study was to assess teachers' knowledge and practices associated with primary students Rawalpindi, Pakistan.Methods: This a cross-sectional survey school teachers. Simple random sampling technique used select 443 participants from 34 private 17 public schools. A self-administered questionnaire used.Results: ranged "high" (35.89%), "moderate" (49.89%), "low" (14.22%). students'...

This study describes different types of orbital osteoma based on clinical per-operative morphology and radiological findings to facilitate communication between ophthalmologists surgical management for a better patient outcome.The was conducted in the Orbit Oculoplastics Department Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan, from July 1, 2001 June 30, 2014. A retrospective analysis 520 diagnosed tumours who presented us carried out prevalence determined. The sampling technique...

Purpose: To determine the role of a single cycle topical azithromycin in preventing long-term trachoma complications children from an area with endemic trachoma. Design: A longitudinal cohort study. Methods: Two hundred thirty-eight (n = 238) active were enrolled current They aged 1 to 10 years, trachomatous inflammation based on simplified World Health Organization grading system. These identified out survey 8600 7 villages Punjab, Pakistan, where was endemic. The studied patients treated...

Glial heterotopia is a rare congenital mass that often presents as unilateral lesion in or around the nose. Complete surgical excision treatment of choice. However, before any intervention for suspected glial heterotopia, distinction should be made both clinically and radiologically from pathologically related encephalocele to prevent risk cerebrospinal fluid leak meningitis. Here, we report case bilateral orbital 2-year-old child with review literature.

Using WHO questionnaire known as TADDS(Tool for Assessment of Diabetic Retinopathy and Diabetes Management System), a country wide survey was conducted to assess the health care system diabetes mellitus (DM) diabetic retinopathy (DR). This would also provide any evidence presence usefulness links between two. A total 190 key informants DR DM services from 47 districts were interviewed. The answers reviewed disagreement resolved through discussion with stakeholders'. final results...

To report a case of conjuctival leiomyoma.An 18-year-old female patient presented with conjunctival growth in the left eye for 2-year-period no change size. She merely cosmetic reasons. Visual acuity was 20/20 each eye. The lesion had prominent vessels and not adherent to sclera. resembled benign conjunctiva. tough vascular tissue excised sent histopathology. defect covered by an end suturing. Histopathology showed be leiomyoma. Trichome used highlight spindle shaped cells...

Background: Trachoma is a sight-threatening process triggered by infection of the conjunctiva with Chlamydiae. When this becomes chronic and associated poverty it triggers trachoma, prime cause infectious blindness in world. Since 1958 report indicating that highest incidence trachoma Pakistan was found province Punjab, no new trials have been published. In present study, we assessed prevalence 3968 children living 11 rural villages district Attock, Pakistan. The were sampled to detect C....

A 5-month-old girl was presented to us with a right orbital cyst covering microphthalmic eye, absent digits (thumbs) in both hands, and absence of radius left kidney. The hematological profile the patient within normal limits. had family history leukemia chromosomal analysis suggestive Fanconi's anemia (FA). excised toto sent for histopathology. To best our knowledge, this is first case report an eye FA. This also stresses fact that FA can be missed by ophthalmologists patients congenital...

Objective. There were two objectives of the study, first was to identify barriers as perceived by patients and providers access low vision services second challenges faced main providers. Study design. Structured questionnaire based interviews Methodology. To find out services, on structured conducted for patient groups. The group consisted 97 visually impaired individuals attending department at Al-Shifa Trust Eye Hospital Rawalpindi while included 56 four rehabilitation centers/schools...

A 5-year-old boy presented with a large 5 cm × cyst covering the left eye completely since birth. The was excised in toto and sent for histopathological examination. During surgery, inferior oblique (IO) muscle seen originating from medial orbital wall, 10–12 mm behind margin, just posterior to lacrimal bone moving laterally, downward, posteriorly its origin making more acute angle - around 20° site of origin. insertion IO sclera at normal site. abnormal confirmed later by magnetic resonance...

To describe different types of primary extraocular muscle (EOM) tumours based on the results imaging studies, peroperative clinical picture and their histopathological diagnosis.Case series.Al-Shifa Trust Eye Hospital, Rawalpindi, from July 2001 to January 2017.A retrospective analysis 640 diagnosed orbital was carried out using non-randomised sampling technique, prevalence EOM determined. Based observed during surgery (orbitotomy) diagnosis, were divided into types, accordingly.Nineteen...

Background: Transgender, is one whose gender identity, behaviour, and expressions are different from that assigned at birth. They also called third or eunuch transversity as they don't conform to the traditional notion of male female thus not accepted by mainstream society, so their rights for everything like health, education, culture, dignity violated. Before dividing world into two boxes, we all human beings who deserve enjoy every opportunity benefits living, including healthcare, its...

Congenital cyst of the optic nerve is a rare congenital anomaly, scarcely reported. We report large case series from single institute over period 21 years, consisting 3cases with presentations. Retrospective study 1100 orbital cases revealed three reported here. In these patients, was replacing almost all intraorbital portion nerve, their unique features. Management also discussed.