History and Objectives: Due to prevalence of inflammatory spring conjunctivitis in Kashan and resistance of some patients to current therapies, the present study was conducted in order to display the effect of injected Steroids on patients suffering from the inflammatory spring conjunctivitis referred to eye clinic of Matini hospital of Kashan in 1996-97.

Materials and Methods: A semi-experimental clinical trial was carried out on 21 patients (42 eyes). Patients were non-responsive to normal treatment (Prednisolone acetate 1% drops every 2-4 hours, Nephazoline-Antazoline drops every 6 hours along with sodium chromolin every 6 hours one drop) and recurrence of the inflammation was evident after 3 months. Injection of 0.5ml (20mg) of triamcinolones acetonide at upper tares was followed for 3-7 months. Mc Nemar’s statistical analysis was performed.

Results: Minor signs (Itching, burn, tear drops and light phobia) were evident in all patients injected with Steroids (100%). The size of papia, edge of lemp decreased one month after injection. One month after injection 3 patients (14.3%) complained from recurrent inflammatory pains, which upon second injection obtained relative improvement. No side effect was observed in any patient (0%) and tolerated the therapy well.

Conclusion: In light rapid response to injected Steroid, reduction of inflammatory pains and reduction in the size of papia of back of eyelid and lemp in patients suffering from spring conjunctivitis who are resistant to current therapies, this type may become an effective and rapid therapy.

History and Objectives: Patients are hospitalized for eye trauma for various reasons and causes in Iran and world. The present investigation is undertaken in order to pinpoint the causes and characteristic of patients with eye trauma referred to the Matini hospital of Kashan in 1991-1997.

Materials and Methods: Data were analyzed on 400 patients. Patients diagnosed with definitive eye trauma were considered for this study and personal profile including age, sex, occupation, place of living, type of trauma (Blunt, penetrating and burnt, etc …) underlying cause of trauma, location of trauma in the eye, visual acuity before and after treatment were recorded. Descriptive statistics were presented.

Results: Under the 9 year age group was presented with the most prevalent incidence of eye trauma (36%). Mean age of patients was 20.7 and age interval was from 3 month to 109 year. 79% of patients (318) were male and 21% (82) were female. Summer and winter scored the highest (32.5%) and lowest (18.8%) rate of incidences respectively. Accidents with branches and wood sticks were the most prevalent reason of eye trauma and trauma caused by animals was the lowest in ranking (5%). Blunt, penetrating and chemical-thermal burn contributed 57%. 41%, 2% respectively to total underlying cause of the eye trauma. Bleeding of posterior chamber presented with the most patients group and thermal burn presented with least frequent group of patients (26.8% and 0.5% respectively). 57.7% of patients were treated through surgical procedures and 42.3% treated with non-surgical means.

Conclusion: Ocular injuries are the most prevalent in younger age. Most patients referred to the hospital required surgical treatment. Visual acuity was improved greatly after hospitalization and treatment.

History and Objectives: Since little information is available on the various type of eye diseases and reasons for hospitalization at eye medical centers and its effect on the educational-therapeutic management and in order to study the patients admitted to ophthalmology department of Matini hospital of Kashan, the present investigation was carried on 4291 patients during 1991-1996.

Material and Methods: The study was performed on existing data. Age, sex type of illness (Or reason for referral), urban or rural residence, type of treatment (Therapeutic or surgical) and type of insurance and data of hospitalization were recorded.

Results: From 4291 patients, 48.5% were males (2083 patients) and 51.5% were females (2208 patients). The most prevalent age group was 58±9. Cataract and retinal detachment were highest and lowest type of diseases (69% and 0.9% respectively). 67.2% of patients were urban residents and the rest were rural inhabitants. Majority of patients (89%) received surgical treatments and 11% received drug treatment. Tamin Ejtemai health insurance was the dominant type of insurance (45.6%) and Committee Emdad Imam Khomeini, private insurance and non-insured patients covered other cases. The largest job group was housewives (47%) and children formed the less frequent group (5%). From 1991 through 1996 the number patients referred to the hospital was no the rise.

Conclusion: The most prevalent reason for hospitalization was cataract and majority of such cases were above 40 years of age. Trauma, strabism, canaliculitis, glaucoma and retinal detachment were the most prevalent type of illness after cataract. With increasing age, the prevalence of cataract, glaucoma and retinal detachment also increases and the prevalence of eye trauma decreases. Further study on the causes of illnesses, change in insurance coverage and duration of hospitalization and comparison of hospitalization and short stay treatment in needed.

History and Objectives: Due to the importance of correction corneal astigmatism in improvement of vision and reported various techniques, the present study was carried out to determine the effect of radial keratotomy on patients with astigmatism on patients referred to the Matini hospital in 1996-1997.

Materials and Methods: A quasi-experimental study was carried out in order to compare the vision of 34 patients (60 eyes) before and after the operation who were complaining from contact lens and eyeglass usage. Personal records, vision acuity with and without correction, type and extent of astigmatism were recorded. The criteria for operation was diopter of 1.25 and the best value for correction was set at 40/20. Radial keratotomy was carried out using 7mm Ophcal Zone on the basis of Lindstrom nomogram. Patients were followed for six month after the operation and the effect of surgery was assessed on vision, the extent and type of astigmatism and probable surgical side effects were recorded. T-test and McNemar statistical test were carried out in order to determine the effect of keratotomy.

Results: From 34 patients (9 male, 25 female mean age 30±5.2) 98.3% of patients had corrected vision by eyeglasses and contact lens use of more than 40/20. After surgery 82.5% of patients retained vision of 40/20. Mean esfer with astigmatism before the operation was 3.8±2.05 diopter of myopia and after operation was 2±0.8. in 21.6% of patients side effects such as micro-perfusion and epithelial abnormality was observed.

Conclusion: Surgical operation in order to correct astigmatism by radial keratotomy on the basis of Lindstrom nomogram is very effective and has minimal side effects. The results in the reduction of astigmatism by improvement of vision are such that it is recommended for corneal vision problems.