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Background: The World Health Organization declared the outbreak of the COVID‑19 as a global pandemic in early 2020. Lockdown was declared by the Indian government across the country. No recommendations were laid down for academic scientific meetings. Despite precautions, there is a high risk of infections in the physical meetings. Therefore, the scientific community resorted to virtual meetings. Objectives: This study was done to determine the doctor's preferred platform for scientific meetings during the COVID-19 pandemic. Methods: We conducted this cross-sectional survey among doctors using Google forms. It consisted of a questionnaire consisting of 17 validated questions related to the preference of scientific meetings. Results: We had 314 responses from doctors. The virtual meeting was preferred by 154 (49%) doctors during the COVID-19 pandemic. Convenience (103, 44.2%) was the most important reason for preferring virtual meetings. We did not find a statistical association in preference for the type of meeting with age, gender, and seniority during the pandemic. However, a significantly higher number of doctors practicing super-specialty (P = 0.005) and private practitioners (P = 0.027) preferred virtual meetings. All age groups preferred physical meetings in the future, but it was preferred to large extent by doctors aged more than 50 years (P = 0.059) with broad specialty (P = 0.005) and medical college doctors (P = 0.002). Conclusions: Most doctors preferred virtual meetings during the COVID-19 pandemic. The super-specialist and private practitioners preferred virtual meetings during the pandemic and even in the future. Hence, the virtual platform should stay along with physical scientific meetings.

Purpose: The major drawback of an external dacryocystorhinostomy (ExDCR) is visible skin scar leading to poor patient satisfaction. In this study we have analyzed the skin scarring objectively after Curvilinear incision (CLI) and W shaped incision (WSI). Methods: This is prospective trial done at Department of Ophthalmology at tertiary level hospital. All the patients with primary acquired nasolacrimal duct obstruction were included in the study. Patients were assigned to group A(CLI) or Group B (WSI). Cosmetic outcome was assessed by scar visibility at 1st, 3rd and 6th month postoperatively by two ophthalmologists separately, who were unaware of incision type. Results: We studied 64 patients with median age 59.0 years (IQR [Interquartile range]: 50.0–66.8 years). Scar visibility was significantly (p = 0.001) more in WSI group at all follow-ups. None of the patients of CLI group showed visible scar at six months whereas ten patients (31.3%) of WSI group still had minimal scar (p 0.05) but extension of skin incision was more common in WSI group. Conclusions: We found that CLI is more aesthetic, simpler, requiring less operative time and less incision related complications when compared with WSI. Keywords: Dacryocystitis, Epiphora, Lacrimal, Lacrimation, Nasolacrimal duct

Purpose To study the incidence, clinical features and outcome of primary canaliculitis with special reference to long-term epiphora after Snip–punctoplasty and curettage. Methods Single center, retrospective, telephonic questionnaire study. The medical records of patients who visited Orbit and Oculoplasty clinic, Tertiary Eye Hospital, India from 01 July 2011 to 31 June 2012 were analyzed. Records of the patients with primary canaliculitis were reviewed for clinical profile and management. Post-surgical patients thus identified were telephonically contacted in December 2012. Questionnaire was used to assess the postsurgical epiphora. Symptomatic patients were given clinic appointment, reassessed and managed. Results 2245 patients visited Orbit and Oculoplasty clinic during the study period. The incidence of primary canaliculitis was 1.4% (31 patients). The median age of the patients with canaliculitis was 65years (range, 14–80yrs). Sixteen patients were male. All cases were unilateral and four eyes showed both upper and lower canalicular involvement. The commonest clinical presentations were pus or concretion from punctum (28), mucous discharge (23), epiphora (18) and conjunctival injection (18). Three snip punctoplasty and canalicular curettage was performed in 30 of these patients. Twenty of the 25 available culture results were positive and streptococcus species was the most common isolated organism. Records revealed that five (22%) of these patients had persistence of symptoms. Twenty-three patients could be contacted telephonically. The median follow-up of these patients was 11months. On telephonic communication we found that two (8.7%) patients had epiphora. Munk epiphora score in these patients was three and one respectively. Conclusions Incidence of canaliculitis was 1.4%. Most common isolate was streptococcus species. Snip–punctoplasty and curettage is a safe and efficacious modality of treatment of canaliculitis. Post-operative epiphora occurred in 8.7% patients.

Melioidosis caused by Burkholderia pseudomallei (B. pseudomallei), is an emerging infection in India. Clinical manifestation of melioidosis is variable ranging from localized benign infection to fulminant septicemia. Ocular presentation of melioidosis is rare. However, cases of endophthalmitis, keratitis and orbital infections have been reported. We report the isolation of B. pseudomallei in a 40 year old male, presenting with fever and lid abscess. The patient was treated with meropenem during the acute phase and switched to trimethoprim/sulfamethoxazole for eradication phase