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Proboscis lateralis (PL) is a rare congenital malformation of the craniofacial structure with varied clinical associations. None of the studies documented a discrete review of ophthalmic presentations in PL. The principal aim of the present study is to explore the ophthalmic manifestations of PL. The ancillary goal is to derive a relationship between congenital deformity in PL and various ophthalmic anomalies. Databases were searched in order to obtain articles related to PL. A qualitative systematic analysis of 100 subjects was performed. In PL, eyelid coloboma (32.6%) is the most common ocular feature, followed by hypertelorism (25.3%), iris coloboma (22.4%), lacrimal system abnormality (20.7%), malpositioned eyebrow (14.4%) and retinochoroidal coloboma (12.9%). Sinonasal deformity is the most common systemic abnormality, detected in 87.9% of cases of PL, as compared with central nervous system involvement (56.2%) and other anomalies. The analysis showed a strong significant association between brain abnormalities and hypertelorism (p=0.000) and between brain abnormalities and micro-ophthalmia/anophthalmia (p=0.000). Statistically significant association was noted between cumulative ocular abnormalities and cumulative systemic abnormalities (p=0.001). The present study on PL reviewed the salient features of this rare congenital disorder. The study outcome provides a new aspect to concomitant ocular abnormalities. This study supports the view that other congenital anomalies in cases of PL had significant influence on certain ophthalmic anomalies.

Background: The prevalence of DR urban and rural parts of India has been evaluated in many studies. But prevalence of DR and its awareness in the rural areas of South Gujarat still remains to be assessed. Objectives The study was conducted to assess the prevalence and awareness of DR amongst Diabetics in rural South Gujarat. Materials & Methods: 180 Diabetic patients in rural areas of South Gujarat were screened for DR between September 2014 and Octo- ber 2015. Ophthalmological Examination including dilated fundus examination was done using Indirect Ophthalmoscope. Patients also answered a set of questionnaire prepared to assess the aware- ness of Diabetes and Diabetic Retinopathy as its complication. Results: The prevalence of DR was found to be 27.78%. Non- Proliferative Diabetic Retinopathy (NPDR) comprised 82% while Proliferative Diabetic Retinopathy (PDR) comprised 18% cases. Duration of Diabetes was found to be significantly associated with DR with prevalence in the age-groups 41-50, 51-60, 61-70 and >70 years being 16.67%, 18.42%, 26.47% and 50% respectively. Aware- ness about Diabetes and DR was extremely low. Conclusion: Present study found high prevalence of DR as com- pared to other studies which were conducted in urban areas of In- dia. Awareness regarding diabetes and its complication was ex- tremely low.