1. PSEUDOPHAKIC RD
Apurva
Kotia, Karobi Lahiri
This paper deals with the incidence of occurrence
of RD following ECC, ICCE, and phako procedures. The difficulty encountered
in the treatment of this detachment and way to overcome the same will be highlighted.
2. POST LASIK RD
Manoj Kakkar, Karobi Lahiri
This topic needs emphasis as this
could be a possible sequel to a modality of treatment very prevalent these days
in treatment of refractive errors. The reported retinal complications arising
out of the procedure, the theories behind its causation and preventive measures
with precautions will be highlighted.
3. EVALUATION OF THE SKULL-BASE
AND THE VOCAL TRACT
N K Apte, V G Kasbekar, Benaifer Dadabhai,
Sunil Budhrani
The Skull-base and the hard palate are sandwiched
between the brain and the respiratory and alimentary passages. The organs of
speech are the nose, nasal cavity, oral cavity, cheeks, palate, teeth, pharynx
and larynx. The evolution of the skull-base in relation to these organs is interesting
and important for better understanding the surgical management of congenital
malformations of the skull in children. The purpose of the paper is to highlight
the importance of functional improvement in establishing a normal speech part
from anatomic correction of the defect done routinely. The change. over of habital
from aquatic to teresterial in vertebrates has resulted in the evolutionary
changes in the skull-base and the vocal tract. The changes in the skull base
are due to enormous development of the cerebral hemisphere resulted in elongating
the post part while the eruption of the second dentition has elongated the palate
- the anterior half. The spheno - occipital angulation (Welcker’s angle - 120
- 150 degrees) has resulted in changing the direction of the foramen magnum
facing downwards instead of horizontally. The change in position of the temporo-mandibular
joints and development of jaws have been due to change in the food habits from
herbivorous to carnivore. The development of the neo-pallium (cerebral hemispheres),
the palate and cross-over of the air and food passages due the development of
nasopharynx are the important landmarks for the development of normal speech
in man. Man alone can speak. Animals make noise but not speak.
Understanding the development of clefts,
dystosis and craniostenosis during the intrauterine development of foetus,
genetic and molecular biology would help in preventing the occurrence of the
hideous malformation and correct them by gama knife in the next millennium.
