demic has limited the access to essential training in the branches of oncology, and though online sessions cannot replace the hands-on training and clinical exposure needed for the students, online academics and webinars have proven to be an effective tool to minimize that effect and can lead to a positive outcome, as shown by the survey. A combination of online and onsite training modules may be the future of teaching and training in our country.

To describe acute and chronic retinal ischemic changes following an internal carotid artery pseudoaneurysm stenting procedure, and to review current evidence for risk factors and management of post-procedural retinal ischemic events.

A 50-year-old man presented with a 3-month history of pulsatile tinnitus, headache, and intermittent blurry vision. A CT angiogram of head and neck showed bilateral cervicopetrous internal carotid artery (ICA) pseudoaneurysms. The patient underwent successful repair with angioplasty and stenting of the flow-limiting high-grade (>95%) stenosis of his left high cervical ICA. On post-operative day 1, the patient reported monocular vision loss with a large central scotoma. He was found to have a central macular area of retinal whitening and multiple areas of perivascular retinal whitening on exam, concerning for retinal artery occlusions secondary to peri-procedural emboli. Dual antiplatelet therapy was started and a stroke evaluation was performed. Two months later, his visual acuity in the affected eye was counting fingers and his left eye fundus examination was notable for multiple areas of scattered hemorrhages, microaneurysms, and retinal exudates in the distribution of prior retinal ischemia. OCT imaging revealed atrophic changes in the left macula. CNO AChR agonist Subsequently, the patient completed stage-2 repair of the left ICA pseudoaneurysm followed by uncomplicated repair of the right ICA. Four months later, his left eye visual acuity and retinal findings remained stable.

Post-procedure retinal emboli and ischemia are important, vision threatening possible ocular complications for patients undergoing carotid vascular and endovascular procedures.

Post-procedure retinal emboli and ischemia are important, vision threatening possible ocular complications for patients undergoing carotid vascular and endovascular procedures.

To report the use of Descemet Membrane Endothelial Keratoplasty (DMEK) for secondary surgical removal of intraocular foreign bodies (IOFB) years after the trauma as migration occurred through the endothelium, damaging the endothelium, and causing corneal edema.

We report the case of a blast injury in 1972, that led to left eye traumatic cataract managed with vitrectomy and lensectomy. Although thorough removal was attempted, some corneal and conjunctival foreign bodies remained.Despite aphakia, the patient maintained acceptable best corrected visual acuity (BCVA) (0.30 LogMAR) but >30 years later, experienced visual deterioration. IOFB protruding through the Descemet membrane (DM) were seen, with extensive edema. Descemet Membrane Endothelial Keratoplasty was performed in an attempt to treat the endothelium and remove the foreign bodies protruding through the DM. The procedure was done uneventfully under sulfur hexafluoride gas (SF6) and the patient improved. Four years after the surgery, BCVA was 0.63, however, 6 years later, a new episode of migrating intracorneal foreign bodies with corneal edema reduced BCVA to 0.40. The decision was made to observe the patient, and delay a second DMEK.

Corneal decompensation caused by IOFB breaching the Descemet membrane can safely be managed with a DMEK. DMEK is feasible even in complex cases and should be attempted due to its lower risk of graft rejection and likely benefits, while saving the option of more aggressive transplantation techniques, such as penetrating keratoplasty, in cases of failure.

Corneal decompensation caused by IOFB breaching the Descemet membrane can safely be managed with a DMEK. DMEK is feasible even in complex cases and should be attempted due to its lower risk of graft rejection and likely benefits, while saving the option of more aggressive transplantation techniques, such as penetrating keratoplasty, in cases of failure.The review collates the documented use of IK used in goats for controlling ticks and records the bioactivity testing that has been carried out on these plants. A literature survey was conducted on the use of IK whereby ethno-veterinary medicine (EVM) is used as well as on the investigations relating to the potential efficacy of the used plants. In Sub-Saharan Africa (SSA), ticks rank the first amongst the ectoparasites that limit goat productivity. Infrequent and overuse of acaricides have resulted in the development of resistance in ticks as well as environmental impacts. To combat these impacts, contribution of IK needs to be appreciated. In total 21, ethno-veterinary plant species, belonging to 16 families were identified to control ticks. These included plants such as Lippia javanica (Burm.f.) Spreng, Cissus quadrangularis .L, and Aloe ferox Mill, Grandifolia Warb, Terminalia brownii Fresen and Aloe volkensii Engl. Efficacy of plant species such as Pelargonium reniforme Curtis and Eucomis punctata L’Hér is enhanced by mixing them with substances like potassium permanganate and river salt to enhance the effectiveness of the extract. Ethno-veterinary plants have a wide range of phytochemicals, which include alkaloids, tannins, flavonoids, anti-microbial and pesticidal effects that produces tick repellent effects. The most common plant parts used during preparations are roots, leaves, barks, fruits and young shoots and to a lesser extent flowers, although the use of leaves usually takes precedence. Non-plant materials involve the use of methods such as traditional practices where ticks are manually removed. using hand picking. Oral administration and direct application on the infested site are used. It is, thus important to conduct more work on the conservation of ethnoveterinary plants, IK information gathering and dissemination.Lumbar spinal decompression surgery is commonly performed to relieve radicular symptoms to good effect. The formation of post-operative spinal subdural hygroma, or spinal subdural extra-arachnoid hygromas (SSEH) following incidental intra-operative durotomies, have been described in previous literatures. We report a case of a 63 years old lady who had initially underwent an uneventful posterior lumbar decompression for lower limb radiculopathy, without intraoperative durotomy, with development of concurrent SSEH and spinal subarachnoid hygroma (SSSH) during the early post-operative period with cauda equina compression. Urgent surgical intervention was performed with limited durotomy to decompress the cyst through wide fenestration of the arachnoid layers and decompress the cauda equina nerve roots, with immediate recovery of her symptoms. To our knowledge, this is the first case reporting a concurrent post-operative SSEH and SSSH, without intra-operative durotomy. Both of which causing cauda equina nerve root compression which required surgical intervention.