Case presentation: seizures as a presenting sign of idiopathic intracranial hypertension

Idiopathic intracranial hypertension (IIH) is a syndrome of isolated elevated intracranial pressure of unknown cause. Neurological examination in IIH is typically normal except for papilloedema and possible cranial nerve six palsy, although rare, atypical symptoms and signs can occur. With...

Ten-year experience with intracameral chemotherapy for aqueous seeding in retinoblastoma: long-term efficacy, safety and toxicity

This is a retrospective review of all consecutive patients with primary (n=4) or secondary non-iatrogenic (n=16) aqueous seeding (AS) treated by intracameral chemotherapy (ICC) in Lausanne between 2011 and 2020 with a minimum follow-up of one year. Aqueous seeding control...

Review of chalazion treatment

Even though chalazion is a common eyelid lesion, there is lack of consensus on a treatment algorithm. Conservative management includes lid hygiene and warm compresses and, in some cases, steroid ointments for two to three weeks. More invasive options for...

Retrobulbar amphotericin B for rhino-orbital-cerebral mucormycosis

Rhino-orbital-cerebral mucormycosis (ROCM) is a rare and often fatal infection usually occurring in immunocompromised patients from diseases such as diabetes, haematological malignancy and solid organ transplantation. Current standards of care include systemic antifungal therapy and debridement, including exenteration. This study...

Comparison of bupivacaine injection vs. mini-tenotomy for small angle deviations

Bupivacaine hydrochloride is an aminoacyltype local anaesthetic. Injection into extraocular muscles elicits a myotoxic response destroying striated muscle fibres but sparing satellite cells, nerves and vessels. Preserved satellite cells proliferate to form new muscle fibres, causing muscle hypertrophy and greater...

Contrast sensitivity comparisons for Pelli Robson, Hiding Heidi and Double Happy tests

The authors aimed to compare contrast thresholds and measure agreement across current paediatric assessment of contrast sensitivity with Hiding Heidi and Double Happy contrast sensitivity tests vs. the gold-standard Pelli Robson chart. Reduced contrast levels were similar under different light...

Test retest values for TNO, Frisby, Lang stereopad and Asteroid stereoacuity tests

This study aimed to determine test-retest variability of four different measurements of stereoacuity including TNO, Frisby, Lang stereopad and Asteroid, and compare stereoacuity values between tests in an adult population. Participants were >18 years of age (mean 38 years, SD...

Cost-effectiveness framework discussion for vision screening

The authors present a discussion paper on hypothetical, but representative, examples of post-referral costs that may result from different screening options up to the point of discharge from specific services. Data was taken from a recent (2019) systematic review (with...

Providing well-developed education materials can improve follow-up attendance for retinopathy of prematurity screening

he authors present a repeated measures study with parents of children at risk of developing retinopathy of prematurity (ROP). Inclusion criteria for the study was parents with children born at <32 weeks or with a birth weight under 1.5kg. Participants...

New grading description for ROP retinal changes for those meeting termination of vision screening guidelines

This study reports and characterises residual retinal changes seen in eyes that meet criteria for termination of acute retinal screening exams. A novel grading system was used in which retinal exams were graded A to E. ‘A’ was defined as...

Increase in myopia during the Covid-19 lockdown periods

The aim of this study was to examine the effect of the Covid-19-related lockdown on myopia progression of school-aged children in Lebanon. The authors reviewed 443 records of myopic children aged 3–18 years (mean 11.81 ±3.67) presenting from January 2020...

Comprehensive review of inherited retinal diseases

The authors offer an up-to-date review of inherited retinal diseases (IRDs). In each section the authors discuss the molecular basis of disease, genotype and clinical manifestation. They also discuss the investigation findings and current evidence in the treatment of the...