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The results of the last survey Oct20

5 October 2020 | | Ophthalmology, Glaucoma, Cataract and Refractive
The point of this series is to find variations in practice and to raise them to you, the readership, so you can review and reflect upon them. I am aware there is not always a ‘correct’ way of doing things,...

The results of the last survey Oct21

1 October 2021 | | Ophthalmology, Cataract and Refractive
This edition’s survey questions moved away from the deep and ethically charged questions of the recent surveys and focussed on simple and straightforward issues. This is really where the surveys began in exploring the minor practice variations which we have...

External dacryocystorhinostomy in the management of childhood epiphora

1 December 2014 | | Paediatric Ophthalmology / Strabismus
Congenital nasolacrimal duct obstruction is thought to be caused by a membranous obstruction at the distal end of the nasolacrimal duct (NLD). Rarely, associated midline deformities in soft tissue and bony structures of the face are present in patients with...

Hydroxychloroquine toxicity

1 August 2017 | Ophthalmology, Retina / Uvea / Vitreous
Being the subject of litigation is stressful and upsetting. Having to look back over your previous decisions and justify the care you delivered in good faith can be difficult. Sadly, we all live with the Sword of Damocles above us...

CALL TO ACTION: Help the Ridley Eye Foundation ‘reach more of the unreachable’ in the Himalayas

4 October 2023 |
On the 29 November 1949, Harold Ridley carried out the first implant of an intraocular lens (IoL). This was the first major breakthrough in the cure of cataract blindness since Jacques Daviel conducted the first extra-capsular extraction 198 years earlier....

Bosch-Boonstro-Schaaff optic atrophy syndrome (BBSOAS) NR2F1 mutation

4 December 2023 | | Neuro-Ophthalmology
An experienced ophthalmologist can make an anatomical diagnosis of childhood visual impairment based upon the surgical sieve, i.e., congenital and acquired. But an ophthalmologist cannot work in isolation to make an aetiological diagnosis – one would require the help of...

Periorbital and subconjunctival emphysema - a sign of orbital rim fracture

3 February 2023 | | Ophthalmology
Background Orbital emphysema is a condition where air is present in orbit or periorbital tissues [1]. It is most commonly caused by trauma leading to orbit fracture, where air from paranasal sinuses is allowed to enter the orbit. The most...

A case of congenital lacrimal fistula: an overview of diagnosis and management

1 June 2022 | | Ophthalmology, Paediatric Ophthalmology / Strabismus
Shivam Goyal and Kyaw Htun Aye describe the challenges of dealing with a rare case of congenitial lacrimal fistula.We present a case of a 19-month-old baby with a congenital abnormality. Congenital lacrimal fistulae are a spot diagnosis due to its...

Sexually transmitted conjunctivitis – the REALLY sticky eye

5 October 2020 | | Ophthalmology, Cornea / External Eye Disease
Let’s face it, patients with conjunctivitis don’t always produce the most stimulating consultations and most of the time we can manage them in auto-pilot. The prospect of delving into such a patient’s sexual history is not overly appealing, but this...

The challenges of rural optometry and how independent prescribing has helped

1 February 2017 | | Optometry
Why move from a busy professional independent Aberdeen optometry practice over 200 miles to one of the most remote places in the United Kingdom? I could talk about the professional challenge of supporting a rural community, or the chance to...

Gemini Untwined: treating craniopagus conjoined twins

6 April 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Imaging
The authors discuss the successful separation of craniopagus conjoined twins at Great Ormond Street Hospital and the role of the ophthalmologist in such cases. Craniopagus conjoined twins are extraordinarily rare, occurring in only one in 2.5 million births and representing...

Visual disturbance heralding stroke: are we seeing the signs in time?

6 April 2021 | | Ophthalmology, Neuro-Ophthalmology, Optometry
Isolated visual symptoms may be an early presenting feature of stroke, and timely recognition of such atypical cases is important because treatment for stroke has a limited time-window of efficacy. Stroke occurs in approximately 150,000 people per year in the...