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Internuclear ophthalmoplegia: a case study
A 44-year-old patient presents with binocular, mostly horizontal diplopia when fixating on moving objects. This has been ongoing for approximately five years. He is known to have multiple sclerosis and had an episode of optic neuritis six years prior in...
OCTA optic disc measurement differences between glaucoma and pituitary macroadenoma
This prospective case-control study aimed to assess the potential of optical coherence tomography (OCT) and OCT angiography (OCTA) in distinguishing between glaucoma and pituitary macroadenoma based on optic disc appearance. Thirty-one patients (23 with glaucoma, eight with pituitary macroadenoma) were...
Retinal nerve fibre layer thickness in migraine
The aim of this study is to evaluate retinal nerve fibre layer (RNFL) thickness changes in children with migraine compared to healthy controls and analyse RNFL changes dependent on type of migraine. This was an observation case control study of...
Disc margin delineation using spectral domain OCT
Observing progressive anatomical changes of the optic nerve head is essential in the detection of progression in glaucoma. Imaging devices continue to evolve and are useful in detecting change in established glaucoma, although probably less useful in an initial diagnosis....Building leaders for eye care in Africa: the COECSA-RCOphth VISION 2020 LINK
The VISION 2020 LINK [1] between the College of Ophthalmology of Eastern, Central and Southern Africa (COECSA) and the Royal College of Ophthalmologists (RCOphth) has been building leaders of eye care in Africa since 2008, when a Memorandum of Understanding...
Using fusion measures to guide strabismus surgery
In this study the authors targeted patients with non-accommodative decompensating distance esotropia with investigation of prior binocular single vision. Choice of target angle was based on the individual’s fusional amplitudes. The target angle aimed to be less than the distance...
Fusional vergence measurement
This paper reports a systematic review to address two objectives: 1, to compare the normative values of tests measuring fusional vergence; 2, to investigate sources of heterogeneity of prism accuracy. The review was conducted according to PRISMA guidelines with a...
Divergence insufficiency esotropia is increasingly more common and new theory of aetiology
The authors present a retrospective case review of acquired esotropia. An internal database was reviewed for cases of esotropia and divergence insufficiency between 1978 and 2018 and seen by a single ophthalmologist. Patients with initial presentation of esotropia onset after...
Mental health issues linked with strabismus
The purpose of this study was to determine if adults with non-paralytic forms of strabismus are at elevated risk for developing mental illness. This was a population-based case-controlled study of 297 adults with new onset non-paralytic strabismus; 42.4% were male....
Psychological approach to treatment of accommodative / convergence anomalies
A case series is presented of affected children, young people and young adults with discussion of a psychological approach to aiding their accommodative problems. The psychological approach involved an information sheet provided at the end of assessment which included explanations...
Early postoperative angle for prediction of surgical success for exotropia
In this study, the authors assessed the relationship between the initial postoperative deviation and surgical outcomes in adult exotropia undergoing unilateral lateral rectus recession with medial rectus resection. The study included 93 patients (51 female); 26 with residual exo, 53...
