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Combination surgical management for congenital lacrimal duct obstruction

The authors aimed to report the clinical outcomes of antegrade balloon dacryocystoplasty (DCP) followed by pushed-type monocanalicular (MC), combined as a primary management for congenital nasolacrimal duct obstruction (CNLDO). This was a retrospective study of 62 eyes (48 patients) with...

Surgery technique for subluxation in Marfan syndrome

The authors evaluated the efficacy and safety of bimanual capsulorrhexis combined with sutureless scleral-fixated IOL implant in children with Marfan syndrome. Seven children (14 eyes) with subluxated lenses underwent bilateral surgery; four female, three male with mean age of 7.1...

One vs two muscle surgery results for small / moderate angle horizontal strabismus

The authors aimed to compare the long-term surgical outcomes of one vs two muscle surgery in 89 patients with horizontal strabismus of small to moderate angle (<25PD). This was a retrospective study with a minimum six-month follow-up period. One muscle...

Unexplained vision loss following exposure to combat

Non-organic vision loss (NOVL) is defined as a decrease in visual acuity or visual field without an identifiable organic cause. NOVL can be particularly challenging and time-consuming to diagnose, especially where the vision loss is superimposed on an element of...

Are corneal guttata an additional risk factor in complicated cataract surgery needing a future corneal transplant?

This registry-based cohort study from Sweden utilised data from the Swedish National Cataract Registry and the Swedish Cornea Transplant Registry. Patients who underwent phacoemulsification with a posterior intraocular lens between 2010 and 2012 numbered 192,476. Of these cases, 288 underwent...

Meta-analysis of treating meibomian gland dysfunction (MGD) with topical / oral azithromycin

This study pooled the clinical outcomes of 18 high-quality studies managing MGD with azithromycin. Symptom score was the primary and clinical signs were the secondary outcome measures. Overall effectiveness of topical azithromycin (TA) and oral azithromycin (OA) was measured by...

Clinical outcomes of a supplementary sulcus IOL

In this retrospective study, the authors examined 31 eyes of 20 patients who had received a supplementary trifocal sulcus IOL in addition to a ‘bag-in-the-lens’ IOL. Implantation of a ‘bag-in-the-lens’ IOL requires the creation of anterior and posterior capsulotomies, followed...

New initiative lifts barriers to cataract care for people with disabilities and dementia

Picture books and personalised videos - SpaMedica rolls out scheme to benefit vulnerable NHS cataract patients across country

Assessing the effectiveness of undergraduate ophthalmic assessments in the UK: A literature review

During 2008–2009, 300,000 patients presented to hospital emergency departments in the UK with eye conditions. This rose by nearly 200,000 over the next decade. As the population ages, the prevalence of eye disease increases [1,2]. However, the stake ophthalmology holds...

What you learn after performing 10,000 cataracts

What do you do when the anterior chamber shallows, or the zonules give way? How do you handle the stubborn epinuclear plate? Raymond Radford shares the benefit of his experience when dealing with tricky cataract surgery. Firstly, you realise you...

How to examine the visual system Part 1: visual acuity, visual fields and eye movements

Asking candidates to perform an examination of the visual system, either as part of a full cranial nerve exam or as an individual entity, is a common station in practical examinations during medical school. It is important to practise for...

Recurrent unilateral preseptal cellulitis secondary to herpes simplex virus infection

Introduction Periorbital (sometimes called preseptal cellulitis) is a common condition which on its own is not normally an ophthalmic or surgical emergency, however it has the potential to cause severe and serious morbidity in cases where the infection has crossed...