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What's trending Aug/Sep 2021

4 August 2021 | | Ophthalmology, Optometry, Cataract and Refractive, Cornea / External Eye Disease, Retina / Uvea / Vitreous
A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #algae #optogenetics Scientists in Paris have used optogenetics to partially restore sight in a blind man’s eye who was diagnosed with...

The results of the last survey Oct22

3 October 2022 | | Ophthalmology
I thank everyone for their time in responding to this edition’s survey questions. The first question relates to an issue I have previously discussed around consent for second eye cataract surgery. I touch on this point again for two reasons....

Supranuclear ocular motility disorders

1 June 2022 | | Ophthalmology, Neuro-Ophthalmology, Emergency Ophthalmology
Figure 1: Bilateral INO Introduction Complex ocular motility disorders are a diagnostic challenge. These patients come with very complex ocular motility presentations and require a careful and detailed assessment in order to find the correct diagnosis and arrange appropriate investigations....

How to nearly (but not quite) get into ST1 ophthalmology training – some reflections

1 February 2022 | | Ophthalmology
Ophthalmology is often considered to be an elite, highly competitive specialty, with little room for failure. Candidates and trainees tend to cultivate a certain urbane and confident style, and the bottleneck at ST1 can feel rather intense. The majority of...

Cavernous sinus syndrome

4 February 2021 | | Ophthalmology, Neuro-Ophthalmology
Anatomically the cavernous sinus is a plexus of multiple veins that are connected and within this plexus there are several important vascular and neurological structures. These include cranial nerves III, IV, V1 (and sometimes V2), VI as well as the...

It’s not always GCA

7 December 2020 | | Ophthalmology, Neuro-Ophthalmology
Giant cell arteritis (GCA) is an immune mediated granulomatous inflammatory disease that affects muscular middle or large sized arteries. It is considered as a continuation of polymyalgia rheumatica (PMR) when the severity of the disease has increased. It is the...

Ophthalmology in Bangladesh

5 August 2020 | | Ophthalmology
Imaging Specialist Hayley Coates steps outside her comfort zone to experience ophthalmology in a resource-poor setting. As one of the most densely populated countries in the world, Bangladesh also has one of the highest rates of preventable blindness, worldwide. It...

Under pressure: a tool to aid the 
non-ophthalmic practitioner in the timely management of acute angle closure

1 April 2017 | | Ophthalmology
Acute angle closure is a true ophthalmic emergency that mandates timely diagnosis and treatment. The priority in initial management is to lower the intraocular pressure in an expeditious matter using medical treatments. The risk of irreversible glaucomatous optic neuropathy is...

Papilloedema: an update

1 June 2016 | | Neuro-Ophthalmology
Some readers may have seen a recent report in the national newspapers of the case of a teenage girl with persistent severe headache associated with a fatal brain tumour having been undiagnosed despite many consultations with her medical advisers. It...

Forward-tilt technique for intraocular pressure measurement in upgaze

5 June 2020 | | Ophthalmology, Optometry, Glaucoma
The authors suggest a technique to improve the accuracy of measuring IOP in upgaze using Goldmann applanation tonometry. Graves’ ophthalmopathy, also known as thyroid eye disease, is an autoimmune inflammatory condition affecting the orbit and periorbital tissues [1]. It was...

Traumatic optic neuropathy

1 October 2021 | | Ophthalmology, Orbit, Emergency Ophthalmology, Neuro-Ophthalmology
In neuro-ophthalmology we get asked a lot about management of patients who suffered significant trauma and presented with loss of vision secondary to presumed traumatic optic neuropathy (TON). TON happens usually in the context of significant craniofacial trauma. The incidence...

Macula re-attachment following intravitreal ranibizumab in rhegmatogenous retinal detachment

1 February 2015 | | Ophthalmology, Retina / Uvea / Vitreous
Ranibizumab (Lucentis) is a vascular endothelial growth factor inhibitor (anti-VEGF) used for treatment of choroidal neovascular membrane [1]. We report a case where macula off inferior rhegmatogenous retinal detachment was misdiagnosed as wet age-related macular degeneration (AMD) and three intravitreal...