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Comparison of vision screening programmes

1 December 2018 | | Paediatric Ophthalmology / Strabismus | Amblyopia treatment, orthoptists, vision screening/diagnosis
The purpose was to examine the treatment that children underwent as a result of being identified with reduced vision at school screening. The level of improvement in vision was identified and the time taken to achieve maximum visual acuity. There...

Choroid changes in amblyopic, fellow and control eyes

31 October 2023 | | Paediatric Ophthalmology / Strabismus
In this study the authors aimed to evaluate choroidal changes in the hyperopic anisometropic eyes of children by comparing amblyopic and fellow eyes, and control eyes, using a binarization method – analysis of enhanced depth imaging with OCT (EDI-OCT) using...

Differences of the anterior segment parameters in children with Down syndrome

1 August 2014 | | Cataract and Refractive
This cross-sectional study was designed in order to demonstrate the differences in anterior segment parameters in children with trisomy 21. This is important as it may impact on surgical planning when undertaking procedures in the anterior segment such as corneal...

Retinoblastoma management update (part 1): clinical features, diagnosis and genetics

1 January 2017 | | Ocular Pathology and Oncology
The first of a two part series, this article will discuss the clinical features, diagnosis and genetic aspects of retinoblastoma. Manoj Parulekar is based at Birmingham Children’s Hospital, one of the two designated national retinoblastoma and paediatric ocular oncology treatment...

The only thing to fear is fear itself

1 February 2014 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
There is a song by the Amateur Transplants called ‘Finals Fantasy’ which describes in humorous detail how stressful clinical exams can be. Having not done any viva or objectively structured clinical examination (OSCE) style exams for many years indeed I...

Surgical strategies to manage incomitant strabismus in adults

5 April 2022 | | Ophthalmology, Paediatric Ophthalmology / Strabismus
Incomitant vertical and / or horizontal strabismus is a challenging presentation. Patients are usually symptomatic as the onset is either sudden so they haven’t developed any coping mechanisms or very complex so that any coping mechanisms will not cover all...

Diabetic Macular Oedema

1 December 2013 |
Diabetes mellitus is a metabolic disorder that affects the metabolism of all three categories of carbohydrates, lipids and proteins. This condition is characterised by chronic hyperglycaemia [1]. This can cause end organ damage. The estimated worldwide diabetes prevalence for 2010...

Ocular bubbly: a vitreoretinal update on the art of gases

5 April 2022 | | Ophthalmology, Retina / Uvea / Vitreous
The authors remind us of the revolutionary impact gases have had on retinal surgery. In 1938, Rosengren attempted to improve his retina repair surgical outcomes [1]. He discovered that suturing the retina or pressing externally on the sclera were not...

Don’t ignore the black lesion! It might be mucormycosis

1 June 2017 | | Cornea / External Eye Disease
Keeping mucormycosis infection in the foreground of your differential diagnosis, especially in those more vulnerable patients, will help save their lives if recognised and managed appropriately. Mucormycosis is a fulminant infection caused by the fungi of the family Mucoraceae. It...

The role of inflammation in the pathophysiology of DMO

1 February 2016 | | Retina / Uvea / Vitreous
Diabetic macular oedema (DMO) is a major cause of visual loss in diabetes, with a complex multifactorial pathogenesis. In the UK alone it is estimated that there are nearly 2.5 million diabetic patients aged over 12 years. Approximately 65,000 of...

Identifying drugs associated with intraoperative floppy iris syndrome

1 April 2016 | | Cataract and Refractive
Before David Chang MD from the University of California found out about intraoperative floppy iris syndrome (IFIS), ophthalmologists were mystified each time they came across cataract surgeries that were characterised by sudden intraoperative iris prolapse and pupil constriction. The biggest...

Melanocytoma of the optic disc

1 June 2015 | | AMD, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Cataract and Refractive, Glaucoma, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
Melanocytoma is a heavily pigmented lesion, composed of melanocytes and is a variant of melanocytic naevus. It classically occurs at the optic disc and is usually benign, static and asymptomatic. However, it can occasionally grow and invade the retina or...