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Fusion vergence measures

The purpose of this study was to compare fusional vergence measurements between orthophoria, esophoria and exophoria and determine the strength of correlation between fusional vergence and angle of deviation. This was a cross-section study of 530 children aged six to...

Collamer lenses for accommodative ET

Posterior chamber phakic IOL implantation was used to treat patients with accommodative esotropia (ET) with the goal of eliminating hyperopia and producing orthophoria. Three patients (six eyes) aged 18-22 years had an average follow-up of 17 months ±6.24. The mean...

Surgical strategies to manage incomitant strabismus in adults

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...

NYU Langone Health performs world’s first whole-eye & partial-face transplant

Landmark whole-eye transplant is a major paradigm shift for potential vision therapies.

What not to miss in neuro-ophthalmology Part 2

As mentioned previously there are several conditions in neuro-ophthalmology that should not be missed by the general ophthalmologist as well as ophthalmology trainees. We discussed in the first part some of these conditions including third cranial nerve palsies, giant cell...

What not to miss in neuro-ophthalmology Part 1

Neuro-ophthalmology is a complex and difficult subspecialty in ophthalmology. It has several connections to neurology, neuro-surgery, rheumatology as well as many other medical specialties. Working in an multidisciplinary team (MDT) environment is key to success in this subspecialty as mistakes...

Accommodation in children

The purpose of this pilot study was to establish typical accommodative responses at 1/3m in children to targets of varying complexity and visual / cognitive demand. This was a study of 18 children aged six to seven years and six...

Eye testing at home – developing an app for measuring vision

COVID-19 has made home vision monitoring a necessity. Stephanie Campbell shares how her idea for a vision testing app that would engage patients became a reality. Months before COVID-19 first began to mutate to its human host, there was a...

New developments

To reflect the fact that this column consists of not just web links, but also mobile and general technology content we have changed the name from Internet to ‘Tech Review’. In keeping with the title, this issue includes a mixture...

A practical guide to anisocoria

Anisocoria means the presence of difference in the size of the right and left pupils. It is a sign of an abnormality in the efferent pathway. The first question facing the ophthalmologist is to ascertain if anisocoria is present or...

Diagnosis and management of IV cranial nerve palsy

Aetiology: Trochlear nerve palsy can be divided into acute or congenital. Congenital trochlear nerve palsy is usually noted in childhood with development of abnormal head posture. Various pathologies can lead to acute IV nerve palsy, most commonly trauma. Other causes...

The Princess Alexandra Eye Pavilion (PAEP) Edinburgh 1969-2019

In the early 1960s plans were afoot to create a new Edinburgh Royal Infirmary to replace the existing building which dated from 1870, it having replaced an earlier one dating from 1729. It was originally planned to build on the...