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Severe conjunctival cicatrisation secondary to chronic glaucoma therapy

The timing of glaucoma filteration surgery during the course of chronic progressive glaucoma remains a contentious issue amongst glaucoma specialists. The vast majority support the use of maximal medical treatment initially to achieve the target pressure. Surgical procedures are only...

Understanding retinal ciliopathy through Bardet-Biedl syndrome

This is a review article looking at up-to-date understanding and ongoing research in retinal ciliopathies. Syndromic ciliopathies consist of a group of disorders caused by ciliary dysfunction or abnormal ciliogenesis. These disorders have multiorgan involvement in addition to retinal degeneration...

Programme announced for 2023 BCLA Clinical Conference

An action-packed programme at this year’s BCLA Clinical Conference and Exhibition will feature world class speakers delivering the latest innovation and clinical insight alongside live demonstrations and hands-on workshops.

The ophthalmologist’s elbow: a potentially painful point of contact

Three months ago I leant, in the customary manner, on the box of my indirect lens at the slit lamp to examine a patient’s fundus. An acute and severe pain in the tip of my elbow immediately interrupted me. I...

Reducing myopia progression

This paper reports a literature review to discuss the environmental considerations and treatment options that can prevent the progression of myopia, including time spent outdoors, reduction of near vision activities, spectacle types, contact lens type and pharmacological treatment. The review...

Incidence and clinical characteristics of paediatric keratitis

This is a retrospective, population-based study of a 10-year period from Mayo Clinic, USA between January 2000 and December 2009 of patients <19 years diagnosed with keratitis. Two-hundred and eight-five children were identified. An incidence of 78 per 100,000 and...

Orthoptic slit-lamp

Adaptations are described that allow the slit-lamp to be used to document squint disorders. Changes are made in the observation system, illumination system, for recording clinical findings and visualisation of clinical findings. The author includes the use of minus lens...

Stereopsis changes with cataract

Stereoacuity was compared preoperatively to six weeks postoperative after cataract extraction and intraocular lens (IOL) implant. The authors evaluated the association of postoperative stereoacuity with visual acuity, age and duration of preoperative symptoms. This prospective study recruited 142 patients: 92...

Pearls and tricks of the flanged IOL sutures fixation

Complications in cataract surgery are often a nightmare for surgeons. Intraoperative complications are more common in diabetic patients, and solving aphakia in these cases remains a challenge. In a recently published study, Dr Matias Iglicki, Dr Dinah Zur and colleagues...

Biometry and IOL choice errors

In the next instalment of this series I focus on problems associated with biometry and intraocular lens (IOL) selection for cataract surgery. I have taken previous medicolegal cases I have dealt with and tried to extract some learning points and...

What's trending Apr/May 2020

#punch #shark Nick Minogue, a 60-year-old New Zealander, was surfing off Pauanui Beach when he was attacked by a Great White Shark. Luckily, he recalled advice that sharks are vulnerable if hit in the eyes or the nose. His first...

ESASO Course Series (Volume 3): Cataract

T­­­­­his book is designed as a course manual for cataract and refractive surgery. It starts off by discussing both the fluidics and dynamics of phacoemulsification, touching techniques and management of difficult scenarios. The ins and outs of conventional, accommodative, toric...