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Lester Jones tubes: Can these be tolerated long-term?

The authors present a retrospective case review study of a cohort of patients with Lester Jones’ tubes first placed between 1969 and 1989, and who were reviewed within the last 15 years. Twenty-nine patients (33 eyes) were included in the...

International orthoptics for stroke

The purpose of this study was to consider the practice of orthoptists internationally in care provision for post stroke visual impairment through an international survey. An online survey of 30 questions was circulated via the International Orthoptic Association and completed...

Early diagnosis of pituitary apoplexy using combined MRI findings

The author presents a literature review searching the terms ‘pituitary ring sign’ and ‘sphenoid sinus mucosal thickening’ in the context of pituitary apoplexy from 1990 until the present day. These two findings are both magnetic resonance imaging (MRI) signs of...

Trochleitis features

The authors evaluate the epidemiology, clinical signs, treatment and outcomes of trochleitis in a retrospective review of 59 cases. Estimated prevalence was 12 per 100,000. Eighty-six percent were female and mean age was 43±18 years. All but one case was...

Risk of developing pseudotumor cerebri in women using a levonorgesteral intrauterine device

Pseudotumor cerebri (PCT) is a disorder causing increased intracranial pressure without a mass lesion, usually seen in obese women of childbearing age. Idiopathic intracranial hypertension is an idiopathic form of the disorder, but several medications have been associated with the...

Silent keratitis in failed graft

This study examined rates of asymptomatic keratitis in failed full thickness corneal grafts, which were not picked up clinically preoperatively. During a five year period 53 penetrating keratoplasties (PK) were performed for long-standing graft decompensation with stromal opacity and /...

A clinical review of optic neuropathy associated with amiodarone

The authors present a clinical overview of the occurrence of visual loss secondary to optic neuropathy associated with the use of the antiarrhythmic agent amiodarone. Amiodarone is prescribed for the management of atrial fibrillation and ventricular tachycardia / fibrillation. However,...

Ptosis frontalis sling surgery

In this retrospective study the authors investigated the functional and cosmetic outcomes of the modified frontalis sling procedure using silicone rods. The study included 17 patients (26 lids) and nine had bilateral surgery. An excellent outcome was defined as alignment...

Using bupivacaine to the medical rectus in addition to lateral rectus recession for convergence insufficiency type intermittent exotropia

This is a retrospective study of 60 paediatric optic pathway glioma (OPG) patients (NF1 or sporadic) presenting to Great Ormond Street between 2003-2017. Median follow-up was 82 months. Analysis was divided into best and worst eye vision representing level quality...

Multidisciplinary care for VKC

The aim of this study was to develop best practice principles for diagnosis and management of vernal keratoconjunctivitis (VKC) in the UK. The authors convened a multidisciplinary panel of three paediatric ophthalmologists, two corneal specialists, a paediatric allergist and orthoptists....

RetCam use in differential diagnosis for retinoblastoma

The authors aimed to evaluate RetCam fundus photography and fluorescein angiography (FA) findings in pseudo retinoblastoma. This was a retrospective review of 36 eyes of 28 patients (of which six were female) with 22 bilateral cases. Mean age at presentation...

Postoperative diplopia test with BT for inferior oblique overaction

The authors evaluate a novel assessment of botulinum toxin (BT) injection into the inferior oblique (IO) as a postoperative test in those with secondary IO overaction. This was a retrospective review of 23 injections for 18 patients using 1.25U of...