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Case presentation: seizures as a presenting sign of idiopathic intracranial hypertension

Idiopathic intracranial hypertension (IIH) is a syndrome of isolated elevated intracranial pressure of unknown cause. Neurological examination in IIH is typically normal except for papilloedema and possible cranial nerve six palsy, although rare, atypical symptoms and signs can occur. With...

A guide to the Multi-Speciality Recruitment Assessment (MSRA) exam

The MSRA exam is a mandatory part of the application for ophthalmology specialist training in the UK. It is a computer-based exam which is designed to assess junior doctors with foundation level competence. It is used for entry to postgraduate...

Useful, interesting, or maybe both

This column is often, but not always, about ophthalmic tech. This is one of those ‘not always’ editions. Time to share some interesting or useful things from the internet which can help in a number of ways, from preparing presentations...

An unusual case of acute retinal necrosis

Case report A 40-year-old Caucasian male presented with a four-day history of redness and progressive painless reduction of vision in the left eye. His visual acuities were 6/4 in the right and 6/36 in the left. The left eye showed...

Unlocking the power of simulation: a next generation solution to training ophthalmic professionals

With experts predicting that global blindness will triple by 2050, and the number of people requiring eyecare already outpacing the number of trained ophthalmologists, eyecare training has never been more vital. Traditional in-person ophthalmic training has been curtailed by the...

Archery enthusiast’s sight is back on target following ‘life-changing’ eye surgery for cataracts

Retired bus driver and keen archer Roger Kent is feeling grateful for his improved quality of life after undergoing successful cataract surgery at Freedom Vision in Bolton.

In conversation with Robert Johnston

Robert Johnston. What is your current role with Medisoft? Clinical Director, i.e. I head up the analysis for and design of Medisoft’s ophthalmology electronic medical records (EMR) product. I don’t program: all coding is done by Medisoft’s team of computer...

Intravitreal afibercept and ranibizumab for PCV

This is a retrospective, interventional series comprising 98 eyes with polypidal choroidal vasculopathy (PCV) with the aim of comparing treatments with afibercept and ranibizumab, highlighting any differences in their efficacy. Case notes and imaging (FFA / ICG / OCT) were...

Infantile vertical nystagmus

The authors describe the clinical characteristics and long-term outcomes of infants who presented with isolated vertical nystagmus in infancy, age-appropriate visual behaviours and unremarkable neuroimaging studies. The study included eight patients presenting at <1-year-old. All had age-appropriate behaviour. At presentation...

Childhood glaucoma outcomes and prognosis

This study aimed to evaluate the relationship between clinical characteristics and visual acuity in childhood glaucoma. The study included 45 eyes of 31 patients; 33.3% with primary childhood glaucoma and 66.7% with secondary glaucoma; 53.4% of secondary cases had glaucoma...

An uncommon late postoperative complication of combined cataract surgery and intravitreal triamcinolone injection

Case report A 64-year-old female with diabetic maculopathy (DMO) underwent phacoemulsification with intraocular lens (IOL) implantation in her right eye combined with intravitreal triamcinolone (IVTA). Diabetes control was poor with HbA1c (IFCC) of 119mmol/mol and blood sugar level of 27mmol/L....

Iris chafing from displaced single-piece acrylic IOL

A 74-year-old man had persistent 3+ cell one month following left eye cataract extraction, complicated by anterior capsular rent and zonular dialysis at 7 o’clock, with single-piece acrylic intraocular lens implantation (IOL) in the capsular bag. Figure 1: Haptic-like transillumination...