You searched for "Refraction"

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Clearly: How a 700 year old invention can change the world forever

“If you are reading this, there’s a one in two chance that you’re doing so with a pair of glasses or contact lenses. Just imagine what your life would be like without them.” Most of the people living in this...

Practice tips: Directions in cataract surgery services and preventing postcataract endophthalmitis

Future directions in the delivery of high quality cataract surgery services and approved intracameral prophylactic approaches to lowering the risk of postcataract infective endophthalmitis were debated by consultant ophthalmic surgeons in a recent London seminar, held at the Royal Society...

Placement of an eyelid weight as an upper lid spacer for lagophthalmos

Upper lid loading with a weight is a well described procedure for the treatment of lagophthalmos and exposure keratopathy. The authors describe a modification of this procedure whereby the levator aponeurosis is recessed in combination with supratarsal weight implantation. The...

Prediction of recurrence in exotropia

This study compares the long-term motor and sensory outcomes between constant and intermittent exotropia in infancy and investigated whether constancy can be used as a reliable factor for predicting surgical outcomes. Sixty-seven patients were reviewed – 37 constant and 30...

Teprotumumab for chronic TED

This retrospective case series looks at the use of teprotumumab in nine patients with thyroid eye disease (TED) of clinical activity score ≤one and >nine months duration, in an American cohort. Current European guidelines have suggested the use of teprotumumab...

Review of pathogenesis of Acanthamoeba keratitis

In this review, the author summarised the current microbiomic and immunological evidence related to the pathogenesis of Acanthamoeba keratitis (AK). AK has been described for almost 50 years, but the exact biology of the disease remains perplexing. Acanthamoeba spp. are...

Developing eye health services in Malawi: a personal reflection

Dr Chinsisi Namate reflects on her first two years as a consultant ophthalmologist at the eye unit at Zomba Central Hospital, and how she has already successfully expanded eyecare services for southeast Malawi. The Lions Sight First Eye Hospital in...

Supranuclear ocular motility disorders

Figure 1: Bilateral INO Introduction Complex ocular motility disorders are a diagnostic challenge. These patients come with very complex ocular motility presentations and require a careful and detailed assessment in order to find the correct diagnosis and arrange appropriate investigations....

A refractive surprise after vitrectomy and capsulectomy

Figure 1: Right posterior capsule small aperture. We report a case of a pseudophakic patient who underwent vitrectomy and posterior capsulectomy. In spite of good visual acuity and absence of floaters, he was unhappy with the visual outcome. Case report...

Pathological myopia: a trainer’s perceptive

High myopia is defined as myopic refraction of greater than -6 dioptres with an axial length greater than 26.5mm, while pathological myopia is myopic refraction with posterior pole degeneration [1]. These degenerative changes can affect a young population and in...

Errors in refractive surgery

A retrospective case series looking at sources of errors in patients undergoing laser refractive surgery. Twenty-two cases of error were identified in 18 patients; 15 were unilateral, three bilateral and two errors occurred in the same eye (on attempting correction...

Amblyopia treatment

This study was conducted to assess practice preferences in the management of amblyopia among paediatric ophthalmologists. A close-ended multiple choice questionnaire consisting of 10 questions was circulated to 113 paediatric ophthalmologists and fellows of which 74 completed the questionnaire. Seventy-six...