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Cutting-edge practice in glaucoma care: what, how and why?
More effective treatments and drug delivery modalities, implantable minimally invasive glaucoma surgical (MIGS) devices, as well as accelerating clinical research programmes, will transform the surgical and clinical management of glaucoma in the near future. There is also an ever-greater emphasis...The paediatric cataract: an overview of the diagnosis and management
In this second article (see first article here), Samuel Aryee and Rhys Dumont Jones review the challenges involved in managing this condition. Examination and diagnosis Cataracts in children can appear in a variety of forms, each presenting in a different...
Divergence insufficiency esotropia is increasingly more common and new theory of aetiology
The authors present a retrospective case review of acquired esotropia. An internal database was reviewed for cases of esotropia and divergence insufficiency between 1978 and 2018 and seen by a single ophthalmologist. Patients with initial presentation of esotropia onset after...
MISS vs. conventional surgery
This was a prospective randomised parallel arm design study for 40 patients. Group 1 consisted of conventional strabismus surgery using the limbal approach and group 2 consisted of minimally invasive strabismus surgery (MISS). Mean age was 21.1±2.73 years for MISS...
Refractive changes after surgery
A long-term follow-up study was conducted to report power vector analysis of refractive astigmatic changes in a large group of 137 patients (250 eyes) undergoing horizontal strabismus surgery. Fifty-four percent were male. The average age was 9.22±8.21 years. Fifty-five percent...
Reduced angle after BT for postop diplopia test
The authors undertook a retrospective study to evaluate the extent of reduced deviation after Botulinum toxin (BT) when used as a postoperative diplopia test. They evaluated effect in 39 patients: 32 exotropia and seven esotropia. The same BT dose was...
Exotropic angle by PACT vs under translucent cover
The authors aimed to validate the photographic analysis with a translucent cover by comparing the results obtained from this analysis with the angle obtained by prism cover test (PACT) in patients with intermittent exotropia. This was a retrospective review of...
Can closing the eyelid during riboflavin induction phase of crosslinking increase corneal thickness?
Corneal crosslinking (CXL) with riboflavin and UVA irradiation is the standard treatment for preventing progression of keratoconus. Thinning of the cornea during the riboflavin loading phase was reported in previous studies which used riboflavin with dextran. A minimum stromal thickness...
Leber’s hereditary optic neuropathy: from lab to clinic
Leber’s hereditary optic neuropathy (LHON) was the first clinically described mitochondrial disorder (1871). This article reviews the pathophysiology and clinical features of LHON with a focus on translational research. G11778A is currently the most common mutation worldwide and is associated...
Risk factors for consecutive XT
The authors report a retrospective study to investigate possible risk factors leading to consecutive exotropia development in patients who underwent two muscle strabismus surgery to achieve an initial alignment within 10PD. The exotropia group included 25 female and 22 males....
