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Preventing refractive surprises by real time biometry during cataract surgery

1 October 2015 | | Cataract and Refractive
A few months ago a retired lady presented for second eye cataract surgery. I noted on the pre-op ward round that the outcome of her first eye’s surgery looked like a refractive surprise as her spherical equivalent in that eye...

Refraction planning in cataract: avoid creating an unhappy patient

1 June 2017 | | Cataract and Refractive
“It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” William Osler The focus of this paper is the prevention of an unhappy patient following cataract...

University of Gloucestershire launches first of its kind ophthalmic imaging degree

5 April 2022 | | Ophthalmology, Imaging
Ophthalmic science is a dynamic and constantly evolving profession, with ophthalmic imagers / technicians fundamental to the smooth and efficient running of ophthalmology departments. Traditionally, as the role has developed, ophthalmic imagers have come from a variety of backgrounds, finding...

“Herr Doktor, I can’t see but I am driving”

1 February 2018 | | Ophthalmology, Retina / Uvea / Vitreous
This 56-year-old lady was quite puzzling. With her own glasses and the pinhole she merely managed to see the 1.3 and 1.0 logMAR lines with her right and left eye, respectively (I am currently working in Germany again, so goodbye...

The flexibility of virtual clinics

7 December 2020 | | Ophthalmology, Optometry, Glaucoma, Oculoplastics
Virtual clinics in ophthalmology are typically associated with glaucoma and medical retina, where they are now a well-established part of the landscape. The availability of an ophthalmic electronic patient record (EPR) makes the deployment and management of virtual clinics much...

Choosing a subspecialty

1 October 2019 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
It is quite worrying how many registrars reach the final years of training without choosing a subspecialty. Sometimes this is because they love everything and cannot countenance giving any of it up, but more commonly this is due to various...

Thermal injury and false eyelashes

1 April 2020 | | Ophthalmology, Optometry, Emergency Ophthalmology
The authors provide a case of cyanoacrylate glue causing a thermal burn on the eyelid and explain how this type of burn should be managed. The use of false lashes as well as the techniques used to apply them come...

Thyroid eye disease

22 September 2021 | | Ophthalmology, Orbit, ONLINE EXCLUSIVE ARTICLES
Thyroid eye disease (TED) is an autoimmune condition with a spectrum of signs and symptoms, usually associated with Graves’ hyperthyroidism. The diagnosis is based on history and physical examination but there are further investigations that can aid diagnosis if unclear....

What’s new in glaucoma? Clinical trials drive practice changes, surgical advancements gather pace

1 December 2021 | | Ophthalmology, Glaucoma
Rod McNeil reviews the latest developments in the treatment of glaucoma in the UK. Primary open-angle glaucoma (POAG), which accounts for over two-thirds of all glaucoma cases, has an estimated UK prevalence in 2017 of approximately 2% of people over...

Students, soccer and slit-lamps in Ethiopia: a VISION 2020 LINK

1 August 2014 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Glaucoma, Genetics, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
Wachemo University campus. The Ethiopian Government is well aware of the brain drain amongst health workers and, to compensate, is training huge numbers of medical students, nurses and health officers in universities like Wachemo, a massive new University near Hosanna...

Insects, swelling and sight loss: a case of orbital inflammatory syndrome

1 June 2022 | | Ophthalmology
Despite being the most common cause of painful orbital mass in adults and the third most common orbital disease, orbital inflammatory syndrome still proves to be a difficult ocular condition to diagnose, treat, and manage. A 41-year-old lady presented to...

Gemini Untwined: treating craniopagus conjoined twins

6 April 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Imaging
The authors discuss the successful separation of craniopagus conjoined twins at Great Ormond Street Hospital and the role of the ophthalmologist in such cases. Craniopagus conjoined twins are extraordinarily rare, occurring in only one in 2.5 million births and representing...