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Making sense of the orthoptic assessment
Following the Specialty Trainee article on this topic in the February/March 2020 issue, Joe Smith provides a more detailed breakdown of the orthoptic report. Orthoptists investigate, diagnose and manage a wide variety of patients with varying problems. In this article,...The results of the last survey Oct 2019
Another fascinating response which once more highlights the massive variation in practice. I completely acknowledge that ophthalmology is an art as well as a science and therefore there will be variances in practice and there will not be one ‘right’...
MR- vs. LR+ for divergence insufficiency
A retrospective study was conducted to compare the efficacy of medial rectus recession and lateral rectus resection as surgical interventions for divergence insufficiency in 18 patients. These were cases of non-neurological cause. Two patients in each group required postoperative adjustment....
Surgery for myopic esotropia
The authors report a modified Jenson procedure for the treatment of high axial myopic esotropia. Their study includes 15 eyes of 13 patients with a mean age of 50±10.4 years. Mean spherical refraction was -22.53±6.06 dioptres. Mean axial length was...
OCT angiography findings in amblyopic eyes
In this study, optical coherence tomography angiography (OCTA) was used to detect the existence of any vascular dysfunction in superficial and deep retinal layers that accompany visual impairment in amblyopic eyes compared to fellow and control eyes. The study included...
OCT angiography metrics in children
This prospective study aimed to quantify the vessel density of both the macular and optic nerve and foveal avascular zone (FAZ) values in 92 normal eyes of 92 children (42 boys, 50 girls) aged 13.4 ±2.65 years (seven to 18)....
Would automated pupillometry be a useful addition when assessing acute vision loss?
The authors present a two-part study, the first part being an electronic survey of ophthalmologists and optometrists to identify barriers to the routine clinical use of automated pupillometry and the second, a clinical study comparing the swinging light tests and...
Prisms to treat AACE
Of 128 patients reviewed with binocular dysfunction, 30 (23.4%) had acute acquired concomitant esotropia (AACE). These patients complained of sudden onset diplopia at distance with no or moderate problems at near. There was no previous history of strabismus. Mean age...
Outcomes for IRS implantation for keratoconus
The authors report visual and topographic outcomes of intracorneal ring segment (ICRS) implantation alone or in combination with corneal cross linking (CXL) and long-term results in halting keratoconus in paediatric patients. This study was a retrospective design including 19 patients...
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...
Treatment for post stroke visual impairment – clinical practice versus literature evidence
The aim of this paper is to compare the treatments reported in a large scale stroke study (Vision in stroke (VIS) Study) against the treatments identified in a full systematic literature review. The purpose was to identify which treatment /...
