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A case of late spontaneous subluxation of in-the-bag intraocular implant

An 82-year-old frail lady was referred by her optometrist with a finding of subluxated implant in the right eye. She had uneventful phacoemulcification with in-the-bag intraocular implant 17 years earlier. There is no history of having had pseudoexfoliation (PXF) or...

Scleral perforation after strabismus surgery

The aim of this study was to report the incidence, risk factors, treatment and outcomes of scleral perforation as a vision-threatening complication of strabismus surgery. The review included 12 papers: four prospective, two retrospective, two surveys, one review, two animal...

Silicone oil (SOT) versus gas (GT) tamponade for primary rhegmatogenous retinal detachment treated successfully with a propensity score analysis

This is a retrospective, nationwide, multicentre study with retinal detachment (RD) in the Japan-RD Registry between 2016 to 2017. The primary outcome was the estimated mean difference of postoperative cerebral vascular accident (CVA) in six months and a propensity score...

Care providers view on how to improve care for paediatric conjunctivitis

The authors present a qualitative study. Purposeful sampling was used to recruit physicians or advanced practitioners for paediatric care in emergency, urgent or primary care settings. Semi-structured interviews were either held in-person or by telephone. All participants recruited commonly encountered...

Hughes flap for lower lid retraction

This is a retrospective case series looking at the use of Hughes flap for cicatricial lower lid retraction. Fourteen patients were identified across five different hospitals with varying aetiologies ranging from previous lid lesion excision and reconstruction to trauma. The...

Local surgical treatment of trigeminal neuralgia

This is a retrospective review of a new surgical treatment of intractable periorbital neuropathic pain. Five patients with post-herpetic (three), post-traumatic (one) and idiopathic (one) neuralgia underwent transection of the nerves supplying the dermatomes affected by the neuropathic pain. The...

Impact of COVID-19 pandemic on US paediatric ophthalmology

The authors designed and distributed a survey to assess the economic impact of the pandemic on US paediatric ophthalmologists over the sustained lockdown period of 18 months in 2020/21. They captured information on clinical and surgical revenue, staff hiring and...

Environmental variations in endophthalmitis

In this retrospective cohort study, the authors looked at seasonal and environmental variations in 171 endophthalmitis cases out of 423,297 intravitreal injections. The incidence of this complication was not correlated to monthly snowfall, rainfall, or average temperature. There was no...

Modified technique in place of ultrasound biomicroscopy

The authors describe a modified immersion B-scan ultrasonography that includes a standard B scan probe of 10MHz, a surgical glove and sterile saline to fill a finger of the surgical glove – tied off to create the desired immersion standoff...

Incidence of ocular myasthenia gravis and risk factors for conversion to generalised disease

This population based retrospective cohort study evaluates the incidence of ocular myasthenia gravis (OMG) as well as risk factors for transformation to generalised myasthenia gravis (GMG). Sixty-five patients (40 male and 25 female) with newly diagnosed with myasthenia gravis (MG)...

Retinal changes prior to hydroxychloroquine toxicity

In this retrospective longitudinal study, the authors examined changes in retinal layer thickness in patients taking hydroxychloroquine without evidence of retinopathy. Patients were drawn from a hydroxychloroquine screening clinic and required at least two OCT scans, at least one year...

Clinical features of ocular syphilis

The study looked at 24 patients (20 males, four females) with serological evidence of syphilitic infection who presented to a tertiary ophthalmic centre. Ocular involvement was the first manifestation of syphilitic disease in 96% and Human Immunodeficiency Virus (HIV) seropositivity...