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Periorbital and subconjunctival emphysema - a sign of orbital rim fracture
Background Orbital emphysema is a condition where air is present in orbit or periorbital tissues [1]. It is most commonly caused by trauma leading to orbit fracture, where air from paranasal sinuses is allowed to enter the orbit. The most...The results of the last survey Oct20
The point of this series is to find variations in practice and to raise them to you, the readership, so you can review and reflect upon them. I am aware there is not always a ‘correct’ way of doing things,...
A comparison of colour vision tests in the presence of contrast sensitivity loss
This study analyses the effect of contrast sensitivity (CS) loss on colour vision (CV) testing, using a variety of colour vision tests. The authors used a computer model for CS loss to determine its effect on CV testing scores for...
Outcomes of paediatric cataract
The authors aimed to compare the visual outcomes of primary and secondary IOL implantation and to identify the risk factors for the development of strabismus in patients with paediatric cataract. The study included 220 eyes of 148 patients: 76 unilateral...
RCT of operative routes for congenital cataract surgery
The authors evaluated the performance of 25G vitrectomy systems in the management of congenital cataract in infants through two routes – anterior (transcorneal) and posterior (pars plana). This was a prospective randomised trial (RCT) of 24 eyes of 12 patients...
OVD influences
This prospective case series provides data on a previously uninvestigated area. Eyes due to have routine phakoemulsification were divided into six groups according to ophthalmic viscosurgical device (OVD) type. After cataract extraction aphasic refraction using intraoperative aberrometry with the ocular...
Imiquimod for lentigo maligna
This is a retrospective review of 12 patients with periocular lentigo maligna treated with topical 5% imiquimod cream. In six patients it was the only treatment, and in the other six it was used following partial excision, cryotherapy or both....
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...
Effectiveness of Eagles Eye Mobile
The EEM programme was created to target children failing school nurse screening and likely to not have access to eye care. The EEM visits schools in low income areas providing optometric examinations to detect correctable refractive error, prescribe and deliver...
Slanted MR surgery for convergence excess ET
The authors aimed to evaluate the surgical outcomes of bilateral slanted recessions of the medial rectus (MR) muscles in patients with convergence excess esotropia (ET). This retrospective study included 16 patients with a mean age at surgery of 5.6 ±3.05...
Nasolacrimal duct screening to minimise post cataract endophthalmitis
This case control study compared the nasolacrimal duct (NLD) patency in a random sample of phacoemulsification cataract surgery patients (control group) versus a consecutive series of patients who developed endophthalmitis post cataract surgery (case group). NLD syringing was performed in...
