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A practical guide to anisocoria

1 February 2018 | | Ophthalmology, Neuro-Ophthalmology
Anisocoria means the presence of difference in the size of the right and left pupils. It is a sign of an abnormality in the efferent pathway. The first question facing the ophthalmologist is to ascertain if anisocoria is present or...

Neuro-ophthalmology: the extended role of an orthoptist

1 December 2021 | | Ophthalmology, Neuro-Ophthalmology
Neuro-ophthalmology has always been a speciality of interest during my studies and now in my career. In 2018, I started a Band 7 post which gave me an extended role in neuro-ophthalmology and the responsibility of developing an orthoptic led...

Neonatal hypoxic ischaemic encephalopathy with imaging abnormalities in the occipital lobe – how to counsel the parents

5 April 2022 | | Ophthalmology, Neuro-Ophthalmology, Imaging
Case A baby boy, with a background of intrauterine growth restriction, was born at 37 weeks and three days gestation via forceps delivery. The baby was born in poor condition, with low heart rate, poor respiratory rate, poor colour and...

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...

Orbis and FedEx team up on three-week training for Eye Care Professionals in Vietnam

26 May 2023 | flying hospitl, international, FedEx, Orbis, charity
This is the first surgical project for the Orbis Flying Eye Hospital in three years.

Paraproteinaemia: a patient with atypical corneal findings

1 December 2013 | | Ophthalmology, Cornea / External Eye Disease
A Bence Jones protein is a monoclonal globulin protein or immunoglobulin light chain found in the urine, with a molecular weight of 22-24 kDa [1]. Detection of Bence Jones protein may be suggestive of multiple myeloma or Waldenström’s macroglobulinemia. Multiple...

Iris chafing from displaced single-piece acrylic IOL

4 August 2021 | | Ophthalmology, Cataract and Refractive, Imaging
A 74-year-old man had persistent 3+ cell one month following left eye cataract extraction, complicated by anterior capsular rent and zonular dialysis at 7 o’clock, with single-piece acrylic intraocular lens implantation (IOL) in the capsular bag. Figure 1: Haptic-like transillumination...

How a calcified Soemmerring ring was removed from the vitreous cavity when the cutter and forceps failed to do so

1 June 2018 | | Retina / Uvea / Vitreous
Know’st thou the land where lemon-trees do bloom,And oranges like gold in leafy gloom; A gentle wind from deep blue heaven blows, The myrtle thick, and high the laurel grows? ‘Tis there! ‘tis there, O my beloved one, I with...

Herpes zoster ophthalmicus: the essentials

24 July 2020 | | Ophthalmology, Optometry, Cornea / External Eye Disease, ONLINE EXCLUSIVE ARTICLES
Herpes zoster, also referred to as shingles, is a common infection most typically caused by the reactivation of varicella zoster virus that lies dormant (sometime for decades) in the dorsal root nerve ganglion following primary chickenpox infection [1]. In 10-20%...

How does your practice compare?

1 April 2019 | | Ophthalmology, Optometry
One of the lovely things about clinical meetings and conferences is the ability to meet with your peers and ask questions of them about their practice. Often the questions are not earth shattering, for example, it could be as simple...

Pituitary adenoma causing compression of the optic chiasm

1 April 2019 | | Ophthalmology, Neuro-Ophthalmology
A 21-year-old girl presented to her general practitioner (GP) with a three-month history of headaches, becoming more frequent and associated intermittent vomiting that did not improve with simple analgesics. There was a strong family history of migraines. She was initially...

New NHS cataract clinic opening in Colchester

7 March 2024 | cataract, infrastructure, NHS, openings
A brand-new ophthalmic clinic is opening in Colchester this week, dedicated to providing NHS cataract surgery for patients across Essex.