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ARN in North Africa

1 December 2015 | | Retina / Uvea / Vitreous | Acute retinal necrosis, herpes simplex virus, herpes zoster virus, North Africa, polymerase chain reaction, retinal detachment
Acute retinal necrosis (ARN) is a rare cause of uveitis. This paper aims to outline the clinical features of 12 patients with ARN in a referral centre in Tunisia, North Africa. A retrospective review of case notes was carried out....

Micropulse vs. continuous wave trans scleral diode cyclophotocoagulation in refractory glaucoma

1 June 2015 | | Glaucoma | ciliary body, glaucoma, laser surgery
Continuous wave cyclophotocoagulation (CWCPC) delivers continuous high intensity energy to the ciliary body in an attempt to reduce aqueous secretion and hence lower IOP. It is often used as a treatment of last resort due to the potential side-effects of...

Implantation of intraocular pressure sensor in glaucoma patients

1 April 2015 | | Glaucoma | glaucoma, intraocular pressure sensor, self tonometry
The authors report safety and accuracy of an intraocular intraocular pressure (IOP) sensor placed in the ciliary sulcus during planned cataract surgery. Six patients underwent implantation of the device; a silicone rubber ring-shaped device encapsulating pressure sensitive capacitors and a...

Three years of experience with quantiferon-TB Gold Testing in patients with uveitis

1 April 2015 | | Retina / Uvea / Vitreous | Epidemiology, gamma interferon release essay, infectious uveitis, quantiferon, tuberculosis
Quantiferon-TB Gold is a new alternative to the tuberculin skin test that utilises synthetic peptides representing M. tuberculosis antigens ESAT-6, CFP-10, TB7.7 and upon incubation with whole blood IFN-γ is released from pre-sensitised T cells and can be measured by...

Acute retinal necrosis: an Indian experience

1 August 2014 | | Ocular Pathology and Oncology | Acute, India, clinical features, management, outcome, retinal necrosis
The authors of this retrospective study aimed to provide clinical outcomes in 62 eyes of 53 patients presenting with acute retinal necrosis. All eyes received intravenous acyclovir (10mg/kg tds) for 7-10 days followed by oral antiviral therapy (valaciclovir 1g tds...

Sutureless 27-gauge needle intrascleral intraocular lens implantation

1 June 2014 | | Ophthalmology
The authors report on a prospective, non-comparative, interventional case series of patients undergoing sutureless intrascleral fixation of a posterior chamber three piece intraocular lens (IOL) using a 27-gauge needle for docking. Sutureless techniques have the advantage of not having complex...

Proning and the pandemic - ocular complications seen in critical care

6 April 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Orbit, Cornea / External Eye Disease
Priyanka Sanghi and her co-authors explore the ocular complications seen in critical care units throughout the country as we treat patients through this challenging time. The SARS-Cov-2 (COVID-19) pandemic has placed the NHS and critical care services under immense strain,...

What not to miss in neuro-ophthalmology Part 1

1 April 2018 | Neuro-Ophthalmology
Neuro-ophthalmology is a complex and difficult subspecialty in ophthalmology. It has several connections to neurology, neuro-surgery, rheumatology as well as many other medical specialties. Working in an multidisciplinary team (MDT) environment is key to success in this subspecialty as mistakes...

Forward-tilt technique for intraocular pressure measurement in upgaze

5 June 2020 | | Ophthalmology, Optometry, Glaucoma
The authors suggest a technique to improve the accuracy of measuring IOP in upgaze using Goldmann applanation tonometry. Graves’ ophthalmopathy, also known as thyroid eye disease, is an autoimmune inflammatory condition affecting the orbit and periorbital tissues [1]. It was...

Traumatic optic neuropathy

1 October 2021 | | Ophthalmology, Orbit, Emergency Ophthalmology, Neuro-Ophthalmology
In neuro-ophthalmology we get asked a lot about management of patients who suffered significant trauma and presented with loss of vision secondary to presumed traumatic optic neuropathy (TON). TON happens usually in the context of significant craniofacial trauma. The incidence...

Macula re-attachment following intravitreal ranibizumab in rhegmatogenous retinal detachment

1 February 2015 | | Ophthalmology, Retina / Uvea / Vitreous
Ranibizumab (Lucentis) is a vascular endothelial growth factor inhibitor (anti-VEGF) used for treatment of choroidal neovascular membrane [1]. We report a case where macula off inferior rhegmatogenous retinal detachment was misdiagnosed as wet age-related macular degeneration (AMD) and three intravitreal...

Lockdown and eye health – a case of accommodative spasm

6 April 2021 | | Ophthalmology, Orbit, Imaging
A 25-year-old male presented to the eye casualty with a one-day history of sudden onset worsening vision. More specifically, he noted his vision was more blurred than usual and this was more exaggerated for near-work than for distance-work. He was...