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Useful, interesting, or maybe both

This column is often, but not always, about ophthalmic tech. This is one of those ‘not always’ editions. Time to share some interesting or useful things from the internet which can help in a number of ways, from preparing presentations...

Clinical outcomes of a supplementary sulcus IOL

In this retrospective study, the authors examined 31 eyes of 20 patients who had received a supplementary trifocal sulcus IOL in addition to a ‘bag-in-the-lens’ IOL. Implantation of a ‘bag-in-the-lens’ IOL requires the creation of anterior and posterior capsulotomies, followed...

Randomised trial of multifocal intraocular lens versus monovision

The authors report on a randomised, multicentre clinical trial comparing the outcomes of Tecnis ZM900 diffractive multifocal intraocular lenses (IOL) versus monovision with Akreos AO monofocal IOL (dominant eye targeted for emmetropia and non-dominant eye targeted for -1 to -1.50...

Visual performance of new multifocal IOL

Multifocal IOLs (MIOLs) keep evolving to try and get the best outcome in terms of vision and reduction of side-effects. This prospective interventional study was carried out on 34 eyes of 17 patients (11 women (65%) and six men (35%))...

Intraocular lens technology to deliver enhanced optical performance after cataract refractive surgery

Modern cataract surgery aims to provide patients with the best possible visual outcome with the least dependence on spectacles and minimal or no complications and to treat both cataract and refractive errors with a single procedure. Phacoemulsification is the standard...

One muscle surgery

This is a review of current literature on unilateral strabismus surgery for small to moderate angle esotropia, exotropia, residual and consecutive strabismus and convergence or divergence insufficiency. The review considers recession surgery for eso / exotropia of angles up to...

Postop esotropia re-drift

The authors aimed to investigate the rate and onset of development of re-drift after infantile esotropia surgery and identify factors associated with this. This was a retrospective study of 112 patients with a mean postoperative follow-up of 9.5 years. Consecutive...

Assessing and treating achromatopsia

This literature review considers clinical characteristics (pendular nystagmus, poor visual acuity, lack of colour vision and marked photophobia), genetics (autosomal recessive disease, with CNGA3, CNGB3, GNAT2, PDE6C, PDE6H and ATF6 gene mutations), diagnostic options (OCT and fundus auto fluorescence), and...

An uncommon late postoperative complication of combined cataract surgery and intravitreal triamcinolone injection

Case report A 64-year-old female with diabetic maculopathy (DMO) underwent phacoemulsification with intraocular lens (IOL) implantation in her right eye combined with intravitreal triamcinolone (IVTA). Diabetes control was poor with HbA1c (IFCC) of 119mmol/mol and blood sugar level of 27mmol/L....

Risk factors for further surgery in consecutive ET

The preoperative and postoperative factors around first surgery for exotropia were investigated for predicting second surgery for consecutive esotropia. Fifty-two patients with consecutive esotropia after exotropia surgery were reviewed: 17 required surgery for the esotropia and 35 did not. There...

Risk factors and management for postoperative complications in strabismus surgery

This retrospective cohort study examined 1273 patients, comprising 1035 cases of exotropia and 238 cases of esotropia, with a minimum 18-month follow-up after strabismus surgery. Baseline demographics, age at surgery, pre / postoperative visual acuity, and deviation were included. Complications...

Consecutive exotropia overcorrection

The authors evaluate the postoperative outcomes of unilateral medial rectus recession surgery for the treatment of persisting consecutive esotropia >10PD more than six months in 16 patients (three adults and 13 children) who were overcorrected after initial surgery for intermittent...