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The COVID-19 ‘frontlines’: a foundation doctor’s perspective

20 April 2020 | | COVID-19, ONLINE EXCLUSIVE ARTICLES
Staring through the fragmented stained glass of the Virgin Mary and her assorted angels, I reflected on the strangeness of the workplace I now found myself working in and the irony of a workforce now working together more enthusiastically than...

Optegra launches new junior doctor training

14 December 2023 | RCOphth, private sector, public sector, Cataract surgery, training, education
Eye hospital group Optegra has further increased its support of the NHS with a new training scheme for NHS junior doctors.

Quiz Feb/Mar 2024

2 February 2024 | | Ocular Pathology and Oncology, Ophthalmology, Paediatric Ophthalmology / Strabismus
History A 21-month-old boy presented to his local ophthalmology department with a left proptotic eye from a growing cystic lesion known to be present from birth. Notes taken on presentation were: Known left microphthalmia with chorio-retinal coloboma, contralateral eye was...

A rare neonatal presentation of bilateral dacryocele and choanal atresia

27 October 2021 | | Ophthalmology, Oculoplastics, ONLINE EXCLUSIVE ARTICLES
Following a routine pregnancy, a newly delivered baby boy, born at term, was found to have increased work of breathing, stridor and a left medial canthal swelling. The baby required 100% oxygen via a face mask to maintain oxygen saturations....

Transferring imaging from primary to secondary care (part 2)

5 October 2020 | | Ophthalmology, Optometry
Transferring clinical imaging from high street optometrists to secondary care is an increasingly requested option, especially in the context of the COVID-19 pandemic. A wide variety of solutions exist to allow this, each with their own merits and shortcomings. In...

Strabismus and ocular motility, demystified

3 April 2024 | | Paediatric Ophthalmology / Strabismus, Optometry
I am a former orthoptist, now trained in medicine and working as a foundation doctor. In my previous work, I was frequently approached by ophthalmology trainees eager for guidance with strabismus and ocular motility. Drawing on my clinical experience, I...

Myopia-related strabismus – heavy eye syndrome

3 January 2023 | | Ophthalmology
Introduction Myopia can be associated with any type of strabismus, but high myopia has increased frequency of esotropia and vertical heterotropia. The incidence and severity of the strabismus increases with the degree of myopia and age of the patient. Classification...

Supranuclear ocular motility disorders

1 June 2022 | | Ophthalmology, Neuro-Ophthalmology, Emergency Ophthalmology
Figure 1: Bilateral INO Introduction Complex ocular motility disorders are a diagnostic challenge. These patients come with very complex ocular motility presentations and require a careful and detailed assessment in order to find the correct diagnosis and arrange appropriate investigations....

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...

The Leicester Grading System for Foveal Hypoplasia

1 April 2020 | | Ophthalmology, Paediatric Ophthalmology / Strabismus, Neuro-Ophthalmology, Orbit
The University of Leicester Ulverscroft Eye Unit have published the first medical grading system named after the city of Leicester. Infantile nystagmus is characterised by constant and involuntary eye movements and affects 24 per 10,000 people [1]. Onset is usually...

Microcatheter in the vertebral artery as a cause of branched retinal artery occlusion?

4 August 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Imaging
A 19-year-old male presented to eye casualty with a seven-day history of a ‘blurred patch’ in the left eye. The patient denied any other visual symptoms including flashes or floaters and there had been no change in visual symptoms in...

Diabetes macular oedema in pregnancy self-resolving postpartum

1 October 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Imaging
*Equally contributing co-first authors. Diabetic macular oedema (DMO) is a common clinical presentation to ophthalmology clinics. Ample evidence exists for management of DMO in non-pregnant patients. However, there is a paucity of evidence on the optimal management of DMO in...