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1096 results found

Intermittent exotropia with a positive Bielchowsky head-tilt test

This is a retrospective study from Korea, of 118 patients’ charts with intermittent exotropia (IXT) and divided into two groups; 50 patients showed positive Bielchowsky head tilt test (BHTT) and 68 with negative BHTT. Significant differences (p<0.05) in the parameters...

Spontaneous resolution of inferior oblique over action

The purpose of this study was to evaluate the course of over-elevation in adduction in patients who had surgery for esotropia. Following a chart review, 28 patients met the inclusion criteria with a mean age of 53.5±53.7 months (12-252 months)....

Prediction of recurrence in exotropia

This study compares the long-term motor and sensory outcomes between constant and intermittent exotropia in infancy and investigated whether constancy can be used as a reliable factor for predicting surgical outcomes. Sixty-seven patients were reviewed – 37 constant and 30...

Spontaneous resolution of inferior oblique overaction

The purpose of this study was to evaluate the course of over-elevation in adduction in patients who had surgery for esotropia. Following a chart review, 28 patients met the inclusion criteria with a mean age of 53.5±53.7 months (12-252 months)....

Unexpected diagnoses – stroke in children and homonymous hemianopia

We present the case of a 12-year-old child presenting with a few days history of left-sided visual loss. Upon further investigation with magnetic resonance imaging (MRI) she was unexpectedly diagnosed with a right-sided chronic posterior cerebral arterial territory infarct, causing...

Corneal dystrophies simplified

Based on biomicroscopic and histopathologic features, corneal dystrophies can be broadly classified into epithelial, Bowman’s layer / anterior stromal, stromal, and endothelial dystrophies. Corneal dystrophies are a group of inherited, bilateral, gradually progressing, non- inflammatory conditions caused by accumulation of...

Are corneal guttata an additional risk factor in complicated cataract surgery needing a future corneal transplant?

This registry-based cohort study from Sweden utilised data from the Swedish National Cataract Registry and the Swedish Cornea Transplant Registry. Patients who underwent phacoemulsification with a posterior intraocular lens between 2010 and 2012 numbered 192,476. Of these cases, 288 underwent...

What’s next in retinal imaging? Faster, deeper and full-on

Fast-evolving technological leaps are opening the way toward clinically useful ocular coherence angiography, generating 3-dimensional microvasculature maps without intravenous dye injection, as well as whole-eye imaging, handheld patient-operated optical coherence tomography (OCT) devices and, for challenging vitreoretinal procedures, integrated intraoperative...

Refined glaucoma referral practice offers prospect of improved capacity and expanded role for primary eye care professionals

Glaucoma is the most frequent cause of irreversible blindness worldwide and the second leading cause of blindness in the UK [1,2]. The global prevalence of glaucoma in 2010 was approximately 3.5% for people aged 40-80 years, according to Jonas et...

Quiz Dec/Jan 2020

History A 69-year-old female patient was referred to the uveitis clinic from her local district general hospital with a left posterior uveitis which had been unresponsive to high dose steroids. She had no other previous ophthalmic history nor significant systems...

Lothian Optometry Teach and Treat Clinic

The Lothian Optometry Teach and Treat (LOTT) Clinic is a supervised training clinic for community optometrists with an interest in managing patients with acute eye pathology, normally managed in the hospital setting. LOTT, which is the first clinic of its...

Blinking blepharitis has a lot to answer for…

Never ignore the small things’…someone once said. There is no doubt blepharitis is one of the most common eye conditions encountered daily, but with the typical pressures of a busy outpatient department, the management of more obvious, sight-threatening conditions necessarily...