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Comparison of bupivacaine injection vs. mini-tenotomy for small angle deviations

Bupivacaine hydrochloride is an aminoacyltype local anaesthetic. Injection into extraocular muscles elicits a myotoxic response destroying striated muscle fibres but sparing satellite cells, nerves and vessels. Preserved satellite cells proliferate to form new muscle fibres, causing muscle hypertrophy and greater...

Cadaveric measurements of the Spiral of Tillaux

The authors conducted a cadaveric study to investigate and analyse the variability of the mean distances of the extra-ocular muscle insertion sites from the limbus as well as corneal diameters. The study included measurements taken from 30 white cavaders; 50%...

Corneal surface astigmatism changes after lateral rectus surgery

This prospective study evaluated astigmatic changes in children following lateral rectus surgery. The fellow unoperated eye was used as the control for assessment of anterior and posterior corneal surfaces. The study included 37 patients (74 eyes); 16 male, 21 female...

Surgical outcomes of primary recess/resection vs readvancement/recession surgery for exotropia

This study compared the surgical yield of primary lateral rectus and medial rectus recession/resection (RR) surgery for basic exotropia, convergence insufficiency type exotropia (CIXT) and divergence excess (DXS) vs. patients undergoing medial rectus readvancement (MRR) +/- lateral rectus recession for...

EyeLogbook

This issue we’re covering the recently updated EyeLogbook (www.eyelogbook.co.uk), the Royal College of Ophthalmologist’s (RCO) online surgical logbook. Back in March 2016 a fully re-designed version of the site was released. Not only does the new version bring a beautifully...

A paperless future – get involved!

Jeremy Hunt’s statement earlier in 2014, about a paperless NHS by 2018, has added momentum to the transition away from paper records. The Tech Review this issue discusses what that will involve and how and why you may want to...

Clipboard history

If you regularly use the clipboard on a PC or Mac to copy and paste information, you will likely appreciate how useful the feature is. Despite its utility, it fails when you copy data over something else you have yet...

The flexibility of virtual clinics

Virtual clinics in ophthalmology are typically associated with glaucoma and medical retina, where they are now a well-established part of the landscape. The availability of an ophthalmic electronic patient record (EPR) makes the deployment and management of virtual clinics much...