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Biomechanical stabilisation of ocular measurements post cataract surgery

1 December 2017 | | Oculoplastics, Orbit | Automated refraction, cataract, central corneal thickness, keratometry, ocular biometric parameters
This prospective study looks into the time duration of biomechanical stabilisation post uneventful cataract surgery in a case series of 62 consecutive eyes in patients with no ocular or systemic comorbidity. The patients were followed-up at fixed intervals of one...

E-Dobson card for visual acuity

1 December 2016 | | Paediatric Ophthalmology / Strabismus
The authors assessed the utility of an electronic Dobson acuity card which can be altered for spatial frequency. Thirty-six infants and toddlers aged 5-36.7 months were recruited – equal females and males. Fourteen had high refractive error. The card is...

Injuries due to forceps delivery

1 August 2016 | | Paediatric Ophthalmology / Strabismus
A retrospective series is presented of injuries secondary to forceps delivery over a 15-year period in 11 cases: seven male and four female. Follow-up of cases was over two months to 17 years. Eight presented within one week of delivery,...

Simple approach to prevent capsule tear-out during capsulorhexis creation in hyper mature cataracts

1 December 2015 | | Cataract and Refractive
Puncturing the anterior capsule in the anterior chamber so that the pressure falls below intracapsular tension causes the rhexis to extend out to the equator. If this develops into a tear that wraps around the entire lens it is called...

Influence of overall intraocular lens diameter on rotational stability

1 June 2015 | | Cataract and Refractive
It has been shown that approximately one in three patients undergoing cataract surgery have >1.0D corneal astigmatism and managing this during surgery is important to achieve good refractive outcomes. One of the widely used ways of reducing preoperative astigmatism during...

Risk of pulled-in-two syndrome

3 April 2024 | | Paediatric Ophthalmology / Strabismus
Congenital fibrosis of the extraocular muscles (CFEOM) is along the risk factors for pulled-in-two syndrome (PITS). The aim of this study was to report six cases and discuss prevention and clinical management strategies. The author’s six cases represented an incidence...

Brown’s syndrome surgery

1 October 2014 | | Paediatric Ophthalmology / Strabismus
Complications of surgery for Brown syndrome include under correction, extrusion of expanders and training for surgery. The authors introduced a procedure with minimal side-effects, accompanied by the application of the native tendon for superior oblique elongation. This was a prospective...

Features and outcomes of pulled-in-two syndrome

10 May 2024 | | Paediatric Ophthalmology / Strabismus
Pulled-in-two (PIT) syndrome is a sudden rupture of the extraocular muscle during strabismus surgery, typically with minimal tension intraoperatively without excessive force. This is a rare occurrence and this study reports cases from a single centre over a seven-year period....

The history of ophthalmology: John Argyll Robertson and Douglas Moray Cooper Lamb Argyll Robertson

1 June 2019 | | Ophthalmology
The author shares the story of an extraordinary father and son, two of the major figures in defining the specialty of ophthalmology as we know it today. The renowned Glasgow Surgeon Peter Lowe described ophthalmic surgery in his legendary surgical...

Evolving towards an interventional glaucoma mindset

2 February 2024 | | Glaucoma
Traditionally, a newly diagnosed glaucoma patient would be treated first with medical therapy. As the disease progressed or the initial intervention failed to adequately control intraocular pressure (IOP), clinicians would add more drops, selective laser trabeculoplasty (SLT), repeated SLT and...

The creation of PlayDoh<sup>®</sup> models as an educational tool for teaching anatomy of the eyelid

1 July 2018 | | Ophthalmology, Oculoplastics
An understanding of the anatomy of the eyelid is essential for training in oculoplastic surgery. Active learning has been shown to increase knowledge and retention and has an advantage over passive teaching methods alone [1,2]. PlayDoh® models have been used...

A complicated case of cytomegalovirus viremia: “What would you do doctor?”

1 February 2016 | | Retina / Uvea / Vitreous
Mrs W walked gracefully into my urgent care clinic. It was another busy session and I hoped she did not have anything serious going on which might slow the clinic further. She was an elegant 72-year-old lady who seemed like...