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Strabismus in thyroid eye disease

1 April 2017 | | Paediatric Ophthalmology / Strabismus
Pathogenesis Thyroid eye disease (TED) is an auto-immune condition, in the initial phase there is lymphocytic infiltration and oedema of the extraocular muscles with deposition of glycosaminoglycans and hyaluronic acid and adipogenesis, which can lead to an increase in the...

Pituitary tumours: why are they so often missed?

1 August 2017 | | Neuro-Ophthalmology
Part 2: Clinical varieties, anatomical considerations and case report (see also Part 1 and Part 3) For ophthalmologists there are four types of pituitary tumour to be considered, three of which are named according to the hormone secreted, along with...

Breakthroughs in the genetics of angle-closure glaucoma

1 April 2017 | | Glaucoma, Genetics
Angle closure glaucoma (ACG) is not widely known to be a familial condition, yet the recent explosion of genetic data and large scale genome wide investigations have confirmed at least 13 genetic loci associated with ACG [1], and provided some...

New solutions in the prevention and treatment of Acanthamoeba keratitis

5 October 2020 | | Ophthalmology, Optometry, Cornea / External Eye Disease
The global increase in Acanthamoeba keratitis infections has emphasised the inefficiencies of current treatment and preventative methods, here researchers from the West of Scotland detail a promising new series of compounds that may stem the tide. News headlines detailing horror...

Doing a systematic review: a users’ guide for foundation doctors

1 June 2022 | | Ophthalmology
Research is increasingly important for junior doctors and systematic reviews (SRs) are a great place to start. Carrying out an SR can help a doctor demonstrate commitment to a specialty, develop research skills and get results quickly. This article aims...

The implementation of postoperative day 1 vitrectomy telephone follow-up consultations

6 April 2021 | | Ophthalmology, Retina / Uvea / Vitreous, Glaucoma
In this pre-COVID-19 study, the authors argue that some follow-up consultations can be done by telephone without compromising patient safety. Thirty years ago, a study by Isernhagen et al. [1] found that 52% of patients required some form of unexpected...

Intracameral antibiotics in cataract surgery: current evidence base

1 August 2019 | | Ophthalmology, Cataract and Refractive
Following on from our recent online survey*, the authors examine the use of intracameral cefuroxime as the standard of care in cataract surgery. Cataract extraction with intraocular lens implantation is one of the most frequently performed surgical procedures in the...

Biometry and IOL choice errors

1 April 2018 | Cataract and Refractive
In the next instalment of this series I focus on problems associated with biometry and intraocular lens (IOL) selection for cataract surgery. I have taken previous medicolegal cases I have dealt with and tried to extract some learning points and...

My top five: Influential ophthalmologists

4 October 2023 | | Ophthalmology
Ophthalmology has witnessed remarkable evolution and advancements throughout history. The field has undergone dramatic change and development since the times of Ancient Egypt where the first reference to eyes was made in the Code of Hammurabi (2250 BC) [1]. From...

The results of the last survey Jun24

3 June 2024 | | Cataract and Refractive
When I was in my training and even in my early years as a consultant, I did not fully understand the difference between different lenses. When asked my preference of hydrophilic versus hydrophobic intraocular lenses (IOLs) I really did not...

What's trending Jun/Jul 2019

1 June 2019 | Ophthalmology
#beeping #EasterEgg Beeping Easter eggs allow blind and visually impaired children to participate in the quintessential Easter activity for children – the Easter Egg Hunt. It kind of takes the fun out of the hunt if you need to be...

Community Eyecare Services in Northern Ireland: putting the patient at the centre, improving outcomes and maximising system resource

1 August 2017 | | Optometry
The UK has four healthcare systems; Northern Ireland, Scotland and Wales each has autonomous legislature that develops health policy, while the UK government directly runs England’s NHS. Like the other nations, Northern Ireland is continually challenged to meet the needs...