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It’s All in Your Head: Stories from the Frontline of Psychosomatic Illness

Have you ever reviewed a patient with unexplained symptoms? It’s All in Your Head by Consultant Neurologist Dr Suzanne O’Sullivan is a non-fiction book about patients with psychosomatic disorders. In each of the nine book chapters, she presents an anonymised...

Pioneering Moorfields and Guy’s and St Thomas’ study tackles visual snow

A new study by a team from Moorfields Eye Hospital and Guy’s and St Thomas’ will examine the role of mindfulness in potentially helping people who have visual snow syndrome.

My Top Five: Foundation year 3 jobs for prospective ophthalmology candidates

Ophthalmology specialist training (OST) is a fantastic career option, however, it is also a highly competitive specialty. There was a gradual rise in competition ratios in recent years: 3.24 (2019), 5.73 (2020), and 6.80 (2021) [1]. Many choose to pursue...

The results of the last survey Oct22

I thank everyone for their time in responding to this edition’s survey questions. The first question relates to an issue I have previously discussed around consent for second eye cataract surgery. I touch on this point again for two reasons....

Oculofacial plastic surgery – is antibiotic prophylaxis required?

This is a randomised, controlled, unmasked clinical trial evaluating whether topical antibiotic prophylaxis reduces the rate of infection after oculofacial plastic surgery compared to a non-antibiotic ointment. A total of 401 participants over the age of 18 were recruited, with...

Diplopia after orbital decompression

This is a review of patients undergoing a balanced two-wall and fat orbital decompression to identify risk factors for new onset diplopia. Standard decompression techniques were used, but as the surgery was conducted by ENT surgeons, the medial walls were...

Air tamponade in pars plana vitrectomy for primary rhegmatogenous retinal detachment repair

The authors report a study aimed to establish the use of air as a tamponade agent for primary rhegmatogenous retinal detachment (RRD) treatment, regardless of the position or the number of retinal breaks. Two hundred and thirty-six eyes of 230...

Outcomes of horizontal muscle transplantation

The authors propose the technique of transplantation of the resected muscle segment to the previously recessed muscle for correction of residual / recurrent strabismus in order to restrict surgery to one eye and avoid large recession of previously recessed rectus...

The eyes of healthy children effected by virtual schooling

The authors aimed to assess how the increased use of technology during a day of virtual school as a result of the COVID-19 pandemic affected the eyes of healthy children. Children aged 10 to 17 years who attended school virtually...

Could internuclear ophthalmoplegia aid differential diagnosis in demyelinating conditions?

The authors present a retrospective review of individuals diagnosed with either neuromyelitis optica spectrum disorder (NMOSD) or multiple sclerosis (MS). The aim of the study was to assess the prevalence of internuclear ophthalmoplegia (INO) in both groups over a 10-year...

Manometric tear duct irrigation system against the conventional lacrimal syringing

The authors assessed the lacrimal outflow resistance with a modified irrigation system. The manometric tear duct test (mTDT) comprised of a 6mm thin wall 25 gauge lacrimal cannula which was attached to a bag of normal saline by standard fluid...

LASEK with mitomycin C to correct myopia in thin corneas

This study evaluated the long-term outcomes of laser-assisted subepithelial keratomileusis (LASEK) with intraoperative use of mitomycin C (MMC) performed on thin corneas for the correction of myopia. MMC modulates the corneal wound healing response in surface healing, thus reducing the...