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Visual fields and OCT in hydroxychloroquine retinopathy

It has been recommended that patients on hydroxychloroquine be monitored regularly for retinopathy. However, there has not been an agreement as to the best screening test for hydroxychloroquine toxicity, which may include visual fields (VF), fundus autofluorescence, spectral domain optical...

Avastin vs. Volon A for diabetic macular oedema

This prospective randomised interventional clinical trial compared 30 diabetic patients with macular oedema treated with either intravitreal injections of bevacizumab (Avastin) or triamcinolone (Volon A). One group initially received three injections of 2.5 mg Avastin in monthly intervals whilst the...

DTI/MRI results in amblyopia

Diffusion tensor imaging (DTI) is an MRI technique that can evaluate white matter integrity and neuronal connectivity. Normal brain maturation and myelination are associated with reduced water diffusion and increased diffusion anisotropy. The authors aimed to evaluate the anterior optic...

Long-term outcomes following surgery for traumatic cyclodialysis clefts

This retrospective case series evaluated the long-term visual prognosis and intraocular pressure control following surgical treatment of traumatic cyclodialysis clefts. Cyclodialysis clefts result from the disinsertion of the longitudinal ciliary muscle fibres from the scleral spur and occur as a...

Trabeculectomy for normal tension glaucoma

This is a retrospective consecutive, non-comparative case series of 131 eyes of 98 patients undergoing trabeculectomy between 2007 and 2013 in a normal tension glaucoma (NTG) clinic. Assessment of the clinical outcomes include intraocular pressures (IOP) reduction, bleb formation, final...

Non-arteritic anterior ischaemic optic neuropathy (NA-AION): a review

Ischaemic optic neuropathy (ION) is the commonest adult optic neuropathy encountered today in our ageing population, is a common cause of irreversible visual loss and is usually associated with underlying vascular disease. The condition is classified as follows: (a) Anterior...

Choroidal melanoma – breaking bad news

Case report A 55-year-old Caucasian female presented to her general practitioner with a three-month history of headaches and worsening blurred vision in the left eye. On further close questioning, she reported no eye pain, intermittent floaters and flashes of light...

Comparison of bilateral lateral and unilateral recession resection for IXT

This is a retrospective review study of patients between the ages of three and 15 years old with the basic type of intermittent exotropia (IXT) who had strabismus surgery between January 2003 to September 2009. There were 85 patients included...

Unravelling ocular motility

Ocular motility can often be a slightly abstract concept during the earlier years of ophthalmology training. A large variance on what embodies normality; mythical concepts like fusion and binocular vision, examination techniques that can be fiddly, and complex neuroanatomy all...

Lateral rectus transposition for vertical rectus muscle palsy

This study reports the surgical outcomes of patients with vertical rectus palsy in whom the vertical duction deficit is worse in abduction than in adduction. The procedure involved lateral rectus belly transposition without muscle splitting or disinsertion. The lateral rectus...

Pituitary tumours: why are they so often missed?

Part 3: Clinical features, assessment and management (see also Part 2, and Part 1) As previously mentioned in this treatise [1] pituitary tumours are common, occur in all age groups and can present with anything from minimal visual symptoms to...

ESCRS releases the 2022-2023 EUREQUO Annual Report

The European Society of Cataract & Refractive Surgeons is marking the 15th anniversary of the establishment of the EUREQUO Registry with the announcement that this cataract and refractive database has now grown to more than 4 million surgical procedures.