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How to pass the Refraction Certificate
Unfortunately, I had the pleasure of getting to know this exam intimately. With adequate preparation this does not have to be the case for most people. The exam has recently changed to consist of 10 OSCE style stations (previously 12)....
Association of asthenopia and heterophoria
Heterophoria varies over time and asthenopic symptoms may be greater when the heterophoria is larger. Thus a close intra-individual correlation may exist between heterophoria and discomfort during reading. The authors investigated the variability of both parameters in 20 individuals who...
Sliding lower lid tarsal flap
This is a retrospective review of a lower lid reconstructive technique utilising a sliding tarsal flap. Thirty-two patients who had undergone Mohs surgery were included and each had a shallow marginal defect with at least one remaining tarsal edge having...
Limbal melanocytes and the stem cell niche
The cornea is continually regenerated to maintain clear vision, due to a population of stem cells located in the limbal region between the cornea and the conjunctiva. These limbal stem cells (LESC) reside in crypts in structures called the Pallisades...
Use of technology in low vision rehabilitation
This article is a review of the accessibility features available on tablets and smartphones for the visually impaired. It explains exactly what the accessibility features are, how to access them and how to use them as well as some useful...
An interesting presentation of ruptured anterior communicating artery aneurysm with acute monocular vision loss
The authors report an interesting case of a 60-year-old man presenting with acute monocular vision loss accompanied by periorbital pain as an unusual presentation of subarachnoid haemorrhage (SAH) from ruptured anterior communicating artery aneurysm. The patient did not present with...
Amblyopia treatment
This study was conducted to assess practice preferences in the management of amblyopia among paediatric ophthalmologists. A close-ended multiple choice questionnaire consisting of 10 questions was circulated to 113 paediatric ophthalmologists and fellows of which 74 completed the questionnaire. Seventy-six...
Staged excision of primary periocular BCC
This is a 10 retrospective review of case notes study of 437 patients of staged basal cell carcinoma (BCC) excisions between 2000 and 2017. All patients had 3mm clinically clear margins with staged excision and standard reconstruction techniques were performed...
Idiopathic orbital pseudotumor as first sign of systemic inflammatory disease
The authors describe four children in whom idiopathic orbital pseudotumor (IOP) was the initial solitary finding with systemic inflammatory disease developing later. Four children were seen over a five-year period. Mean age was 9.75 years (2-14). Three were white and...
Incidence, microbiological profile and in vitro antimicrobial susceptibility of IK
This is a retrospective single centre study of all patients (with corneal scraping) including their demographic factors, microbiological profiles, and in vitro antibiotic susceptibility of infectious keratitis (IK), studied between 2007 and 2019. The incidence of IK was 34.7/100,000 people...
Lagophthalmos as a potential complication of COVID-19
Lagophthalmos is a condition associated with the inability to close the eyelids effectively, with the main cause being facial nerve palsy. The authors aimed to investigate whether lagophthalmos was associated with coronavirus infection (COVID-19) by comparing patients diagnosed with lagophthalmos...
