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Inner nuclear layer of the retina showing increase in thickness in diabetic macular oedema

1 October 2015 | | Retina / Uvea / Vitreous
Diabetic retinopathy is one of the leading causes of blindness in the developed world. With optical coherence tomography (OCT), it has become possible to image the retina in vivo and to measure retinal oedema by measuring retinal thickness (RT) with...

Acute uveitis from late migration of soft lens matter 10 years post cataract surgery

3 June 2021 | | Ophthalmology, Cataract and Refractive, Imaging
A 58-year-old Caucasian male presented to the emergency eye clinic with a two-day history of a painful, red left eye and blurred vision. His past ocular history included uncomplicated left phacoemulsification cataract surgery in 2010 and left retinal detachment repair...

Ocular manifestations of multiple sclerosis: an overview

1 December 2022 | | Ophthalmology, Genetics
Multiple sclerosis (MS) is an autoimmune demyelinating disease of the central nervous system (CNS), in which there is dissemination of lesions in time (two or more clinical events) and space (multiple lesions seen on brain and spinal imaging). The pathophysiology...
Ophthalmologica journal cover image.

Insights in resistant diabetic macular oedema

5 August 2022 | | Retina / Uvea / Vitreous
This article gives a bird’s eye review of the different modalities for the treatment of diabetic macular oedema (DME). The debut of anti-VEGFs has brought a paradigm shift in DME management. This treatment has now become a major breakthrough in...

DRIL after macular oedema treatment in BRVO

1 June 2019 | | Retina / Uvea / Vitreous | Anti-vascular endothelial growth factor treatment, Branch retinal vein occlusion, Disorganization of the retinal inner layer, Spectral-domain optical coherence tomography, Visual acuity
The authors report the analysis of a single-site, retrospective, cross-sectional study to evaluate the association between disorganisation of the retinal inner layers (DRIL) and visual acuity (VA) after anti-VEGF treatment for macular oedema (MO) due to branch retinal vein occlusion...

Retinal morphology after PASCAL PRP treatment

1 August 2014 | | Retina / Uvea / Vitreous
The authors of this prospective cohort study set out to report the changes on Spectral Domain-OCT of PASCAL panretinal laser photocoagulation (PRP) treatment for proliferative diabetic retinopathy (PDR) or severe nonproliferative DR (NPDR) and the retinal morphology, from one hour...

Usefulness of gonioscopy to investigate cause of corneal oedema after cataract surgery

1 December 2021 | | Ophthalmology, Cornea / External Eye Disease
A 72-year-old man with ocular hypertension presented three months after routine right phacoemulsification and toric intraocular lens (IOL) implantation with a two-week history of an irritated right eye and a sudden deterioration in right vision. His preoperative spherical equivalence was...

On the wrong track

1 June 2015 | | Cataract and Refractive, Imaging, Ophthalmology, Retina / Uvea / Vitreous
A 65-year-old very high myope lady presented with sudden blurred vision down to count fingers to her right eye after a short and sharp pain. She also described seeing a black swirly line and as all these symptoms were exactly...

Dec/Jan 2019 Quiz

1 December 2018 | AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
History A 72-year-old male presented to his GP with a large ulcerated lesion on his right lower eyelid present for six months and enlarging in size. He had an urgent referral to a tertiary centre for specialised examination. The lesion...

Understanding vasoproliferative retinal tumours

4 February 2021 | | Ophthalmology, Retina / Uvea / Vitreous
Syed Irtiza Ali Shah explores this rare and unusual condition through a fascinating case presentation. Vasoproliferative tumours of the retina (VPTR) are a vascular mass with an associated exudative retinopathy alongside the presence of minimally dilated feeder vessels. This is...

The role of virtual Rb-NET Multidisciplinary Team meetings in the management of children with retinoblastoma in low- and middle-income countries

6 April 2021 | | Ophthalmology, Ocular Pathology and Oncology, Orbit
A selection of participants in an MDT meeting with Uganda. In 2017 the LINKS Programme developed a new network of LINKS to support and coordinate action against retinoblastoma (Rb) in response to requests from low- and middle-income countries (LMICs), called...

Caring for adults with an ocular tumour

1 December 2015 | | Retina / Uvea / Vitreous
Detection If you screen for an intraocular tumour, dilate the pupil. If the patient is driving, use phenylephrine only. If the patient declines, document this in the casenotes. Don’t forget to look for sentinel vessels, which would indicate a ciliary...