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An anterior segment lump: a diagnostic and treatment challenge

2 February 2024 | | Ocular Pathology and Oncology
Case presentation A 50-year-old female presented to eye casualty with a lump on the left medial lower eyelid with associated redness and occasional bleeding. The lump was present for a few months with recent enlargement (Figure 1). Her past medical...

Increasing access to eye care through community outreach clinics in Uganda

1 June 2019 | | Ophthalmology, Retina / Uvea / Vitreous, Imaging, Glaucoma
There has been a VISION 2020 LINK between Mulago Hospital and Makerere University in Kampala, Uganda and the Royal Free Hospital, London, since 2010. There have been regular training visits between teams from the eye departments at Mulago and the...

Lessons from an unusual case of syphilis

3 August 2023 | | Retina / Uvea / Vitreous
The rise of syphilis transmission rates over the past two decades has been one of public health’s great puzzles. In the UK, the situation has reached epidemic levels, with a 126% increase between 2013 and 2018 [1]. We present a...

Sclerochoroidal calcification masquerading as ocular malignancy

5 April 2022 | | Ophthalmology, Retina / Uvea / Vitreous
Case 1 A 68-year-old Caucasian gentleman was urgently referred to eye casualty by his optometrist after seeing an unusual incidental finding of protruding lesions from the retina, suspecting choroidal melanoma. He was asymptomatic and this was his first eye test...

Neurofibromatosis type 2 – diagnosis, features and MDT approach

1 December 2021 | | Ophthalmology, Orbit, Retina / Uvea / Vitreous, Cataract and Refractive
NF2 is a genetic condition caused by mutation in a single gene (NF2 gene) on chromosome 22. The NF2 gene provides instructions to produce a protein called merlin, also known as schwannomin. This protein functions as a tumour suppressor, preventing...

Aug/Sep 2014 Quiz 2

1 August 2014 | | 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 27-year-old man presented to the emergency department with blurred vision and central scotoma in the right eye (RE) over the previous weeks. He had no relevant medical history and he was not on any current medication. However, he...

A glossary

5 October 2020 | | Ophthalmology, Optometry
After a week on call grading what feels like 13 billion referrals I decided it might be useful to come up with a glossary that might help other people in some way to decipher the true meaning behind every repetitive...

My Top Five Ophthalmology YouTube channels

1 February 2022 | | Ophthalmology
In the digital age, medical education is being rapidly updated and transformed with the integration of modern technology. Many enthusiastic educators and learners are exploring novel platforms and formats of medical education. Additionally, there has been an increasing need for...

Sustainability in eyecare: Aravind Eye Hospital’s low carbon eyecare system

4 August 2021 | | Ophthalmology, Optometry, Cataract and Refractive
The field of healthcare has a substantial impact on the environment as it is responsible for 5-10% of greenhouse gas emissions and 9% of air pollutant generation [1]. Surgery is associated with the rapid consumption of single-use products and waste...

A complicated case of cytomegalovirus viremia: “What would you do doctor?”

1 February 2016 | | Retina / Uvea / Vitreous
Mrs W walked gracefully into my urgent care clinic. It was another busy session and I hoped she did not have anything serious going on which might slow the clinic further. She was an elegant 72-year-old lady who seemed like...

Pharmacopoeia of the Royal Infirmary of Edinburgh

4 February 2021 | | Ophthalmology
The compact volume depicted in Figure 1 bears the simple title Pharmacopoeia. The book originally belonged to the author’s father, the late John King. A pharmacist by profession, John King maintained a keen interest in matters pertaining to pharmaceutical history....

Birdshot chorioretinopathy: an important differential

1 April 2015 | | 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
Birdshot chorioretinopathy (BSCR) is a relatively uncommon cause of posterior uveitis which often has a relapsing and remitting course [1,2]. We present a case which demonstrates how remission can be obtained for several years using cyclosporine. Case report A 44-year-old...