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Management of high AC/A esotropia

1 June 2014 | | Paediatric Ophthalmology / Strabismus
The purpose of this study was to determine the long-term effect of treating high accommodative convergence to accommodation (AC/A) esotropia with single vision lenses (SVL) compared with the effectiveness of using SVL on patients with basic refractive esotropia and a...
Orbit journal cover

Intermittent manual compression for CCF

10 May 2024 | | Oculoplastics, Orbit
Carotid cavernous fistulae (CCF) can be classified as high and low-flow or as having direct and indirect communication. Most commonly, management of high-flow CCF is with endovascular embolisation. The authors look at an alternative treatment for CCF in indirect low-flow...

Features, treatment and prevention of conjunctival inclusion cysts

10 May 2024 | | Paediatric Ophthalmology / Strabismus
Conjunctival inclusion cyst is a rare complication of strabismus surgery and generally develops at the point of muscle reattachment, caused by implantation of conjunctival epithelium. The authors aimed to determine the rate of its development after strabismus surgery and consider...

A relationship between central serous retinopathy and obstructive sleep apnoea

1 April 2014 | | Retina / Uvea / Vitreous, Ophthalmology
This prospective study aimed to evaluate a relationship between central serous retinopathy (CSR) and obstructive sleep apnoea (OSA). Twenty-three subjects (six female and 17 male) were diagnosed with CSR and overnight polysonography was performed to record desaturation and apnoeic episodes....

Chronic drop use and trabeculectomy on tear osmolarity

1 February 2014 | | Glaucoma | human, dry eye, glaucoma, trabeculectomy, tear osmolarity
Ocular surface disease (OSD) is common in patients chronically treated for glaucoma. This may be related to the drug itself but often to the preservatives in the medication. Much work has been done on the most common preservative, benzalkonium chloride...

The bionic eye – behind the headlines

1 October 2016 | | Oculoplastics, Orbit
Multiple visual prosthetic projects and other vision regeneration initiatives being tested in preclinical and clinical development worldwide illustrate continuing progress and opportunities in addressing profound blindness from hereditary retinal diseases and other causes (Table 1). Three implantable bionic vision systems...

Phaco nightmares

1 October 2018 | | Cataract and Refractive, Ophthalmology
I am interested in the stressful nature of cataract surgery from the surgeon rather than the patient’s perspective. It is an issue that has quite literally kept me awake at night. Part of getting to grips with a problem is...

Surgical strategies to manage incomitant strabismus in adults

5 April 2022 | | Ophthalmology, Paediatric Ophthalmology / Strabismus
Incomitant vertical and / or horizontal strabismus is a challenging presentation. Patients are usually symptomatic as the onset is either sudden so they haven’t developed any coping mechanisms or very complex so that any coping mechanisms will not cover all...

“We try our best”, but we should still be open and transparent

1 February 2018 | | Ophthalmology
In a recent discussion with colleagues, someone recognised that many, when asked what they do, say, “I am a doctor”. Rather than “I work as a doctor”. This sense of belonging, pride and duty comes with responsibility. Becoming a surgeon,...

Safety and efficacy of a nurse-led intravitreal injection service using an Precivia® injection assist device

1 December 2021 | | Optometry, Retina / Uvea / Vitreous
Nurse-led intravitreal injections have become of great importance for busy eye units. In this article, the authors present safety data from five years of a nurse-led service with the use of the Precivia® intravitreal injection assist device. Intravitreal injections of...

Learning from litigation: ocular drug toxicity

3 August 2023 | | Ophthalmology
Being the subject of litigation is stressful and upsetting. Having to look back over your previous decisions and justify the care you delivered in good faith can be difficult. Sadly, we all live with the sword of Damocles above us...

Telemedicine strategies in ophthalmology: harnessing established and emerging technologies for lasting solutions

7 December 2020 | | Ophthalmology, Retina / Uvea / Vitreous, Imaging, Oculoplastics
The author considers recent progress and shares insights from leading practitioners in telemedicine applications and digital technology strategies. Amidst COVID-19 and combined mitigation and suppression measures, hospitals and clinics have responded rapidly to strengthen telemedicine strategies and virtual healthcare services...