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Flashes and floaters in community optometry – diagnosing a posterior vitreous detachment

Managing patients who attend a practice with symptoms of flashes and floaters is a regular occurrence in community optometric practice. It’s often very distressing for patients; symptoms can be quite dramatic and an internet search can indicate imminent blindness from...

The interpretation and use of ultrasound biomicroscopy (part 1)

Ultrasound Biomicroscopy (UBM) has become increasingly important for the diagnosis of a variety of anterior segment pathologies. Most ophthalmologists are familiar with conventional B-scan ultrasonography techniques, which operate at lower sound frequencies (7.5 to 20MHz). UBM is an ultrasound technique...

Ultra-widefield fundus autofluorescence

The authors assessed the ease and utility of ultra-widefield fundus autofluorescence (UWF-FAF) in detecting suspected inherited retinal disease in children who were difficult to examine. They aimed to assess the sensitivity of UWF-FAF and UWF-CF (colour fundus) photography and clinical...

Long-term follow-up of OPGs in neurofibromatosis type 1

This retrospective observational case series reports outcomes of children followed-up for at least 10 years with optic pathway glioma (OPGs) related to neurofibromatosis type 1 (NF1) between January 1985 and July 2007. They observed 45 children for a mean of...

Eyelid position assessment using mobile phone photography and simple measurement tool in children

Inspired by the difficulty to obtain the gold-standard measurement of eyelid position in children, the authors present a proof-of-concept study of a simple measurement tool paired with digital photography. Patients and their siblings between the ages of one-year to 21-years-old,...

Speculum use increases IOP in newborn measurements

The authors aimed to investigate the effect on using an eyelid speculum (Barraquer wire eyelid speculum) on IOP measurement in newborns with a mean age of 37 weeks under topical anesthesia. Mean gestational age at birth and mean post-conceptual age...

Natural history of idiopathic intracranial hypertension depending on incidental or symptomatic presentation

The authors present a large retrospective review cohort of consecutive patients diagnosed or presumed idiopathic intracranial hypertension (IIH) over a three-year period at a single tertiary centre. Patients on medication with a known aetiology for IIH were excluded. The cohort...

Malpractice from telephone triage in ophthalmology

The authors examined malpractice lawsuits related to ophthalmology telemedicine telephone triage in the US. The study reviewed a total of 510 lawsuits and identified 18 cases that involved synchronous telephone visits, while none involved video telecommunication. The study found that...

CMV assessment

This is a retrospective, cross-sectional review of medical records from a consecutive series of patients with AIDS-related cytomegalovirus (CMV) retinitis who were examined at five HIV disease clinics in Yangon, Myanmar, in November 2006. All patients with CD4+ T lymphocytes...

An atypical presentation of Vogt-Koyanagi-Harada Disease

The authors present a single case of atypical presentation of Vogt-Koyanagi-Harada disease. A 42-year-old female presented with unilateral visual loss associated with systemic symptoms of fever and headache. Initial ophthalmic examination revealed a unilateral neuroretinitis, however, investigations for infectious and...

Screening to detect high hyperopia

The purpose of this study was to compare the effectiveness of the plus lens test versus the Spot vision screener. This was a prospective study and 109 children aged two to 12 years (62% female) underwent both assessments followed by...

Comparison of visual fields between migraine and tension type headaches

The aim of the study was to compare the clinical features and visual fields of patients with migraine without aura and tension type headache. Visual fields were assessed whilst the patients were having an attack of pain and tested using...