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Transconjunctival eyelid weight insertion

5 April 2022 | | Oculoplastics, Orbit
This is a description of a new surgical technique to insert upper lid weights via a posterior, transconjunctival route. Following local anaesthetic, the upper lid was everted over a Desmarres retractor with a silk traction suture. A 5mm high central...

Augmented surgery for monocular elevation deficiency

1 June 2022 | | Paediatric Ophthalmology / Strabismus | Monocular elevation deficiency, lateral rectus transposition, posterior fixation suture, single horizontal muscle transposition
The outcomes are described for augmented lateral rectus superior transposition in cases of acquired monocular elevation deficiency (MED) associated with large hypotropia in primary gaze. The lateral rectus was transposed superiorly and reinserted on sclera between the temporal margin of...

Surgical technique for small-angle hypertropia

3 October 2022 | | Paediatric Ophthalmology / Strabismus | Diplopia, inferior oblique muscle belly transposition with myopexy, mild-to-moderate upshoot in adduction, small angle hypertropia
In order to treat small-angle hypertropia of <5PF associated with mild / moderate upshoot in adduction, an option is to suture the inferior oblique (IO) belly to the sclera following its natural muscle direction or with anterior transposition. This study...

Outcomes of unilateral surgery for bilateral asymmetric DVD

3 February 2023 | | Paediatric Ophthalmology / Strabismus
The purpose of this study was to analyse the outcomes and complications observed in a cohort of patients with unilateral superior rectus recession in bilateral asymmetric dissociative vertical deviation (DVD) with strong preferential fixation. This was a retrospective review of...

Management of strabismus due to orbital wall fractures

3 April 2023 | | Paediatric Ophthalmology / Strabismus
The authors present a retrospective single centre review of patients with strabismus due to orbital wall fractures with regard to their clinical presentation and outcomes. The study included 347 patients; 87% male and mean age of 32.42 ±12.9 years. Ten...

Measuring cyclotorsion

1 August 2017 | | Paediatric Ophthalmology / Strabismus | Cyclotorsion, KMScreen, repeatability, single Maddox rod, synoptophore
The aim of this study was to investigate if different methods of measuring cyclotorsion (synoptophore, KM screen test and single Maddox rod test) produce the same results and if these values are repeatable in adult patients. For the synoptophore, the...

IO surgery

1 June 2015 | | Paediatric Ophthalmology / Strabismus
The purpose of this paper was to evaluate the efficacy of a new surgical technique in reducing inferior oblique muscle overaction (IOOA) consisting of suturing the muscle to the sclera at the Gobin point with tendon sparing and using a...

Surgical success rates in abducens palsy management

1 April 2015 | | Neuro-Ophthalmology | Adjustable suture, cranial nerve palsy, hummelsheim, paralytic strabismus, sixth nerve palsy
The aim of the study was to identify factors associated with surgical outcomes in isolated abducens palsy. To achieve this goal the authors reviewed the records of adult patients with abducens palsy who underwent strabismus procedures during a fourteen year...

Superior oblique posterior tenotomy for orbital fracture strabismus

1 December 2013 | | Paediatric Ophthalmology / Strabismus
The use of superior oblique posterior tenotomy (SOPT) is reported as a primary procedure in five patients with orbital blowout fractures. The mean follow-up was 15.2 months (6-20). Two patients required further surgery because of a larger vertical deviation. SOPT...

Welcome back to the Association of Ophthalmic Nurses and Technicians

29 August 2023 | AONT, Ophthalmic nursing, nurses, event, glaucoma, Alnahwrawy
The Association of Ophthalmic Nurses and Technicians (AONT) is an independent professional network for ophthalmic nurses and technicians created with a vision to support and enhance care through greater awareness of new roles, resources, and education.

Intraocular lens technology to deliver enhanced optical performance after cataract refractive surgery

1 February 2017 | | Cataract and Refractive
Modern cataract surgery aims to provide patients with the best possible visual outcome with the least dependence on spectacles and minimal or no complications and to treat both cataract and refractive errors with a single procedure. Phacoemulsification is the standard...

Cutting-edge practice in glaucoma care: what, how and why?

1 April 2016 | | Glaucoma
More effective treatments and drug delivery modalities, implantable minimally invasive glaucoma surgical (MIGS) devices, as well as accelerating clinical research programmes, will transform the surgical and clinical management of glaucoma in the near future. There is also an ever-greater emphasis...