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Trabeculectomy with erroneous Mitomycin-C concentration – a near miss
Trabeculectomy is the most commonly performed surgical procedure for glaucoma in the United Kingdom and worldwide. Modifications to the technique have been made since its introduction in 1963, perhaps the most significant being the adjunctive use of mitomycin-C (MMC), which...Medical Ophthalmological Society (MOSUK) Meeting 2024
by Nima Ghadiri, Medical Ophthalmology Consultant and Honorary Senior Clinical Lecturer, Liverpool. Diseases at the interface between ophthalmology and systemic medicine are like chameleons, masterful in their ability to adapt and often challenging to diagnose. These conditions don't always present...The fragile p-value
Abdus Samad Ansari explores the limitation of the p-value and the application of the fragility index in clinical trials. Clinical trials and tribulations? The restoration of vision or more purely the gift of sight is an aspect of care that...
Mediation of vertical vergence
The authors hypothesised that if vertical vergence were mediated by vertical rectus muscles, then the eye that moves during a vertical fusion task would produce larger vertical vergence when abducted versus adducted. Similarly, if mediated by the oblique muscles then...
A case study of posterior globe flattening in idiopathic intracranial hypertension
The authors present a single case of posterior globe flattening without papilloedema in idiopathic intracranial hypertension. The case was a 64-year-old woman with a one-year history of transient visual loss in her left eye only. Visual acuity was 20/20 in...
Orbital cellulitis outcomes for children
This paper discusses the clinical profile and multidisciplinary team (MDT) management outcomes in children treated for paediatric orbital cellulitis. This was a prospective study of 40 children with a mean age of 7.5 years (4-12). Unilateral orbital cellulitis cases had...
ROP screening criteria
This study aimed to describe a process of identifying birth weight and gestational age screening guidelines in Mongolia using telemedicine for retinopathy of prematurity (ROP) screening. This was a single centre prospective study collecting data from December 2016 to January...
Using MRI to assess normal variation in optic chiasm anatomy
The authors present an MRI study including 61 MRI scans using a 1.5 T with slice thickness of 1 or 5mm and the sequence showing the highest resolution of the chiasm. A predetermined set of measurements were taken in a...
ROPPVAL Syndrome as a differential diagnosis to optic neuritis
Optic neuritis (ON) is a common cause of visual loss in young patients. Patients with eye pain and ipsilateral visual loss are often referred into neuro-ophthalmology clinics with a possible diagnosis of ON. In 2018 Jefferis et al. reported a...
Hess vs. Harms vs. PCT measurements
This study aimed to compare the results of the different tests in 36 strabismus patients and 18 healthy controls aged 6-81 years. Tests included alternate prism cover test, Hess screen and Harms screen. Because of glasses restrictions with the Harms...
Case report review of children with septo-optic dysplasia and optic nerve hypoplasia
Septo-optic dysplasia (SOD) and optic nerve hypoplasia (ONH) cause congenital visual impairment. Their aetiology is mostly unknown. The authors aim was to investigate the prevalence of specified ophthalmological features in patients with these disorders. These features included impaired visual acuity,...
