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

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...

Print refresh for leading optical journal, Optometry Today

Optometry Today (OT) rolls out its first full print refresh since 2015, launching in the August/September edition.

Surgery for myopic strabismus

The outcomes are reported of muscle belly union technique with medial rectus recession for cases with restriction according to the results of intraoperative forced duction testing (FDT). Surgery involved isolation of the lateral and superior recti muscles, which were separated,...

Delayed improvement in Muller’s muscle ptosis surgery

This is a retrospective review of patients undergoing ptosis surgery. The authors had noticed anecdotally that although a posterior approach Muller’s muscle and conjunctival resection (MMCR) appeared to achieve similar results to an anterior approach levator resection (ALR) in the...

Inferior oblique adherence syndrome

A case is reported of a 14-year-old with inferior oblique muscle adherence and fat adherence following unilateral inferior oblique (IO) anteriorisation. Following surgery, the patient developed consecutive esotropia, ptosis and marked limitation of laevoelevation. Forced duction test was positive for...

Brown’s syndrome surgery

Complications of surgery for Brown syndrome include under correction, extrusion of expanders and training for surgery. The authors introduced a procedure with minimal side-effects, accompanied by the application of the native tendon for superior oblique elongation. This was a prospective...

OCTA and pigment epithelium detachments

Yannuzzi et al. report on their study aiming to evaluate the ability of optical coherence tomography angiography (OCTA) to differentiate vascularised from nonvascularised pigment epithelium detachments (PEDs) using conventional imaging techniques, including fundus fluorescein angiography (FFA) and indocyanine green (ICG),...

Eye movements in children with strabismus +/- amblyopia

The aim of this study was to detect eye movement recording abnormalities using different paradigms in children with strabismus in the absence or presence of amblyopia and compare these findings with age-matched children without strabismus. One hundred children were recruited...

Medial rectus spontaneous reattachment after surgery

The authors report necropsy findings following free tenotomy of the medial rectus (MR) muscle in six postnatal monkeys. Bilateral MR tenotomy was performed producing alternating exotropia of 30-70 degrees with no adduction beyond primary position. Over follow-up, all showed reduction...

Augmented surgery for monocular elevation deficiency

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...

Eye drop prescription and usage in glaucoma patients

The authors describe a study using a questionnaire to determine how patients use their glaucoma medications to investigate the association between patterns of eye drop prescriptions and medication use. They enrolled 67 Japanese patients who had been prescribed topical anti-glaucoma...

Learnings and trends in the management of open-angle and angle-closure glaucoma

To be truly disruptive, newer technologies need to offer a quality of life benefit over medication to a broad population of glaucoma sufferers. Evidence and converging trends in medical and surgical management of glaucoma were explored in counterpoint discussions and...