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Customised orbital implants

3 February 2023 | | Oculoplastics, Orbit
This is a literature review of the outcomes of orbital fracture repairs using custom-made orbital implants. Customised implants were manufactured in one of three ways, all using a 3D printer; manual moulding of an implant based on a 3D-printed model...

Usefulness of gonioscopy to investigate cause of corneal oedema after cataract surgery

1 December 2021 | | Ophthalmology, Cornea / External Eye Disease
A 72-year-old man with ocular hypertension presented three months after routine right phacoemulsification and toric intraocular lens (IOL) implantation with a two-week history of an irritated right eye and a sudden deterioration in right vision. His preoperative spherical equivalence was...

Macular holes: A brief review

1 August 2017 | | Retina / Uvea / Vitreous
The classification of macular holes has been modernised by OCT findings. This is a brief review and encompasses the historical literature on macular holes. A macular hole is an anatomical discontinuation of the neurosensory retina at the centre of the...

Blinking blepharitis has a lot to answer for…

1 October 2015 | | Cornea / External Eye Disease
Never ignore the small things’…someone once said. There is no doubt blepharitis is one of the most common eye conditions encountered daily, but with the typical pressures of a busy outpatient department, the management of more obvious, sight-threatening conditions necessarily...

Retinal prosthetics: science fiction or a vision for the future?

2 December 2019 | | Retina / Uvea / Vitreous, Ophthalmology
“Is it a fact – or have I dreamt it – that, by means of electricity, the world of matter has become a great nerve, vibrating thousands of miles in a breathless point of time?” – Nathaniel Hawthorne, The House...

Old dogs

3 April 2023 |
It is always nice to get a thank you card, especially so when it comes from someone at the tail end of an overbooked clinic who had waited patiently well past their appointed slot. Such was the case when I...

The results of the last survey Oct 2019

2 December 2019 | | Ophthalmology, Cataract and Refractive
Another fascinating response which once more highlights the massive variation in practice. I completely acknowledge that ophthalmology is an art as well as a science and therefore there will be variances in practice and there will not be one ‘right’...

Fusarium keratitis in a patient with alcohol dependence

1 April 2014 | | Cornea / External Eye Disease, Emergency Ophthalmology, Imaging, Ophthalmology
Treatment of fungal keratitis secondary to the Fusarium species remains a challenge. Although relatively more common in warmer climates, this corneal infection is rare in the UK. Most cases have been reported in farmers and are often preceded by trauma....

Keep calm and cut the carbon – improving sustainability in ophthalmology

7 December 2020 | | Ophthalmology, Optometry
As I dump my tenth pair of gloves into a non-recyclable clinical waste bin; dispose of another handful of plastic minims; or print another wad of single-sided discharge paperwork after a cataract surgery, the inconvenient truth of how these seemingly...

Decoding the red eye

15 February 2021 | | AMD, Cataract and Refractive, Cornea / External Eye Disease, COVID-19, Emergency Ophthalmology, Glaucoma, Genetics, Imaging, Neuro-Ophthalmology, Ocular Pathology and Oncology, Oculoplastics, Optometry, Ophthalmology, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous, ONLINE EXCLUSIVE ARTICLES
Red eye, or hyperaemia, is one of the most common presentations to primary care [1] and the emergency department [2]. However, despite this the underlying cause is often misdiagnosed which can lead to severe, sight-threatening conditions being missed [1]. Thorough...

Setting up successful safe & efficient nurse-led intravitreal injection service

28 January 2020 | | Ophthalmology, Retina / Uvea / Vitreous, ONLINE EXCLUSIVE ARTICLES
In September 2019, we organised a training course at Great Western NHS Hospital (GWH), Swindon, which provided presentations, discussions and hands-on wet lab experience on how to perform intravitreal injection using intravitreal assisted device (INVITRIA) for nurses and doctors from...

Just sign here: the intricacies of consent in the post-Montgomery era

1 February 2018 | Ophthalmology
The consent process is a vital part of the patient pathway and is far more than just getting the patient to sign on the dotted line. In my work in litigation I often see issues around informed consent resulting in...