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Case Reports

Image of left transnasal endoscopic view showing the airgun pellet located in the orbital apex.

Trans-sinus endoscopic removal of retrobulbar air gun pellet within the orbital apex

2 August 2022 | Muzammil A Nahaboo Solim, Mike McKenna, Gar-Yun Wong, Sreekumari Pushpoth, David EJ Whitehead | EYE - Orbit, EYE - General

Injuries to the eye have been widely reported in medical literature due to a variety of mechanisms causing significant morbidity and occasional unexpected mortality for the patient [1]. It is often wrongly assumed that air gun pellets lack this potential....

Image showing intralesional TA deposits on upper lid.

Triamcinolone (TA) deposits following subcutaneous injection to treat chalazion

2 August 2022 | Muhammad Adil Seelarbokus, Edward Foo, Jennifer HY Tan | EYE - Oculoplastic, EYE - General

Chalazia are chronic lipogranulomatous inflammations of the eyelid secondary to a blocked meibomian gland. Whilst most resolve spontaneously, certain chalazia warrant treatment. Options include incision and curettage (I&C), lesion excision, intralesional steroid injections, and botox injections [1]. I&C is usually...

Image of an eye

Birdshot retinochoroiditis

1 June 2022 | Sivani Inparaj, llaria Testi, Peter Addison | EYE - Vitreo-Retinal, EYE - General

Birdshot retinochoroiditis (BRC) is a chronic, sight-threatening uveitis, most commonly affecting caucasian individuals in their fourth to sixth decades [1]. The disease is associated with HLA-29 and is characterised by progressive inflammation at the level of retina and choroid, with...

Acute oculogyric crisis. Image used with patient consent.

Oculogyric crisis with B12 deficiency

1 June 2022 | Jack Henderson, Colm McCarthy | EYE - Neuro-ophthalmology, EYE - Imaging, EYE - General

An oculogyric crisis (OGC) is a dystonic movement disorder of the eyes which can last from seconds to hours. Although there is no published diagnostic criteria for OGC, typically the onset is acute, and it is characterised by conjugate upward...

Miller Fisher Syndrome article photo.

A case of Miller Fisher Syndrome and bilateral asymmetric globe retraction

1 February 2022 | Anna Gkountelia, Shabnam Khan | EYE - Neuro-ophthalmology, EYE - General

Miller Fisher syndrome (MFS) is a rare, acquired nerve disease that is considered to be a variant of Guillain-Barré syndrome. It was first recognised by James Collier in 1932 as a clinical triad of ataxia, areflexia and ophthalmoplegia. Later, it...

Graphics showing lens fragment seen through gonioscopy lens, pachymetry reveals corneal oedema greatest inferiorly, and lens fragment seen on ultrasound scan.

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

1 December 2021 | Jack Bradbury, Corrado Gizzi, Anant Sharma | EYE - Cornea, EYE - General

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...

Global health and conflict: the unseen consequences

27 October 2021 | Priyancaa Jeyabaladevan | EYE - Orbit, EYE - General

Global eye health inequalities stem from poor access to affordable care, causing preventative vision impairment and blindness. In 2020, a study showed that 510 million people, the majority being in low-income and middle-income countries, had uncorrected near vision impairment simply...

A rare neonatal presentation of bilateral dacryocele and choanal atresia

27 October 2021 | Gagandeep Sachdeva, Kevin Thomas, Rehan Rajput, Mat Daniel, Katya Tambe | EYE - Oculoplastic, EYE - General

Following a routine pregnancy, a newly delivered baby boy, born at term, was found to have increased work of breathing, stridor and a left medial canthal swelling. The baby required 100% oxygen via a face mask to maintain oxygen saturations....

CT Thorax showing bilateral hilar lymphadenopathy.

An unusual presentation of sarcoidosis

1 October 2021 | Yusuf Mushtaq, Asil Ibrahim, Mala Subash | EYE - Vitreo-Retinal, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - General

*Equally contributing co-first authors. Case report A 45-year-old man presented to his local optometrist with a three-week history of severe intermittent left eye pain with associated blurred vision and tenderness around his left temple. Two days prior, he developed weakness...

OCT images of right eye (A) and left eye (B) taken at 31 weeks gestation,  and repeat OCT images of right eye (C) and left eye (D) taken at six weeks postpartum.

Diabetes macular oedema in pregnancy self-resolving postpartum

1 October 2021 | Rajesh Deshmukh, Antony Raharja, Li Teng Kok | EYE - Vitreo-Retinal, EYE - Imaging, EYE - General

*Equally contributing co-first authors. Diabetic macular oedema (DMO) is a common clinical presentation to ophthalmology clinics. Ample evidence exists for management of DMO in non-pregnant patients. However, there is a paucity of evidence on the optimal management of DMO in...

Painting pre- and post-injection image.

Macular imagery: observing the visual sensations pre- and post-Jetrea injections

25 September 2021 | Marika Troiani, Manoj Kulshrestha, Gayathri Sreekanth | EYE - Vitreo-Retinal, EYE - General

A 63-year-old woman, a professional painter, was diagnosed with vitreomacular traction (VMT) in 2017. She had a history of metamorphopsia, drop in visual acuity (VA) in the left eye (6/6 in the RE; 6/18 in the LE), foveal vitreomacular traction...

Photo showing haptic-like transillumination defect of the nasal iris.

Iris chafing from displaced single-piece acrylic IOL

4 August 2021 | Joseph W Fong, Jeffrey L Yee, Velimir Petrovic | EYE - Cataract, EYE - Refractive, EYE - Imaging, EYE - General

A 74-year-old man had persistent 3+ cell one month following left eye cataract extraction, complicated by anterior capsular rent and zonular dialysis at 7 o’clock, with single-piece acrylic intraocular lens implantation (IOL) in the capsular bag. Figure 1: Haptic-like transillumination...

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