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Case Reports

OCT colour coding showing retinal thinning in the inferior aspect of the retina giving a corresponding superior visual field defect.

Microcatheter in the vertebral artery as a cause of branched retinal artery occlusion?

4 August 2021 | Rathin Pujari, Chuanyu Gao, Mohammed Haque | EYE - Vitreo-Retinal, EYE - Imaging, EYE - General

A 19-year-old male presented to eye casualty with a seven-day history of a ‘blurred patch’ in the left eye. The patient denied any other visual symptoms including flashes or floaters and there had been no change in visual symptoms in...

Image depicting how after capsulotomy, the central optic zone is released (blue arrow).

Refractive surprise after cataract surgery caused by posterior capsular striae

3 June 2021 | Lorna Leandro, David Martiano | EYE - Cataract, EYE - Refractive, EYE - Imaging, EYE - General

Cataract removal with intraocular lens (IOL) implantation is one of the most frequently performed surgeries in current clinical practice [1,2]. New microsurgical techniques and refined IOL power calculations allow excellent refractive outcomes. Refractive surprise following cataract surgery is uncommon [1-3]...

Imaging showing focal corneal oedema and acute uveitis with a clump of retained lens matter.

Acute uveitis from late migration of soft lens matter 10 years post cataract surgery

3 June 2021 | Yusuf Mushtaq, Tejal Patel, Madhavan S Rajan | EYE - Cataract, EYE - Refractive, EYE - Imaging, EYE - General

A 58-year-old Caucasian male presented to the emergency eye clinic with a two-day history of a painful, red left eye and blurred vision. His past ocular history included uncomplicated left phacoemulsification cataract surgery in 2010 and left retinal detachment repair...

Optical coherence tomography scans of the right eye (OD) and the left eye (OS)

Lockdown and eye health – a case of accommodative spasm

6 April 2021 | Dalia Abdulhussein | EYE - Orbit, EYE - Imaging, EYE - General

A 25-year-old male presented to the eye casualty with a one-day history of sudden onset worsening vision. More specifically, he noted his vision was more blurred than usual and this was more exaggerated for near-work than for distance-work. He was...

MRI head showing right occipital lesion infarct that produced the left inferior homonymous quadrantopia with Online Exclusive stamp

Is this a retinal detachment?

1 April 2021 | Rathin Pujari, Mohammed Haque | EYE - Vitreo-Retinal, EYE - Neuro-ophthalmology, EYE - General

Despite the help of allied health professionals in triaging and managing acute ophthalmic emergencies, eye casualty remains overburdened. Trainees at the beginning of their training often struggle to manage such busy clinics with varied presentations. We present a case that...

Photograph of a patient having his IOP checked with the Goldmann applanation tonometry technique.

Applanation tonometry in the pandemic era: Are facial masks an obstacle to a correct intraocular pressure measurement?

6 January 2021 | Karishma Parmar, Chung Shen Chean, Tristan McMullan | EYE - Glaucoma, EYE - General

Current recommendations in the UK advise on wearing any facial covering to prevent the spread of the coronavirus [1]. Whilst this is vital for patient and hospital staff safety, it has led to several changes in the approach to a...

Photoessay photo 2

Anaesthetic drops abuse

5 October 2020 | Asaf Achiron, Arie L Marcovich | EYE - Cornea, EYE - General

A 67-year-old retired female nurse presented with persistent, bilateral, non-healing (>6 weeks) corneal ulcers and stromal ring infiltrates (Figures 1 and 2). The epithelial defects were the result of chemical burns caused by her contact lenses which had been stored...

Normal hue of MMC photo

Trabeculectomy with erroneous Mitomycin-C concentration – a near miss

1 April 2020 | Shaheryar Ahmed Khan | EYE - Glaucoma, EYE - General

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...

A step-by-step approach to the diagnosis and management of Sands of Sahara Syndrome

1 October 2018 | Hani Hasan, Guy Smith | EYE - Cornea, EYE - Cataract, EYE - Refractive, EYE - General

Sands of Sahara syndrome (diffuse lamellar keratitis) is a rare postoperative complication of Laser in situ keratomileusis (LASIK). Its estimated prevalence is reported to be 2-4% among LASIK cases [1], despite that, it is more likely to be encountered by...

Chronic dacryocystitis?

1 February 2018 | Michael E Grinton, Kristhnamoorthy Narayanan | EYE - General

Lacrimal drainage system tumours are rare and lymphomas account for less than 10% of these tumours [1]. Most patients presenting with lymphoma infiltration of the lacrimal drainage system have a history of previously diagnosed lymphoma elsewhere. We report a case...

An unusual case of silicone oil in the anterior chamber simulating intraocular implant

1 October 2016 | S Shanmugalingam | EYE - Cataract, EYE - Refractive, EYE - General

Silicone oil internal tamponade has been used for over 50 years, even prior to pars plana vitrectomy [1].Over a course of time silicone oil may migrate to the anterior chamber through the pupil. This may disperse in the form of...

Fundus photography in Malawi – setting up a screening programmefor diabetic retinopathy

1 August 2016 | Frederick Burgess, Joseph Msosa, Caroline Styles | EYE - Cataract, EYE - Cornea, EYE - General, EYE - Glaucoma, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - Oculoplastic, EYE - Oncology, EYE - Orbit, EYE - Paediatrics, EYE - Pathology, EYE - Refractive, EYE - Strabismus, EYE - Vitreo-Retinal

We present the case of a 53-year-old lady who presented to the diabetes outpatient clinic at Kamuzu Central Hospital (KCH), Lilongwe, Malawi. She was diagnosed with type 2 diabetes mellitus six years ago, for which she takes metformin orally. She...

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