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Top Tips

Gonococcal conjunctivitis in the left eye photo

Sexually transmitted conjunctivitis – the REALLY sticky eye

5 October 2020 | George Berrett | EYE - Cornea, EYE - General

Let’s face it, patients with conjunctivitis don’t always produce the most stimulating consultations and most of the time we can manage them in auto-pilot. The prospect of delving into such a patient’s sexual history is not overly appealing, but this...

Ophthalmology in the COVID-19 pandemic

5 June 2020 | Ali Yagan | EYE - Neuro-ophthalmology, EYE - General

The novel coronavirus pandemic has affected the whole world and forced all of us to think of new ways to manage our day to day personal as well as professional life. I am not going to talk about the clinical...

Top Tips  - fourth nerve palsy diagram

Making sense of the orthoptic assessment

1 April 2020 | Joe Smith | EYE - Cataract

Following the Specialty Trainee article on this topic in the February/March 2020 issue, Joe Smith provides a more detailed breakdown of the orthoptic report. Orthoptists investigate, diagnose and manage a wide variety of patients with varying problems. In this article,...

Top Tips illustration

Management of squint with near-distance angle disparity

5 February 2020 | Haya Razzouk | EYE - Cataract, EYE - Refractive, EYE - General

These are a group of strabismus disorders where the angle of misalignment is different between near and distance. The focus of this article will be on the patients where the angle for near exceeds the distance angle by more than...

Facts or fake news graphic link

Non-organic visual loss

2 December 2019 | Ali Yagan | EYE - Neuro-ophthalmology, EYE - General

Patients can present to eye departments with various signs and symptoms (mostly symptoms) with no obvious organic cause. These patients can be labelled with any of a wide range of diagnoses such as functional visual loss, functional overlay, psychosomatic reaction...

Cat stereogram and dot card

Conservative management of concomitant strabismus

1 October 2019 | Joe Smith | EYE - General

The aim of management for all patients with strabismus should centre around four goals: to prevent amblyopia, to alleviate symptoms, to restore binocular single vision (BSV) and to improve ocular alignment. The conservative management options available for strabismus include observation,...

Hess chart

Sixth nerve palsy versus decompensating distance esophoria

1 August 2019 | Martha Waters | EYE - Neuro-ophthalmology, EYE - General

Orthoptists see a wide range of conditions that can range from reduced binocular single vision (BSV) that may be solved with exercises, to more extreme neurogenic cases requiring further intervention. Because of this variety, it is important to be able...

Eyesi simulator

Cataract surgery supervision

1 June 2019 | Abha Gupta, Andrew Walkden | EYE - Cataract, EYE - Refractive, EYE - General

Senior trainees supervising other more junior trainees’ cataract surgery is a skill which needs to be taught and developed with care. It is beneficial for senior trainees as it provides an opportunity to develop supervision techniques prior to consultancy and...

Typical or surprisingly uncharacteristic presentations of neuro-ophthalmic emergencies

1 April 2019 | P Gupta | EYE - Neuro-ophthalmology, EYE - General

Irrespective of geographical location or patient cohort, emergency departments are high risk locations capable of inspiring extreme anxiety and dread in patients and doctors alike. The stress multiplies when a walk-in or referred case is suspected of underlying neurological pathology....

How to diagnose and treat Acanthamoeba keratitis

1 February 2019 | Jaya Chidambaram | EYE - Cornea, EYE - General

Corneal ulceration caused by Acanthamoeba is on the rise, and recent publications indicate an outbreak in the UK over the last few years [1]. Since Acanthamoeba keratitis often presents with atypical features, diagnosis from slit-lamp examination alone can often be...

Facts or fake news graphic link

Headaches in ophthalmology (part 2)

1 December 2018 | Ali Yagan | EYE - Neuro-ophthalmology, EYE - General

Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...

Facts or fake news graphic link

Headaches in ophthalmology (part 1)

1 October 2018 | Ali Yagan | EYE - Neuro-ophthalmology, EYE - General

Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...

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