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Top Tips archive for 2017

Vitreomacular traction and full thickness macular hole

1 December 2017 | Salem Murjaneh | EYE - Vitreo-Retinal, EYE - Imaging

Clinical scenario: A 64-year-old lady presented to the clinic with a few weeks history of sudden onset of metamorphopsia, central blur and reduced vision in her right eye. The ocular examination and ocular coherence tomography confirmed right eye focal vitreomacular...

Facts or fake news graphic link

Diagnosis and management of IV cranial nerve palsy

1 October 2017 | EYE - Neuro-ophthalmology

Aetiology: Trochlear nerve palsy can be divided into acute or congenital. Congenital trochlear nerve palsy is usually noted in childhood with development of abnormal head posture. Various pathologies can lead to acute IV nerve palsy, most commonly trauma. Other causes...

Third nerve palsy

1 August 2017 | EYE - Neuro-ophthalmology, EYE - General

Case scenarios A 71-year-old female presented to a nearby eye emergency unit with two days history of partial ptosis in her left eye with diplopia. She saw her GP earlier that day and he asked her to go to the...

21st Century retinal laser treatment in the anti-VEGF era

1 June 2017 | John Awad, Prasad Rao | EYE - Vitreo-Retinal

In today’s world, macular laser treatment has a vital role in the treatment of diabetic macular oedema (DMO). DMO is one of the most common causes of visual impairment. Despite expensive intravitreal treatment courses of anti-VEGF, many will agree that...

Strabismus in thyroid eye disease

1 April 2017 | Richard Harrad | EYE - Paediatrics, EYE - Strabismus

Pathogenesis Thyroid eye disease (TED) is an auto-immune condition, in the initial phase there is lymphocytic infiltration and oedema of the extraocular muscles with deposition of glycosaminoglycans and hyaluronic acid and adipogenesis, which can lead to an increase in the...

The management of chronic central serous chorioretinopathy

1 February 2017 | Marten E Brelen | EYE - Vitreo-Retinal

Central serous chorioretinopathy (CSCR) is a common retinal disease characterised by one or more serous neurosensory detachments. Patients present with acute onset blurring of vision, metamorphopsia and / or central scotomas. The condition is six times more common in men...

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