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Journal Reviews

A case series of acute visual loss following excessive alcohol and / or drug use

1 August 2015 | Claire Howard | EYE - Neuro-ophthalmology | Ophthalmoplegia, retinal artery occlusion, saturday night retinopathy

This study presents three cases of so called Saturday night retinopathy, an acute visual loss following intravenous drug abuse and stupor, leading to continuous pressure on the orbit while asleep. All three cases presented with acute vision loss and had...

Literature review of isolated ocular motor nerve palsies

1 June 2015 | Claire Howard | EYE - Neuro-ophthalmology | Abducens, cranial nerve, microvascular ischaemia, oculomoto, trochlear

Patients aged over 50 presenting with isolated nerve palsies of the third (pupil sparring), fourth or sixth nerves, are often described as having microvascular extraocular palsies. This review looks critically at the evidence surrounding these microvascular non-arteritic extraocular palsies and...

Surgical outcomes in third nerve palsy

1 June 2015 | Claire Howard | EYE - Neuro-ophthalmology | Adjustable suture, cranial nerve palsy, diplopia, strabismus, third nerve palsy

The authors of this article explore the factors associated with successful surgical outcomes in third nerve palsy, which is known to be difficult to treat. A number of case notes were reviewed for patients who underwent surgery or botulinum toxin...

Structural effects of migraine on the retina

1 June 2015 | Claire Howard | EYE - Neuro-ophthalmology | Migraine, retinal nerve fibre layer thickness, spectral-domain optical coherence tomography

Migraine is a common, chronic, multifactorial neuro-vascular disorder typically characterised by recurrent attacks of disabling headache and autonomic nervous system dysfunction (migraine without aura). Up to one third of patients also have neurological aura symptoms (migraine with aura). The objective...

Long-term retinal changes following unilateral retrobulbar optic neuritis

1 June 2015 | Claire Howard | EYE - Neuro-ophthalmology | OCT, optic neuritis, optical coherence tomography, RNFL, steroid

The aim of this study was to assess the longitudinal changes in retinal nerve fibre layer (RNFL) thickness after a first attack of optic neuritis and to investigate the impact of treatment on RNFL thinning at one year after the...

Nonarteritic anterior ischaemic optic neuropathy

1 April 2015 | Nana Theodorou | EYE - Neuro-ophthalmology

This review article describes nonarteritic anterior ischaemic optic neuropathy (NAION). This condition is one of the common causes of visual loss in adults. The article uses a good range of references and is divided under the headings of; demographics, clinical...

Rare case reports of benign optic glioma in adults with clinically aggressive nature

1 April 2015 | Claire Howard | EYE - Neuro-ophthalmology | Adult optic glioma, ganglioglioma, pilocytic astrocytoma, WHO Grade I–II

Primary optic nerve gliomas are most commonly benign and occurring in childhood. Malignant optic gliomas occur in adulthood and follow an aggressive course usually leading to blindness and death within months. This paper describes the clinical and histopathological features of...

Do operative interventions for IIH improve visual function?

1 April 2015 | Claire Howard | EYE - Neuro-ophthalmology | Idiopathic intracranial hypertension, lumboperitoneal shunt, ventriculoperitoneal shunt, visual fields

The authors of this paper reviewed patient case notes to determine visual outcome following shunt surgery for idiopathic intracranial hypertension (IIH). A retrospective case notes review was conducted for 50 patients who underwent shunt surgery for IIH. Outcome measures included...

Surgical success rates in abducens palsy management

1 April 2015 | Claire Howard | EYE - Neuro-ophthalmology | Adjustable suture, cranial nerve palsy, hummelsheim, paralytic strabismus, sixth nerve palsy

The aim of the study was to identify factors associated with surgical outcomes in isolated abducens palsy. To achieve this goal the authors reviewed the records of adult patients with abducens palsy who underwent strabismus procedures during a fourteen year...

Abducens nerve palsy following surgical correction of craniosynostosis

1 April 2015 | Claire Howard | EYE - Neuro-ophthalmology | Abducens nerve palsy, distraction osteogenesis, expansion cranioplasty

The authors present two cases of unilateral abducens palsy secondary to a recent trans-sutural distraction osteogenesis (TSuDO) operation for craniosynostosis. The basic principle of the TSuDO procedure is described as dissection and distraction of the prematurely fused sutures. This complication...

Functional visual field loss using automated static perimetry

1 February 2015 | Nana Theodorou | EYE - Neuro-ophthalmology | functional visual field loss, optic nerve, perimetry, visual fields

Functional visual field loss is traditionally assessed by kinetic perimetry, typically producing spiralling isopters. This study looked at the spatial distributions of functional field deficits using automated static perimetry. A retrospective review of automated perimetry records was conducted using a...

Effect of oxygen levels on binocular summation of dark vision

1 December 2014 | Claire Howard | EYE - Neuro-ophthalmology | Binocular summation, dark adaptation, monocular vision, neural summation, probability summation

Previous studies have reported conflicting results on the existence of binocular enhancement of dark vision. This study compares monocular and binocular absolute thresholds of dark adaptation in two different populations (healthy individuals and those with chronic respiratory insufficiency). The study...

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