Current practice and patient selection for ISBCS in the UK
This study investigated patient and operative characteristics for immediate sequential bilateral cataract surgery (ISBCS) and delayed bilateral cataract surgery (DSCS). The annual NHS spend on cataract surgery is £500 million, a figure expected to rise by 50% in the next...
Long-term outcome of scleral-sutured posterior chamber intraocular lens
7 December 2020
| Jonathan Chan
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EYE - Cataract, EYE - Refractive
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aphakia, intraocular lens, scleral-sutured, suture breakage
This is a retrospective review of 392 consecutive cases in 349 patients who had scleral-sutured intraocular lens (IOL) due to aphakia, subluxated or luxated IOL, over a 10-year period in one centre from Barcelona. Preop and postop data were collected...
Meta-analysis of treating meibomian gland dysfunction (MGD) with topical / oral azithromycin
This study pooled the clinical outcomes of 18 high-quality studies managing MGD with azithromycin. Symptom score was the primary and clinical signs were the secondary outcome measures. Overall effectiveness of topical azithromycin (TA) and oral azithromycin (OA) was measured by...
A case study of posterior globe flattening in idiopathic intracranial hypertension
7 December 2020
| Claire Howard
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EYE - Neuro-ophthalmology
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Papilloedema, idiopathic intracranial hypertension, magnetic resonance imaging, raised intracranial pressure
The authors present a single case of posterior globe flattening without papilloedema in idiopathic intracranial hypertension. The case was a 64-year-old woman with a one-year history of transient visual loss in her left eye only. Visual acuity was 20/20 in...
A novel way to diagnose optic neuropathies using Bruch’s membrane opening
7 December 2020
| Claire Howard
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EYE - Neuro-ophthalmology
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Glaucomatous neuropathy, compressive optic neuropathy, minimal rim width, non-arteritic anterior ischaemic optic neuropathy, non-glaucomatous neuropathy
Differential diagnosis of optic neuropathies can be challenging but is crucial for the correct management of the underlying disease and prevention of further damage. Bruch’s membrane opening (BMO) was recently discovered as the anatomical border of the optic disc. BMO...
Investigating the effect of signal strength on mean retinal nerve fibre layer
7 December 2020
| Claire Howard
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EYE - Neuro-ophthalmology
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OCT, RNFL, Retinal nerve fiber layer, Spectralis, optical coherence tomography, signal strength
The aim of this study was to determine the effect of signal strength on mean retinal nerve fibre layer (RNFL) using spectralis optical coherence tomography (S-OCT). Thirty normal subjects were imaged with S-OCT using variably dense Bangerter foils to alter...
Recurrent sebaceous gland carcinoma
In this retrospective case review study, authors report their outcomes in management of recurrent sebaceous gland carcinoma (SGC) and propose a graded protocol to manage these entities. All consecutive cases of SGC from January 2004 to December 2017 at the...
Online retinoblastoma surveillance tool
7 December 2020
| Annes Ahmeidat
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EYE - Pathology, EYE - Oncology
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Familial relationship, Genetics, Retinoblastoma, Surveillance
Given the vision and life-threatening course of retinoblastoma (RB), it has become a significant heritable childhood cancer to screen for. To recommend surveillance, risk must be estimated and genetic testing plays a vital role. However, genetic tests vary based on...
Orbital sphenoid sinus trauma: a rare trauma case
With a high complication and mortality rate, intra-sphenoidal and transorbital trauma poses a high complication rate and remains challenging to manage. Numerous key structures run nearby such as: the optic nerve, internal carotid arteries and ophthalmic arteries. The authors present...
Globe subluxation subsequent to long-term steroids
Globe subluxation, when the globe equator projects anterior to the orbital rim, is a serious orbital condition commonly associated with thyroid eye disease, floppy eye syndrome or a shallow orbit. The authors present a first case of a spontaneous globe...
Amblyopia prediction using Plusoptix
The aims of this study were to evaluate Plusoptix performance in amblyopia prediction, to examine the best readings for that prediction and to determine if it is sufficient to have one measure or more. Data were collected in a two-year...
CVI features in an Indian population
This study describes the predisposing factors and ophthalmic characteristics of children with cortical visual impairment (CVI) at a tertiary centre in India. This was a retrospective cross-section study of children <16-years-old over a four-year period. A review of 88 patients...
