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A case of Miller Fisher Syndrome and bilateral asymmetric globe retraction

Miller Fisher syndrome (MFS) is a rare, acquired nerve disease that is considered to be a variant of Guillain-Barré syndrome. It was first recognised by James Collier in 1932 as a clinical triad of ataxia, areflexia and ophthalmoplegia. Later, it...

Primary visual pathway changes in individuals with chronic mild traumatic brain injury

Patients with mild traumatic brain injury (mTBI) often self-report vision disturbance despite showing no reduction of visual acuity or fundus examination abnormality. This prospective, observational, cross-sectional study aimed to determine if using a sweeping array of investigations can help diagnose...

DISC lens slow myopia progression in Hong Kong Chinese schoolchildren

This is a prospective double-blind randomised trial between September 2007 and October 2009. It included 221 children aged 8-13 years, with myopia between -1 and -5 Dioptres ≤1.00D. There were 111 patients in the defocus incorporated soft contact DISC group...

The paradox of green: When environmental solutions lead to unintended harm

The global drive toward environmental sustainability is increasingly hampered not by outright denial, but by well-meaning solutions that conceal perverse incentives and unintended ecological consequences. Many popular ‘green’ measures, adopted by simplifying complex environmental challenges into easy substitutions or offsets,...

Normative dimensions of the lacrimal gland

This article looks at the normative dimensions of the lacrimal gland in the axial and coronal plane on fat-suppressed T1 weighted contrast-enhanced magnetic resonance imaging (MRI). Previous data on this subject has come from computed tomography (CT). MRI is known...

What's trending Oct/Nov 2019

#probeyeotic #eyeballbugs #microbiome The human microbiome usually conjures up images of the gastrointestinal tract and yoghurt containing good bacteria. However, research suggests that the ocular mucosa is home to a unique microbe collection, with important immunological functional properties [1]. This...

The medical student syndrome

It is often said that “a little learning is a dangerous thing,” but being super savvy can’t put us at the brink of harm, can it? Each year as thousands of students commence their medical degrees, they begin a journey...

The Preston Rule

The selection, specification and fitting of a spectacle frame necessitates the recording of certain measurements particular to the frame. These measurements are also essential when it is required to manufacture a handmade spectacle frame. Instruments designed to accomplish this task...

Moorfields: Clinical electrophysiology of vision 2025

A highly sought after accredited virtual course delivered by world-renowned experts at Moorfields Eye Hospital and UCL Institute of Ophthalmology. Course structureThis course will feature live on-line lectures by an international faculty, interactive question and answer sessions and case discussions....

Neuro-ophthalmology Illustrated (3rd edition)

I have a slight hatred of neuro-ophthalmology. It seems bizarre and foreign to me and I know I’m not the only one who groans at getting a patient with diplopia or a non-specific headache. So I will always be pretty...

Retinal prosthetics: science fiction or a vision for the future?

“Is it a fact – or have I dreamt it – that, by means of electricity, the world of matter has become a great nerve, vibrating thousands of miles in a breathless point of time?” – Nathaniel Hawthorne, The House...

Safe cataract extraction with underlying hypotonous cilio-choroidal detachment following trabeculectomy surgery

The authors of this study (including the reviewer of this article) describe a surgical technique for phacoemulsification in the presence of shallow choroidal detachment owing to hypotony following trabeculectomy. In their case series, four eyes of four patients with advanced...