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Recurrent corneal erosions secondary to isotretinoin use
Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations, as shown in Table 1 [3]. These side-effects need...
Coeliac disease and anterior scleritis
The authors present an interesting case report of recurrent anterior scleritis. Circulating IgA and IgG auto-antibodies directed against tissue transglutaminase, endomisium and gliadin are frequently elevated in patients with coeliac disease. The classic symptoms remain chronic diarrhoea, malabsorption syndromes and...Traumatic injuries from foam Nerf bullets
Background Three patients are presented in this case report: an adult and two children which were subjected to ocular injuries from Nerf gun bullets. Generally, Nerf guns are considered safer than airsoft guns. While there are many papers on airsoft...Flashes and floaters in community optometry – diagnosing a posterior vitreous detachment
Managing patients who attend a practice with symptoms of flashes and floaters is a regular occurrence in community optometric practice. It’s often very distressing for patients; symptoms can be quite dramatic and an internet search can indicate imminent blindness from...
Treatment of severe chronic ocular graft-versus-host disease
A retrospective study from Cologne, Germany, between November 2012 to March 2015, of 17 patients with graft-versus-host disease (GVHD) treated with 100% single use vials autologous serum eye drops in sealed system. Visual acuity, corneal staining, frequency of artificial tears,...
Epiblepharon management
This single centre review was conducted over 15 years to determine the frequency, indications and long-term follow-up of those referred for surgery as well as those treated conservatively for epiblepharon. Eighty-nine patients aged two months to 14 years (mean age...
Excessive blinking
A case review is presented to understand the clinical implications for children presenting to ophthalmology with episodes of excessive blinking in the absence of any obvious ocular abnormalities. This retrospective review was conducted from 2011-2014. The authors contacted parents and...
Resolution of idiopathic intracranial hypertension (IIH): case series
The authors report the findings from 14 patients following treatment for idiopathic intracranial hypertension (IIH). All 14 patients experienced an immediate and sustained resolution of the IIH in the setting of prolonged cerebrospinal fluid (CSF) drainage at a rate greater...
Association of asthenopia and heterophoria
Heterophoria varies over time and asthenopic symptoms may be greater when the heterophoria is larger. Thus a close intra-individual correlation may exist between heterophoria and discomfort during reading. The authors investigated the variability of both parameters in 20 individuals who...
Genetic analysis of choroideremia families
Choroideremia (CHM) is a rare X linked recessive chorioretinal dystrophy. Symptoms include nyctalopia and progressive peripheral field loss. Female carriers may have mild symptoms. Choroideremia is known to be caused by a mutation in the CHM gene. A multicentre human...
Neuro-ophthalmological symptoms in patients with cerebral venous sinus thrombosis
The authors of this article have evaluated the neuro-ophthalmological symptoms of 49 patients with cerebral venous sinus thrombosis. They have evaluated the onset of the disease as well as the symptoms reported. The authors present extensive clinical information for individual...
