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A closer look at the new wave of glaucoma surgery – radical or old school?
Glaucoma is a challenging condition to treat because the exact pathophysiology remains unclear and the only readily modifiable factor is the intraocular pressure (IOP). Additionally, most glaucoma patients are completely asymptomatic, yet are often subjected to lifelong medical therapy. The...A guide to utilising your time efficiently to develop clinical and procedural skills as an aspiring ophthalmologist
Ophthalmology often receives limited coverage in the undergraduate medical curriculum, and the availability of foundation programme jobs in this field is also restricted, reducing exposure to this field for aspiring ophthalmologists. Even if you’re not planning to specialise in ophthalmology,...Evolving towards an interventional glaucoma mindset
Traditionally, a newly diagnosed glaucoma patient would be treated first with medical therapy. As the disease progressed or the initial intervention failed to adequately control intraocular pressure (IOP), clinicians would add more drops, selective laser trabeculoplasty (SLT), repeated SLT and...External dacryocystorhinostomy in the management of childhood epiphora
Congenital nasolacrimal duct obstruction is thought to be caused by a membranous obstruction at the distal end of the nasolacrimal duct (NLD). Rarely, associated midline deformities in soft tissue and bony structures of the face are present in patients with...
Lost muscle surgery
The authors present the results of transposition surgery without concomitant lateral rectus weakening in a retrospective review of five cases. Surgery was for large exotropia and marked limitation of adduction after surgical loss of the medial rectus muscle. Mean age...
Results of surgery in a case of FMNS
The authors present the effects of the tenotomy and reattachment procedure on a patient with accommodative strabismus and fusion maldevelopment nystagmus syndrome (FMNS) who did not require strabismus correction. The ocular motility study of this patient allowed the opportunity to...
Lower postoperative scar height is associated with increased postoperative trichiasis one year after bilamellar tarsal rotation surgery
Bilamellar tarsal rotation has been a key component of the WHO SAFE approach to blindness from trichiaisis (surgery, antibiotics, facial hygiene, environment). The World Health Organisation (WHO) manual describes the procedure as a full thickness blepharotomy placed 3.0mm above and...
Superior oblique posterior tenotomy for orbital fracture strabismus
The use of superior oblique posterior tenotomy (SOPT) is reported as a primary procedure in five patients with orbital blowout fractures. The mean follow-up was 15.2 months (6-20). Two patients required further surgery because of a larger vertical deviation. SOPT...
Under pressure: intraocular pressure and bariatric surgery
Obesity in the general patient population is increasing. The National Institute for Health and Care Excellence recommends bariatric surgery with body-mass index (BMI) of over 40, or between 35-40 and other significant disease that could be improved with weight loss....
Use of bovine pericardium for tendon elongation
A retrospective analysis was conducted on all patients treated in one centre with tendon elongation using bovine pericardium (BP) to examine outcomes and long-term safety. The study included 60 patients; 27 unilateral and 33 bilateral cases. Follow-up of one to...
Surgery for myopic esotropia
The authors report a modified Jenson procedure for the treatment of high axial myopic esotropia. Their study includes 15 eyes of 13 patients with a mean age of 50±10.4 years. Mean spherical refraction was -22.53±6.06 dioptres. Mean axial length was...
