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Strabismus and ocular motility, demystified

3 April 2024 | | EYE - Paediatrics, EYE - Strabismus, EYE - General
I am a former orthoptist, now trained in medicine and working as a foundation doctor. In my previous work, I was frequently approached by ophthalmology trainees eager for guidance with strabismus and ocular motility. Drawing on my clinical experience, I...

A comparison of light sources in retinal imaging

1 October 2021 | | EYE - Imaging, EYE - Vitreo-Retinal, EYE - General
Before starting to talk about the light sources present in retinal imaging, it is necessary to start from the base: the light. Light is an electromagnetic wave whose smallest part is the photon (or quantum of light). A high frequency...

House of cards

3 August 2023 | | EYE - General
When I was a junior doctor in the late 1990s writing my first scientific papers, once each article was finished, I had to fill out an application form, print out multiple copies and then walk to the post office at...

General purpose AI: Transitioning from high performance in highly curated settings to useful applications in ophthalmology

2 August 2024 | | EYE - General
Artificial intelligence (AI) may be understood as the ability of machines to perform tasks which otherwise require human perception, reasoning, or learning. With the advent of deep learning, AI has achieved remarkable results across a wide range of medical tasks...

Are we short-sighted about myopia?

1 December 2017 | | EYE - Cataract, EYE - Refractive, EYE - General
Worldwide prevalence of myopia has increased rapidly in recent years and has now reached epidemic levels, particularly in South-East Asia where prevalence is around 80% [1-4]. Myopia prevalence is also increasing in the United States and Europe where it is...

The Lancet Global Health Commission on Global Eye Health: vision beyond 2020

2 August 2022 | | EYE - General
Introduction The Lancet Global Health Commission on Global Eye Health was published in 2021 [1]. Drawing on expertise from within and outside the eye health sector, the Commission set out to: inform governments and other stakeholders about the path forward...

Cataract surgery training in the independent sector

3 June 2024 | | EYE - Cataract, EYE - Refractive
I am now most of the way through my ST3 year working in Plymouth, within the Peninsula Deanery. Before the start of the year, I was approached by one of my consultants who asked if I would like to carry...

Record rise in competition ratios for ophthalmology: What does this mean for the future of the ophthalmology training programme?

2 October 2025 | | EYE - General
In this article, Adina Smith discusses factors likely to contribute to the record rise in competition ratios and the impact this may have on the future of OST. Ophthalmology specialty training (OST) is the fifth most competitive training programme in...

How to be ‘appy’ on call: a brief guide to mobile phone applications for the on-call ophthalmologist

1 December 2022 | | EYE - General
One of the unexpected outcomes of the COVID-19 pandemic has been an increased reliance and integration of computer technology within hospital medicine. The need for stricter infection control policies during and after lockdown has seen a boom in technology utilisation....

Pete’s day off

2 February 2024 | | EYE - General
“You’re not dying. You just can’t think of anything good to do” The above is the explanation given by high school student Ferris to his friend Cameron, who is lying in bed feeling sorry for himself when he should be...

Ultrasound biomicroscopy (part 2): primary angle closure

1 December 2016 | | EYE - Glaucoma, EYE - Imaging
Patients with primary angle closure or primary angle closure glaucoma [PAC(G)] comprise a significant subgroup affecting around 10% of glaucoma patients amongst Caucasians. Assessment of the patient with angle closure, or narrow angles, requires gonioscopy. However, whilst identifying the presence...

Biometry and IOL choice errors

1 April 2018 | EYE - Cataract, EYE - Refractive
In the next instalment of this series I focus on problems associated with biometry and intraocular lens (IOL) selection for cataract surgery. I have taken previous medicolegal cases I have dealt with and tried to extract some learning points and...