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Manometric tear duct irrigation system against the conventional lacrimal syringing

The authors assessed the lacrimal outflow resistance with a modified irrigation system. The manometric tear duct test (mTDT) comprised of a 6mm thin wall 25 gauge lacrimal cannula which was attached to a bag of normal saline by standard fluid...

Viscoelastic distension of the lacrimal sac during endoscopic dacryocystorhinostomy: A case-based technical note

Epiphora secondary to acquired nasolacrimal duct obstruction (NLDO) is a common presentation in ophthalmic practice, with an incidence of 30.47 per 100,000 population [1]. Histopathological studies demonstrate that NLDO is characterised by chronic inflammation and progressive fibrosis of the ductal...

Latest updates on virus protection and location sharing

Time to uninstall your virus killer? Installing security software and keeping it up-to-date has long been considered good advice, certainly when talking about Windows PCs. A recent article in Ars Technica (https://goo.gl/4v4jde) highlighted increasing problems with this approach. The conclusion...

What's trending Dec/Jan 2021

A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #threeblindmice US company Nanoscope Therapeutics has developed a new treatment which is hoped will restore vision in those affected by retinal...

Birdshot chorioretinopathy: an important differential

Birdshot chorioretinopathy (BSCR) is a relatively uncommon cause of posterior uveitis which often has a relapsing and remitting course [1,2]. We present a case which demonstrates how remission can be obtained for several years using cyclosporine. Case report A 44-year-old...

COVID-19 and the eye: a review of ocular involvement and protective strategies

A lot of attention has been placed on the use of face coverings to limit COVID-19 transmission, but there has been less focus on ocular involvement and ocular protection strategies. The author reviews the literature and discusses possible solutions. The...

How to diagnose and treat Acanthamoeba keratitis

Corneal ulceration caused by Acanthamoeba is on the rise, and recent publications indicate an outbreak in the UK over the last few years [1]. Since Acanthamoeba keratitis often presents with atypical features, diagnosis from slit-lamp examination alone can often be...

In vivo confocal microscopy, principles and use in keratitis Part 1: Principles

In 1968 Maurice introduced the concept of high powered specular microscopy, it was in that very year that the first scanning confocal microscope was proposed. Marvin Minsky developed the first confocal microscope in 1955 named the ‘double focusing scanning microscope’....

Streamlining cataract lists: how are you managing it?

Mr Jonathan Ross, in conversation with Ms Bita Manzouri, provides a personal perspective on challenges and opportunities shaping the future of cataract surgery services across the hospital eye service. Redesigning cataract pathways in response to COVID-19 Bita Manzouri: Over the...

A paradigm shift: re-defining success in retinal detachment repair

The authors describe in this review article that functional outcomes vary with surgical technique for retinal detachment repair. Traditional definitions of surgical success have been shifted due to advances in imaging techniques. Assessment of the integrity of retinal reattachment including...

Occurrence and risk factors for RD after PPV in acute postcataract bacterial endophthalmitis

This is a prospective multicentre study from France between March 2004 to December 2011 in four university hospitals; 123 consecutive patients treated with pars planar vitrectomy (PPV) were included in this cohort. The rate of retinal detachment (RD) of post-PPV...

Vitrectomy in retinal detachment associated with choroidal detachment

Hypotony, posterior retinal breaks, longer axial lengths and total retinal detachments (RD) are risk factors for development of RD associated with choroidal detachment (RRDCD). This study retrospectively analysed the anatomic outcomes and prognostic factors of vitrectomy in 175 patients with...