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Presentation of conjunctival intraepithelial neoplasia

Ocular surface squamous neoplasia is the umbrella term for malignancies of the conjunctiva and within the spectrum lies conjunctival intraepithelial neoplasia (CIN) – a non-invasive malignancy. CIN has been implicated with ageing, smoking and ultraviolet light exposure. The typical manifestation...

Albinism: Celebrating international awareness, advocacy and clinical insights

Albinism is a group of inherited genetic disorders which occurs worldwide, regardless of ethnicity or gender, and that affects melanin production in the hair, skin and eyes. Prevalence varies globally, ranging from approximately 1 in 20,000 individuals in Europe and...

Why is there subretinal fluid at the macula?

This is a review article looking at the differential diagnosis of subretinal fluid in the macula that could be diagnosed as central serous chorioretinopathy (CSCR). The authors have categorised them into 12 groups: neovascular diseases, vitelliform lesions, inflammatory diseases, ocular...

Retinal findings in COVID-19 patients

This is a single centre cross-sectional study from Brazil between 20 to 23 May 2020, with a total of 18 patients; nine male and median age was 62.5-years-old. 10/18 (55.6%) had retina abnormalities upon dilated eye examination. Flame-shaped haemorrhages were...

Moorfields Education: Ocular oncology for the non-ocular oncologist

This course is designed for clinicans working in the hospital or community setting who wish to gain more knowledge into lumps and bumps in the eye. The course will teach the attendees how to assess and identify tumours, how to...

Swimming in the deep end…

I’ve always been a water baby. Bathtime in our house was like a waterpark. As a child, I was often found sitting on the bottom of the pool holding my breath or trying to swim lengths when I was told...

Spot diagnosis? The white dot syndromes

This review article provides an up-to-date summary of white spot syndromes. The authors explain that the white spot syndromes form a group of inflammatory retinal disorders with distinct lesion distribution and progression patterns. Multimodal imaging has revealed unique phenotypes, enhancing...

Millions of patients benefitting from improved care as new NHS IT software rolled out

Innovative IT software designed to tackle waiting lists and reduce discharge delays has been rolled out across more than two thirds of the NHS. The NHS Federated Data Platform securely brings together data currently held in separate systems, making it...

A log in the eye

"My friend wanted to show how far he could throw that log. So, he helicoptered it over his head, faster and faster and when he let go, it hit my eye at full speed,” a young lady of 19 years...

An unusual case of acute retinal necrosis

Case report A 40-year-old Caucasian male presented with a four-day history of redness and progressive painless reduction of vision in the left eye. His visual acuities were 6/4 in the right and 6/36 in the left. The left eye showed...

Caring for adults with an ocular tumour

Detection If you screen for an intraocular tumour, dilate the pupil. If the patient is driving, use phenylephrine only. If the patient declines, document this in the casenotes. Don’t forget to look for sentinel vessels, which would indicate a ciliary...

Key research and practical information to inform INS care

This ‘tutorial’ format paper aims to translate key research findings and conclusions into practical terms, discuss their clinical utility and introduce a new clinical method that accurately measures the static visual deficits in infantile nystagmus (INS), predicts the improvements that...