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The last three patients: general medicine (Patient Two)
For the second reflection in this series (see Patient One here), Professor Jonathan Rees recounts his experiences of the last patient he saw as a medical registrar, telling the tragic story of a young man’s death and the risks that...The art of giving generous grains
On the drive home, after a long day of eye screening patients in homeless shelters, I would pass through the boroughs, towns and villages of east London. Stopping at the soup kitchen, I would meet Christian with heavy cataracts, and...Ombudsman responds to Letby verdict
Parliamentary and Health Service Ombudsman, Rob Behrens, comments on the verdict in the trial of Lucy Letby.Headaches in ophthalmology (part 2)
Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...Management of squint with near-distance angle disparity
These are a group of strabismus disorders where the angle of misalignment is different between near and distance. The focus of this article will be on the patients where the angle for near exceeds the distance angle by more than...DVLA publishes revised list of notifiable conditions list for drivers following AOP advice
The AOP have been actively working with the DVLA since serious concerns were raised over its extended list of notifiable conditions at the end of last year.
Strabismus measurement comparisons
The authors conducted a prospective study to compare the measurements obtained by objective alternate prism and cover test (PCT) and the subjective red glass test in 72 patients aged 60 years on average and with a mean visual acuity of...
Consecutive exotropia features
This study sought to detect abnormal scleral attachment with comparison of histopathological findings in consecutive exotropia. The study also considered the success rate of medial rectus resection and advancement, dose response and evaluate potential preoperative factors that might indicate presence...
Using fusion measures to guide strabismus surgery
In this study the authors targeted patients with non-accommodative decompensating distance esotropia with investigation of prior binocular single vision. Choice of target angle was based on the individual’s fusional amplitudes. The target angle aimed to be less than the distance...
Outcomes of augmented surgery for exotropia
This was a prospective study to assess patients with basic type intermittent exotropia of 15-45PD in angle and who were operated with augmented bilateral lateral rectus recessions with conjunctival recession, and followed postoperatively for six months. The study included 15...
Using a fenestration technique for partially accommodative esotropia
The authors evaluate a fenestration technique which is described as a modified sutureless hang-back recession, for cases of partially accommodative esotropia, in a prospective non-controlled cohort. Children under 10-years-old with full accommodative correction and a partially accommodative esotropia between 10...
