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Third nerve palsy
Case scenarios A 71-year-old female presented to a nearby eye emergency unit with two days history of partial ptosis in her left eye with diplopia. She saw her GP earlier that day and he asked her to go to the...Traumatic ‘toy’ gun injury leading to permanent vision loss
Pseudoxanthoma elasticum (PXE) is a progressive, inherited disorder of connective tissue that affects the skin, cardiovascular system and retina. Ocular manifestations of the disease are related to Bruch’s membrane, a thin elastic tissue layer located between the retinal pigment epithelium...A focus on Pakistan’s growing eye care needs: over 43 million patients treated for curable blindness free of charge
With 90% of the world’s visually impaired living in developing countries, Pakistan is no exception to this on-going global healthcare challenge. Despite massive leaps over the last few decades in targeting this issue, the World Health Organisation (WHO) reports that...Choroidal folds
Choroidal folds are undulations of the choroid, Bruch’s membrane and pigment epithelium, with wrinkling of the overlying retina. They may be idiopathic but can also be caused by a number of different conditions. Case report A 60-year-old male patient was...Training the trainers
Learning phakoemulsification is a psychologically demanding process. Every ophthalmologist passing through the UK training system will almost certainly have many stories to tell of difficulties faced along the way; hideous disasters where lessons were learnt, as well as glorious triumphs...
Dynamics of interocular suppression
The main aim of this study was to determine the development of the depth of interocular suppression in the course of occlusion treatment in amblyopia as well as its correlation with changes in visual acuity. The authors investigated whether presence...
Factors indicating better stereopsis for APAET
The purpose of this study was to determine preoperative factors that affect postoperative stereopsis in patients with acquired partially accommodative esotropia (APAET). This retrospective study was undertaken over a five-year period. Eighty-four subjects had surgery for APAET and 57 met...
Case report of Leber hereditary optic neuropathy (LHON)
This case report presents a 74-year-old male patient who developed LHON, with a previous diagnosis of bilateral macular holes. LHON occurs predominantly in healthy young men and onset in older age ranges increases the likelihood that the patient will have...
Refractive changes over time for fully accom esotropia
The purpose of this study was to determine refractive error changes across time and to define factors contributing to decompensation in patients with fully accomodative esotropia (FAET). This was a retrospective study of 223 patients with a mean age at...
Prisms to treat AACE
Of 128 patients reviewed with binocular dysfunction, 30 (23.4%) had acute acquired concomitant esotropia (AACE). These patients complained of sudden onset diplopia at distance with no or moderate problems at near. There was no previous history of strabismus. Mean age...
Outcomes of adult new-onset strabismus presenting acutely
This study evaluated causes, neuroimaging rates and results, and clinical courses of adults presenting to an ophthalmology emergency department with diagnosis of new-onset strabismus. This was a retrospective study of 557 adults (54.8% male) with mean age of 57.3 ±16.7...
