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Avoiding investigations through history taking and examinations to differentiate serious from comparably benign aetiology
*Joint first authors. Introduction Anisocoria can be a sign of neurological deficit, necessitating numerous investigations [1]. This case report explores how expensive and time-consuming investigations can be avoided by thorough history taking and examination to differentiate serious from comparably benign...Neuro-ophthalmology: the extended role of an orthoptist
Neuro-ophthalmology has always been a speciality of interest during my studies and now in my career. In 2018, I started a Band 7 post which gave me an extended role in neuro-ophthalmology and the responsibility of developing an orthoptic led...Tips for the Online Proctored FRCOphth - Part 1
The FRCOphth Part 1 examination is a difficult exam in itself, testing candidates on a wide range of theoretical and biomedical ophthalmology. This used to be a two-part pencil-on-paper written examination, which was then digitalised for October 2019 and January...Unexpected diagnoses – stroke in children and homonymous hemianopia
We present the case of a 12-year-old child presenting with a few days history of left-sided visual loss. Upon further investigation with magnetic resonance imaging (MRI) she was unexpectedly diagnosed with a right-sided chronic posterior cerebral arterial territory infarct, causing...Bionic eyes: deciphering the neural circuitry of vision restoration
As the boundaries between technology and biology blur, retinal prosthetics, often dubbed ‘bionic eyes’, present a ground-breaking paradigm shift in addressing blindness. This article delves into the captivating scientific intricacies of these neural interfaces, exploring their mechanisms of action, current...Reflections on a research course in London
The Research Changes Lives course is one of very few courses designed specifically for research within ophthalmology and remains a popular choice amongst researchers in the UK. Delivered by ophthalmologists, statisticians and epidemiologists, it provides a broad and diverse perspective....Diabetic retinopathy screening in Belize: a country’s journey towards reducing blindness from DR
The rise of diabetes mellitus (DM) and its complications is a public health concern in the Caribbean. The Caribbean Diabetic Retinopathy (DR) Programme, managed by the London School of Hygiene & Tropical Medicine (LSHTM) and funded by the Queen Elizabeth...
Rectus muscle flap tear
The clinical findings, role of imaging, surgical techniques and results are described for three patients who presented with flap tears of the inferior or medial rectus muscles. Two were due to trauma (inferior rectus) and one due to surgery (medial...
Exotropic Moebius syndrome
Three patients are described with pattern C Moebius syndrome and report the technique and outcomes of surgery for two patients. The three cases included a three and a 13-year-old requiring surgery and a 10-year-old. All patients had absent horizontal gaze...
SS-MIOCT for suture depth
The authors describe a case in which swept-source microscope-integrated OCT (SS-MIOCT) was used to directly visualise and evaluate key suturing-related steps of strabismus surgery in real time. Using SS-MIOCT, the surgeons could visualise the precise depth of the needle through...
Ectopia lentis management
This review discusses the management of non-traumatic ectopia lentis in the paediatric population focussing on the variety of surgical options for these patients. The review considers visual sequelae and conservative management, limitations for surgery with respect to historical and current...
