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Resident versus supervising surgeon differences

The purpose of this study was to compare surgical operating times and complication rates in strabismus surgery undertaken by one attending surgeon versus 10 supervised residents (most first year). Operating time was a mean of 35.5 ±6 minutes for residents...

Outcomes from evisceration with primary implant in 1800 patients

This is a retrospective analysis of 1800 patients who had evisceration with orbital implant between 2013-2019. As the largest published series on this topic, the authors are able to give relatable real-world data on complications following surgery. They use a...

Moorfields Lacrimal assessment for nursing & allied professionals study day

This course will educate nurses and allied health professionals on lacrimal examination and investigation. A hands on teaching approach ensures that delegates are able to demonstrate safe and effective lacrimal technique, whilst the patient's perspective as a service user remains...

How to examine the visual system Part 1: visual acuity, visual fields and eye movements

Asking candidates to perform an examination of the visual system, either as part of a full cranial nerve exam or as an individual entity, is a common station in practical examinations during medical school. It is important to practise for...

A rare case of oculomotor nerve palsy from presumed cavernous angioma

Cavernous angiomas of the cranial nerves are extremely rare, and those of the oculomotor (third) nerve are rarer still. The authors present a single case study of presumed cavernous angioma involving the subarachnoid portion of the left third nerve, which...

Surgery for third nerve palsy (2019)

The authors present a new technique for split muscle medial transposition surgery of the lateral rectus plus union with the distal split stump of the medial rectus. This increases the length of the contracted lateral rectus through the addition of...

Early refractive correction promotes esotropia control

This study sought to determine the incidence and characteristics of esotropia in a Northern Ireland population of children <7 years old in a one-year period. The authors report a 2013 cohort in which the area catchment had 29,365 children under...

What is paracentral acute middle maculopathy?

This is a review article characterising a clinical entity called paracentral acute middle maculopathy (PAMM). The article highlights the fact that retinal capillary plexuses are organised predominantly into three trilaminar capillary layers occupying the area between the nerve fibre layer...

Comparison of two visual acuity test versions for different distances in a paediatric population

The authors present the findings of a study which aimed to determine whether using 2 metre and 4 metre retro-illuminated ETDRS charts are comparable in children. Order of testing was standardised (right eye, left eye, binocular), however different charts were...

Rectus muscle insertion shift at surgery

The authors conducted this study to evaluate the shift in rectus muscle insertion when the muscle is disinserted from the globe but before it is recessed and / or transposed. They measured the amount of central rectus muscle insertion shift...

Unusual case presentation of arteritic anterior ischaemic optic neuropathy

The authors present a single case of an 84-year-old man with arteritic anterior ischaemic optic neuropathy, but with unusual features on temporal artery biopsy. He presented with a three-day history of sudden onset of loss of vision in his right...

ROP risk factors

The purpose of this study was to evaluate the incidence and risk factors for retinopathy of prematurity (ROP) in two neo-natal units, and included a sub-analysis of infants with gestational age (GA) of ≥28 weeks. A retrospective review was undertaken...