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Doing a systematic review: a users’ guide for foundation doctors

Research is increasingly important for junior doctors and systematic reviews (SRs) are a great place to start. Carrying out an SR can help a doctor demonstrate commitment to a specialty, develop research skills and get results quickly. This article aims...

Grading of ocular inflammation in uveitis: an overview

Anterior uveitis is the commonest form of uveitis, which can lead to severe morbidity if not treated appropriately [1]. Data from general ophthalmology practices suggest around 90% of uveitis encountered by comprehensive ophthalmologists is anterior uveitis [2]. Intermediate (vitreous), posterior...

“We try our best”, but we should still be open and transparent

In a recent discussion with colleagues, someone recognised that many, when asked what they do, say, “I am a doctor”. Rather than “I work as a doctor”. This sense of belonging, pride and duty comes with responsibility. Becoming a surgeon,...

The increased use of surgical adjuncts in complex cataract surgeries undertaken in the COVID-19 pandemic

The authors explore whether more complicated cataract operations have been performed in the NHS since the start of the coronavirus pandemic. Restrictions in availability of access to elective cataract surgery during the COVID-19 pandemic and subsequent case prioritisation based on...

Outcomes and complications of supramaximal levator resection

This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...

What's trending Aug/Sep 2023

A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #Trufflesthekitty #Visionambassador #glassescat #ambylopiaawarness Truffles the Kitty was recently featured on Good Morning America [1]. Save the cute kitty footage for...

RSM: Squint Forum

This year’s meeting will be split into two parts. We will first examine the medical and surgical (strabismus and non-strabismus) management of thyroid eye disease. Afterward, we will look into the orbit and beyond – exploring trauma related to sinuses,...

Micropulse vs. continuous wave trans scleral diode cyclophotocoagulation in refractory glaucoma

Continuous wave cyclophotocoagulation (CWCPC) delivers continuous high intensity energy to the ciliary body in an attempt to reduce aqueous secretion and hence lower IOP. It is often used as a treatment of last resort due to the potential side-effects of...

Effect of topical diclofenac on postoperative PRK pain: RCT

A major disadvantage of excimer laser photorefractive keratectomy (PRK) is pain and discomfort after the surgery, which is thought to be due to damage to corneal sensory nerve fibres or local release of inflammatory substances. Pain only resolves once corneal...

Are single IOP measurements adequate for estimating the effect of IOP lowering interventions?

The World Glaucoma Association recommends that, to assess the effect on intraocular pressure (IOP) of medication or surgery, the mean of multiple measurements of postoperative IOP is a better reflection of IOP than a single measurement of postoperative IOP. The...

PERG as a visual prognosticator in chiasmatic tumours

Pattern electroretinogram (PERG) allows assessment of ganglion cell function and may therefore be used to assess anterior visual pathway dysfunction. This prospective non-randomised study assessed PERG before and after surgical removal of tumours in and around the sellar region compressing...

Temporal versus nasal clear corneal incisions

This is a prospective randomised study of 100 patients’ left eye having undergone phacoemulsification either by a 2.4mm nasal clear corneal incision (CCI) group or temporal CCI group. The corneal astigmatic changes were compared between groups by power vector analysis,...