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Therapeutic options for advanced cutaneous basal (BCC) and squamous cell carcinomas (SCC)

This article discusses the use of topical and systemic therapy in the management of advanced periocular tumours. It focuses on those that have gained United States Food and Drug Administration approval; namely imiquimod, vismodegib, sonidegib, pembrolizumab and cemiplimab. Imiquimod is...

Aetiology of painful ophthalmoplegia

Painful ophthalmoplegia is a clinical syndrome presenting with periorbital / hemi-cranial pain and ipsilateral ocular motor nerve palsies and can occur with numerous different diseases. In this study, the authors aimed to determine the final definite aetiology among patients with...

Photophobia: an unusual symptom of a pituitary macroadenoma

Introduction Photophobia, defined as ‘an abnormal intolerance to light’, is commonly associated with a range of both ocular and neurological pathologies such as dry eye, blepharospasm, corneal pathologies, cataracts, uveitis, retinal dystrophies, optic neuritis, migraine, meningitis, and traumatic brain injury...

A nightmare on Doctor Street: Three

“Everyone at this party isn’t as young, fit and single as they’re making out. Yep, let’s face it, we’re all falling apart piece by piece. Doesn’t matter if you’re single or in a couple: You. Are. Going. To. Die” In...

What's trending Apr/May 2025

A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #ContactLens #Trapped I started wearing contact lenses in my teenage years and was always worried about them slipping behind my eyes....

Take this waltz

My last weekend on-call was the busiest I can remember for a very long time. We were just completely swamped with patients. The weather was not too good that Saturday and it felt like every second inhabitant of our ocean...

Oculoplastics: an evolving specialty

Consultant Ophthalmic and Oculoplastic Surgeon Raman Malhotra provides an insight into this increasingly popular subspecialty of ophthalmology. Oculoplastic surgery refers to plastic, reconstructive and aesthetic surgery of the eyelids, the surrounding facial areas, orbits and lacrimal system. Its scope has...

An elective in Malaysia: A glimpse into paediatric ophthalmology and the inequity of refugee healthcare

During my final year of medical school, I spent four weeks at Hospital Kuala Lumpur (HKL), where I gained first-hand experience of paediatric ophthalmology, observed a wide range of ophthalmic surgery and developed a greater appreciation of how healthcare delivery...

What’s Eating Gilbert Pete

“Please phone Mr C Lyon ASAP on 0131 334 9171” This was a message from my secretary waiting for me on my computer one morning shortly after I was appointed a consultant. The name did not ring any bells but...

The embryology of the eye

Nobody claims to like embryology. At least nobody I know. It has been a neglected part of the curriculum since time immemorial and a vicious cycle occurs in which those with an incomplete understanding fail to appreciate the inherent beauty...

Last-Minute Optics, Second Edition

For those who shudder at the thought of clinical optics, this is the book for you. Dr Hunter’s second edition of Last-Minute Optics is a resource for more than just last-minute cramming, despite its title. It provides a real-life perspective...

‘Pete’s Bogus Journey’ An autobiographical descent through a career in medicine now available.

There is no doubt that life is a bogus journey and it does not end well for any of us.