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A case of Miller Fisher Syndrome and bilateral asymmetric globe retraction

1 February 2022 | | EYE - Neuro-ophthalmology, EYE - General
Miller Fisher syndrome (MFS) is a rare, acquired nerve disease that is considered to be a variant of Guillain-Barré syndrome. It was first recognised by James Collier in 1932 as a clinical triad of ataxia, areflexia and ophthalmoplegia. Later, it...

A log in the eye

1 February 2017 | | EYE - Vitreo-Retinal
"My friend wanted to show how far he could throw that log. So, he helicoptered it over his head, faster and faster and when he let go, it hit my eye at full speed,” a young lady of 19 years...

Forward-tilt technique for intraocular pressure measurement in upgaze

5 June 2020 | | EYE - Glaucoma, EYE - General
The authors suggest a technique to improve the accuracy of measuring IOP in upgaze using Goldmann applanation tonometry. Graves’ ophthalmopathy, also known as thyroid eye disease, is an autoimmune inflammatory condition affecting the orbit and periorbital tissues [1]. It was...

Navigating the retina: the nitty-gritty of slit-lamp fundus examination

3 August 2023 | | EYE - Vitreo-Retinal
The slit-lamp fundus examination can be a difficult and disorientating task for beginners due to the retina being viewed in a non-anatomical orientation, the small area of retina illuminated, and the counterintuitive technique of the examination. This article provides a...

Preparing to sit the FRCOphth Part 1 as a new FY1: A modern financial, educational and AI-enhanced study guide

9 March 2026 | | EYE - General
One week into my first year as a doctor, buried under a mountain of ward jobs, night shifts and the sheer vertical learning curve of FY1, I decided to challenge myself further: I booked the FRCOphth Part 1 exam. The...

Ophtherminator 3 - Rise of the Machines

3 June 2021 | | EYE - Vitreo-Retinal, EYE - Imaging, EYE - General
“Bring back life form, priority one, all other priorities are rescinded.” Film buffs will spot this as a chilling quote spoken by Ash (Ian Holm) from the classic sci-fi horror movie Alien (1979). Ash (spoiler alert) is a Hyperdyne Systems...

COVID-19 and Charles Bonnet Syndrome

14 April 2020 | | EYE - Neuro-ophthalmology
As COVID-19 rips through the country, it is – of course – imperative that we stay at home to try and prevent the virus spreading through the whole community. We are all aware of the need to take special care...

The Arclight: A ‘pocket’ ophthalmoscope to revitalise undergraduate teaching?

1 December 2016 | | EYE - Vitreo-Retinal, EYE - Imaging
Ophthalmoscopy should be a core skill for every doctor and should be firmly embedded in the undergraduate curriculum similar to the unquestioned position of the stethoscope. The simplicity of the Arclight means it is easy to useand, importantly, to learn...

The paediatric cataract: an overview of the embryology and pathophysiology

5 February 2020 | | EYE - Paediatrics, EYE - Strabismus, EYE - Cataract, EYE - Refractive, EYE - General
In the first of the two articles (see Part 2 here) on paediatric cataracts, Samuel Aryee reviews the aetiology of this condition. Cataracts arise from opacification of the natural transparent lens, which can cause partial or total blindness. Although the...

FAQs about cerebral visual impairment (CVI): identifying and helping those affected

2 August 2022 | | EYE - General
Cerebral visual impairment is common in both adults and children, yet the diagnosis can easily be missed unless one is tuned into the presenting features. This article provides a succinct introduction to this important topic. What is vision? Vision is...

What can we learn from Jimmy McGill?

3 October 2022 | | EYE - Cataract, EYE - Cornea, EYE - Glaucoma, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - Oculoplastic, EYE - Oncology, EYE - Orbit, EYE - Paediatrics, EYE - Pathology, EYE - Refractive, EYE - Vitreo-Retinal, EYE - Strabismus, EYE - General
A few months ago, my eldest son got me interested in a Netflix series called “Better Call Saul”. This is a spin-off from another series called “Breaking Bad”, although I confess to not having seen any of those episodes as...

A connected workplace - Part 2

1 February 2019 | | EYE - Imaging, EYE - General
In Part 1 of this topic (bit.ly/ENconnected) the need for a mature ophthalmic imaging network was described. Here, I provide a scoring scheme that can be used to articulate the maturity of existing devices. As with any scoring system, the...