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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...The challenge of chorioretinal folds in virtual eye clinics
Chorioretinal or choroidal folds are parallel striations involving the retina, retinal pigment epithelium (RPE), Bruch’s membrane, and inner choroid [1]. They can arise from compressive stress on these layers, and their presence often serves as a diagnostic marker for underlying...The New Zealand National Eye Centre and the land of the long white cloud
Located southeast of Australia in the South Pacific Ocean, New Zealand (Aotearoa) is home to five million culturally diverse people. Renowned for its lush nature spanning from unexplored forests to active volcanos and snow-capped mountains, New Zealand has become both...Discussing treatment modalities for bilateral wet AMD
A 65-year-old lady with bilateral wet AMD and vision of 6/24 comes with an internet search about current therapies. How do you explain the various treatment modalities available? There are two NICE approved treatments for wet age-related macular degeneration (AMD)....Designing ophthalmology services - Part 1: How do we address the queues in a clinic?
This first of a three-part series shows how systems engineering can be used to correctly diagnose and address the causes of delays in a clinic. The second article, which will be featured in the April/May 2020 issue, describes how to...
Intermittent exotropia with a positive Bielchowsky head-tilt test
This is a retrospective study from Korea, of 118 patients’ charts with intermittent exotropia (IXT) and divided into two groups; 50 patients showed positive Bielchowsky head tilt test (BHTT) and 68 with negative BHTT. Significant differences (p<0.05) in the parameters...
Postoperative diplopia test with BT for inferior oblique overaction
The authors evaluate a novel assessment of botulinum toxin (BT) injection into the inferior oblique (IO) as a postoperative test in those with secondary IO overaction. This was a retrospective review of 23 injections for 18 patients using 1.25U of...
Strabismus outcomes after retinal detachment surgery
A retrospective study reviewed the motor outcomes of strabismus surgery in a cohort of 18 patients who had all previously undergone a scleral buckling procedure to treat retinal detachment. The mean age at strabismus surgery was 48 years (14-67) and...
Management of high AC/A esotropia
The purpose of this study was to determine the long-term effect of treating high accommodative convergence to accommodation (AC/A) esotropia with single vision lenses (SVL) compared with the effectiveness of using SVL on patients with basic refractive esotropia and a...
Surgical prediction in infantile ET
The purpose was to evaluate the preoperative factors influencing the efficacy of the surgical procedure of bilateral lateral rectus recessions. Fifty cases with at least one year follow-up were included for retrospective analysis. Mean response to surgery was 2.17±0.80 PD/mm...
Superior oblique posterior tenotomy for orbital fracture strabismus
The use of superior oblique posterior tenotomy (SOPT) is reported as a primary procedure in five patients with orbital blowout fractures. The mean follow-up was 15.2 months (6-20). Two patients required further surgery because of a larger vertical deviation. SOPT...
