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A closed angle seldom comes alone

Case report An 89-year-old lady with dementia was referred to me out of hours by her GP with a few days history of an angry looking left eye for suspected elevated intraocular pressure (IOP). I discovered that this lady first...

Preparing to start as a consultant

I was just coming to the end of a fantastic glaucoma fellowship at Moorfields, during which Samad Ansari had been a colleague and friend, and soon to start as a consultant in Oxford where Rebecca Turner is Clinical Director, and...

Antibiotic prophylaxis after intravitreal injections

The use of topical antibiotics as prophylaxis after intravitreal injections is a contentious issue, especially now with increasing use of intravitreal anti-VEGF agents. In the Wills Eye Institute, prior to May 2011, all patients undergoing intravitreal injections in the office...

Ocular manifestation of Marfan Syndrome

This repeated cross-sectional study collected data in 2003-2004 and 2014-2015 to investigate changes in ocular features in Marfan syndrome (MFS) fulfilling the Ghent-2 criteria. Ghent-2 is a set of criteria by which MFS are identified and includes aortic root aneurysm...

Through the eyes of artists, part three: Strabismus or eye dominance? Da Vinci and Rembrandt

So far, we have seen how cataract impacted the works by Monet and Cassatt and witnessed how Degas and O’Keeffe adapted their practices in the face of retinal degeneration. In this final article, we cast an eye over works by...

Running a high-volume nurse led intravitreal service using the Sp.eye device – the Stanley Eye Unit experience

Introduction The vast majority of ophthalmology units utilise allied healthcare professionals (AHPs) to deliver intravitreal injections (IVIs). The Royal College of Ophthalmologists issued a statement 10 years ago advocating the use of non-medical practitioners performing IVIs [1]. The main benefit...

World Sight Day 2026: An important milestone toward eye care for all

IAPB has launched its 2026 campaign for World Sight Day with a call for the eye health sector to once again unite behind the global movement to #LoveYourEyes. Building on the success of the last five years, the campaign continues...

Blame the lens – not its position – in refractive surprise

Aetiology of postoperative refractive surprise Weber coined the term “wrong eye, wrong intraocular lens, wrong patient” in 2008 as an aide memoir of major factors believed to underlie refractive surprise – defined as a significant unintended difference between dioptric refraction...

Caring for adults with an ocular tumour

Detection If you screen for an intraocular tumour, dilate the pupil. If the patient is driving, use phenylephrine only. If the patient declines, document this in the casenotes. Don’t forget to look for sentinel vessels, which would indicate a ciliary...

Quiz Dec/Jan 2020

History A 69-year-old female patient was referred to the uveitis clinic from her local district general hospital with a left posterior uveitis which had been unresponsive to high dose steroids. She had no other previous ophthalmic history nor significant systems...

COMMENT ON: Watch your back: Ergonomics and Ophthalmology

Jim Innes. Dear Editors, I write to congratulate Aadil Hussain on his excellent Trainees article “Watch your back: Ergonomics and Ophthalmology”. Please can I reassure him that, at least in the Yorkshire School of Ophthalmology, the importance of good posture...

Albinism: Celebrating international awareness, advocacy and clinical insights

Albinism is a group of inherited genetic disorders which occurs worldwide, regardless of ethnicity or gender, and that affects melanin production in the hair, skin and eyes. Prevalence varies globally, ranging from approximately 1 in 20,000 individuals in Europe and...