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Use of the RAPDx device to evaluate efficacy of treatment in patients with optic nerve disease

The RAPDx objectively determines the RAPD magnitude by alternately presenting light stimuli to each eye and deriving amplitude and latency scores. The authors of this paper evaluated the amplitude and latency scores from the RAPDx together with other ophthalmic investigations...

BT for retinal detachment strabismus

The authors report the use of botulinum toxin (BT) as a treatment option in 140 patients with strabismus relating to retinal detachment surgery. The BT dose was 2.5 units of Dysport. Mean follow-up was 27 months (3-203) with a mean...

Prediction of visual outcome in IIH

In this prospective study, visual outcome of 40 patients with idiopathic intracranial hypertension (IIH) was compared with clinical and neuro-ophthalmic parameters. The purpose of this was to determine any correlation to try and predict visual outcome for IIH patients. Parameters...

Two illustrative cases of AZOOR

The authors present two illustrative cases of acute zonal occult outer retinopathy (AZOOR) which causes acute idiopathic blind spot enlargement. The disease is characterised by sudden loss of outer retinal function associated with photopsia, with minimal or no fundoscopic changes...

Recognising clinical characteristics of blepharospasm

Focal dystonia is regarded as a characteristic feature of blepharospasm, but patients do not always present with these motor symptoms. The authors present a retrospective analysis of data from a large number of patients treated for drug-induced or essential blepharospasm...

Infantile vertical nystagmus

The authors describe the clinical characteristics and long-term outcomes of infants who presented with isolated vertical nystagmus in infancy, age-appropriate visual behaviours and unremarkable neuroimaging studies. The study included eight patients presenting at <1-year-old. All had age-appropriate behaviour. At presentation...

Laser pointer maculopathy

The objective of this study was to describe the potential clinical presentations of retinal pathology resulting from exposure to laser pointers. The study included eight eyes of seven patients. Mean age was 18.7 years (12-36). Most were accidental self-inflicted while...

Viral uveitis

This review covers viral causes of anterior uveitis. A viral aetiology should be suspected when anterior uveitis is accompanied by ocular hypertension, diffuse stellate keratic precipitates or the presence of iris atrophy. Most common viruses associated are herpes simplex, varicella-zoster...

Medial rectus recessions for ACE

The goals of this study were to describe the clinical features of acute concomitant esotropia (ACE), analyse the surgical results and evaluate correlations with clinical variables. This was a retrospective study of 15 patients with mean age of 39.2±10.7 years;...

Investigating MOG-IgG as a cause for optic perineuritis

Optic perineuritis can be a manifestation of infectious and systemic inflammatory disorders, but in most cases is considered idiopathic. Diagnosis is established by magnetic resonance imaging (MRI) with the demonstration of optic nerve sheath enhancement with sparing of the optic...

A novel presentation of optic disc oedema with syphilis

Optic disc oedema (ODE) due to syphilis without visual compromise has been primarily attributed to papilloedema from raised intracranial pressure or optic perineuritis from optic nerve sheath inflammation. These terms were proposed before magnetic resonance imaging (MRI) was largely available....

Using small amplitude saccades to assess saccadic velocity

Saccades are a key component in the assessment and diagnosis of neuro-ophthalmological disorders. Clinicians are typically taught to use large amplitude saccades (LAS) of at least 20 degrees to assess saccadic velocity. It has been suggested, however, that small amplitude...