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The meaning of life

Supercomputer: “The answer to the great question of Life, the Universe and Everything is…”Programmer: “Yes…?”Supercomputer: “42. It was a tough assignment”.Programmer: “42? Is that all you have got to show for seven and a half million years work?” In this...

How good does my vision have to be to drive this thing? Visual standards for various occupations

We can all picture that moment in clinic: you are about to tell someone that they’re no longer legally able to drive, ready to deploy our ‘breaking bad news’ techniques. For some patients this may have been expected, or they...

Behind the eyes: Unravelling the mystery of a painless progressive proptosis

Orbital fungal infections have the potential to give rise to serious complications. While these infections typically originate in the sinuses, patients may initially exhibit ocular symptoms. As a result of the diverse and often vague clinical manifestations (especially during the...

My Top Five: Tips for organising and delivering a national ophthalmology educational series

Organising a national teaching series is both deeply rewarding and surprisingly complex. It requires more than just good content – it demands a well-thought-out purpose, seamless logistics, strong communication and meaningful evaluation. Over the past year, I had the opportunity...

Supranuclear palsy

This paper reports the results of surgery for supranuclear monocular elevation deficiency. Contralateral superior rectus maximal recession was undertaken without interfering with the superior oblique tendon position, transection of the superior oblique to the superior rectus frenulum and directly suturing...

Automated Bruckner device accuracy

The authors developed a Bruckner device, examined volunteers and determined the relation between the luminance of the red fundus reflex and eye rotation. Eye rotation was varied continuously both horizontally (-7 to 8 degrees) and vertically (five degree total range)...

Management of large hypertropia due to lost inferior rectus

This case report outlines the management strategy for a 37-year-old male who suffered a penetrating left orbital injury with rupture of the inferior rectus muscle, optic nerve avulsion and vertical deviation of about 90PD. On orbit exploration, the inferior rectus...

Effects of orbital decompression

This is a retrospective review of 319 orbital decompression operations in 169 patients (73% female) with thyroid eye disease. Three wall decompressions were performed in 92 eyes, 2-wall in 206 (medial and floor), and a single wall (medial) in 18,...

AI-Based devices in national screening programmes: barriers and challenges

Diabetic retinopathy (DR) may have long-term complications and is recorded as a leading cause of blindness. National DR screening programmes have effectively reduced severe visual loss by timely detection and subsequent treatment of sight-threatening proliferative DR and diabetic macular oedema....

‘Agenda-setting’ BCLA Clinical Conference to shape the future of contact lens practice around the world

The global eye care professional network’s “unquenchable thirst for learning” ensured the success of the first in-person BCLA Clinical Conference & Exhibition in four years.

Useful digital resources for the modern ophthalmologist

In the age of the internet and a smartphone at everyone’s fingertips, here are some free resources I have found to be useful on the job, and hopefully will be of use to you too. Feedly (Android/iOS): Better known as...

Depth and width of corneal wounds post corneal foreign body removal

This was a prospective study of 63 eyes of 63 patients undergoing corneal foreign body (FB) removal with a 27G needle at the slit-lamp; 96.8% of the patients were men with mean age 35.8 ±11.0 years. Regarding location of FBs,...