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Management of diffuse OSSN with topical chemotherapy

Ocular surface squamous neoplasia (OSSN) can be localised to the conjunctiva or, less commonly, diffusely spread over the conjunctiva and cornea. Localised OSSN can be treated by surgical removal with adjuvant cryotherapy and chemotherapy with low rates of recurrence. Diffuse...

Informed consent – the Brexit test

The Medical Defence Union (MDU) runs courses on various medicolegal topics. I would guess people only ever attend these courses if they have an exam or an interview approaching as the subject matter is exceedingly dry for clinicians. I myself...

Google Maps - some supremely useful features

This article covers some less well known, yet very useful, features of Google Maps. Estimate your journey time by the day and time you’ll be travelling It’s easy to type a destination in and get an idea about how long...

Down with the sickness

There has been an epidemic of sick leave affecting the NHS generally and our department specifically, gradually increasing in severity over the past few years. The husband of our diabetic coordinator is a manager in the health board dealing with...

Quiz Aug/Sep 2025

History A 78-year-old female presented with bilateral, painless, progressive blurring of vision over five years, photophobia and increasing glare. Her past medical history included a known diagnosis of monoclonal gammopathy of undetermined significance (MGUS). On examination, vision in the left...

The paradox of green: When environmental solutions lead to unintended harm

The global drive toward environmental sustainability is increasingly hampered not by outright denial, but by well-meaning solutions that conceal perverse incentives and unintended ecological consequences. Many popular ‘green’ measures, adopted by simplifying complex environmental challenges into easy substitutions or offsets,...

3D printing and ophthalmology

3D printers have been available in the home market for many years, with the range of models increasing over time and the costs reducing. Historically, 3D printers have built a reputation of being complex and uncommon, most needing significant assembly...

The Real Top Gun: Professor Steve Schallhorn

Steve Schallhorn: Fighter Pilot. In the spring of 1987, I travelled to the cinema at Hendon Central in London with some school friends to watch the newly released movie The Witches of Eastwick starring Jack Nicholson and Michelle Pfeiffer. Unfortunately...

Pituitary tumours: why are they so often missed?

Part 1: Introduction, historical background and Edinburgh connections (see also Part 2 and Part 3) Is there any ophthalmologist who has not missed a pituitary tumour? Hopefully this article will help those currently in practice to avoid such an embarrassment,...

Take this waltz

My last weekend on-call was the busiest I can remember for a very long time. We were just completely swamped with patients. The weather was not too good that Saturday and it felt like every second inhabitant of our ocean...

Papilloedema: an update

Some readers may have seen a recent report in the national newspapers of the case of a teenage girl with persistent severe headache associated with a fatal brain tumour having been undiagnosed despite many consultations with her medical advisers. It...

HS-UK ‘Improving Outcomes’ Clinical Decisions & Management Course

The ‘Improving Outcomes’ Biometry: Clinical Decisions & Management course focuses on how biometry measurements can be used to guide clinical decision making. This includes evidence-based approaches to selecting the appropriate formulae, planning for more complex cataract cases, and approaches to...