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Mr Lego shows that visual impairment doesn't have to hold you back

Stewart Lamb Cromar, from Edinburgh, has achieved a lifelong ambition after Lego turned one of his designs into an official set. It is a goal he has been working towards for more than a decade, and one he feared might...

Paediatric choroidal neovascular membrane secondary to optic disc drusen

Choroidal neovascular membrane (CNVM) is a rare cause of visual impairment in paediatric populations and predominantly affects individuals aged over 50. CNVM is defined as the pathologic growth of new abnormal blood vessels which extend from the choroid and break...

Sustainability in cataract surgery: Everyday practice at Kabgayi

Reading the Royal College of Ophthalmologists’ (RCOphth) ‘Sustainable Cataract Surgery’ guidance (September 2025) was a pleasant surprise [1]. Many of its recommendations mirror what we have been doing at Kabgayi Eye Unit for years, not because of formal policy, but...

The results of the last survey Dec22

I am regularly faced with litigation whereby the claimant’s cornea has decompensated after cataract surgery. The procedure may have been complicated but sometimes it is not. The eye may have been high risk, for example, a shallow anterior chamber with...

Basics of Vitrectomy

This is a book set out over 14 chapters which is designed to be a handbook for beginners embarking on a career in vitreoretinal (VR) surgery or for trainee surgeons on rotation with the VR team. It starts with an...

Laissez-faire approach for medial canthus tumours

This is a retrospective comparative case series of patients who underwent reconstruction of a medial canthal defect using laissez-faire approach (LFS), or a full-thickness skin graft (FTSG). The surgical options were discussed with the patient and the treatment decision was...

Ptosis surgery outcomes

The purpose of this study was to evaluate the long-term outcomes of childhood ptosis surgery in a population-based cohort. The authors assessed reoperation rates, amblyopia, risk of lag, dry eye and other complications. This was a retrospective review of 47...

Propranolol treatment of infantile haemangioma

This is a retrospective review of 104 patients treated for infantile haemangioma between January 2009 and July 2012. All patients underwent pretesting either with protocol A (administration of test dose with routine observations) or protocol B (cardiology clinic assessment, including...

Outcomes of Hughes flap in lower eyelid reconstruction

One hundred and 22 consecutive patients who underwent tarsoconjunctival advancement flap surgery for lower eyelid defects were part of this study. Ninety percent of them had lesion excision using Mohs micrographic surgery. Eighty percent of these were for basal cell...

Safety and outcome of microincision vitreous surgery in uveitis

This paper reports the outcomes of microincision vitreous surgery (MIVS) 23G/25G in uveitis of 103 patients (106 eyes) who underwent diagnostic MIVS over a period of four years at the Advanced Eye centre in Chandigarth India. The postoperative evaluation included...

Full thickness macular hole after YAG PI

The authors report a case of macular hole post YAG peripheral iridotomy (PI) of a patient with pre-existing vitreomacular adhesion. Although a relatively safe procedure, some anterior segment complications are well documented such as corneal endothelium damage, rise in IOP,...

Long-term outcomes following surgery for traumatic cyclodialysis clefts

This retrospective case series evaluated the long-term visual prognosis and intraocular pressure control following surgical treatment of traumatic cyclodialysis clefts. Cyclodialysis clefts result from the disinsertion of the longitudinal ciliary muscle fibres from the scleral spur and occur as a...