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Choroidal melanoma – breaking bad news

1 June 2019 | | EYE - Pathology, EYE - Oncology
Case report A 55-year-old Caucasian female presented to her general practitioner with a three-month history of headaches and worsening blurred vision in the left eye. On further close questioning, she reported no eye pain, intermittent floaters and flashes of light...

Traumatic ‘toy’ gun injury leading to permanent vision loss

6 April 2021 |
Pseudoxanthoma elasticum (PXE) is a progressive, inherited disorder of connective tissue that affects the skin, cardiovascular system and retina. Ocular manifestations of the disease are related to Bruch’s membrane, a thin elastic tissue layer located between the retinal pigment epithelium...

Bosch-Boonstro-Schaaff optic atrophy syndrome (BBSOAS) NR2F1 mutation

4 December 2023 | | EYE - Neuro-ophthalmology
An experienced ophthalmologist can make an anatomical diagnosis of childhood visual impairment based upon the surgical sieve, i.e., congenital and acquired. But an ophthalmologist cannot work in isolation to make an aetiological diagnosis – one would require the help of...

Periorbital and subconjunctival emphysema - a sign of orbital rim fracture

3 February 2023 | | EYE - General
Background Orbital emphysema is a condition where air is present in orbit or periorbital tissues [1]. It is most commonly caused by trauma leading to orbit fracture, where air from paranasal sinuses is allowed to enter the orbit. The most...

CALL TO ACTION: Ophthalmology on Myanmar / Thailand border: do you have any redundant kit?

29 June 2023 | | EYE - General
In 1990, the late Doctor Frank Green, a consultant ophthalmologist in Aberdeen, along with Doctor Phillip Ambler, a GP with ophthalmic training, responded to an invitation to provide ophthalmic care for Karen refugees on the northern and eastern Myanmar borders....

How to pass the FRCOphth part 2 oral exam

1 June 2022 | | EYE - General
If you have got this far in terms of your exams, relax. In terms of pass rate, the hardest FRCOphth membership exams are already behind you. The pass mark for the part 2 oral exam is around 75%, and about...

Pituitary adenoma causing compression of the optic chiasm

1 April 2019 | | EYE - Neuro-ophthalmology, EYE - General
A 21-year-old girl presented to her general practitioner (GP) with a three-month history of headaches, becoming more frequent and associated intermittent vomiting that did not improve with simple analgesics. There was a strong family history of migraines. She was initially...

In conversation with Andrena McElvanney (President, MCLOSA)

22 September 2022 | EYE - Cornea
We spoke to Andrena about MCLOSA's annual meeting this November, key developments in cornea and external eye disease, and plans for the association’s 30th anniversary. Andrena McElvanney (top, second from right) and the OSI council members. The Medical Contact Lens...

Neuro-ophthalmology: the extended role of an orthoptist

1 December 2021 | | EYE - Neuro-ophthalmology, EYE - General
Neuro-ophthalmology has always been a speciality of interest during my studies and now in my career. In 2018, I started a Band 7 post which gave me an extended role in neuro-ophthalmology and the responsibility of developing an orthoptic led...

What intentional eyecare looks like: Lessons from Aravind Eye Hospital

12 December 2025 | | EYE - General
Jet-lagged, following 24 hours of travel from Boston, sweat rolled down my forehead only to return moments after I had wiped it away. Even the English signs seemed suddenly indecipherable in the humid midday heat of Pondicherry, India. I’ll never...

An elective in the land down under

2 April 2026 | | EYE - General
My clinical elective was spent at the Royal Victorian Eye and Ear Hospital (RVEEH) in Melbourne. As Australia’s only specialist tertiary hospital dedicated entirely to eye disease, RVEEH gave me significant exposure to, and enhanced my clinical understanding of, ophthalmology....

Beyond the slit lamp: Unanticipated lessons from my ophthalmology elective

3 April 2026 | | EYE - General
My six-week elective in ophthalmology at Westmead Hospital in Sydney offered much more than technical mastery; it challenged my assumptions about patient care, teaching and the role of curiosity in medicine. Though my passion for eyes was ignited by my...