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Risk factors for ocular complications following orbital fractures

In this Japanese retrospective cohort study, the authors examined records of 416 consecutive orbital fracture patients treated over a 10-year period at a single institution. The study identified ocular complications occurring in 9.5% of the cases, with traumatic mydriasis, hyphaemia...

Consultations for ‘papilledema’ for inpatients and in the emergency department

This study aimed to establish the final diagnosis and outcomes for neuro-ophthalmology emergency department (ED) and inpatient consultations for ‘papilledema’. Neuro-ophthalmology consults from ED and inpatient wards for adults referred with ‘papilledema’ were prospectively collected for 12-months in a single...

OCT changes after occlusion therapy in amblyopic and fellow eyes

This study compared optical coherence tomography (OCT) data of fellow and amblyopic eyes, and reported OCT changes after long-term electronically monitored occlusion therapy. The study recruited 30 patients with mean age of 16.7 ±11.2 years (range 5.1–44.7 years): 53% males....

All eyes on Twiggy as she fronts new campaign warning us: don’t lose focus of your eye health

Dame Twiggy Lawson fronts a new public awareness campaign focused on eye health, as cases of macular disease increase with our ageing population.

Phaco nightmares

I am interested in the stressful nature of cataract surgery from the surgeon rather than the patient’s perspective. It is an issue that has quite literally kept me awake at night. Part of getting to grips with a problem is...

Phacogeddon

A trainee shortly to rotate to my firm was unhappy at the fact that she had only one phaco list in her timetable. She was a final year trainee with more than five hundred cataract extractions to her name so...

Quiz Oct/Nov 2024

History An 83-year-old female was previously treated by surgical excision and plaque brachytherapy for her left conjunctival lesion. She presented to her ophthalmologist with a recurrence some years later and underwent a lid sparing orbital exenteration, which was sent to...

Hydroxychloroquine toxicity

Being the subject of litigation is stressful and upsetting. Having to look back over your previous decisions and justify the care you delivered in good faith can be difficult. Sadly, we all live with the Sword of Damocles above us...

The results of the last survey Oct20

The point of this series is to find variations in practice and to raise them to you, the readership, so you can review and reflect upon them. I am aware there is not always a ‘correct’ way of doing things,...

The results of the last survey Oct21

This edition’s survey questions moved away from the deep and ethically charged questions of the recent surveys and focussed on simple and straightforward issues. This is really where the surveys began in exploring the minor practice variations which we have...

The results of the last survey Apr23

*Please be aware that this data does not form part of a peer reviewed research study. The information therein should not be relied upon for clinical purposes but instead used as a guide for clinical practice and reflection. My thanks...

A single intravitreal bevacizumab in the treatment of breast carcinoma related choroidal metastasis

Case report Choroidal metastasis represents a common form of intraocular malignancies occurring in up to 10% of patients with systemic metastasis [1]. The most common primary sites of ocular metastasis are breast carcinoma in women and lung carcinoma in men,...