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Ocular manifestations of Whipple’s disease
2 February 2024
| Lucy Osborne
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EYE - Vitreo-Retinal
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Granulomatous uveitis, Whipple’s disease, infectious uveitis, ocular infection, tropheryma whipplei
In this retrospective review of 217 patients with Whipple’s disease (WD), the authors reviewed the presentations of those with ocular manifestations. Ocular signs of WD are under recognised, frequently resulting in misdiagnosis and mismanagement. Mayo Data Explorer, a Mayo Clinic...
Balancing early and late surgical intervention for congenital nasolacrimal duct obstruction
This retrospective study investigated the incidence of anisometropia and amblyopia by age of congenital nasolacrimal duct obstruction (CNLDO) resolution. At Seattle children’s hospital, between 2007 and 2017, the outcomes of children with early versus late spontaneous resolution of CNLDO were...Headaches in ophthalmology (part 2)
Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...Rare eye diseases: progress continues with authorised orphan medicines and breakthrough technologies
1 October 2018
| Rod McNeil
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EYE - General
An update on the development of orphan medicines, recent regulatory treatment approvals for rare eye conditions and advances in retinal prosthetic technologies for blinding diseases. The prevalence of a rare disease is based usually on a range of estimates and...
Internuclear ophthalmoplegia: a case study
3 June 2024
| Miguel Kurc
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EYE - General
A 44-year-old patient presents with binocular, mostly horizontal diplopia when fixating on moving objects. This has been ongoing for approximately five years. He is known to have multiple sclerosis and had an episode of optic neuritis six years prior in...
A case of late spontaneous subluxation of in-the-bag intraocular implant
An 82-year-old frail lady was referred by her optometrist with a finding of subluxated implant in the right eye. She had uneventful phacoemulcification with in-the-bag intraocular implant 17 years earlier. There is no history of having had pseudoexfoliation (PXF) or...
Eye Emergencies: The practitioner’s guide (Second Edition)
1 August 2016
| Jaya Myneni
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EYE - General
This book is a comprehensive guide for medical practitioners – nurses or doctors working in the primary care or emergency care setting. It begins with a description of basic anatomy of the eye and the clinical significance of various structures....
Risk of developing pseudotumor cerebri in women using a levonorgesteral intrauterine device
1 December 2017
| Claire Howard
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EYE - Neuro-ophthalmology
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Contraception, idiopathic intracranial hypertension, intrauterine system, levonorgestrel, pseudotumor cerebri
Pseudotumor cerebri (PCT) is a disorder causing increased intracranial pressure without a mass lesion, usually seen in obese women of childbearing age. Idiopathic intracranial hypertension is an idiopathic form of the disorder, but several medications have been associated with the...
Silent keratitis in failed graft
This study examined rates of asymptomatic keratitis in failed full thickness corneal grafts, which were not picked up clinically preoperatively. During a five year period 53 penetrating keratoplasties (PK) were performed for long-standing graft decompensation with stromal opacity and /...
A clinical review of optic neuropathy associated with amiodarone
1 August 2017
| Claire Howard
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EYE - Neuro-ophthalmology
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Amiodarone, arrhythmia, optic neuropathy
The authors present a clinical overview of the occurrence of visual loss secondary to optic neuropathy associated with the use of the antiarrhythmic agent amiodarone. Amiodarone is prescribed for the management of atrial fibrillation and ventricular tachycardia / fibrillation. However,...
Ptosis frontalis sling surgery
In this retrospective study the authors investigated the functional and cosmetic outcomes of the modified frontalis sling procedure using silicone rods. The study included 17 patients (26 lids) and nine had bilateral surgery. An excellent outcome was defined as alignment...
