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Getting started in ophthalmology: Advice for new doctors

Starting your first rotation in ophthalmology is exciting and a little daunting. As the start date approaches, the nerves may start to creep in. What’s expected of me? How much ophthalmology am I supposed to know? How will the on-calls...

Typical and atypical optic neuritis – diagnosis and initial management

Optic neuritis is a relatively common presentation to ophthalmologists in the acute setting. The vast majority are cases of ‘typical’ optic neuritis (ON) but a smaller group of conditions, so-called, ‘atypical’ optic neuritides require a different work-up and management strategy....

Lessons from an unusual case of syphilis

The rise of syphilis transmission rates over the past two decades has been one of public health’s great puzzles. In the UK, the situation has reached epidemic levels, with a 126% increase between 2013 and 2018 [1]. We present a...

Immunoglobulin G4-related ophthalmic disease – what is it? (Part 2)

Part 2: Clinical presentation and treatment (see part 1 here) Introduction IgG4-related disease (IgG4-RD) is understood to have a vast clinicopathological spectrum; nearly every organ has had reported involvement. Similarly, IgG4-related ophthalmic disease (IgG4-ROD) is known to affect nearly every...

A trip up north: Eye News Symposium 2020

New accents, friendly smiles and haggis served with my traditional morning breakfast, I knew at this point that I was a long way from the south of England, where this story begins.

Apr/May 2014 Quiz 2

History A 29-year-old woman presented to the emergency department with a two week history of floaters and patchy peripheral visual field loss in the left eye (LE). She had no relevant medical history and she was not on any current...

Avoiding investigations through history taking and examinations to differentiate serious from comparably benign aetiology

*Joint first authors. Introduction Anisocoria can be a sign of neurological deficit, necessitating numerous investigations [1]. This case report explores how expensive and time-consuming investigations can be avoided by thorough history taking and examination to differentiate serious from comparably benign...

Ombudsman comments on government announcement of duty of candour review

Parliamentary and Health Service Ombudsman Rob Behrens comments on the Department of Health and Social Care's announcement about a review into duty of candour.

Rectus muscle flap tear

The clinical findings, role of imaging, surgical techniques and results are described for three patients who presented with flap tears of the inferior or medial rectus muscles. Two were due to trauma (inferior rectus) and one due to surgery (medial...

Medial rectus surgery with development delay

The long-term results of bilateral medial rectus surgery are evaluated in 42 children with development delay. Mean age pre-surgery was 2.9 years with a mean follow-up of 4.6 years. Mean angle of esotropia was 44.29±13.9PD; 57% achieved surgical success; 31%...

Characteristics of ptosis in Iranian children

A cross-section study was undertaken to determine the prevalence of ptosis (congenital and acquired) and its risk factors in Iranian children. The target population was children aged seven years in urban areas of Iran. Seventy schools of eight cities were...

A case report of bidirectional aberrant upward eye movement

The authors present a case report of a 14-year-old boy with left ptosis and strabismus since childhood. In primary position he had left hypotropia with ptosis. On elevation of the right eye, the left eye depresses and adducts. Conversely, on...