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3565 results found

Orbital filler for enophthalmos in Parry-Romberg syndrome

This is a retrospective review of three patients with enophthalmos in sighted eyes secondary to Parry-Romberg syndrome. The patients were all female, aged between 24 and 54. All three patients had 4mm of relative enophthalmos prior to treatment. They each...

Surgery for unilateral superior oblique palsy

This study evaluates the amount of effectiveness of inferior oblique myectomy in primary position, lateral gaze and head tilt, and the effect on improving extent of abnormal head posture. The study included 39 patients; 22 male, 25 left-sided palsy and...

Effect of caffeine and low intensity endurance exercise on intraocular pressure

This placebo controlled, double blind, balanced crossover study reports in healthy individuals that 30 minutes of cycling caused a maximum of 2.7mmHg lowering of IOP. A caffeine dose of 4mg/kg 30 minutes prior to cycling negated this effect. The conclusion...

Pilot trial of virtual reality to treat amblyopia beyond the age of seven years

A pilot double-blind randomised controlled trial is presented. Patients were required to be between seven and 38 years of age, have a diagnosis of anisometropic and / or strabismus unilateral amblyopia, visual acuity in the amblyopic eye between 0.3-1.0 LogMAR...

Change in psychosocial, quality of life and anxiety after strabismus surgery

The authors aimed to define the impact of surgical correction on psychiatric problems, health-related quality of life and anxiety levels in children and their parents. This was a cross-sectional study of 39 children with strabismus and their parents. All children...

Outcomes of combined medial and laser treatment for advanced Coat’s disease

In this study, the anatomical and visual outcomes of paediatric patients with advanced stage 3+ Coat’s disease are reported. Patients were treated with a combination of intravitreal ranibizumab, laser photocoagulation and methyl prednisolone acetate. This was a retrospective review of...

Intravenous ketorolac during DCR

This study compares pain scores postoperatively between patients that received intravenous ketorolac (IVK) pre, intra or immediately postoperatively and a control group that did not receive it. The authors state that the patients were randomised, however it is not described...

Tocilizumab in Graves’ orbitopathy

This prospective European study looks at the response to tocilizumab in corticosteroid-resistant disease. Tocilizumab (TCZ) is a monoclonal antibody that competitively inhibits IL-6 binding to its receptor. Unlike teprotumumab, the advantage of TCZ is that it is already used within...

The effect of orbital decompression on upper eyelid retraction

This is a systematic review and meta-analysis on whether there is a change in upper lid retraction following orbital decompression. Traditional teaching states that the order of surgery for thyroid eye disease should be decompression firstly, followed by squint surgery...

Quality matters in the management of serious eye disorders

The author discusses the first quality standard for serious eye disorders from NICE and takes a look at new care models for enhanced service delivery. Patient backlogs pose risks to patient safety, with research showing that people are losing sight...

Evolving towards an interventional glaucoma mindset

Traditionally, a newly diagnosed glaucoma patient would be treated first with medical therapy. As the disease progressed or the initial intervention failed to adequately control intraocular pressure (IOP), clinicians would add more drops, selective laser trabeculoplasty (SLT), repeated SLT and...

Comparing visual acuity to visual demand levels in classrooms

This study investigated the actual logMAR and contrast sensitivity demands in a cross-sectional sample of kindergarten through grade 12 classrooms in New York city. This was done to consider the potential benefit in optimising the specificity of visual acuity-based screening...