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Reliability of kinetic perimetry in children and young adults

This study reports on normative visual field area, feasibility and repeatability of testing for a large sample size of healthy children and young adults, using Octopus semi-automated kinetic perimetry. Sample included 221 healthy volunteers aged 5-22 years. The study was...

Surgical technique for small-angle hypertropia

In order to treat small-angle hypertropia of <5PF associated with mild / moderate upshoot in adduction, an option is to suture the inferior oblique (IO) belly to the sclera following its natural muscle direction or with anterior transposition. This study...

Treatment of IIIcnp

The authors report the surgical treatment of a 15-year old with congenital III nerve palsy. The child had a deviation of 50PD exotropia and a -6 limitation of adduction, -3 limitation of elevation and -4 limitation of depression. Surgery consisted...

Practical phacodynamics – making the most of your phacoemulsification machine

Understanding phacodynamics is appreciating the subtleties in the dynamic changes of the fluidics and the ultrasonic power delivered. Kristina Southcott explains. Increase my vacuum! Increase my bottle height! Increase my phaco power! I frequently observe the above commands being directed...

Ambient scribes: The silent revolution

Clinical practice is in the midst of a profound digital transformation with a new wave of technology gaining increasing prominence: ambient scribes. These AI-powered tools streamline documentation by converting doctor–patient conversations into structured clinical notes in near real time. Healthcare...

Key research and practical information to inform INS care

This ‘tutorial’ format paper aims to translate key research findings and conclusions into practical terms, discuss their clinical utility and introduce a new clinical method that accurately measures the static visual deficits in infantile nystagmus (INS), predicts the improvements that...

Effects of clonidine vs. placebo

The purpose of this study was to measure postoperative agitation using a standardised scale and evaluate whether it is reduced if given clonidine prior to strabismus surgery as compared to placebo. The scales included the Pediatric Anesthesia Emergence Delirium (PAED)...

The ophthalmologist’s elbow: a potentially painful point of contact

Three months ago I leant, in the customary manner, on the box of my indirect lens at the slit lamp to examine a patient’s fundus. An acute and severe pain in the tip of my elbow immediately interrupted me. I...

Strabismus surgery outcomes in Zika syndrome

This study describes the surgical treatment for five children with congenital Zika syndrome and horizontal strabismus. Six-month follow-up outcomes are reported. There were three females and two males with mean age at surgery of 36.4 ±0.9 months. All had history...

My Top Five: Tips for organising and delivering a national ophthalmology educational series

Organising a national teaching series is both deeply rewarding and surprisingly complex. It requires more than just good content – it demands a well-thought-out purpose, seamless logistics, strong communication and meaningful evaluation. Over the past year, I had the opportunity...

High myopes with POAG and IOP fluctuations

The authors describe a prospective study of 80 eyes of Chinese patients with primary open-angle glaucoma (POAG) on prostaglandin analogues to investigate if those who also have high myopia exhibit greater short-term intraocular pressure (IOP) fluctuations at resting conditions over...

Clinical Observation Days Pave Way for Next Generation of Optometrists

Optometry students at Glasgow Caledonian University have taken part in a series of clinical observation days at one of the UK’s leading eye surgery clinics, as part of a new programme giving student optometrists experience of modern day surgical practice.