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The management of antiplatelets and anticoagulation in elective ophthalmic surgery

Clinical scenario: A 57-year-old gentleman who is scheduled to have Mohs micrographic surgery and reconstruction for a medial canthal basel cell carcinoma (BCC) has been started on aspirin and clopidogrel following a coronary stent three weeks ago. Does the antiplatelet...

Does paediatric uveitis reactivate after treatment with anti-TNF-a drugs?

As a potentially blinding disease that can affect 7-27/100000 children, uveitis remains a rare condition, where little evidence based data is available to guide management decisions. Most paediatric uveitis cases are chronic, anterior and non-infectious and may be associated with...

The effects of anti-VEGF therapy for NvAMD on retinal vasculature

This retrospective consecutive case series examined 54 eyes of 54 treatment-naïve neovascular age-related macular degeneration (N-AMD) patients. Thirty-three eyes received intravitreal aflibercept injections, and 21 eyes received intravitreal ranibizumab injections with unaffected fellow eyes (54 eyes) as controls. All image...

Childhood canalicular lacerations

This retrospective study over 10 years provides data on canalicular lacerations in patients younger than 18 years of age. Of 137 lacerations, 38 (27.7%) met the inclusion criteria. 68.4% were white and 73.7% were male. The mean age was 10.8...

Is myopia protective against progression of diabetic retinopathy?

This population-based cohort study assessed the association of refractive error with the incidence and progression of diabetic retinopathy (DR); 1562 eyes of 860 patients with diabetes and gradable retinal photographs were included. Baseline data was taken between 2004-2009 and follow-up...

Results of surgery in a case of FMNS

The authors present the effects of the tenotomy and reattachment procedure on a patient with accommodative strabismus and fusion maldevelopment nystagmus syndrome (FMNS) who did not require strabismus correction. The ocular motility study of this patient allowed the opportunity to...

Risk factors for failed vision screening

Failure rates on vision screening tests were reported by age and racial / ethnic categories in a large sample of children with most aged 6-11 years. Many children resided in lower socioeconomic status areas. Data was taken from 9743 children....

Iranian values for childhood convergence

The authors aimed to determine near point of convergence (NPC) values in a population-based study in Iranian schoolchildren with a large sample size. They explored its relation to factors such as age, gender, refractive error and near point of accommodation....

Mucormycosis: In conversation with Dr Deepak Haldipur and Dr Aditya Moorthy

COVID-19 has ravaged the world in the past 18 months. The second wave in many countries was deadlier than the first. Mucormycosis, infamously labelled ‘the black fungus’ has affected some countries, such as India, in epidemic proportions within this COVID...

A revolution in modern genetic testing for the clinical management of ocular disease

Recent years have seen a huge increase in our understanding of the genetic factors underlying a wide variety of eye diseases. This has included common conditions such as glaucoma and age-related macular degeneration, as well as those conditions which have...

New guidance demands robust training and governance as robotic surgery rolls out across NHS hospitals

The Royal College of Surgeons of England (RCS England) has issued new guidance urging NHS Trusts to strengthen training and tighten governance for surgeons performing robotic procedures, amid growing use of the technology in operating theatres. The recommendations come as...

Non-infectious Uveitis: Well Known, Weird and Wonderful meets You, Me and the Balloons

Installation view from Manchester International Festival 2023 exhibition Yayoi Kusama: You, Me and the Balloons at Aviva Studios. Images © David Levene. On an uncharacteristically salubrious 5 July 2023, the date of the 75th Anniversary of the UK’s NHS, a...