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Les Misérables

I recently had the signal pleasure of undergoing Part 2 of the FRCOphth exit exam and could not help but wonder at how examiners could on the whole be easily categorised into certain subtypes which readers may find fascinating. This...

Effective treatment for rare sight-threatening infection

A drug candidate, based on pioneering UCL and Moorfields Eye Hospital research and currently under development by SIFI S.p.A., has been found to be highly effective in treating a rare sight-threatening eye infection in a new international clinical trial.

Trainee personality types

Over the past two years I have attended quite a number of medical educational seminars and ‘workshops’ and have been a bit shocked at how out of kilter with reality the world of education seems to be now. It seems...

Quantum technology first in eye disease detection

Scientists are working on a new device that could lead to a reduction in the number of people who go blind from age-related macular degeneration (AMD).

Setting up successful safe & efficient nurse-led intravitreal injection service

In September 2019, we organised a training course at Great Western NHS Hospital (GWH), Swindon, which provided presentations, discussions and hands-on wet lab experience on how to perform intravitreal injection using intravitreal assisted device (INVITRIA) for nurses and doctors from...

Surgical oculocardiac reflex

The authors evaluated the incidence of oculocardiac reflex (OCR) during strabismus surgery to determine its associated risk factors at a tertiary referral centre. Seventy-six patients were reviewed; 51.3% male and a mean age of 15±12 years. Strabismus surgery was bilateral...

Ptosis surgery outcomes

The purpose of this study was to evaluate the long-term outcomes of childhood ptosis surgery in a population-based cohort. The authors assessed reoperation rates, amblyopia, risk of lag, dry eye and other complications. This was a retrospective review of 47...

Axial length in congenital ptosis

The axial length in patients with unilateral congenital ptosis was prospectively examined in this study and lengths compared to fellow eyes. Thirty-seven patients included 24 male and 13 females with mean age of 17.8 ±16.3 years. Right ptosis was present...

Optic disc haemorrhages as a risk factor for poor outcomes in IIH

This is a report of a review of optic disc photographs, of the type and frequency of the optic disc haemorrhages (ODH), papilloedema grades and other fundoscopic abnormalities at baseline. In the study eyes of 133 patients enrolled in the...

Lester Jones tubes: Can these be tolerated long-term?

The authors present a retrospective case review study of a cohort of patients with Lester Jones’ tubes first placed between 1969 and 1989, and who were reviewed within the last 15 years. Twenty-nine patients (33 eyes) were included in the...

Review of extraocular muscle biopsies and utility of biopsy in extraocular muscle enlargement

This is a retrospective case series study from Melbourne, Australia, of 93 patients with extraocular muscle (EOM) enlargement who underwent an EOM biopsy between March 1992 and January 2017. Statistical analysis was performed to compare the data between patients with...

Subconjunctival anaesthesia in vitreoretinal surgery

The authors present a technique that combines topical and subconjunctival anaesthesia for vitreoretinal surgery. In this ‘two-step’ procedure, three drops of proparacaine were applied to the conjunctival fornix, followed by subconjunctival lidocaine injected in three quadrants. This was compared with...