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Strabismus and ocular motility, demystified

I am a former orthoptist, now trained in medicine and working as a foundation doctor. In my previous work, I was frequently approached by ophthalmology trainees eager for guidance with strabismus and ocular motility. Drawing on my clinical experience, I...

Myopia-related strabismus – heavy eye syndrome

Introduction Myopia can be associated with any type of strabismus, but high myopia has increased frequency of esotropia and vertical heterotropia. The incidence and severity of the strabismus increases with the degree of myopia and age of the patient. Classification...

Testing of binocular contrast sensitivity as an objective measure of severity in intermittent exotropia

The purpose of this study was to compare the binocular contrast sensitivity ratio (measured with the Vision CSV-100 vector chart) between 40 intermittent exotropia patients and 40 normal controls. The authors also evaluated the effect of intermittent exotropia compensation status...

Orbis achieves WHO trachoma elimination threshold in Sheka Zone, Southwest Ethiopia

Ahead of World Neglected Tropical Diseases (NTD) Day on 30 January, international eye care charity Orbis has announced that it has achieved the World Health Organisation (WHO) threshold for eliminating trachoma as a public health concern in Sheka Zone, Southwest...

Identifying life-threatening uveal melanoma: A directed application of general-purpose AI

Uveal melanoma (UM) is a rare but aggressive eye cancer, affecting approximately six people per million annually [1]. Uveal melanoma arises in three locations: the choroid, ciliary body, and iris. As the most common primary intraocular malignancy in adults, UM...

A case of Miller Fisher Syndrome and bilateral asymmetric globe retraction

Miller Fisher syndrome (MFS) is a rare, acquired nerve disease that is considered to be a variant of Guillain-Barré syndrome. It was first recognised by James Collier in 1932 as a clinical triad of ataxia, areflexia and ophthalmoplegia. Later, it...

BT vs primary surgery for infantile esotropia

In this study, the success rate of treatment for infantile esotropia (IET) patients who had surgery because of under correction after botulinum toxin (BT) is compared to those having primary surgery. The study included 52 patients (27 male) with mean...

Change in infantile exotropia

This study investigated the clinical course of patients with infantile exotropia who initially presented with a small exo deviation of 10-18 prism dioptres. Eighty-six patients were reviewed: 35 with follow-up of >2 years without surgery and 51 with surgery. The...

Angle of deviation and psychological impact

This questionnaire-based prospective study using the Psychological Impact Questionnaire was designed to investigate whether the size of the angle of deviation, age, sex, presence of diplopia, visual acuity of the worse eye and direction of deviation are related to psychological...

Exotropia control score versus angle

The authors aimed to evaluate the relationship between family history and deviation control in intermittent exotropia, and the effects of age, sex, angle and refractive status on deviation control. This was retrospective review of 54 patients aged 7.7 ±4 years...

The science of glaucoma management: highlights of the 2020 Moorfields International Glaucoma Symposium

Held earlier this year, the 12th annual Moorfields International Glaucoma Symposium provided a forum for advanced clinical and scientific exchange in glaucoma management. The authors describe the key presentation themes and debates, highlighting specific topics of interest to glaucoma specialists....

Residual esotropia surgery comparisons

The aim was to compare lateral rectus resection and plication methods in patients with residual esotropia for postoperative success rate, dose response, ipsilateral medial rectus limitations and reoperation. The study included 57 patients (31 female, 26 male) with 27 plication...