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Tutopatch® in surgical management of third nerve palsy

his study evaluates the benefit of using Tutopatch® to elongate the extraocular muscles in patients with third nerve palsy who have residual strabismus after unsuccessful surgery and no other surgical options considered to be appropriate. The study included nine patients...

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...

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...

Comparison of degradation of stereoacuity with reduced visual input

The aim of this study was to investigate the differing extents to which stereo thresholds obtained with Frisby, TNO, Lang Stereopad and ASTEROID stereo tests are affected by changes in visual input in adults. Bangerter foils (0.2 and 0.4) were...

Testing periods for accommodative and vergence facilities

The authors investigate if there is a significant difference in the number of cycles between the first and second 30-second (FASTS) periods of testing accommodative facility and vergence facility, and explore the possibility of reducing testing time by half. The...

Short-term effects of atropine measured by OCTA for myopia progression

This was a prospective observation cohort study to evaluate the effect of atropine on axial length (AL), choroidal thickness and choroidal stromal volume (CSV) using swept-source OCT angiography (OCTA). The study included 26 subjects of which 25 had sufficient quality...

How to examine the visual system Part 1: visual acuity, visual fields and eye movements

Asking candidates to perform an examination of the visual system, either as part of a full cranial nerve exam or as an individual entity, is a common station in practical examinations during medical school. It is important to practise for...

Designing ophthalmology services - Part 1: How do we address the queues in a clinic?

This first of a three-part series shows how systems engineering can be used to correctly diagnose and address the causes of delays in a clinic. The second article, which will be featured in the April/May 2020 issue, describes how to...

Impact of Eye Health Surveys and Partnerships in The Gambia

This article brings together the three national eye health surveys that have been undertaken in The Gambia between 1986 and 2019 and the impact that the results have had nationally and internationally. In it we describe the long-term capacity-strengthening for...

Don’t ignore the black lesion! It might be mucormycosis

Keeping mucormycosis infection in the foreground of your differential diagnosis, especially in those more vulnerable patients, will help save their lives if recognised and managed appropriately. Mucormycosis is a fulminant infection caused by the fungi of the family Mucoraceae. It...

New report calls for national funding to expand life-changing eye care technology

Optometry Scotland warns of “postcode lottery” Optometry Scotland (OS), the representative body for optical professionals, has published a landmark report calling for the full integration of an early diagnostic tool in primary eyecare across Scotland. Ocular Coherence Tomography (OCT) is...

Redeployment during the COVID-19 pandemic: personal accounts from four ophthalmology trainees

We once believed that the coronavirus would not penetrate the safe confines of the United Kingdom, like so many outbreaks before this. Once the news came that this pandemic descended into our hospitals, the anxieties about redeployment began. Many of...