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BESTi: a new index to detect subclinical keratoconus

In this multicentre, case-control study, the authors develop a new index, named Boosted Ectasia Susceptibility Tomography Index (BESTi), to detect early cases of keratoconus. This index was derived from multiple logistic regression analysis of 22 variables of tomography scans. The...

Computer-assisted surgery in the orbit

In this paper the authors describe the growing use of computer-assisted surgery in ophthalmology. It is already described as a powerful adjunct in neurosurgery and sinus surgery and here they describe their experience of using it for the orbit; specifically...

Review of the use of amniotic membrane in restrictive strabismus

This literature review was undertaken to investigate the indications, complications and final results of amniotic membrane (AM) transplantation in ocular motility restrictions. The review (of 1103 papers) outlines the healing process plus use of AM. Excluded papers were those of...

Diagnostic and prognostic roles of serum interleukin-6 in patients with uveitis

This is a retrospective observational case series investigating the diagnostic and prognostic role of serum interleukin (IL)-6 in patients with uveitis involving 80 patients – 60 patients (75%) with normal IL-6 levels and 20 patients (25%) with high IL-6 levels....

Potential mechanism of over / under actions of inferior oblique muscles

In this paper, the authors hypothesise that fusional vergence adaptation, in patients who can fuse in at least some gaze positions, can cause curvature of the non-fixing eye movement paths of patients with apparent overaction or under action of the...

Hughes flap for lower lid retraction

This is a retrospective case series looking at the use of Hughes flap for cicatricial lower lid retraction. Fourteen patients were identified across five different hospitals with varying aetiologies ranging from previous lid lesion excision and reconstruction to trauma. The...

Scleral perforation after strabismus surgery

The aim of this study was to report the incidence, risk factors, treatment and outcomes of scleral perforation as a vision-threatening complication of strabismus surgery. The review included 12 papers: four prospective, two retrospective, two surveys, one review, two animal...

Features of idiopathic versus non-idiopathic ocular motor apraxia

The aim of this study was to describe the characteristics and outcomes of ocular motor apraxia (OMA) in a paediatric neuro-ophthalmology clinic over 10 years. This was a retrospective case review and included 37 patients of which 46% were idiopathic...

Association between COVID-19 restrictions and accelerated myopia progression

A retrospective case review aimed to evaluate the association between home confinement and progression of myopia in Argentina during 2020. Data was collected using an online survey of ophthalmologists throughout Argentina. The inclusion criteria included being five to 18-years-old, found...

Management options for microphthalmia with orbital cyst with / without visual potential

The authors present six cases (seven eyes) of congenital microphthalmia and orbital cyst. These cases were newborn mainly with one aged 20 years. There were four females and two males and two of seven eyes had a visual potential of...

Using perimetry to support lesion location in the retrochiasmal visual pathway

The authors present a retrospective case review of patients with homonymous hemianopia from a 30-year period. Inclusion criteria included completion of perimetry within two years of diagnosis and a MRI brain. Data extracted from the records included demographics, diagnosis details...

Surgery to reduce chin-up abnormal head posture with nystagmus

The authors report the surgical results of six patients with chin up abnormal head posture (AHP) in infantile nystagmus syndrome (INS) where maximal inferior rectus weakening (recession) was undertaken along with superior rectus resection in four of the cases. This...