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Typical or surprisingly uncharacteristic presentations of neuro-ophthalmic emergencies

Irrespective of geographical location or patient cohort, emergency departments are high risk locations capable of inspiring extreme anxiety and dread in patients and doctors alike. The stress multiplies when a walk-in or referred case is suspected of underlying neurological pathology....

Modern practice options for UK ophthalmologists

When I spoke on setting up private practice at the annual United Kingdom & Ireland Society of Cataract & Refractive Surgeons (UKISCRS) meeting in November ’23 there was a lot of interest in different types of practice models. If we...

Patients “didn’t realise they had choice in receiving care,” finds new report on patient choice in elective eyecare

The current system of elective care is struggling to inform patients of their rights to choose healthcare providers and procedures, and offering little information or support when decisions need to be made, according to a new report. The report, Patient...

Primary eyecare welcomes Government’s commitment to improve access to care

The Association of British Dispensing Opticians (ABDO), The College of Optometrists and the Federation of Optometrists and Dispensing Opticians (FODO) back the Government’s commitment to put patients in the driving seat and give them more control and choice over their...

Paediatric optic disc anomalies

Anomalies of the optic nerve are relatively rare, but account for a significant proportion of sight impairment in children and adults. The recognition of these anomalies by eye health professionals is important not only due to their potential impact on...

Prediction of recurrence in exotropia

This study compares the long-term motor and sensory outcomes between constant and intermittent exotropia in infancy and investigated whether constancy can be used as a reliable factor for predicting surgical outcomes. Sixty-seven patients were reviewed – 37 constant and 30...

An unusual case report of bilateral abducens paralysis

In this case report a nine-year-old girl develops bilateral abducens nerve paralysis, caused by vertebrobasilar dolichoectasia. Vertebrobasilar dolichoectasia is characterised by dilation, tortuosity and marked elongation of the vertebral and basilar arteries. Clinical findings result from the compression and displacement...

Surgery for unilateral superior oblique palsy

This study evaluates the amount of effectiveness of inferior oblique myectomy in primary position, lateral gaze and head tilt, and the effect on improving extent of abnormal head posture. The study included 39 patients; 22 male, 25 left-sided palsy and...

How to diagnose and treat Acanthamoeba keratitis

Corneal ulceration caused by Acanthamoeba is on the rise, and recent publications indicate an outbreak in the UK over the last few years [1]. Since Acanthamoeba keratitis often presents with atypical features, diagnosis from slit-lamp examination alone can often be...

Implantation of diffractive trifocal intraocular lens

This study reports on 60 eyes of 120 patients who underwent routine cataract surgery followed by implantation of the trifocal IOL model Lisa tri-839MP. This is a diffractive trifocal preloaded IOL with no interruption at the haptic-optic junction, 360 degrees...

Blinking blepharitis has a lot to answer for…

Never ignore the small things’…someone once said. There is no doubt blepharitis is one of the most common eye conditions encountered daily, but with the typical pressures of a busy outpatient department, the management of more obvious, sight-threatening conditions necessarily...

Tear film thickness after treatment with artificial tears in patients with moderate dry eye disease

In recent years artificial tear drops addressing tear film osmolarity have come onto the market. Increased tear evaporation and reduced tear volume results in tear hyperosmolarity. This triggers an inflammatory process leading to apoptosis of goblet and epithelial cells. Trehalose,...