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Managing a patient with ptosis

1 August 2015 | | EYE - Oculoplastic, EYE - Orbit
A 50-year-old male patient is referred from the Accident & Emergency department with a history of ptosis. How will you manage this patient? Mr Bertie Fernando Clinical management Clinical management starts with a sound clinical history. Current history The history...

Third nerve palsy following cataract surgery with sub-Tenon’s anaesthesia

1 October 2014 | | EYE - Cataract, EYE - Refractive
Figure 1: Photograph showing partial ptosis of the right eye two months after surgery (photo by R McLeod). An 83-year-old lady had routine right eye cataract surgery under uncomplicated sub-Tenon’s anaesthesia. She presented two weeks later, explaining that following the...

Doctor at large

1 October 2021 | | EYE - Vitreo-Retinal, EYE - General
“In 1930, the Republican-controlled House of Representatives, in an effort to alleviate the effects of the… Anyone? Anyone?... the Great Depression, passed the… Anyone? Anyone? The tariff bill? The Hawley-Smoot Tariff Act? Which, anyone…?” In this memorable scene, the monotonous...

App detection of leukocoria

5 August 2020 | | EYE - Paediatrics, EYE - Strabismus
This paper outlines ARCELE – Computer Assisted Detection of Leukocoria. This is an iPhone app developed to increase early detection of retinoblastoma by detecting leukocoria. The aim of this study was to determine the use of CRADLE as a screening...

Amblyopia OCT results

1 April 2014 | | EYE - Paediatrics, EYE - Strabismus
The authors compared the macular and peripapillary retinal nerve fibre layer (RNFL) thicknesses of amblyopic and fellow eyes using Stratus optical coherence tomography (OCT) to reveal any differences. They sought to determine the anatomical differences between these subtypes of strabismic...

Appropriateness of online education material for leukocoria

1 May 2025 | | EYE - Paediatrics, EYE - Strabismus
The purpose of this study was to assess the quality, reliability and readability of online patient education materials on leukocoria. A Google search was undertaken for leukocoria and white pupil. They identified and assessed the first 50 sources for both...
Pediatric Ophthalmology & Strabismus journal cover

Presenting and diagnostic signs of retinoblastoma

5 August 2022 | | EYE - Paediatrics, EYE - Strabismus
This study revisits the presenting signs of retinoblastoma (RB) in the context of current best practice with respect to diagnosis and assessment of RB. This was a retrospective review of 131 consecutive cases, excluding those with positive family history over...

Unravelling ocular motility

1 April 2016 | | EYE - Neuro-ophthalmology
Ocular motility can often be a slightly abstract concept during the earlier years of ophthalmology training. A large variance on what embodies normality; mythical concepts like fusion and binocular vision, examination techniques that can be fiddly, and complex neuroanatomy all...

Optical coherence tomography – reinventing the eye examination

1 October 2016 | | EYE - Vitreo-Retinal, EYE - Imaging
It has been 25 years since Huang et al. presented the first optical coherence tomography (OCT) images in Science [1]. With vast improvements in OCT technology over the years, it is now possible to acquire high-resolution cross-sectional images of the...

Typical or surprisingly uncharacteristic presentations of neuro-ophthalmic emergencies

1 April 2019 | | EYE - Neuro-ophthalmology, EYE - General
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....

Paediatric ptosis

1 December 2018 | | EYE - Paediatrics, EYE - General
Manoj Parulekar and colleagues provide a comprehensive overview of the diagnosis, assessment and management of childhood ptosis. Blepharoptosis (commonly referred to as ptosis – Greek, πτῶσις, ‘to fall’) is a condition where the upper eyelid is in an abnormally low...

Moorfields: Paediatric eye emergencies for the non-paediatric ophthalmologist

26 November 2025
Clinicians who primarily work with adults, often lack confidence when it comes to assessing and managing emergency eye problems in children. This half-day course aims to address that gap by providing practical, accessible education in paediatric ophthalmology for non-paediatric ophthalmologists.