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Orthoptic slit-lamp

Adaptations are described that allow the slit-lamp to be used to document squint disorders. Changes are made in the observation system, illumination system, for recording clinical findings and visualisation of clinical findings. The author includes the use of minus lens...

Care pathway for isolated orbital blowout fractures

The authors conducted a literature review to inform the development of a care pathway for the assessment and management of adult fractures, specifically isolated fractures not combined with facial or systemic injury. Assessments included a core of Hess chart, field...

Treatment of IIIcnp

The authors report the surgical treatment of a 15-year old with congenital III nerve palsy. The child had a deviation of 50PD exotropia and a -6 limitation of adduction, -3 limitation of elevation and -4 limitation of depression. Surgery consisted...

Surgery for third nerve palsy

The authors aimed to evaluate the results of a modified surgical method in patients with chronic total third nerve palsy: superior and inferior halves of the split lateral rectus muscle were passed under the superior and inferior rectus muscles and...

Supranuclear palsy

This paper reports the results of surgery for supranuclear monocular elevation deficiency. Contralateral superior rectus maximal recession was undertaken without interfering with the superior oblique tendon position, transection of the superior oblique to the superior rectus frenulum and directly suturing...

Resection versus advancement for consecutive XT

The authors performed a retrospective review of results for patients treated with resection for consecutive exotropia in comparison to patients treated with advancement to the original insertion. The age of the resection and advancement groups averaged 33.6 and 38.2 years...

IOOA and DVD surgery

The authors report the results of bilateral modified inferior oblique (IO) transposition considering the equator in seven patients with infantile strabismus syndrome with inferior oblique overaction (IOOA) and dissociated vertical deviation (DVD). Mean age was 4.5 years (2-7) and mean...

Large collar diameter Jones tubes

This is the first report of the success rates of frosted Jones tubes with larger diameter, 4.5 or 5mm collars. This is a retrospective review of 29 eyes of 25 patients who underwent insertion of a large diameter collar frosted...

IO belly transposition surgery

The authors evaluated inferior oblique (IO) muscle belly transposition to correct mild to moderate IO overaction with small primary position hypertropia. They reviewed 10 patients aged 6-35 years (mean 18.6 years). Aetiologies were mild unilateral superior oblique (SO) palsy for...

Descemet stripping endothelial keratoplasty: surgical management of congenital hereditary endothelial dystrophy

This retrospective case series reports the long-term outcomes of Descemet stripping endothelial keratoplasty (DSEK) with suture assisted donor lenticular assisted donor lenticule insertion in paediatric patients with congenital hereditary endothelial dystrophy (CHED). Thirty eyes of 16 patients were reviewed and...