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Comparison between findings in ‘active’ or ‘healed’ giant cell arteritis
Giant cell arteritis (GCA) is the most common systemic vasculitis in older people and can cause devastating sight loss if untreated. Temporal artery biopsy is often relied upon for diagnosis by ophthalmologists, with a positive biopsy result indicating whether the...
Orbital fat density as a diagnostic tool in pre-septal and orbital cellulitis
This study aimed to evaluate the usefulness of orbital fat density in identifying post-septal involvement when initial differential diagnosis between orbital (OC) and periorbital (POC) cellulitis is unclear. This was a retrospective study of 57 patients with clinical diagnosis of...
No risk of dry eye disease in concomitant strabismus cases
This preliminary assessment of the ocular surface of patients with concomitant strabismus before surgery was undertaken to determine if the presence of strabismus increases the risk of dry eye disease. This was a cross-sectional study of 204 patients with concomitant...
Effects of orbital decompression on duction, cyclotorsion and diplopia
This is a retrospective review of 156 patients (281 eyes / orbits) with Graves Orbitopathy (GO) who had orbital decompression (OD) between 2016 and 2020 from Amsterdam, Netherlands. Data analysis of type of OD, eye position, duction, cyclotorsion and level...
Use of the Mendonca strabismus forceps in locating and measuring muscle insertions
The authors aimed to compare the reliability of the Mendonca strabismus forceps vs intraoperative calliper measurements for determining the distance from the limbus to the insertion of the extraocular muscles in patients undergoing strabismus surgery. This was a prospective observation...
Oxymetazoline hydrochloride for improved symmetry in Graves’ disease
Oxymetazoline hydrochloride 0.1% ophthalmic solution has Food & Drug Administration (FDA) approval for use in involution ptosis. It is an alpha 1 agonist and partial alpha 2 agonist that stimulates Muller’s muscle to lift the lid. The authors of this...
Which cover test method is the best starting point for prescribing temporary prisms?
A retrospective review of medical records was completed, identifying consecutive patients prescribed Fresnel prisms for diplopia, assessed using both simultaneous prism and cover test (SPCT) and prism and alternate cover test (PACT) by a single orthoptist over a 36-month period....
Comparison of two surgical procedure options for unilateral superior oblique palsy
This study compares two surgical options for management of unilateral superior oblique palsy with angles >20PD. Group 1 underwent one vertical muscle surgery – ipsilateral inferior oblique anterior transposition plus resection (IOATR). Group 2 underwent two vertical muscles surgery –...
BT as an effective alternative treatment for small angle consecutive exotropia
In this study, the authors evaluate the efficacy of botulinum toxin A (BTA) as a treatment option for consecutive exotropia. This was a retrospective review of 34 patients; 23 female and 11 male. Age at BTA was a mean of...
Use of reduced volume BT as a treatment option for acute onset comitant esotropia
In this study, the effectiveness and safety of botulinum toxin (BT) for patients with acute acquired comitant esotropia (AACE) and deviation ≤25PD was investigated with comparison of results to conservative prism therapy. Botulinum toxin was undertaken without electromyographic guidance and...
Surgical outcomes for acute acquired comitant esotropia with vs without prism adaptation testing
The aim of this study was to assess the efficacy of preoperative prism adaptation test (PAT) in cases of acute acquired comitant esotropia (AACE) in an Indian population. This was a prospective study of 40 patients. 20 patients had 1...
