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What's trending Feb/Mar 2024

2 February 2024 | | EYE - General
A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #ScleralTattoo #BlackEye Scleral tattoos aren’t necessarily a new phenomenon. A quick google search will identify cases being in the news from...

The results of the last survey Apr25

2 April 2025 | | EYE - Cataract, EYE - Cornea, EYE - Vitreo-Retinal
Postoperative endophthalmitis is arguably the worse possible complication of cataract surgery. We are a victim of our own success as the procedure has such an amazing safety profile that when things go wrong patients are bound to feel aggrieved and...

The eye without tears

1 June 2016 | | EYE - General
The Art is long and Life is short. So goes the dispiriting tag in Latin and flung from day one and at regular intervals thereafter at idle medical students who, inevitably brainwashed, come by graduation to believe that the only...

Developments in oculoplastic surgery

1 June 2018 | | EYE - Oculoplastic
A study of NHS practice demonstrated significant patient-reported quality-of-life improvements from commonly performed oculoplastic operations: entropion repair, ectropion repair, ptosis repair and dacrocystorhinostomy (DCR) [1]. In recent years, surgical and non-surgical approaches to functional and aesthetic oculoplastic surgery have advanced...

Eyes on Rwanda: Lessons from an international ophthalmology experience

2 October 2025 | | EYE - Cataract, EYE - Glaucoma
On the 26 February 2025, I travelled to Rwanda on the invitation of a former Belfast trainee, Michael Mikhail. Michael is now one of only two vitreoretinal (VR) surgeons in Rwanda, a country with a population of 14 million. Born...

Trabeculectomy with erroneous Mitomycin-C concentration – a near miss

1 April 2020 | | EYE - Glaucoma, EYE - General
Trabeculectomy is the most commonly performed surgical procedure for glaucoma in the United Kingdom and worldwide. Modifications to the technique have been made since its introduction in 1963, perhaps the most significant being the adjunctive use of mitomycin-C (MMC), which...

Recurrent corneal erosions secondary to isotretinoin use

7 December 2020 | | EYE - Cornea, EYE - Glaucoma
Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations, as shown in Table 1 [3]. These side-effects need...

A case of congenital lacrimal fistula: an overview of diagnosis and management

1 June 2022 | | EYE - Paediatrics, EYE - Strabismus, EYE - General
Shivam Goyal and Kyaw Htun Aye describe the challenges of dealing with a rare case of congenitial lacrimal fistula.We present a case of a 19-month-old baby with a congenital abnormality. Congenital lacrimal fistulae are a spot diagnosis due to its...

Light in darkness – manual small incision cataract surgery in India

1 August 2017 | | EYE - Cataract, EYE - Refractive
Cataract has been documented to be the most significant cause of bilateral blindness in India, where vision <20/200 in the better eye on presentation is defined as blindness [1,2]. Estimation of blindness in India by the World Health Organization (WHO)...

Principles of contact lens fitting in keratoconus

1 December 2015 | | EYE - Cataract, EYE - Refractive
Keratoconus is an ectatic condition of the cornea characterised by progressive conical distortion with irregular astigmatism, myopia and apical protrusion. Most cases progress slowly resulting in varying degrees of myopic astigmatism. Management of keratoconus includes spectacles, soft contact lenses, a...

Letter from America: Orbit and oculoplastic fellowship, University of California, San Diego

1 June 2014 | | EYE - Oculoplastic, EYE - Orbit
I was the fortunate recipient of the 2012 Keeler Scholarship, granting me the incredible opportunity to undertake a fellowship at the University of California, San Diego (UCSD) in orbital, oculoplastic and reconstructive surgery. My fellowship mentors were the renowned Professor...

Insects, swelling and sight loss: a case of orbital inflammatory syndrome

1 June 2022 | | EYE - General
Despite being the most common cause of painful orbital mass in adults and the third most common orbital disease, orbital inflammatory syndrome still proves to be a difficult ocular condition to diagnose, treat, and manage. A 41-year-old lady presented to...