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Tricks and tips for paediatric refraction
Refraction is an important part of the paediatric eye examination but can sometimes be challenging. If a child struggles to co-operate with the eye examination, how can one ensure that the best outcome is achieved? There are tips here which...Discussing treatment modalities for bilateral wet AMD
A 65-year-old lady with bilateral wet AMD and vision of 6/24 comes with an internet search about current therapies. How do you explain the various treatment modalities available? There are two NICE approved treatments for wet age-related macular degeneration (AMD)....My Top Five: Debunking common myths in ophthalmology and vision care
In the field of eye health, numerous misconceptions persist. Let’s examine five prevalent myths and uncover the truth behind them. Myth 1: Wearing glasses weakens your eyesight Origin: This myth likely originated from the observation that people often need stronger...DR-NET National DR Workshop in Tanzania: Policy, training and technology
Diabetic retinopathy (DR) is a leading cause of moderate to severe visual impairment (VI) and blindness worldwide, posing a significant public health challenge. As the prevalence of diabetes continues to rise globally, particularly in low- and middle-income countries (LMICs), the...A case of late spontaneous subluxation of in-the-bag intraocular implant
An 82-year-old frail lady was referred by her optometrist with a finding of subluxated implant in the right eye. She had uneventful phacoemulcification with in-the-bag intraocular implant 17 years earlier. There is no history of having had pseudoexfoliation (PXF) or...
Gonioscopy: A Video Assisted Skill Transfer Approach
Gonioscopy is a critical part of the eye examination, a challenging technique to learn and although drawings and photographs are helpful, videos that demonstrate the technique and findings are particularly valuable. Interpretation beyond merely identifying whether there is a closed...
Comparison of treatment regimes for APROP
The authors evaluated the risk factors and treatment outcomes of various treatment options for APROP including intra-vitreal anti-VEGF injections, laser treatment and a combination of both. This was an observational study of all consecutive cases of untreated APROP from 2018-19...New national programme of sight tests in special schools
As a result of SeeAbility’s campaigning, NHS England are planning for a new national programme of sight tests and glasses dispensing in England’s special schools from 2020. SeeAbility’s model of sight testing is less stressful for children with learning disabilities...
Cost-effectiveness of orthoptic-delivered screening versus school nurse screening
The authors describe a long-term audit of outcomes and costs associated with referrals from two established neighbouring school-entry vision screening services in the UK over one academic year with one adhering to national UK screening guidelines more closely than the...Evolving towards an interventional glaucoma mindset
Traditionally, a newly diagnosed glaucoma patient would be treated first with medical therapy. As the disease progressed or the initial intervention failed to adequately control intraocular pressure (IOP), clinicians would add more drops, selective laser trabeculoplasty (SLT), repeated SLT and...
Impact on the corneal and anterior chamber characteristics after femtosecond laser cataract surgery
Femtosecond laser cataract surgery (FLACS) is being increasingly used in the preparation for cataract surgery. Benefits of circular capsulorrhexis and reduced phacoemulsification energy have been shown in the literature. This study was designed to assess the anterior chamber characteristics and...
