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The PMFA Journal - February/March 2019 issue available

FEATURES IN THIS ISSUE: The truth behind facelift myths by Akshay Sanan, Sam P Most. / The gender affirmation surgery MDT by Michael Fee Yen Ng, Tareq Ammari. / Facial veins - diagnosis and treatment optionsby Victoria Smith and Mark Whiteley. AND MUCH MORE...

Outcomes of treated adult-onset ET

This study describes a large cohort of 248 patients with adult onset esotropia (ET) due to a range of causes and details preoperative characteristics, operative procedures and surgical outcomes. Mean age at diagnosis was 52 years. Diagnoses included cranial nerve...

Laissez-faire approach for medial canthus tumours

This is a retrospective comparative case series of patients who underwent reconstruction of a medial canthal defect using laissez-faire approach (LFS), or a full-thickness skin graft (FTSG). The surgical options were discussed with the patient and the treatment decision was...

Platelet rich fibrin membrane for descemetocele

This case series described the use of a novel technique in the treatment of descemetocele. Three patients developed descemetoceles following infective keratitis with impending risk of corneal perforation. Platelet rich fibrin (PRF) membrane was prepared using 8ml of fresh venous...

BT outcome for CP and ET

The authors evaluate the clinical outcome of botulinum toxin (BT) injection in the correction of esotropia in 44 patients with cerebral palsy (CP). BT was injected under general anaesthesia without EMG guidance. Of the children, 47.7% were male and mean...

Literature review of isolated ocular motor nerve palsies

Patients aged over 50 presenting with isolated nerve palsies of the third (pupil sparring), fourth or sixth nerves, are often described as having microvascular extraocular palsies. This review looks critically at the evidence surrounding these microvascular non-arteritic extraocular palsies and...

Use of acetazolamide for symptoms of visual vertigo

Visual vertigo is a disorder characterised by symptoms of dizziness, vertigo, unsteadiness, disorientation and general discomfort induced by visual triggers. It is currently treated with vestibular rehabilitation therapy, with no effective pharmacotherapy options available for treatment resistant case. Oral acetazolamide...

Children’s clinic perceptions

The authors designed a questionnaire intended to be child friendly and for use in a paediatric ophthalmology clinic. The aim of the study was to sample the opinions of the children attending their clinics. Topics in the questionnaire included timing...

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...

Screening for amblyopia

The purpose was to determine the validity of the OPTEC 5500 vision screener in detecting visual acuity and amblyopia in paediatric patients aged 3-17 years with comparison to the Lea and Snellen tests. This was a cross-section study of 64...

Children’s perspectives of amblyopia treatment

This study measured the impact of amblyopia treatment (patching and atropine) on health-related quality of life from the child’s perspective using the Child Amblyopia Treatment Quality of Life (CATQoL) questionnaire. The study recruited 46 children with no treatment in the...

Age and prevalence of amblyopia in Ghana

The overall aim of this study was to determine the pattern and prevalence of amblyopia and assess the treatment options used in a rural hospital in Ghana. The authors conducted a retrospective study from 2014-2018. Of 12,860 clinical records, 12,602...