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Oct/Nov 2017 Quiz

History A 73-year-old man presented with a rapidly growing left lower eyelid lump with recent bleeding. On examination there was a raised, ulcerated, firm mass occupying two thirds of his lower eyelid. The lesion bled easily and appeared connected to...

Immunoglobulin G4-related ophthalmic disease – what is it? (Part 1)

Part 1: Epidemiology, classification, radiology, histopathology and associations (see Part 2 here) In this two-part series, Li Yen Goh reviews IgG4 disease and reminds us of diagnostic challenges faced. Introduction Immunoglobulin G4 (IgG4) disease is a recently recognised idiopathic systemic...

RNIB appoints Sir Jim Harra as new Vice Chair

The Royal National Institute of Blind People (RNIB) has appointed Sir Jim Harra to take up the roles of Vice Chair of the Board of Trustees and Chair of the Governance, Nominations and Remuneration Committee. Jim was previously a Permanent...

Nasolacrimal duct probing success

The aim of this study was to report the treatment effectiveness of primary probing in children with congenital nasolacrimal duct obstruction (CNLDO) and describe the factors relating to the failure of the procedure. This was a retrospective study of 62...

Occurrence and risk factors for RD after PPV in acute postcataract bacterial endophthalmitis

This is a prospective multicentre study from France between March 2004 to December 2011 in four university hospitals; 123 consecutive patients treated with pars planar vitrectomy (PPV) were included in this cohort. The rate of retinal detachment (RD) of post-PPV...

Case report of Leber hereditary optic neuropathy (LHON)

This case report presents a 74-year-old male patient who developed LHON, with a previous diagnosis of bilateral macular holes. LHON occurs predominantly in healthy young men and onset in older age ranges increases the likelihood that the patient will have...

Maintenance therapy for CMV endotheliitis

Cytomegalovirus (CMV) has been associated with corneal endotheliitis, leading to endothelial cell loss and corneal decompensation. CMV corneal endotheliitis recurrence can affect between 5-60% of eyes after cessation of anti-CMV therapy. Each recurrence of endotheliitis has a detrimental effect on...

Consecutive exotropia overcorrection

The authors evaluate the postoperative outcomes of unilateral medial rectus recession surgery for the treatment of persisting consecutive esotropia >10PD more than six months in 16 patients (three adults and 13 children) who were overcorrected after initial surgery for intermittent...

Who will benefit from cataract surgery?

The need for cataract surgery is expected to rise dramatically in the future due to the increasing proportion of elderly citizens and increasing demands for optimum visual function. The aim of this study was to provide an evidence-based recommendation for...

Muscle insertion measurement by ultrasound biomicroscopy

The aim of this study was to evaluate the accuracy of ultrasound biomicroscopy (UBM) preoperatively and postoperatively in patients having primary horizontal muscle surgery. Sixteen eyes of 15 patients with concomitant horizontal strabismus were evaluated; mean age 21.1 ±3.3 years,...

Dry eyes after photorefractive keratoplasty

This study examined changes in tear break up time (TBUT), Schirmer test, tear osmolarity and dry eye questionnaire (OSDI) score from prior to photorefractive keratoplasty (PRK), to two months and four months postoperatively. Fifty eyes of 25 patients were examined....

Confocal microscopy and corneal graft rejection

Forty-five patients following penetrating keratoplasty (PK) were examined with the HRT III Rostock Cornea Module confocal microscope at various points after their surgery for two years. Activated keratocytes (AKs) were counted manually and their mean number evaluated. A pattern was...