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Risk factors for visual impairment in facial nerve palsy
Facial nerve palsy (FNP) is known to be associated with corneal exposure due to the nature of the condition, but how many of those will go on to develop severe visual impairment (SVI)? This study investigates the risk factors associated...
Bimedial resection surgery dose-response
The purpose of this study was to evaluate the dose-response relationship for primary bilateral medial rectus (MR) resection in 49 children with exotropia. Fifty-seven percent of children were male and mean age at surgery was 6.7 ±5.3 years. Mean preoperative...
Does vicryl stand the test of time?
This retrospective study aimed to assess whether the long-term success of ptosis surgery was influenced by use of absorbable or non-absorbable sutures. Four hundred and fifty-five operations in 330 patients met the inclusion criteria. One hundred and sixty-nine operations were...
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...
Intranasal combined dexmedetomidine and intranasal midazolam-ketamine sedation efficacy and associations in childhood strabismus surgery
The aim of this study was to compare the efficacy of intranasal combined dexmedetomidine (D) and intranasal midazolam-ketamine (MK) sedation and their effects on the occurrence of oculocardiac reflex in children’s strabismus surgery. The study recruited 37 children to each...
Differences in strabismus surgery outcomes in preterm vs full-time birth infants
This study aimed to analyse motor and sensory outcomes of strabismus surgery in 70 preterm (group 1) and 242 full-term (group 2) infants. Group 1 mean gestational age and birth weight were 31.25 ±2.51 weeks and 1562.70 ±412.82g. Pre and...
Infliximab in treatment of PVR
In this phase 2 randomly controlled trial, 66 patients with primary rhegmatogenous retinal detachment and grade C proliferative vitreoretinopathy (PVR) were randomised in a 1:1 ratio to undergo pars plana vitrectomy (PPV) and silicone oil (SO) injection with or without...
Systematic review of management options for intermittent exotropia
The authors conduct a robust systematic review of the literature to report evidence on non-surgical and surgical treatment options for intermittent exotropia – divergence excess and basic intermittent exotropia types. Discussion centres on (1) optical correction of refractive error with...
Results of bilateral medial rectus recession combined with either BT or bridge Faden when treating large angle strabismus
In a series of 26 patients (11 female, 15 male) with large angle esotropia >35PD, the authors compared results of botulinum toxin A (BTA) and bridge Faden operation combined with bilateral medial rectus (BMR) recession. Overall age of surgery was...
Diagnostic yield of routine metastatic work-up in conjunctival melanoma
Conjunctival melanoma (CM) is a rare but potentially aggressive malignancy of the ocular surface with high rates of local recurrence and metastasis. Eighty-one consecutive patients with invasive conjunctival melanoma treated by the senior author over the course of 23 years...
Systematic review of BTA vs surgery for partially accommodative esotropia
The authors conducted a systematic review and meta-analysis to evaluate the efficacy of botulinum toxin A (BTA) vs bilateral medial rectus muscle recessions for management of partially accommodative esotropia. They included 4 eligible studies with a total of 521 patients....
