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An interesting presentation of ruptured anterior communicating artery aneurysm with acute monocular vision loss

The authors report an interesting case of a 60-year-old man presenting with acute monocular vision loss accompanied by periorbital pain as an unusual presentation of subarachnoid haemorrhage (SAH) from ruptured anterior communicating artery aneurysm. The patient did not present with...

Intensive cataract training

Cataract surgery is one of the most commonly performed surgical procedures carried out worldwide but there is a steep learning curve and a higher complication rate for trainee surgeons. This study reports on an innovative training programme of combining the...

Practical application of cataract risk stratification

This study assessed the practicability of a risk stratification system, the New Zealand Cataract Risk Stratification (NZCRS) in a major teaching hospital. The scoring system was as follows: three points for Dense cataract, pseudoexfoliation (PXF), phacodonesis, previous vitrectomy and only...

Using small amplitude saccades to assess saccadic velocity

Saccades are a key component in the assessment and diagnosis of neuro-ophthalmological disorders. Clinicians are typically taught to use large amplitude saccades (LAS) of at least 20 degrees to assess saccadic velocity. It has been suggested, however, that small amplitude...

Ultra-widefield fundus autofluorescence

The authors assessed the ease and utility of ultra-widefield fundus autofluorescence (UWF-FAF) in detecting suspected inherited retinal disease in children who were difficult to examine. They aimed to assess the sensitivity of UWF-FAF and UWF-CF (colour fundus) photography and clinical...

Surgery to collapse V exo

This paper describes a case report of an extra-large V pattern measuring >60PD and the surgery required to collapse the pattern. The patient was a female aged 20 years. Angle measurements were 70PD at distance and 75PD at near in...

Whiteboard illustrations added to pre-surgery timeout procedure

The authors present results of a quality improvement initiative. A whiteboard illustrated with right and left eyes with views of the extraocular muscles was developed, the board also contained spaces for the patient’s name, deviation, versions and the procedure name....

A case presentation of morning glory disc anomaly and peripapillary staphyloma

The purpose of this paper is to present a case of an 18-month-old girl initially presenting with strabismus. Fixation of the affected eye was intermittent with a relative afferent pupillary defect. A fundus photography of the affected left eye showed...

ISBCS versus DSBCS

This is a retrospective study of 53 children who had immediate sequential bilateral cataract surgery (ISBCS) (37/53) or delayed sequential bilateral cataract surgery (DSBCS) (16/53) at a tertiary referral paediatric hospital in Toronto, Canada. Clear visual axis was the measure...

Impact of COVID-19 on orthoptic services during a recovery phase

The purpose of this study was to conduct a follow-up survey of orthoptic practice in the UK and Ireland during the summer 2020 interim recovery phase of the pandemic. This was a prospective cross-sectional survey from July 1 2020 to...

Modified technique in place of ultrasound biomicroscopy

The authors describe a modified immersion B-scan ultrasonography that includes a standard B scan probe of 10MHz, a surgical glove and sterile saline to fill a finger of the surgical glove – tied off to create the desired immersion standoff...

Causes and outcomes of eyelid lacerations

The purpose of this study was to characterise the epidemiology of paediatric eyelid lacerations, identify risk factors for canalicular involvement and describe postoperative complications after surgical repair. This was a retrospective review of tertiary care trauma centre records in which...