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Progression in the Early Manifest Glaucoma Trial

The Early Manifest Glaucoma Trial (EMGT) had previously demonstrated without doubt that intraocular pressure reduction decreased the risk of progression in patients with early glaucoma. In this analysis of 306 eyes over eight years from the EMGT, perimetric and optic...

Positive diagnosis of acute posterior ischaemic optic nerve neuropathy

Posterior ischaemic optic neuropathy is a rare cause of visual loss believed to be due to infarction in the territory of the pial branches of the ophthalmic artery. There is an absence of clinical signs which means the diagnosis is...

Treatment of infantile cataract with secondary IOLs

The authors examined whether secondary IOL insertion is helpful in the successful treatment of monocular infantile cataracts. Eleven children were reviewed: eight with cataract extraction at one to four months of age and three at five to seven months of...

Cataract surgery in uveitis

This is a multicentre study of eight UK independent sites of patients with uveitis, undergoing cataract surgery between January 2010 and December 2014. A total of 1173 eyes were compared with a control reference group of 95,573 eyes from the...

Conversion to strabismus and amblyopia

This study was undertaken to evaluate the incidence of true manifest strabismus, the visual acuity at school screening and whether risk of failing screening is different in those discharged at first visit or followed up. The author reviewed 248 children...

Overview of traumatic optic neuropathy

The authors present the clinical features and role of various treatment modalities on the final vision outcome in traumatic optic neuropathy (TON). They retrospectively reviewed the records of patients with a diagnosis of TON over a four year period in...

PROMs in blepharoplasty

With the advent of clinical commissioning in NHS England the need to demonstrate the benefits of certain surgeries is becoming increasing common. Upper Lid blepharoplasty is a commonly performed operation and often seen as a cosmetic procedure. Danish visitation guidelines...

Angle of deviation and psychological impact

This questionnaire-based prospective study using the Psychological Impact Questionnaire was designed to investigate whether the size of the angle of deviation, age, sex, presence of diplopia, visual acuity of the worse eye and direction of deviation are related to psychological...

Avastin vs. Volon A for diabetic macular oedema

This prospective randomised interventional clinical trial compared 30 diabetic patients with macular oedema treated with either intravitreal injections of bevacizumab (Avastin) or triamcinolone (Volon A). One group initially received three injections of 2.5 mg Avastin in monthly intervals whilst the...

DTI/MRI results in amblyopia

Diffusion tensor imaging (DTI) is an MRI technique that can evaluate white matter integrity and neuronal connectivity. Normal brain maturation and myelination are associated with reduced water diffusion and increased diffusion anisotropy. The authors aimed to evaluate the anterior optic...

Long-term outcomes following surgery for traumatic cyclodialysis clefts

This retrospective case series evaluated the long-term visual prognosis and intraocular pressure control following surgical treatment of traumatic cyclodialysis clefts. Cyclodialysis clefts result from the disinsertion of the longitudinal ciliary muscle fibres from the scleral spur and occur as a...

Using a pupillometer to confirm presence of RAPD in post stroke homonymous hemianopia

It has been reported that relative afferent pupillary defects (RAPDs) may be present in patients with occipital lobe lesions. However, a small contralateral RAPD due to a difference in the crossed and uncrossed fibres can be difficult to detect using...