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Dr Paul Singh and Prof Gus Gazzard on laser as first line therapy
Both the American Academy of Ophthalmology (AAO) and the European Glaucoma Society (EGS) have updated their preferred practice regimens to recognize or recommend SLT as an initial intervention for glaucoma and the NICE UK are now guiding doctors to use SLT before drops.
Somatostatin protects retinal pericytes
Diabetic retinopathy (DR) is a complication of diabetes, caused by high blood sugar levels damaging the retinal microvasculature. Mechanisms, such as oxidative stress and deposition of advanced glycation end products, leads to glial cell activation and neuronal apoptosis. Pericytes, contractile...
Support for patients with nystagmus
This is a qualitative study in patients with nystagmus identified through regional clinics, charity events and the Royal National Institute of Blind People (RNIB). Two hundred and fifty-one participants were identified, with 184 respondents included in the study. Fifty-six percent...
Social media use in reporting patient’s surgical experience
This study evaluated the risk of social media platforms (TikTok and Instagram) in understanding patients’ strabismus surgery experience and relative popularity of related posts. Both platforms were searched in 2022 for strabismus terms and posts were graded as positive or...
An unusual case of partial oculomotor nerve palsy
The authors present an unusual case of intra-axial oculomotor nerve involvement due to midbrain infarction. The 65-year-old male patient presented with unilateral complete blepharoptosis and slight limitation of upgaze. Neurological examination revealed a complete ptosis of the left eyelid, slight...
Association of asthenopia and heterophoria
Heterophoria varies over time and asthenopic symptoms may be greater when the heterophoria is larger. Thus a close intra-individual correlation may exist between heterophoria and discomfort during reading. The authors investigated the variability of both parameters in 20 individuals who...
Normal videonystagmography data
The authors report on the smooth pursuit and saccadic eye movement waveforms elicited from normal patients while viewing standardised calibrated targets. Serial trials were performed on each patient to determine test / retest reliability: nine trials producing 117 results by...
Diagnosis and management of orbital vascular malformations
This is an authoritative review of a controversial and difficult clinical area. The authors have experience of over 350 cases and provide a well-structured review of the classification and management of orbital vascular malformations. They emphasise the need to understand...
High-fluence collagen cross-linking
The authors treat seven eyes with progressive keratoconus with a high energy (18mW) for five minutes delivering a total energy similar to that suggested by the original Dresden protocol (3mW for 30mins). All eyes had a thickness >400µm following epithelial...
Evaluating ocular motor functions
Traditionally orthoptists are specialised in assessing ocular motor disorders. This article introduces the ocular motor score as a new clinical tool for screening and follow-up for children and young adults. The protocol consists of 15 tests such as stereoacuity, strabismus,...
Defining of a successful surgery for different types of strabismus
The authors present the results of a Delphi study, following on from their previous work which defined successful general outcomes for strabismus surgery. This study aimed to define success outcomes for specific types of strabismus. Twenty-five experts were involved in...
