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Myasthenia Gravis Masquerading as a Third Cranial Nerve Palsy

A 65-year-old man presented with a week’s history of binocular diplopia (in all directions of gaze) and a right partial ptosis. He was systemically well. His past medical history was unremarkable except for vitiligo. At presentation acuity was 6/6 bilaterally....

The symbolism of eyes in Halloween traditions and popular culture

Halloween is a festival steeped in symbolism. Pumpkins, skeletons, ghosts and witches dominate the seasonal iconography, each representing broader cultural anxieties about death, darkness and the supernatural. Among these motifs, the eye, often depicted as glowing, disembodied or grotesquely exaggerated,...

Sixth nerve palsy versus decompensating distance esophoria

Orthoptists see a wide range of conditions that can range from reduced binocular single vision (BSV) that may be solved with exercises, to more extreme neurogenic cases requiring further intervention. Because of this variety, it is important to be able...

Surgical outcome reporting for exotropic DRS

The authors report the surgical outcomes of patients with exotropic Duane’s retraction syndrome (DRS) in a retrospective study of 73 patients; 67 unilateral cases. Patients had a mean age at surgery of 14.11 years (range 2-33). The left eye was...

Diplopia after cataract surgery – risk factors

The risk factors for binocular diplopia after uncomplicated cataract surgery in adults were studied to analyse the patterns of ocular motility and clinical causes. This was a retrospective review of 40 patients; 25 female. Onset of diplopia was at a...

Outcomes of horizontal muscle transplantation

The authors propose the technique of transplantation of the resected muscle segment to the previously recessed muscle for correction of residual / recurrent strabismus in order to restrict surgery to one eye and avoid large recession of previously recessed rectus...

Diagnosis and management of IV cranial nerve palsy

Aetiology: Trochlear nerve palsy can be divided into acute or congenital. Congenital trochlear nerve palsy is usually noted in childhood with development of abnormal head posture. Various pathologies can lead to acute IV nerve palsy, most commonly trauma. Other causes...

What's trending Oct/Nov 2024

A round-up of the eye-related hot topics that have been trending on social media over the last few weeks. #PommelHorseGuy #Olympics The Paris Olympics have been such a delight this year, from incredible physical feats to touching competitor comradery, I...

Occlusion vs. video gaming for treatment of refractive / anisometropic amblyopia

The authors conducted a comparative study of a novel low-cost video game platform – BarronVision (BV) – with standardised occlusion in the treatment of paediatric amblyopia. BarronVision uses a monocular perception learning approach in which the size of optotypes can...

The orthoptic report – what does it all mean?

An orthoptist report may well look like a piece of Japanese Shodo, however, it does in fact contain some extremely useful information. This piece will briefly explain some of the common brush strokes seen on a report. There is some...

Ocular manifestations of multiple sclerosis: an overview

Multiple sclerosis (MS) is an autoimmune demyelinating disease of the central nervous system (CNS), in which there is dissemination of lesions in time (two or more clinical events) and space (multiple lesions seen on brain and spinal imaging). The pathophysiology...

Perceptual learning treatment for amblyopia

The authors previously conducted a feasibility study examining the potential benefit of a self-administered at-home use of a tablet-based perceptual learning (PL) game. Visual stimuli were presented in various orientations and spatial frequency in a game-play format. This study evaluates...