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Moorfields Education: Glaucoma level 3 (College of Optometrists Professional Diploma in Glaucoma)
This course is designed to develop the required management skills for patients with glaucoma, and it's now at a reduced rate of £1500 (previously £2,300). Optometrists will also be able to gain CPD points, for both level 2 and 3...
Biodegradable plates in lateral orbitotomy surgery
This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...Headaches in ophthalmology (part 1)
Ophthalmologists see a large number of patients with headaches or facial pain in the ophthalmic outpatient clinics or in emergency clinics. Over two articles, I will discuss several causes of headaches, ocular manifestations and proposed management and referral options. It...
An alternative to povidone-iodine for intravitreal injections?
While povidone-iodine (5% aqueous) preparations have historically been considered the most effective antimicrobial prophylaxis for ophthalmic procedures and have been adopted as routine for intravitreal injections, post-procedure pain is a commonly recognized adverse event of IVI and has typically been...
A case report of Horner syndrome with neuromyelitis optica
This case report details a patient diagnosed with neuromyelitis optica (NMO) with an associated left Horner syndrome. The female patient presented with neck pain and right hemibody decreased pain and temperature sensation. She then went on to develop left ptosis...
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...
Subconjunctival anaesthesia in vitreoretinal surgery
The authors present a technique that combines topical and subconjunctival anaesthesia for vitreoretinal surgery. In this ‘two-step’ procedure, three drops of proparacaine were applied to the conjunctival fornix, followed by subconjunctival lidocaine injected in three quadrants. This was compared with...
Predicting causes and prognosis in cases of optic disc swelling
The authors reviewed 93 consecutive cases with optic disc swelling (ODS) with the purpose of comparing the clinical manifestations and prognosis between cases. The aim was to understand the differences in frequency and clinical features of ODS, relating these to...
Trochleitis features
The authors evaluate the epidemiology, clinical signs, treatment and outcomes of trochleitis in a retrospective review of 59 cases. Estimated prevalence was 12 per 100,000. Eighty-six percent were female and mean age was 43±18 years. All but one case was...
Radiotherapy for orbital apex cavernous haemangiomas
This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....
