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Implications of missed foreign bodies under the upper eyelid

9 August 2023 | | EYE - Paediatrics, EYE - Oculoplastic
Children aren’t the best historians. As a result, clinicians sometimes rely on the accounts of parents regarding problems. Missed foreign bodies due to poor histories or incomplete examinations may result in irreversible loss of vision. This case report shines light...

Crombie comes home: Tips and hacks for the FRCOphth Part 1

3 June 2026 | | EYE - General
This article offers a reflection on preparation, strategies and insights gained while preparing for a first exam encounter: the FRCOphth Part 1. Preparing for the FRCOphth Part 1, the first major hurdle on the path to fellowship of the Royal...

My Top Five: Preparing for the Duke Elder examination: My tips for success

3 June 2026 | | EYE - General
The Duke Elder Examination is a prestigious ophthalmology exam, open to all medical undergraduates. It is a prize examination, consisting of 90 multiple-choice questions in two hours, testing students on ophthalmology content beyond the undergraduate curriculum. With notoriously tough questions,...

Serendipity

3 October 2024 |
“Serendipity is looking in a haystack for a needle and discovering a farmer’s daughter” – Julius Comroe Jr (Surgeon, Medical Researcher and Author) One of the attractive features of ophthalmology, apart from the good quality of life and the relatively...

Apr/May 2014 Quiz 2

1 April 2014 | | EYE - Cataract, EYE - Cornea, EYE - Glaucoma, EYE - Imaging, EYE - Neuro-ophthalmology, EYE - Oculoplastic, EYE - Oncology, EYE - Orbit, EYE - Paediatrics, EYE - Pathology, EYE - Refractive, EYE - Strabismus, EYE - Vitreo-Retinal, EYE - General
History A 29-year-old woman presented to the emergency department with a two week history of floaters and patchy peripheral visual field loss in the left eye (LE). She had no relevant medical history and she was not on any current...

Apr/May 2019 Quiz

1 April 2019 | | EYE - General
History A 68-year-old female patient was referred from her GP with bilateral conjunctival lesions on her upper eyelids which cause local irritation and dry eyes. Her past ophthalmic history is uneventful. However, systemically she has history of high blood pressure...

Quiz Dec/Jan 2020

2 December 2019
History A 69-year-old female patient was referred to the uveitis clinic from her local district general hospital with a left posterior uveitis which had been unresponsive to high dose steroids. She had no other previous ophthalmic history nor significant systems...

Quiz Feb/Mar 2024

2 February 2024 | | EYE - Oncology, EYE - Pathology, EYE - Paediatrics, EYE - Strabismus, EYE - General
History A 21-month-old boy presented to his local ophthalmology department with a left proptotic eye from a growing cystic lesion known to be present from birth. Notes taken on presentation were: Known left microphthalmia with chorio-retinal coloboma, contralateral eye was...

Quiz Jun/Jul 2024

3 June 2024 | | EYE - Oncology, EYE - Paediatrics, EYE - Strabismus, EYE - Pathology, EYE - General
History A one-year-old girl originally presented with a red eye, initially bilaterally and later in the left only. On examination a membrane was found on the tarsal conjunctiva of the upper eyelid (Figure 1). Figure 1: Anterior segment. Serum plasminogen...

Quiz Oct/Nov 2024

3 October 2024 | | EYE - Oncology, EYE - General
History An 83-year-old female was previously treated by surgical excision and plaque brachytherapy for her left conjunctival lesion. She presented to her ophthalmologist with a recurrence some years later and underwent a lid sparing orbital exenteration, which was sent to...

Acanthaemoeba keratitis

1 December 2017 | EYE - Cornea
In the second of this series I describe a case of Acanthaemoeba keratitis (AK) that was misdiagnosed for a prolonged period which resulted in a devastating outcome. This is one of half a dozen similar medico-legal cases I have dealt...

The results of the last survey Jun23

5 June 2023 | | EYE - General
*Please be aware that this data does not form part of a peer reviewed research study. The information therein should not be relied upon for clinical purposes but instead used as a guide for clinical practice and reflection. I continue...