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530 results found

Single vs combined y-split surgery for Duane’s type III

The authors present the results of two surgical approaches to treat exotropia Duane’s retraction syndrome (DRS) with significant overshoot and retraction. This study compared single Y-split recession of the lateral rectus muscle vs combined Y-split lateral rectus recession plus medial...

Short-term instability of surgical correction of IXT

In this retrospective observation study from southern India, the authors aimed to evaluate the progression of intermittent exotropia (IXT) following surgical correction and its contributing factors in 50 patients. Mean age at surgery was 10 years (range 6–14), 26 were...

RCT to detect palpebral fissure changes after horizontal strabismus surgery

The aim of this prospective randomised controlled trial was to compare changes of vertical palpebral fissure h8 after bilateral lateral rectus (BLR) recession vs unilateral lateral rectus recession/medial rectus muscle scleral plication (RRP) for treatment of intermittent exotropia (IXT). Forty...

Biometry and IOL choice errors

In the next instalment of this series I focus on problems associated with biometry and intraocular lens (IOL) selection for cataract surgery. I have taken previous medicolegal cases I have dealt with and tried to extract some learning points and...

Randomised trial of multifocal intraocular lens versus monovision

The authors report on a randomised, multicentre clinical trial comparing the outcomes of Tecnis ZM900 diffractive multifocal intraocular lenses (IOL) versus monovision with Akreos AO monofocal IOL (dominant eye targeted for emmetropia and non-dominant eye targeted for -1 to -1.50...

Association between COVID-19 restrictions and accelerated myopia progression

A retrospective case review aimed to evaluate the association between home confinement and progression of myopia in Argentina during 2020. Data was collected using an online survey of ophthalmologists throughout Argentina. The inclusion criteria included being five to 18-years-old, found...

Contemporary glaucoma therapy: spoilt for choice

The goal of glaucoma management is to prevent visual loss and disease progression in the patient’s lifetime through effective lowering of intraocular pressure (IOP), the primary modifiable risk factor in glaucoma. Sustained and consistent IOP reduction is key to halting...

Risk stratification to reduce intraoperative cataract surgical complications

The authors prospectively collected data on 1135 consecutive patients undergoing cataract surgery. They were risk stratified according to categories – A (no additional risk factors, 0 points), B (vitrectomy, corneal scarring, small pupil less than 3mm, shallow anterior chamber less...

OCT choroidal signs for congenital retinal pigment epithelium hypertrophy

Congenital hypertrophy of the retinal pigment epithelium (CHRPE) on ocular coherence tomography (OCT) has the characteristic sign of RPE thickening and hyper reflectivity. However, the underlying choroid characteristics remain under researched. This retrospective study utilised data from an ophthalmic oncology...

Photoscreening comparison

The A09/S09 photoscreener contains a fixation target of flashing lights (as for the S04) plus a smiley face which is new. Concerns were raised that the smiley face may stimulate less accommodation than the S04 attention lights and therefore potentially...

Choice of cycloplegia regime

The purpose of this randomised control trial (RCT) was primarily to compare the refractive outcome of atropine 0.5% (A) instilled twice daily at home 2.5 days before measurement versus two drops of 1% cyclopentolate (CC) in one eye versus one...

Eye movements in children with strabismus +/- amblyopia

The aim of this study was to detect eye movement recording abnormalities using different paradigms in children with strabismus in the absence or presence of amblyopia and compare these findings with age-matched children without strabismus. One hundred children were recruited...