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Effects of phacoemulsification on IOP and drug use in glaucoma

For patients with comorbid cataract and primary open-angle glaucoma (POAG), guidance is lacking as to whether cataract extraction and traditional filtering surgery should be performed as a staged or combined procedure. Achieving this guidance requires an evidence-based understanding of the...

Principles of contact lens fitting in keratoconus

Keratoconus is an ectatic condition of the cornea characterised by progressive conical distortion with irregular astigmatism, myopia and apical protrusion. Most cases progress slowly resulting in varying degrees of myopic astigmatism. Management of keratoconus includes spectacles, soft contact lenses, a...

Assessment and management of dry eye disease

This paper is an update on the assessment and management of dry eye disease (DED). According to the second International Dry Eye Workshop 2017, “Dry eye is a multifactorial disease of the ocular surface characterised by a loss of homoeostasis...

Introducing BEAMS: A new national society for medical retina specialists

The specialty of medical retina is evolving. Initially, limited to pattern recognition and in later times, laser treatment, the past 20 years has seen an explosion of intravitreal therapies and a very rich pipeline resulting in sight-saving outcomes and hope...

Is it worth performing cataract surgery in amblyopic eyes?

It was estimated that about 3% of all cataract surgeries in adults were performed in eyes that have pre-existing amblyopia, and there is a long-standing belief that eyes with amblyopia have limited benefit from cataract extraction in the adult age....

Results of STENTube for lacrimal intubation

The STENTube is designed with a varied diameter – a thin central segment with a diameter of 0.86mm and distal tube segments with larger 1.3mm diameter. The thin central segment is exposed at the medial canthus. The distal tubes tamponade...

Incidence and factors associated with complication of sutured and sutureless cataract surgery following PPV

This is a retrospective review of 485 patients who had undergone phacoemulsification and IOL implantation after previous pars planar victrectomy (PPV) surgery between May 2000 and May 2014. The incidence and factors contributing to complications were studied. The most common...

OVD influences

This prospective case series provides data on a previously uninvestigated area. Eyes due to have routine phakoemulsification were divided into six groups according to ophthalmic viscosurgical device (OVD) type. After cataract extraction aphasic refraction using intraoperative aberrometry with the ocular...

Vici syndrome

Vici syndrome is a condition associated with agenesis of the corpus callosum, congenital cataract, incomplete albinism, ± immunodeficiency and cardiomyopathy. Individuals show profound hypotony and severe neuro abnormalities. This paper reports a case of Vici syndrome. A 38-month-old female had...

Macular oedema after cataract surgery in diabetic patients

The authors describe a multi-centre prospective observational study of 293 participants that underwent cataract surgery who all had diabetic retinopathy without definite central-involved macular oedema. Forty-five clinical sites took part throughout the United States. Patients were eligible if there was...

Persistent anterior uveitis after cataract surgery

This retrospective cohort study was completed to help identify potential risk factors for developing persistent anterior uveitis (PAU) following uncomplicated cataract surgery in patients with no prior history of uveitis or autoimmune disease. A total of 3013 eyes (2019 patients)...

Diffuse lamellar keratitis

This study group reviewed cytokine- and chemokine-mediated mechanisms of diffuse lamellar keratitis (DLK) after lamellar corneal surgical procedures. DLK can occur early or late (months to decades) after all lamellar corneal surgeries, including laser in situ keratomileusis, small incision lenticule...