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Outcomes with small aperture IOLs

This study aimed to compare the clinical outcomes following the implantation of an extended depth of focus small-aperture intraocular lens (IOL) (IC-8; AcuFocus, Irvine, CA) for presbyopia correction when implanted monocularly or binocularly. Visual outcomes, defocus curve, patient satisfaction, and...

Partial recession surgery for small angle vertical strabismus

The objective of this study was to assess the results of partial recessions of the vertical rectus muscles in patients with diplopia and small angle vertical strabismus. This was a retrospective study of partial temporal or nasal recession from one...

Bilateral versus unilateral recession outcomes for intermittent exotropia

The aim of this study was to compare surgical motor and sensory outcomes of unilateral versus bilateral lateral rectus recessions in children with small angle intermittent exotropia. This was a retrospective study of 55 patients; 28 bilateral and 27 unilateral...

Comparison of bupivacaine injection vs. mini-tenotomy for small angle deviations

Bupivacaine hydrochloride is an aminoacyltype local anaesthetic. Injection into extraocular muscles elicits a myotoxic response destroying striated muscle fibres but sparing satellite cells, nerves and vessels. Preserved satellite cells proliferate to form new muscle fibres, causing muscle hypertrophy and greater...

One vs two muscle surgery results for small / moderate angle horizontal strabismus

The authors aimed to compare the long-term surgical outcomes of one vs two muscle surgery in 89 patients with horizontal strabismus of small to moderate angle (<25PD). This was a retrospective study with a minimum six-month follow-up period. One muscle...

Building leaders for eye care in Africa: the COECSA-RCOphth VISION 2020 LINK

The VISION 2020 LINK [1] between the College of Ophthalmology of Eastern, Central and Southern Africa (COECSA) and the Royal College of Ophthalmologists (RCOphth) has been building leaders of eye care in Africa since 2008, when a Memorandum of Understanding...

Use of off-the-shelf magnifying glasses as a cost-effective alternative for surgical loupes

Surgical loupes are an integral part of ophthalmic surgery on the ocular surface and in the periocular area. Available in different magnifications, they provide a clear view of the field of surgery which can greatly assist in identifying fine structures...

Things I’d tell my medical school self, had I known my first year on the job would be during a global pandemic

In a conversation with his younger self, a foundation doctor reflects on the contrast between his expectations of medicine at university and the reality of working during the coronavirus pandemic. Every doctor arrives at medical school with nervous anticipation, yet...

Contrast sensitivity after laser corneal surgery

This study group compared contrast sensitivity among participants undergoing wavefront-guided or wavefront-optimised photorefractive keratectomy (PRK) or laser-assisted in situ keratomileusis (LASIK) for the treatment of myopia or myopic astigmatism 12 months after surgery. This was a prospective, randomised clinical trial,...

Randomisation, confounding & observational methods in ophthalmic epidemiology

Randomisation and confounding Understanding the relationship between an exposure and an outcome of interest is the central challenge in ophthalmic epidemiology. The exposure may be aetiological, taking the form of a putative risk biological factor, or therapeutic, in the form...

How to write and publish a case report – tips and common pitfalls

Ophthalmology is an extremely popular specialty, with the competition ratio at ST1 level entry being 10:1 in 2023 [1]. Consequently, applicants are required to achieve higher portfolio scores to remain competitive. For those considering a career in ophthalmology, two points...

Ophthalmology in the developing world

After the second year of medical school, I spent my summer vacation working as a volunteer for a small Italian non-government organisation (NGO), named HEALTH-AID. As part of my volunteering experience, I joined a team of European doctors, medical students...