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Unravelling ocular motility

Ocular motility can often be a slightly abstract concept during the earlier years of ophthalmology training. A large variance on what embodies normality; mythical concepts like fusion and binocular vision, examination techniques that can be fiddly, and complex neuroanatomy all...

In conversation with Dr Monicah Bitok, Global Inclusive Eye Health Advisor (CBM)

Eye News spoke to Dr Monicah Bitok, Global Inclusive Eye Health Advisor with the Christian Blind Mission (CBM), about the rise in diabetes-related preventable blindness, systemic ophthalmic changes in low- and middle-income countries, and the impacts of a COVID-19-induced backlog...

The most memorable patient encounters and what they taught me

In ophthalmology, some encounters blend quietly into the rhythm of clinic. Others stay with us, shaping how we practice and who we become as clinicians. These moments become the unexpected teachers of our training. They are subtle yet leave a...

Case series of toxic anterior segment syndrome

Herein we report two cases of toxic anterior segment syndrome (TASS) following uneventful cataract surgery. Both patients presented 24 hours after their uneventful operations with painless blurred vision in the operated eye. The inflammatory reaction was controlled successfully with an...

Mental health issues linked with strabismus

The purpose of this study was to determine if adults with non-paralytic forms of strabismus are at elevated risk for developing mental illness. This was a population-based case-controlled study of 297 adults with new onset non-paralytic strabismus; 42.4% were male....

Surgery for acquired distance esotropia

The purpose of this study was to evaluate the outcome of this surgical approach in the treatment of divergence insufficiency esotropia. This was a retrospective review of 18 patients aged on average 49.6 years; 77% were female. Preoperatively the distance...

Using fusion measures to guide strabismus surgery

In this study the authors targeted patients with non-accommodative decompensating distance esotropia with investigation of prior binocular single vision. Choice of target angle was based on the individual’s fusional amplitudes. The target angle aimed to be less than the distance...

Surgical results in spinocerebellar ataxia (SCA)

Patients with SCA frequently develop ocular motility abnormalities including nystagmus, abnormal smooth pursuits, dysmetric saccades, divergence paresis and ophthalmoplegia. Incidence of diplopia is higher in SCA type 3. The purpose of this study was to evaluate surgical responses and outcomes...

Early postoperative angle for prediction of surgical success for exotropia

In this study, the authors assessed the relationship between the initial postoperative deviation and surgical outcomes in adult exotropia undergoing unilateral lateral rectus recession with medial rectus resection. The study included 93 patients (51 female); 26 with residual exo, 53...

Reporting the development and pilot use of fixable surgical instruments

This study reports the development of instruments to substitute traction sutures during strabismus surgery and to act in place of surgical assistance. Three types of instruments were developed: (1) fixable multi-functional forceps; (2) fixable muscle hook; and (3) fixable retractor....

Surgical outcomes of primary recess/resection vs readvancement/recession surgery for exotropia

This study compared the surgical yield of primary lateral rectus and medial rectus recession/resection (RR) surgery for basic exotropia, convergence insufficiency type exotropia (CIXT) and divergence excess (DXS) vs. patients undergoing medial rectus readvancement (MRR) +/- lateral rectus recession for...

Horizontal recti injection of botulinum toxin for treatment of infantile nystagmus

In this study the authors aimed to demonstrate the effect of botulinum toxin (BT) on the frequency of ocular oscillation in children with infantile nystagmus syndrome (INS). Botulinum toxin was administered with direct injection into the horizontal recti muscles using...