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Modified technique in place of ultrasound biomicroscopy

The authors describe a modified immersion B-scan ultrasonography that includes a standard B scan probe of 10MHz, a surgical glove and sterile saline to fill a finger of the surgical glove – tied off to create the desired immersion standoff...

Impact of COVID-19 pandemic on US paediatric ophthalmology

The authors designed and distributed a survey to assess the economic impact of the pandemic on US paediatric ophthalmologists over the sustained lockdown period of 18 months in 2020/21. They captured information on clinical and surgical revenue, staff hiring and...

Review of bupivacaine use in treatment of strabismus

This review aimed to assess the applications of bupivacaine (B) in the non-surgical treatment of strabismus in human and animal studies. Animal studies show that singly-innervated fibres with low concentrations of mitochondria and developed sarcoplasmic reticulum are more affected by...

Changing operating room practices: the effect on postoperative endophthalmitis rates following cataract surgery

This is a retrospective clinical registry study from India of 85,552 cataract surgery patients; group 1 (56,551 patients from January-March 2020) and group 2 (29,011 patients from May-August 2020). Group 1’s patients were ungowned, surgical gloves were disinfected but not...

Risk factors and management for postoperative complications in strabismus surgery

This retrospective cohort study examined 1273 patients, comprising 1035 cases of exotropia and 238 cases of esotropia, with a minimum 18-month follow-up after strabismus surgery. Baseline demographics, age at surgery, pre / postoperative visual acuity, and deviation were included. Complications...

RCT of unilateral vs bilateral surgery for lateral incomitance in exotropia

The purpose of this study was to evaluate and compare the surgical outcomes in the management of lateral incomitance with regard to ocular alignment and change in lateral incomitance in cases of bilateral vs. unilateral strabismus surgery. This was a...

Randomised controlled trial for large-angle exotropia surgery

The purpose of this study was to investigate single eye, single setting surgical options to correct 80–90PD of exotropia with two options of muscle transplant and suture hang-back recession. There was retention of anatomical limits of 6mm resection for medial...

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...

Function vision outcomes in pseudophakic children

This study evaluated the functional vision of 196 pseudophakic children and their carers treated at a tertiary centre in Southwest Nigeria and identified association factors. Mean age was 9.8 ±3.4 years (range 2–16) with 68.9% male and 31.1% female. Median...

Long-term motor and sensory outcomes after surgery for high AC/A ratio esotropia

This study reports the long-term ocular alignment and sensory outcomes after medial rectus recession for high accommodative convergence to accommodation (AC/A) ratio esotropia with a minimum postoperative follow-up of five years. The study included 34 patients (16 male); 31 had...

Improvements in balance and postural control after strabismus surgery

The authors sought to investigate the effect of surgical correction of strabismus on dynamic balance and postural stability. They recruited 27 children (15 female, 12 male) of which 17 were esotropia and 10 exotropia (including eight intermittent types), aged 7–12...