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Surgical treatment outcomes and predictors for consecutive exotropia

This retrospective study presented the long-term results of consecutive exotropia surgery and its prognostic factors, and compared efficacy of medial rectus advancement, lateral rectus recession, or a combination of both. Patients were treated between 2000–2020. Mean age was 33.98 ±17.68...

Prismatic contact lens correction vs prismatic glasses

The aim of this study was to verify if diplopia could be corrected by applying soft directional prism contact lenses, to compare effectiveness of diplopia correction, comfort and quality of vision with these contact lenses compared to prism glasses. This...

Description of surgical modification for heavy eye syndrome

For heavy eye syndrome, these authors report a modification to facilitate approximation of the widely separated muscles using a combination of zip-up and hand-over-hand manoeuvres. Ten patients underwent this surgery with unification of the superior rectus and lateral rectus muscles....

Progression of myopic maculopathy after treatment

The authors report on a retrospective study carried out to evaluate long-term progression of myopic maculopathy and functional outcome in eyes treated for myopic choroidal neovascularisation (CNV) and in eyes without CNV. Fifty-four myopic eyes of 30 patients were included...

Ectopia lentis management

This review discusses the management of non-traumatic ectopia lentis in the paediatric population focussing on the variety of surgical options for these patients. The review considers visual sequelae and conservative management, limitations for surgery with respect to historical and current...

Stereopsis changes with cataract

Stereoacuity was compared preoperatively to six weeks postoperative after cataract extraction and intraocular lens (IOL) implant. The authors evaluated the association of postoperative stereoacuity with visual acuity, age and duration of preoperative symptoms. This prospective study recruited 142 patients: 92...

A guide to utilising your time efficiently to develop clinical and procedural skills as an aspiring ophthalmologist

Ophthalmology often receives limited coverage in the undergraduate medical curriculum, and the availability of foundation programme jobs in this field is also restricted, reducing exposure to this field for aspiring ophthalmologists. Even if you’re not planning to specialise in ophthalmology,...

How good does my vision have to be to drive this thing? Visual standards for various occupations

We can all picture that moment in clinic: you are about to tell someone that they’re no longer legally able to drive, ready to deploy our ‘breaking bad news’ techniques. For some patients this may have been expected, or they...

Topography-guided photorefractive keratectomy in the treatment of corneal scarring

This study reports the outcome of topography-guided photorefractive keratectomy (TG-PRK) in the treatment of patients with corneal scarring. A retrospective case series including six eyes of six patients with corneal scarring and irregular astigmatism who underwent topography guided PRK. The...

Outcomes of cataract surgery in patients with uveitis

This is a systematic, evidence-based literature review and meta-analysis, looking at the visual outcomes (vision 20/40 or better) of cataract surgery in uveitic eyes. The authors searched MEDLINE, EMBASE, CINHAL and CENTRAL, including English language and human studies only. They...

Using frequency doubling technology perimetry to identify Alzheimer’s disease early

Alzheimer’s disease is widely reported to be associated with deficits in visual function. Visual disturbances include impaired stereopsis, contrast sensitivity and motion detection. Deficits specific to the magnocellular pathway (MGC) have been identified in Alzheimer’s disease. This article compares the...

PERG as a visual prognosticator in chiasmatic tumours

Pattern electroretinogram (PERG) allows assessment of ganglion cell function and may therefore be used to assess anterior visual pathway dysfunction. This prospective non-randomised study assessed PERG before and after surgical removal of tumours in and around the sellar region compressing...